Laserfiche WebLink
i /ct qt.,3/e2024) <br /> r. <br /> LAND USE PERMIT APPLICATION — Burnett County, WI E.E. g <br /> Applicant Complete All Sections Below This Line - i v. <br /> IN <br /> Permit Types and Fees:(Please,check appropriate boxes) r G. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 n oma, <br /> XCommercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 A <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 '� C <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 r <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 3, <br /> ,- <br /> Filling/Grading $150 Boathouse 5500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) _$100 .9 % <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> - . <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. a <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> b <br /> Property Owner's Name: m 1 c.... /7".. L ,,iV {s. ( � fl L ) (rU , L Z z <br /> Property Owner's Mailing Address: l p? 6- (/ ZA. <br /> 3< T 5/ . /l j , SC rii ,9'1) /TIN S j <br /> / City State Zi _ <br /> Property Site Address: -- `-1kt G if ' e "k 1.,,, z'' , .. \_ n <br /> E <br /> Contact's Telephone Number:l'.�/'.�-�°9... 3 7\ - �� ' f I— c <br /> Contact's Email: (----c k R in/i, c je,9 l...±' f-- (=c <br /> } ,. N 1 , t rZ Ai i_ ( % it) `t- I 0 <br /> Legal Description of Property TO X1 a 5c, . ( L T ' 1 L5 r \ V` (1 P�(„� t-j _ 4� <br /> ww((ii'' �b I <br /> Section#: (� To Tom*- N Range#: t-{ W Town of: (`.r, - 'V 1 - <br /> .r; o <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): 17 q g N <br /> Proposed Use of Structure d.itio•: $ v, <br /> Anticipated Start Date: ' / - Q (Home/Cabin;Commercial Business:Bedroom:Deck;etc.) o <br /> Building Contractor: i <br /> L if: <br /> Sewer Installer: Ail/ / " , Ik./ <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY (, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses.** a <br /> l f ao hfcc.;r\ 1 C7 - oo'� S'�c�e 66_.-'( b� tic_ -�r-o S'de <br /> Fee Rec: <br /> Check#:t� <br /> Date of staff site visit77r0-.--S "'�Ginitials of site visit staff: RIC__ <br /> Fri <br /> r <br /> p_\(,_________ <br /> MAPPROVED BY LAND SERVICES OFFICIAL: DATE: 7.-c)--F-47:2620 < r M <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 1°5 <br /> mm r% E <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m 2 N <br /> Transcendent: - Page 1 of 4 �, 3 o <br /> Laserfische: Burnett County, WI Land Use Application - Rev 6/2020 rz <br /> 4 <br /> a <br /> 4 <br />