Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI <br /> Applicant Complete All Sections Below This Line o c <br /> Permit Types and Fees:(Please,check appropriate boxes) \ d <br /> Dwelling/Principal Structure $3001 1 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 1 lAddition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 o <br /> Accessory Structure(Commercial/Industrial) $2 00 Addition/Alteration to Bunkhouse $150 <br /> C� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(!Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aqui red 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. -moo <br /> *!terns not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r- <br /> Y 0 z (6 <br /> Property Owner's Name: i <br /> Property Owner's Mailing Address:��� `� ��°! �a Cv�rlrthaN �ZY �_ <br /> City State Zip r) <br /> Property Site Address: <br /> Contact's Telephone Number: <br /> Q <br /> Contact's Email: j/V�� �'��Sai\� �j�'���• • C, <br /> o <br /> Legal Description of Property: �i�7�� �i�, ,. o <br /> Section#: Town#: 4f 0 N Range#: 5' W Town of: <br /> 0 <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): � 6- <br /> Proposed Use of Structure/Addition: 56% 1"p <br /> Anticipated Start Date: Y r'21p (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) C7 <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COM`IENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: J <br /> z <br /> z <br /> Fee Rec: Gl <br /> Check#: .3 <br /> Date of staff site visit: / � � � Initials of site visit staff: <br /> V1, <br /> M% <br /> APPROVED BY LAND SERVICES OFFICI DATE: Xx <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF C W 33 CD <br /> i3t,t1 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o y° G <br /> o0 a <br /> Transcendent: - i = cm <br /> cm <br /> Page 1 of 4 m Q <br /> c <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2020 CD <br /> o_ <br />