Laserfiche WebLink
• <br /> v, b <br /> LAND USE PERMIT APPLICATION— Burnett County, WI <br /> . <br /> Applicant Complete All Sections Below This Line 5' o <br /> Permit Types and Fees:(Please,check appropriate boxes) A a <br /> Dwelling/Principal Structure $300 )K Addition/Alteration to Dwelling/Principal Structure $200 d <br /> CD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 SI <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 4 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 fid; <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ° , <br /> Filling/Grading $150 Boathouse $500 t= P <br /> o la <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) _$100 <br /> m <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. . <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> CDg <br /> Property Owner's Name:Thr T_...) . c&I m 1 e h 2 o <br /> Property Owner's Mailing Address: 14(0 9 3 0 Sky v;e v✓ Cf I-kalil M C n► W.I S�{6% 8 <br /> t, City State Zip -0 <br /> Property Site Address: LI 564 Mo r r;,T1 S'kc t b. . 17 a h� r.' i W$ ` <br /> It <br /> Contact's Telephone Number: 6.30 -D,4 O - S44 I t o ti <br /> Contact's Email: + 1nn Q 1'12 @ rr1 S 1rN . Co rr• 40C7 <br /> ep <br /> Legal Description of Property-C R d5 e A d4 4-o U o y c.,i tI'v:I lAo <br /> b <br /> t12 LA+ "7 a <br /> N <br /> Section#: /S Town#: 1-10 N Range#: 1 5 W Town of: '. c k So r, w. °Q <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> Tax ID#(1-5 digit number;found on tax statement): 7 3 O 9 ' <br /> Proposed Use of Structure/Addition: LIC $-eA So v, too ry `" <br /> Anticipated Start Date:S I <br /> p N V /�t ZpZO (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) I <br /> Building Contractor:rr"rrlvne. CO- � nslrwc-A-(to h Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: n Q <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to r0 <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured Z 0 <br /> home additions,and bunkhouses.** - t x <br /> -5- -Fac--\-- Se-k- bc.c1(. -pcy iv\ sepi-t'c., I <br /> ` �kie- %5 -SS2,TI , <br /> m C0nd'x CI- Se e. ( 42VcdLL I dr) 11 CL'- i FeeRec.cam <br /> � Check#: 101 <br /> Date of staff site visit• ''-���Ini ' Is of site visit staff: •1 <br /> - 1 i <br /> )(0...zAPPROVED BY LAND SERVICES OFFICIAL. DATE .6 13-3 .- „ Q <br /> r; <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF . a u u <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> Transcendent: - Page 1 of 4 g av c ry <br /> Laserfische: - Burnett County, WI Land Use Application-Rev 6/2020 o <br />