Laserfiche WebLink
r <br /> LAND USE PERMIT APPLICATION - Burnett County, WI a gro <br /> Applicant Complete All Sections Below This Line = = c <br /> Permit Types and Fees:(Please,check appropriate boxes) d aVJ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 K tJ <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200CD <br /> d <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 k <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 \. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> ,fTh <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 'i< _ <br /> Filling/Grading $150 Boathouse $500 o <br /> rts <br /> Six Month Camping Unit(One Per Year) $100 Permit Extension(1Year Extension-Allowed Once) $100 <br /> g <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. <br /> v <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. q E <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> CD, t1 <br /> Property Owner's Name: � I k k ,v`1-(s-/2.,: l L T '' o.. <br /> Property Owner's Mailing Address: y Poet, .4b$L Ave (6 �1 n.ILPA l S, I ► 1 J`� �D✓ °o --� <br /> i�tty p� � State Zip ' i0 <br /> Property Site Address: �VI1IL.i 'r !' / �j f r e" , �/� <br /> Contact's Telephone Number: L ^� a o 3 or,:i\" <br /> Contact's Email: j n LA ie-t(- ,,,a,k 9c.�� -yr le( • C$ r7 <br /> L <br /> Legal Description of Property: GI^L P Ce ‘EC <br /> I2- L (L( tr1'N <br /> N <br /> Section#: 2.3 Town#: 3 N Range#: ' I L W Town of: cl R� oa <br /> 5' <br /> *Attach additional page i neededfor lengthy description OR attach a copyofthe deed OR attach tax system property page.** �' <br /> P g f S Y P Y P P tYP g ,'7 <br /> H <br /> Tax ID#(1-5 digit number;found on tax statement): 2Q c Z 4t) a <br /> Proposed Use of Structure/ dd. ion: O be l i I ��� I/ � <br /> Anticipated Start Date: e JV 20 10 (HBrr: abin;Commercial j usine , edroom;Deck;etc.) i �e <br /> Building Contractor: � � � Sewer Installer: ,� JA - r . <br /> Ch <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ) <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings, dwelling additions,manufactured homes,manufactured <br /> home additions,and bunkhouses.** / / <br /> e✓'77 r Ma D T� e G.9 1M,1 4 y 12////�?, <br /> Iv -d vel'ji sq%'#c- Sysite <br /> by �o/,lzozoi toc,rw,/If- . ,.-7 30z, . <br /> x Fee Rec:3(n,— <br /> 0 <br /> Check#: 013o-2c <br /> rrl <br /> Date of staff site visit: 7 9 ze Initials of site visit staff: / / z <br /> 0 <br /> APPROVED BY LAND SERVICES OFFICIAL: , DATE: � < P F:33 <br /> F) <br /> trl <br /> UPON APPROVAL: APPLI ANT MUST POST COPY OF i R <br /> T, 0 SIGNED PERMIT APPLICATION IN PLAIN SIGHT zUN <br /> Transcendent: - Page 1 of 4 r, Eilffl <br /> 2 IN <br /> Laserfische: Burnett County,WI Land Use Application—Rev 6/2020 14 N - <br /> a <br />