Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI ci <br /> s 'b <br /> Applicant Complete All Sections Below This Line , a `? <br /> d <br /> Permit Types and Fees:(Please,check appropriate boxes)' <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 G <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 C) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 t, <br /> Filling/Grading $150 Boathouse $500 <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year 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:pergolas,landscaping,etc. c . <br /> Property Owner's Name: f L ep <br /> Property Owner's Mailing Address: <br /> /� City State Zip <br /> Property Site Address: r `���� <br /> Contact's Telephone Number: <br /> d <br /> Contact's Email: <br /> Legal Description of Property: /!/ 1 L/ �• ° ro <br /> 5" <br /> Section#:�_Town#:�N Range#: % W Town of: In t7 <br /> *Attach additions/page if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage.* 5. <br /> Tax ID#(1-5 digit number;found on tax statement): z <br /> o <br /> Proposed Use of Structure/Addition: C,or 44 <br /> Anticipated Start Date: `�"/' / ome/Cabin;Commercial Business;Bedroom;Deck;etc) t7 <br /> Building Contractor: /"�' ��te� f�tivr� 6'e n 3'J'rIll.'Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW:e CN f <br /> 5 he(I -, r <br /> � a '-26f,< A 0 <br /> Fee Rec: <br /> uYWCL IV\ Tom` r- Check#: <br /> FOX a <br /> Date of staff site visit: `� �"� Initials f site visit staff: a <br /> APPROVED BY LAND SERVICES OFFICIA A'? <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT C> 0.2 <br /> CD CD - <br /> Transcendent: - Page 1 of 4 a= c c <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 1/2019 3 K o Q <br /> oco <br /> 3 <br /> ro <br />