Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> Applicant Complete All Sections Below This Line "g' c o <br /> LI. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ",{� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ,- 0 <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 /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 G] <br /> °< <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 0 <br /> X, Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 w <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. k <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. g' <br /> AProperty Owner's Name: G' ,-C ' ` "� . / 7 - „ T p <br /> Property Owner's Mailing Address: S S / / g / 9/ v Sc /I v1Bcz_kf /44, °' <br /> — in <br /> p y 3 r RC L !f a *--6411—..0t,L, //" City State Zip ' r„ <br /> Property Site Address: ! S 6©a <br /> Contact's Telephone Number: / - -CCI I - 7a V " /g g'�S / g <br /> 0 <br /> Contact's Email: C f'LO-VL12_, <br /> Legal Description of Property: 0 1 0 _- `f/ /v 0'...S. aci <br /> Section#: Town#: J/ N Range#: / _5 W Town of: S LvL,py o <br /> d <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): ) j L q <br /> r„ <br /> Proposed Use of Structure/Addition: o x <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) a .J I9 = O <br /> a s <br /> Building Contractor: Sewer Installer: L �r1 / L� <br /> :y2 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY nr Ufl <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS kISTED ELOW: 0 <br /> one co per p.-er (ob- pef Ark (t z <br /> i)e.cvn; i-- 640'i re, SQc , '33, aca6 , <br /> � <br /> -- <br /> s Fee Rec: Ir' <br /> Date of staff site visit:L5 )( - <br /> 7 Check#: l to 3 V. <br /> o <br /> /1 9/7�' :9 I 'tia of site visit staff: <br /> it)../ <br /> aV <br /> 0 <br /> APPROVED BY LAND SERV CES OFFICIAL: DATE:6 ..??0-49 - Q <br /> UPON APPROVAL: APPLICANT MUST POST COPY OFHE G5 <br /> 0. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT • .Z <br /> 2 ow <br /> Transcendent: - Page 1 of 4 • g°c �+ <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2020 ,m <br /> gill <br /> D <br />