Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 3' <br /> Permit Types and Fees:(Please,check appropriate boxes) a ( T, <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ?: <br /> E°. <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ,\ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 l <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 C <br /> k <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <° 0 <br /> X Filling/Grading $150 Boathouse $500 o s <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. 6 , <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. i <br /> ' *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> r- <br /> Property Owner's Name: Steve Hemshrot, Pokegama Lake Restoration, LLC ° z <br /> 0 <br /> Property Owner's Mailing Address: S 15535 County Road I Eleva WI 54738 <br /> vs <br /> City State Zip -, <br /> Property Site Address: Cranberry Marsh Road, south of Pokegama Lake Town o La Follette WI 54893 <br /> Contact's Telephone Number: 715-651-3452 0 <br /> shemshrot@gmail.com ✓ '-w6 <br /> a , <br /> Contact's Email: p <br /> Legal Description of Property: 3Z`��,/ �'(�CI , <br /> Section#:15,16,22 Town#: 38 N Range#: 15 W Town of: La Follette 91(01, COO" g °Q <br /> s <br /> *Attach additional page if needed for lengthy description OR atta a copy hhe deed ORrach t�sYstem oPer hPar <br /> p %), <br /> Tax ID#(1-5 digit number;found on tax statement): 32 44 9758 32440 9782 9785 1133 <br /> Removal of old and damaged flashboard risers/structures associated with prior cranberry production 1, <br /> cn <br /> Proposed Use of Structure/Addition: <br /> Anticipated Start Date: Spring,summer,or fall of 2021 (Home/Cabin:Commercial Business;Bedroom;Deck;etc.) t <br /> e. <br /> Building Contractor: NA Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY P---� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: g <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 O <br /> home additions,and bunkhouses.** P <br /> 0 6 gip tA, akil A 10-, <br /> w G1i ,,°� � )st 1 �-71peer fi <br /> x Fee Rec: I I' <br /> K Check#: 3 • 79 <br /> U <br /> Date of staff site visit: 212-6(zi9z--( Initials of site visit staff: 1/r // 'Zr z <br /> C <br /> m <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: / Za7i/ x --••(;;.—.)3' <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a i.. - Gtil <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> -< cs c. <br /> Transcendent: Page 1 of 4 n ffi <br /> Laserfische: Burnett County, WI Land Use Application—Rev 12/2020 <br /> om fill <br /> a <br /> 3 1,-(::::::::2)'v <br />