Laserfiche WebLink
J <br /> LAND USE PERMIT APPLICATION — Burnett County, WI gr <br /> Applicant Complete All Sections Below This Line o o <br /> Permit Types and Fees:(Please,check appropriate boxes) a' <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ?: 4 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ` <br /> x Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 N E <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 Fo <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 G� <br /> °e lb <br /> Filling/Grading $150 Boathouse $500 c <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> cn <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. a t <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. c 1 <br /> P. <br /> Property Owner's Name: �,�.4/?LZ 5 'f U u.' (12 L z `111 <br /> Property Owner's MailingAddress: YR ? N2)l'� � J) 51%0A/en) &)/� Sw'e/ c <br /> City State Zip <br /> Property Site Address:_94 12 7 /114KTI N L.F 1 ' F. <br /> tn (114 <br /> Contact's Telephone Number:C'S (– x,18'9–q, ,g o c <br /> Contact's Email: d coo <br /> CD <br /> .. <br /> Legal Description of Property: SZ. S6) -4A ) WA) 1 <br /> IQ <br /> o <br /> Section#: // Town#: .'9 N Range#: /It W Town of:'TOY< _ <br /> 5' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* p <br /> rL <br /> Tax ID#(1-5 digit number;found on tax statement): /s-s,/ 3 �' <br /> Proposed Use of Structure/Addition: C 4 I N£ SHED `4 <br /> Anticipated Start Date:.S ?T '7 —2eaD (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) o <br /> o <br /> Building Contractor: S'cGF Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ; 0-1 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to 00 <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z (34 <br /> home additions,and bunkhouses.** 1.- Po <br /> vOAan 4 iia <br /> oa <br /> z Fee Rec: 4 `l v-- <br /> 90 <br /> Check#: �It a(tj <br /> Date of staff site visit: ��0nitials of site visit staff: WC—ici a --� —� J,� JJ <br /> APPROVED BY LAND SERVICES OFFICIAL: �/y DATE: �p r°-- <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF R W <br /> GI 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o o -- <br /> U CI N <br /> Transcendent: - Page 1 of 4 y K o <br /> Burnett County,WI Land Use Application—Rev 6/2020 4 <br /> Laserfische: - _- --[i <br /> lla <br />