Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI b (71 <br /> r <br /> < b <br /> Applicant Complete All Sections Below This Line �o <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) w� <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C7 '� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 1 WI State Statute 59.692(1v)Structures $350 C- <br /> Filling/Grading $150 1 lBoathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <br /> a <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. ? CP <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r- <br /> o <br /> Property Owner's Name: c�ses?� .��i�S �✓ Lo��SY ;— <br /> Property Owner's Mailing Address:3`� 3 (,AZ <br /> f City _ State Zip 5 _ <br /> Property Site Address:1 3�f S �.. c.�� �J �— SP��� ��.✓ w <br /> < < � <br /> Contact's Telephone Number: 9 s a- ©7- j grly a <br /> Contact's Email: J G� L i—Lt S S k A Q L <br /> Legal Description of Property: Lv+ 7 a ' � <br /> Section#: 3 Town#: 'OVO N Range#: /y W Town of: ' c.a-V-A <br /> o <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* �. <br /> Tax ID#(1-5 digit number;found on tax statement): 3y C� 7 CIO <br /> o w <br /> Proposed Use of Structure/Ad ition: <br /> Anticipated Start Date: Fj [a(,,4;;LO 19 _ (Home/Cabin;Commercial Easiness;Bedroom;Deck;etc) d <br /> Building Contractor: c A�'S ewerInstaller: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT ALL CONDITIONS LISTED BELOW: OQ <br /> �a 7Ny <br /> Goc a 7Lic9 M D/� P e�V' /'►�Ia✓/�- /�i^u a S� wl q'P� <br /> ( � <br /> f js DU� DT' /t�Dq� GI0 <br /> s Fee Rec: 3MCI) <br /> � �`/1 IDS Its R �`� '�� ✓J n� q U v1/� D U s �i. � Check#: <br /> `� d <br /> Date of staff site visit: /✓ Initials of site visit staff- N 1,4 <br /> APPROVED BY LAND SERVICES OFFICIAL: ATE: 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o z <br /> m <br /> Transcendent: - v e <br /> Page 1 of 4 � �, o a CSLaserfische: - Burnett County,WI Land Use Application—Rev 1/2019 Ca Q <br /> 0 3 <br /> m <br /> H <br />