Laserfiche WebLink
LAND USE PERMIT APPLICATION-Burnett County, WI a a 4 <br /> Applicant Complete All Sections Below This Line c o <br /> G. <br /> Permit Types and Fees:(Please,check appropriate boxes) d 6. <br /> Dwelling/Principal Structure $300 )( Addition/Alteration to Dwelling/Principal Structure $200 <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse • $250 o <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r=. <br /> Filling/Grading $150 Boathouse $500 0 . <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 to r' <br /> 6 'U <br /> 'NOTE:After-the-fad 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 /> 017 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S. 3 <br /> t Hiei<�,'&Property Owner's Name: / � <br /> Property Owner's Mailing Address:( 7 q3 l LOQ a//V£ Qp 04.4. (PT_rat <br /> City State Zip =' rn„ <br /> Property Site Address: <br /> o w <br /> 'i <br /> Contact's Telephone Number: 7 iS- 5 fe a'o! a <br /> Contact's Email: Pia 1H ( ) ee,7 Ivey TEL, /l/E <br /> Legal Description of Property: a/q MI 1 i').E R4 INW <br /> Section it: a Town#: yo N Range#: IG W Town of: 4004444 <br /> go <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system properly page.* a <br /> Tax ID#(1-5 digit number;found on tax statement): 13 31 1 <br /> u? <br /> Proposed Use of Structure/ dditio•. _,t , 0 ...A...2 t661,., _ . I /I a ..,l . • - F <br /> Anticipated Start Date: 7 I r Z,p'7'yHome/Cabin;Commercia Business;Bedroom;Deck;etc.) = C7 <br /> Building Contractor: 1449.04e / Sewer Installer: y-" '-3 <br /> - <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY w <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> V®'3 s<..b,M‘ttedk. p 0`t— ptowx <br /> 1 <br /> s Fee Rec:C ,L f <br /> y Check#: 945, <br /> ��7 0 <br /> Date of staff site visit: l a' ��`" I nitials of site visit staff: <br /> ol LT �""1 <br /> APPROVED BY LAND SERVICES 0 l I .I : ' f DATE: 6—/b -c)C� F <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF y 'z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z m <br /> Transcendent: - 41 a l g <br /> Page1of4 c5 <br /> Laserfische: - Burnett County, WI Land Use Application-Rev 1/2020 2 g <br /> o <br /> 1 <br />