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 Addition/Alteration to Dwelling/Principal Structure <br />Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure <br />Accessory Structure (Garage, Shed, etc.) $150 Addition/Alteration to Accessory Structure <br />Accessory Structure (Commercial/Industrial) $200 Addition/Alteration to Bunkhouse <br />Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse <br />Driveways/ & Campground Structures $125 WI State Statute 59.692(ly) Structures <br />Filling/Grading $150 Boathouse <br />Six Month Camping Unit (One Per Year) $100 Permit Extension (1 Year Extension - Allowed Once) <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: <br />$150 <br />Property Owner's Mailing Address: J_-5 YU /]e1,C4 Vj'" L&AL [A j)� /Wft �( p <br />� �� <br />Property Site Address: S[xdo Gull <br />� ll T-624 City State Zip <br />Contact's Telephone Number: G-D'% ` -?/ 30- 3/ 0 7 <br />Contact's Email: dw Akin N I 00LJ- d 0M <br />Legal Description of Property:.D(,4-� 1 Q�,!20E <br />Section #:_ Town #AD N Range #:/1, _W Town of._ Cb&,LQ j0j <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 # (1-5 digit number; found on tax statemept): <br />Proposed Use of Struct <br />Anticipated Start Date: <br />(Horne/Cabin; Commercial Business, Bedroom; Deck, etc) <br />u I' N <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 />Date of staff site visit:_ % Initials of site visit staff: '/7 <br />APPROVED BY LAND SERVICES OFFICIAL: E: <br />UPON APPROVAL: APPL CANT MUST POST COPY OF <br />SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br />Transcendent: - Page 1 of 4 <br />Lasertische: - Burnett County, WI Land Use Application — Rev 1/2019 <br />v�o <br />Fee Rec: (b <br />Check #: <br />a <br />t,_ <br />c <br />z3 <br />Z <br />w <br />.V <br />o <br />�0 <br />N <br />