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 />permits (permit aquired after construction has begun) may cost up to three times the normal fee. <br />E.NOTIAlter-the-fact <br />tion Towers& Signs require a different application form; see corresponding application, andfees. <br />ted above will be treated as accessory structures, such as: pergolas, landscaping, etc. <br />i <br />Property Owner's Name: [kt �( �� Z� h4, r <br />"� <br />Property Owner's Mailing Address: I I I�� i y(� iLf?��`►ti I�� 5 7 <br />�., City State Zip <br />Property Site Address: ,� \I1 -� <br />Contact's Telephone Number: �� �� �` "' (4 <br />r <br />Contact's Email: , L�( �� ('j G rj \ 10 (� <br />Legal Descri tion of Property: <br />Section #: I Town #: -3? N Range #: W Town of: i rCi 1) <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 # (l-5 digit number; found on tax statement): �, G C <br />Proposed Use of Structure/Addition: -) <br />Anticipated Start Date: 1 "�" (Home/Cabin; Commercial Business; Bedroom; Deck; etc.) <br />Building Contractor: �j �1 Sewer Installer: �((',��-� <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LIS'T/ED BELOW: <br />/k)of74c loe u S eO' 4� ,Gt u 4 h �c4 All 7Q li, <br />Date of staff site visit: 0 / / Initials of site <br />APPROVED BY LAND SERVICES OFFICIAL: <br />ON APPROVAL: <br />DATE: <br />ITT 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 />In <br />0 <br />0 <br />0 <br />w <br />5 <br />ro <br />o <br />Co <br />C7 <br />y <br />z � <br />Fee Rec: �X J <br />Check #: � <br />QC[nni <br />. <br />CO <br />0 <br />�3 <br />Co � <br />tit <br />Co 0 <br />M <br />m <br />11 <br />