Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br />Applicant Complete All Sections Below This Line <br />Permit Types and Fees: (Please, check appropriate boxes) <br />Dwelling/Principal Structure $300 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure $300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) $150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) $200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Driveways/ & Campground Structures $125 <br />Bunkhouse <br />WI State Statute 59.692(ly) Structures <br />$250 <br />$350 <br />Filling/Grading $150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) $100 <br />Permit Extension (1 Year Extension - Allowed Once) <br />$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: I u I (A y-1 (- <br />Property <br />Property Owner's Mailing Address: <br />Property Site Address: <br />Contact's Telephone Number: <br />0 <br />0 <br />City State Zip 5' <br />Contact's Email: OVO V `S O `1 (2!�I i'►i ,/ p <br />Legal Description of Property: � � -3 � Lit �- �c �Yvri s Le 2,E /`'`�''�D' 0 � r�� 9,e <br />Section #: _ Town #: -3 q N Range #:_-I V -W Town of: <br />*Attach additionalpage if neededfor 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): <br />Proposed Use of Structure/Addition: <br />Anticipated Start Date: 10 _ 5 - <br />Commercial Business; Bedroom; Deck; etc) <br />Building Contractor: Sewer Installer: <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />kdWet 19xllved- /NGaray�e, <br />Date of staff site visit: - / %- Initials of sit 'sit s <br />PERMIT APPROVED BY LAND SERVICES OFFICIAL: DATE: 11 -1,T -IF <br />UPON APPROVAL: APPLICANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page I of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 8/2018 <br />Fee Rec: vc� <br />Check #: l �( <br />t - -P m C.om pang 1 LL <br />