Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a' b <br /> Applicant Complete All Sections Below This Line 0' N <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 X Addition/Alteration to Dwelling/Principal Structure $200 "� C' <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 e\ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 4 E <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 G] 147 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> r <br /> Filling/Grading $150 Boathouse <br /> $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 w ib <br /> z <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. i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r5 E <br /> z <br /> Property Owner's Name: 1)0,-V ID W , FA-W lj K 2 <br /> 0 7c- <br /> Property Owner's MailingAddress: a <br /> p � 8'�3o Lamap, Arc. Ca���St GRovc M►N S�ol6 <br /> City State Zip s' n <br /> Property Site Address: 30(o 01 I<i 1 S 4(k01,0*** k o ad tAle.bOot IN Z 521893 ���------���` c <br /> �' o <br /> Contact's Telephone Number: (a (;,,, -6 '7O - /,, 0 E{ 0 \�_ a <br /> Z <br /> Contact's Email: 0. PA0J t K 0) ke't'tnpri 1 . Con"- n <br /> Legal Description of Property: S Ga a,'tt&c.ke D Toy. S its ,.4- c <br /> crq <br /> Section#: � Town#: go N Range#: /If W Town of: 5GO 7 az <br /> ICI <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 5.. <br /> ' <br /> Tax ID#(1-5 digit number;found on tax statement): i I I 1 T . <br /> Proposed Use of Structure/Addition: CA39l','. Go.Rgt,/5 Lo p a- i4-i oIA- 0 X <br /> Anticipated Start Date: egr/a0;...o (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 7 p <br /> Building Contractor: TB -I <br /> b Sewer Installer: n <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> -^ n�LAsf4e_ Qt/e'sf s to/4Ny H4.. z <br /> No f'liiHy ,h weMGKa/ <br /> avV-A5, <br /> --1inusf 110 / I e.�cp4 Ks;o LA1Pe� Al'VeA41 e Vk*8 <br /> (l15e4 cilmos/ q/1 0f the. ,Soo f/ooIp/ 1k\ e.xp4Hs,oh • <br /> a0 <br /> Fee Rec: X00 <br /> . / U Check#: L 91U <br /> E. <br /> Date of staff site visit: 11 / Initials of site visit staff: v - <br /> dIP -am- <br /> APPROVED BY LAND SERVICES OFFICIAL: SATE: g X2'0 �� '� <br /> t llial <br /> UPON APPROVAL: AP ' ICANT MUST POST COPY OF R at <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT -. ro <br /> 74 9 <br /> Transcendent: - N <br /> Page 1 of 4 ?�� o <br /> niri <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2020 rn1m i <br /> a) 1. <br /> a <br />