Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI c$2 <br /> Applicant Complete All Sections Below This Line g t� <br /> Permit Types and Fees:(Please,check appropriate boxes) ,-.7._ ---- <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 F <br /> Commercial/Industrial Structure Tt? $300 Addition/Alteration to Commercial/Industrial Structure $200 o <br /> /ytjl, ccessory Structure(Garage,Shed,etc.) $i56- Addition/Alteration to Accessory Structure $150 0' <br /> M <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° XJ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> v <br /> Permit Extension(l 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. (a <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. g I E <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> r 0 <br /> RProperty Owner's Name: rile /Y) t"f'el_I'>L'±- <br /> Property Owner's Mailing Address: 2 LA?S Cour) i Rd l A Spex3ne.r WI Sgt <br /> tity State Zip o N <br /> Property Site Address:Sam e_ CtS C _ <br /> a <br /> ^� <br /> Contact's Telephone Number: <br /> / -14I p O9 ' <br /> Od <br /> ro <br /> Contact's Email: hPL )t t+ire \e,e -hOt °C G(V\ <br /> act <br /> • <br /> Legal Description of Property: Set_02. Tr) 39 Pc 1 ii t.03 CS m J let P 1 ) 2. o <br /> Section#:3S$4O 2.Town#: N Range#: W Town of: . <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): 15 5 y x <br /> Proposed Use of Structure/Addition: rCt_ Shed za <br /> Anticipated Start Date: (Ho Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: AA ` ) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY W) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: x --Zs <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to 1 <br /> ANY construction taking place for any dwellings, dwelling additions, manufactured homes, manufactured <br /> home additions', and bunkhouses.** i <br /> C Id�" Sae ��� <br /> D lme a,t( s -h 5 <br /> 0 f� - ✓ h l.b, . v,-) <br /> .., <br /> cn <br /> Date of staff site visit: 6114` it Initials of site visit staff: e ``—" Fee Rec: l`J6 <br /> �� � d Check# ,APPROVED BY LAND SERVICES OFFICIAL: 9iiii <br /> i' ,/�/ DATE: ti`?' 1 la'42— < �UJ <br /> UPON APPROVAL: APPLICANT UST POST COPY OF Q D. Ng <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT `3 <br /> z ' <br /> m � <br /> 1511 <br /> <r. 6O J O <br /> Pagelof5 , ® c ^' <br /> m 'D 3 C, <br /> Burnett County, WI Land Use Application—Rev 12/2021 < g` rNv <br /> o = M <br /> a <br /> b <br />