Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />ermi Types and Fees: (Please, check appropriate b <br />welling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br />Commercial/Industrial Structure 1360 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 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk f Bunkhouse $250 <br />Driveways/ & Campground Structures $125 1 IWI State Statute 59.692(ly) Structures $350 <br />Filling/Grading $150 1 lBoathouse $500 <br />Six Month Camping Unit (One Per Year) $100 1 jPermit 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. <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 />Property Owner's Name: ��rLw ! �5 D 2 <br />Property Owner's Mailing Address: CW f/, -I / QTc ar -PP. 4fiear% le Y <br />tl <br />City/ State Zip <br />Property Site Address: 2 S L 4 O 3 "4"4.1.lVe 6s lee 44J S 41? `l <br />Contact's Telephone Number: Z/ OJ -76q6 <br />Contact's Email: e �(-.o 177 <br />Legal Description of Property: %' 3 'r ��� — l CL-° f 2— <br />Section <br />Section #: /3 Town #: 4k N Range #:_�W Town of: JA c �P .- l <br />*Attach additional page if needed for lengthy description OR attach <br />/a_copy of the deed OR attach tax system property page. <br />Tax ID # (1-5 digit number; found on tax statement): (� �` © 7 <br />Proposed Use of Structure/Ad ition: We, ",/ E <br />Anticipated Start Date: — ! (Home/Cabin; Commercial Business; Bedroom; Deck; etc) <br />Building Contractor: Sewer Installer: <br />AREA BELOW THIS LINE RESERVED FOR ZONING STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: Initials of site visit staff: -z <br />PERMIT APPROVED BY ZONING OFFICIAL: DATE: S 3e I9 <br />UPON APPROVAL: APPLfCANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Page 1 of 4 <br />Burnett County, WI Land Use Application — Rev 1/2018 <br />N <br />0 <br />5' <br />6 <br />m <br />F-0 <br />It <br />r <br />b <br />III <br />8 <br />x <br />r x <br />V � <br />C <br />o N <br />Fee Rec• <br />5 <br />b <br />co <br />IV <br />O <br />io <br />