Laserfiche WebLink
.LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 0 c N <br /> Permit Types and Fees:(Please,check appropriate boxes) v <br /> Dwelling/Principal Structure $300 Addition Iteration Dwellin Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 _Z.._�p <br /> XAccessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ,- g <br /> Accessory Structure(Commercial/Industrial) $200_ Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 g' <br /> Filling/Grading $150 Boathouse $500 cn li <br /> w <br /> Permit Extension(1 Year Extension-Allowed Once) $100 E. <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. ' I • <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> • 'A • <br /> Property Owner's Name: PEA N M <br /> 6 6 o t� b <br /> Property Owner's Mailing Address: 2-332o MAW N *FEN , w 1 9 54872 v c <br /> City State Zip < <br /> Property Site Address: 2-332o 111 L0 NE 'R7 I S iKEt.1 , W I 54f3 71-. g. <br /> n <br /> Contact's Telephone Number: 7 15 —349 -7e,50 ` w <br /> a <br /> Contact's Email: 'T'a f 31 h 2G 001 . Corn_ ro <br /> Legal Description of Property: <br /> . r <br /> Section#: 19 Town#: -3N Range#: )5 W Town of: LA F (.LEVE 3. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> v) <br /> Tax ID#(1-5 digit number;found on tax statement): 9842.... & '-3 <br /> Proposed Use of Structure/Addition: A DDI PIG OLA "FRNtLy 01' L,A E = C <br /> Anticipated Start Date: AVR IL — (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) H <br /> Building Contractor: Co CA:1 Sewer Installer: -- 1 <br /> I <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z �. <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 I <br /> home a ditions,and bunkhouses,** <br /> Ole eSir al s 4c ci5 <br /> Fee Rec: <br /> I5-oa <br /> y Check#: t{-)q <br /> 11 � <br /> Date of staff site visit:"1 119/ ?el- I,' ials of ite visit staf• l �cJ 1 a LII-K ( <br /> _ v <br /> ,11 JD <br /> APPROVED BY LAND SERVICES OFFICIAL: 1 / DATE: 444142 2 * :___-3 <br /> UPON APPROVAL: APPLICANMUST POST COPY OF > 'i <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o t C <br /> � m <br /> Page lof5 '` N <br /> Burnett County, WI Land Use Application -Rev 12/2021 <br /> m <br /> cA <br /> v )J <br /> A <br /> i <br /> �o <br />