Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI <br /> Applicant Complete All Sections Below This Line 0 o <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> -,-, $Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> 0 <br /> Commercial/Industrial Structure $300Addition/Alteration to Commercial/Industrial Structure $200 <br /> / <br /> )( Accessory Structure(Garage,Shed,etc.) tip$10 Addition/Alteration to Accessory Structure $150 O <br /> f <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ' <br /> n <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 kr, <br /> Filling/Grading $150 Boathouse <br /> $500 t— v <br /> 7 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 ‘ <br /> *NOTE:A ter- e-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> c0 r <br /> " ocation Towers&Signs require a different application form;see corresponding application,and fees. q <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> el c---' t <br /> ��. o -. <br /> Property Owner's Name: " 1') /'/ z ' <br /> Property Owner's MailingAddress: a o o r <br /> prty �/5� f/ � r� � � <br /> City State Zip <br /> Property Site Address: 7,a,,yam. -- F. <br /> VD <br /> Contact's Telephone Number: 7/ --. • gc _� o a <br /> !� S7 al c <br /> Contact's Email: `// 'CLQ-� (I)(A�� ��,`- � �1 ;/t � d <br /> Legal Description of Property: itc mow Def- t0i 1/. Yo� 673 <br /> CD <br /> N o m <br /> 5 <br /> Section#: ' Town#: 3/ N Range#: I W Town of: R t..SK <br /> ' <br /> *Attach additional page if needed for lengthy description OR attach a copyof the deed OR attach tax system property hPage.* <br /> q <br /> Tax ID#(1-5 digit number; found on tax statement): /5-,k4:= 2. ,. <br /> Proposed Use of Structure/Addition: <br /> - -i <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) o x <br /> o d <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY t <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 1 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to 161 <br /> A.VYconstruction taking place for any dwellings,dwelling additions,manufactured homes, manufactured Z <br /> home additions, and bunkhouses.** \\v <br /> -- /-1115 rs an clf{ -ie-- fid- pe tx„,f; <br /> No1-- iv be_ use.- . 'ie AtILA-4421,4 Aa 41.7147 io0 . <br /> 4%I p;07 eX G <br /> fx aKs�o� ZS,o h���; <br /> P Fee Rec:4 <br /> Check#:e2642 J <br /> ri <br /> Date of staff site visit: (4(1 Initials of site visit staff: Ir 0 <br /> .. "' " - <br /> Le:.z.—. <br /> 4 �i <br /> ? —J <br /> APPROVED BY LAND SERVICES OFFICIAL: DATEi ///o/20 20 <`s r-----1h-ti <br /> ni <br /> cn CO c0 <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF 4!{ls{ s, <br /> •I(7 (, _ <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ° o o "' r <br /> -<<'D s N <br /> Transcendent: Page 1 of 4 m,3 o <br /> Laserfische: Burnett County, WI Land Use Application—Rev 6/2020 < ' '` lr����D <br /> o <br /> 3 <br />