Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 6 c <br /> Permit Typesand Fees:(Please,Please,checks <br /> appropriate boxes) <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 /> (,1X Accessory Structure(Garage,Shed,etc.)Z� tsu00Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 'N'.. : <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $2504-* ' ) <br /> c) p <br /> v <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o �` <br /> Filling/Grading $150 Boathouse $500 r, �C/ <br /> o <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 <br /> (*NOTE:After-the-factle mits(permitaquired 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 /> o ' <br /> Property Owner's Name: t l c.ii Aa L-#- Clio 4-r 1 01 e 1s1ve•- 1 <br /> Property Owner's Mailing Address: Cx-� be" DA�;VO;;- r„� �jy <br /> ,c, 8 70 o <br /> tl Cit State Zip N., <br /> Property Site Address: (6 5 .-1 vw,4). „_ OrOri b t 21- : Wt 9(4 3G .' <br /> • <br /> Contact's Telephone Number: 7 15 — SI—) —Coi H 7 o F i. <br /> Contact's Email: i'v1G...Srzr /9 57 6 5mc1.l I c_e,'- d <br /> co <br /> Legal Description Property: 102,2'x 221.1,2i X /0/.1;1)4 2...47,(a` .. ).-- <br /> Section#: 1// Ket‘..7`,-) N b <br /> J Town#: N Range#: W Town of: Su: o °0 <br /> g <br /> 04*Attach additional page if needed for lengthy description OR attach a copyof the deed OR attach tax system property page.* <br /> P <br /> N <br /> Tax ID#(1-5 digit number;found on tax statement): 2.2.(03D ' <br /> Proposed Use of Structure/Addition: 0jet H i c-ke-e i 5 h z cn <br /> Anticipated Start Date: (Home/ abin;Commercial Business;Bedroom;Deck;etc.) x <br /> p a 6 <br /> Building Contractor: Sewer Installer: <br /> l -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 <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes, manufactured z 1_` <br /> home additions,§ . <br /> ioL__ and bunkhouses.** / ;h YV <br /> lam- $4�-� r✓1 L/Q- 5i ?C -- v O <br /> s1 d vtef- 7 be. use e G� iA 4a �/►; , "/, <br /> Fee Rec: .�_266/ <br /> Check#:4jek-5 <br /> Date of staff site visit: t Z� 7it7?i� Initials of site visit staff: / I f I L z <br /> APPROVED BY LAND SERVICES OFFICIAL: �� DATE: I ZL/24 i/ _n �J�1"= <br /> w < ff <br /> r <br /> UPON APPROVAL: APP CANT MUST POST COPY OFA Z (� <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT G <br /> . 2 <br /> Transcendent: - Page 1 of 4m 4 iii ( <br /> Laserfische: Burnett County,WI Land Use Application— Rev 6/2020 G <br /> rn <br /> cn <br /> D <br /> 1 <br /> 3 <br />