Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI <br /> Applicant Complete All Sections Below This Line =• c o <br /> Permit Types and Fees:(Please,check appropriate boxes) n. <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> 7c Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 .� -,0, <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> n <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 °< <br /> Filling/Grading $150 Boathouse $500 C• /11 <br /> 0 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <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. n A <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. co <br /> V t <br /> o ' <br /> Property Owner's Name: z <br /> - 0 <br /> Property Owner's Mailing Address: 1y4 CS Q�• 1�'MS o <br /> p City State Zip z <br /> Property Site Address: a,)4"1 �- LA nD k14 ( SAVO n <br /> Contact's Telephone Number: 4-Uhlo <br /> Contact's Email: -0 G&AA._ .tb'^'‘ e <br /> +P, p1 i �\ CDLegal Description of Property: �—r�T ^� k"'a �A GS��1ST (.1(.14) 0 <br /> Section#: Town#: N Range#: IT W Town of: _ oa <br /> oc*Attach additional page i needed for lengthy description OR attach a copy othe deed OR attach tax system roperty pae.* <br /> p <br /> Tax ID#(1-5 digit number; found on tax statement): <br /> Proposed Use of Structure/Addition: -A r c4Anticipated Start Date: i' 3 It)to (Home/ Cabin;Commercial Business;Bedroom;Deck;etc.) oo x <br /> Building Contractor: Sewer Installer: kkit <br /> Z,41140244., c_ <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 0 <br /> home additions, and bunkhouses.** z 1 <br /> i qopsedacuret, wort V4 awed -t0 ittet-i• tc /OP sac W Jii4G Sef6* lc <br /> le Gavtiscic meAt <br /> N0t 1.c.1.c. wed Ar LIIK, ,K 1I0,64 .jK / <br /> , Fee Rec:t(50a) <br /> 0 aware le vtuf ail critter SC% to.. lt' IA ke i 1440a. Check#:COP-A <br /> Date of staff site visit: 7y(//ZW.° Initials of site visit staff: 7;7 , <br /> 777 / z <br /> i ' l J <br /> APPROVED BY LAND SERVICES OFFICI gitAi ait j DATE: 0/2OZOUPON APPROVAL: APPLICAN 44r ST POST COPY OF >W c <br /> �'- <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT Fill <br /> kc O <br /> Transcendent: - Page 1 of 4 ", N <br /> Burnett Count WI Land Use Application- Rev 6/2020 o <br /> Laserfische: - Y� PP m Iliiiil <br /> v <br /> �� JJ <br />