Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett Countv, WI <br /> K. t <br /> Applicant Complete All Sections Below This Line ry <br /> Permit Types and Fees:(Please,check appropriate boxes) ^ <br /> Dwelling/Principal Structure $300 X Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(iv)Structures $350 <br /> Filling/Grading $150 Boathouse $500 — <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $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:per olds,landscaping,etc. = ro <br /> Mark Heverl z C <br /> Property Owner's Name: y <br /> Property Owner's Mailing Address: 2279 Segundo CT#yPleasanton CA 94588 <br /> City State Zip f <br /> Property Site Address:2823 County Rd A Webster WI 54893 <br /> C <br /> Contact's Telephone Number:715-259-3257(Northalnd Builders Inc.) — <br /> Contact's Email:please contact north1and001 @centurytel.net with any questions a <br /> Legal Description of Property:Oak Lake Add#1 W 1/2 lot 7 and lots 8-9 S 112 Woodland pkwy <br /> Section#:20 Town#:40 N Range#:14 W Town of:Scott <br /> v <br /> *etttach additional page if'needed for lengihv description OR attach a copy of the deed OR allach tax systerrt property page. <br /> Tax ID#(1-5 digit number; found on tax statement): 19138 <br /> s <br /> Proposed Use of Structure/Addition: Addition o' <br /> p Spring 2020 Anticipated Start Date: P � 9 (flonze Cabin. Co»antercial Business.Bedroom:Deck:etc.) d <br /> Building Contractor: Northland Builders Inc Sewer Installer: NA <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY d <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> z <br /> Fee Rec: CO)— <br /> Check 4:5L)a55— <br /> Date of staff site visit: Initials of site visit staff: a <br /> / z <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> " r <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a u, <br /> a c w rn <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD ^' <br /> r� <br /> Transcendent: - voPaGe 1 of 4 � `D C N �J <br /> CMV <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 1/2019 <br /> CD <br />