Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI a <br /> Applicant Complete All Sections Below This Line <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) O d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 x Addition/Alteration to Commercial/Industrial Structure $200 Q, �O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 c .� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 4b`� <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) 1$100 <br /> *NOTE:After-the-fact permits(permit squired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. ro <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> r/Q �� o <br /> Property Owner's Name: I� n� +4 Eric4. j 6 M z <br /> 0 <br /> °oZ. <br /> Property Owner's Mailing Address: ��� �/ 5� <br /> Cit State Zip r) <br /> Property Site Address: ino4 1 n° Lu�— (p�rj 7 C C <br /> Contact's Telephone Number: 7lS• 3 77•o�Sjr'(p <br /> z�-�h bl� rcfo��rlcrytc� �� <br /> Contact's Email: <br /> Legal Description of Property: <br /> Section#: 26 Town#: L�" N Range#: W Town of: a <br /> 0 <br /> *Attach additional page ifneeded for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> 0 <br /> Tax ID#(1-5 digit number;found on tax statement): 5cF17i <br /> Proposed Use of Structure/Addition: G�Gliil- 7RZ� a /�7fTy1 QyJj/� /djl�' <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ° C7 <br /> Building Contractor: Sewer Installer: N114 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ,J <br /> x Fee Rec <br /> Check#: � <br /> / d <br /> Date of staff site visit: niti of site visit staff: a <br /> z <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> n <br /> =:M <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> y r <br /> w <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT U CP 3 <br /> Transcendent: - Page 1 of 4 w <br /> Laserfische: Burnett County,WI Land Use Application—Rev 1/2019 ' c <br /> b <br />