Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> . 1 b <br /> Applicant Complete All Sections Below This Line co <br /> Permit Types and Fees:(Please,check appropriate boxes) Q. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ',4, __::1 <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 • IC F <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 R <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> G-) C_Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 °< <br /> Filling/Grading $150 Boathouse $500 t- <br /> o 3' <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(l 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. = <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 /> r <br /> I <br /> Property Owner's Name: fink n r 11�y�/p i net, Li p pi i 1 0 . rt <br /> Property Owner's Mailing Address: Z 9'-1130 a.,re t A/t 0 £l nbuni tot371130 o <br /> / , r� City State Zip <br /> Property Site Address: �i 0 Lc�0(X{lC ricl f GSS Dar)bUr y to 1 51/2 30 5. (-) k <br /> Contact's Telephone Number: lig - 6 S6.•3 410 o c <br /> Contact's Email: Mehr 1. 1;p ('rf-0yaboo. Cc'm -,-:Y a ' <br /> Legal Description of Property: 07 020 2 - 110-1i, -12 -S -512-C,1.5" 3i OX' �Zt,:n o- Q&idkaria, <br /> 0 00 <br /> Section#: ('1 Town#: 9 0 N Range#: I b W Town of: 00 k lCcnci <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.** <br /> d <br /> Tax ID#(1-5 digit number;found on tax statement): 1'13 3 I <br /> Proposed Use of Structure/Addition: .5}'O col 411 a c, <br /> Anticipated Start Date: o w <br /> P 1�p!)t c��U �Z ) ( ome/Cahn¢;Commercial Business;Bedroom;Deck;etc.) � k <br /> J ��aa � � <br /> Building Contractor:for 1\at t Uu t t al Ti J Sewer Installer: N I A <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY (� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: L UJ <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to r\ <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkhouses.** r <br /> 1\)se— r a l r� Q <br /> Fee Rec:15l5D <br /> c4 Check#:� <br /> �) o <br /> Date of staff site visit: `Vr�/-�'(./ aV Initials site visit staff: \L"---- a <br /> z <br /> v <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: !,-d.3--9- --�0- <br /> Ei <br /> rri r" <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a a CD <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT r m <br /> .- N C) CC <br /> Transcendent: - Page 1 of 4 m 7 c <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 6/2020 �'� <br /> N., <br /> o R <br /> a <br />