Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI Cr <br /> Applicant Complete All Sections Below This Line 5�• <br /> r o <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) e f <br /> , ,./ Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 `�i,\ <br /> v <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 O <br /> Accessory Structure(Garage,Shed,etc.) 150 Addition/Alteration to Accessory Structure $150 P <br /> Accessory Structure(Commercial/Industrial) Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 5) 11P1P <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 1 <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 cn <br /> ga <br /> *NOTE:After-the-fact permits(permit aquired 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. , <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc.41 r' <br /> "---\ <br /> Property Owner's Name: Ra_ � I- "1-524 ui S&G.)mtt-f! .= c o0 M <br /> � °o I <br /> Property Owner's Mailing Address: /Z WO-1 M0 v4-Ii i7 t-7PCt it 63i4R t W1 S Fyr� <br /> City State Zip =' --) <br /> Property Site Address: Z. SA-e33 C." -& F E , <br /> C <br /> Contact's Telephone Number: 1 I S'- to 1 _o 97 Y (tit; ) -71s-- q 3/- �'LZ"1 lata <br /> Contact's Email: t7 1 <br /> �.,�vGt �IDo WrYIILn�C(l,L/�r1Q - L Ct n� <br /> Legal Description of Property: (.AJ Sedt oc i 'W (-, `1�l , t' S Db r3fDom i`let S `Iz ab (A) 11J ES W Section#: 7. , Town#: '39N Range#: t 9 W Town of: /A)es f- pyre ts4't (o'of Le <br /> P <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): 2 1 $9 i a, <br /> Proposed Use of Structure/Addition: f l-D VN G ° <br /> Anticipated Start Date: /nay Z02a (Home/Cabin;Commercial Business;Bedroom;Deck;etc.)g FOSS-TCACu..�,e:t -�Buildin Contractor: 2.�te(c /3n w ma E, Sewer Installer: k) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 1THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> z <br /> �!...., 11 <br /> +1157)oa <br /> y Fee Rec: <br /> x <br /> o <br /> Date of staff'site visit: 5 0Q <br /> Initi is of site visit staff: j Check#: 'l -f o <br /> z <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 511(11949C) 1';''' <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF Yla <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> 1 _ <br /> Transcendent: - Page 1 of 4 ra <br /> Laserfische: Burnett County, WI Land Use Application — Rev 1/2020 .r,1 , <br />