Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> r4. ot <br /> cn <br /> Applicant Complete All Sections Below This Line 5' o <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) e <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 w !" <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o‘' .\ ii <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 Q n <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 C]< <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 a <br /> Filling/Grading $150 Boathouse $500 '" ►\ <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1 Year Extension-Allowed Once) $100 w <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. t-. - <br /> , <br /> o <br /> Property Owner's Name: u,NW SMAI(7 S Fii � L �l(4-11 /15 <br /> c ('' <br /> o <br /> Property Owner's Mailing Address: I 2- 34 0V l I u 14 (f�, . (?W/ /irk /"l SSS 1 I 1 <br /> �7.��I Co �a City State Zip c' (� <br /> Property Site Address: -I ei 4 4r (,(d..z C .Telephone Number: , <br /> Contact's <br /> 42SI — 3.i�D - 01`� a <br /> Srn, h.Q J i( Q t IC <br /> Contact's Email: '� r, <br /> Legal Description of Property: CS Ai V Z P, 1108771oo <br /> Section#: IA Town#: Li 0 N Range#: 1 1a W Town of: 0 A K ktna <br /> d <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* q <br /> Tax ID#(1-5 digit number; found on tax statement): pp 334-1-70 _ �, <br /> Proposed Use of Structure/Addition: POI PJcQ p'J <br /> Anticipated Start Date: A5/-1ê (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) C7 <br /> Building Contractor: i1b ' ,-e_.--"\-' Sewer Installer: it!//q <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> 0.1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> et N 6\' �o(2t tAiNA.a n k.b I -tom-(-i o z <br /> z <br /> e ff\cc\-\-o„h 1-4\e_. (0 o- tide 5e-f"backrs er+Hc0 <br /> Fee Rec: <br /> Check#: 5 <br /> 5/i/ a4� i <br /> Date of staff site visit: Initi sof site visit staff: a <br /> u <br /> APPROVED BY LAND SERVICES OFFICIAL: V---P _ DATE: / / 9-4 0 < �=� <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF N a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> CCa, din <br /> Transcendent: - Page 1 of 4 m <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 1/2020 tr <br /> m <br /> a a <br /> H <br />