Laserfiche WebLink
C_ <br />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 />$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 />n Accessory tructure ommercia ustrial) <br />$200 <br />Addition/Alteration to Bunkhouse <br />$150 <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk <br />Bunkhouse <br />$250 <br />WI State Statute 59.692(ly) Structures <br />$350 <br />Driveways/ & Campground Structures <br />$125 <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: r ` J� <br />Property Owner's Mailing Address: <br />City State Zip <br />Property Site Address:. <br />Contact's Telephone Number: (`(� "�- ©� �j 1 0 J y 1j <br />Contact's Email:a�luS c->@ Q I lW G Owl <br />I / <br />Legal Description of Property: a t/` � ! f Aes �;14- <br />Section #:_ Town #:_�O N Range #: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/Addit+on: CA t (� <br />.r <br />Anticipated Start Date: `t ome/Cabin, Commercial Business; Bedroom; Deck: etc) <br />Building Contractor: Sewer Installer: <br />AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br />THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br />�.. 14 k , su v, :"-"0 .� fa S t f h- a ke— M e"A <br />s fruG744 tf-- 7�P 1oe-- reAA4 ovc� 0A e vt -kA) s JQro7e—, <br />� <br />I vrs e �b be ce ereL�c/ <br />l 7`�eDate <br />of staff site visit: CP Initials of site visit staff. <br />37/? <br />APPROVED BY LAND SERVICES OFFICIAL: DATE: <br />UPON APPROVAL: APPLICANT 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 />N <br />0 <br />aoo <br />n <br />o N <br />CD <br />d <br />b ✓, <br />tla <br />a C7 <br />v <br />z i � <br />z <br />� �`-° <br />Fee Rec: <br />Check #: ctwa <br />F.- <br />c. <br />CDW <br />. <br />00 <br />_ <br />�. <br />