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 <br />$300 <br />Addition/Alteration to Dwelling/Principal Structure <br />$200 <br />Commercial/Industrial Structure <br />$300 <br />Addition/Alteration to Commercial/Industrial Structure <br />$200 <br />Accessory Structure (Garage, Shed, etc.) <br />$150 <br />Addition/Alteration to Accessory Structure <br />$150 <br />Accessory Structure (Commercial/Industrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />Driveways/ & Campground Structures <br />$125 <br />WI State Statute 59.692(1v) Structures <br />$350 <br />Filling/Grading <br />$150 <br />Boathouse <br />$500 <br />Six Month Camping Unit (One Per Year) <br />$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: iz ( V,,z A � N-rA,--JL, .:� Y-k'. �-a2 <br />Property Owner's Mailing Address: 3 - S S't►�� (►-� SSc�Z� <br />Property Site Address: S� ` q City State Zip <br />Wpr3 LOAtk <br />JJ <br />Contact's Telephone Number: CP a % s � <br />Contact's Email: �� RLJ��>� S��-� '� L`r) NT L Ate. ".A -A <br />Legal Description of Property: L)�,, } e- 0L-,�tS, Ljr —7 <br />Section #: - i Town #: 40 N Range #: W Town of: 3 4CI -S <br />*Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax systetn property page. <br />Tax ID # (1-5 digit number; found on tax statement): <br />Proposed Use of Structure/Addition: j pAL % t <br />Anticipated Start Date: c1 Ae— I t a d I (Home/Cabin; Commercial Business, Bedroom; Deck; etc.) <br />Building Contractor:(_ ,,:NA SeweXall er: <br />rN <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF CNTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />Date of staff site visit: Initials of site visit staff: <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: S 3 <br />UPON APPROVAL: APPL CANT MUST :POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Laserfische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />T � <br />o w <br />F <br />W <br />z <br />x Fee Rec:!aD — <br />Check14 <br />0 <br />m <br />a <br />z <br />0 <br />as <br />c; <br />m <br />H <br />w <br />D <br />mca <br />ro <br />l�U <br />3 <br />r <br />p?� <br />[tilt <br />00 <br />00 <br />C� <br />t; <br />N <br />o <br />tvl,� <br />E <br />N <br />CAD <br />