Laserfiche WebLink
LAND USE PERMIT APPLICATION-Burnett County, WI c 3 b <br /> 5.Applicant Complete All Sections Below This Line 5 o <br /> Permit Types and Fees:(Please,check appropriate boxes) a <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 /> Accessory Structure(Garage,Shed,etc.) $150 N./ 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 /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 ° 0 <br /> Filling/Grading $150 Boathouse $500 r- <br /> 0 b <br /> Six Month Camping Unit(One Per Year)) $100 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. i <br /> �j s I. <br /> Property Owner's Name: b!C-0"..E L-- t...'el15 'la,- -ri 11 <br /> Property Owner's Mailing Address: Z4 53 t V.\i$< .10, + ,.14KE. w, <br /> City State Zip <br /> Property Site Address: � .t NJ A�Q 1 LI_ ►C VmS t 54815481 1 n cc'-°` 3K <br /> cn4 <br /> Contact's Telephone Number: .7i S'C4 I CI' 2-1 9 8 o s <br /> 0. <br /> Contact's Email:MKV i3S.E4r,e, C,ta*.►... „T.1.._i"le&° e <br /> Legal Description of Property: CSM Y S 9 3 I (.3-4\N CjW. <br /> N -o <br /> Section#: I Town#: '38 N Range#: 1`t" W Town of: pSANI EY 0 °0 <br /> E' <br /> *Attach additional page i needed or lengthy description OR attach a copyofthe deed OR attach tax system property page.** <br /> cm <br /> P 8 f f � y P P P - P 8 v <br /> n. <br /> Tax ID#(1-5 digit number;found on tax statement): Z-` -14- <br /> Proposed Use of Structure/Addition: .',"7:)t-4, v) <br /> Anticipated Start Date:Ot.:( " Kt, _ a (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) E x <br /> BuildingContractor: f <br /> SELF ) Sewer Installer: NPS <br /> -3 <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 Ist( <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses.** <br /> ----"I ' 0&It-CC (14akedt\ (14(4?Yr\ <br /> 6\Von sks,b plw5 <br /> Fee Rec:4 6-0°6 <br /> k1' \A " <br /> y Check#: l 0';.- <br /> Date <br /> /0' 1 _C�� v <br /> m <br /> Date of staff site visit: nrtia s site visit staff: cmc i <br /> Yf))\ <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 6.1 ;<1 .,. a, <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 41 ,6 ---4 Prxn., <br /> I <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z ')7. 0 o <br /> Transcendent: - Page 1 of 41 Frri, <br /> Burnett County, WI Land Use Application—Rev 6/2020 m <br /> Laserfische: - PP . ` <br /> _- <br /> a -- <br /> 3 <br />