Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line o <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> A e <br /> Dwelling/Principal Structure $300 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(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 r <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:pergolas,landscaping,etc. <br /> 't <br /> Property Owner's Name: eV t o <br /> ..jam(_ -� f c <br /> Property Owner's Mailing Address: 0 �� G11-0 11 21Ir� SH�'' $ <br /> �, i_ � City State Zip <br /> Property Site Address: C� 3 ��� � CJS�"-l6,k <br /> yy <br /> Contact's Telephone Number: 715— 5-5 3 3 <br /> Contact's Email: f-1 I,^ + eV- Z��-�.9 a�Lyx c a(G✓A..- o <br /> y <br /> Legal Description of Property: <br /> o 00 <br /> Section#: Town#: N Range#: W Town of: . AtZe-S =_ <br /> a <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tar system property page.* O <br /> Tax ID#(1-5 digit number;found on tax statement): c �7a <br /> Proposed Use of Structure/Addition: v'- `n <br /> -� -� <br /> Anticipated Start Date: C j i (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) � x <br /> Building Contractor: V W Sewer Installer: ►� <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMINIENTS/CON ITIONS 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 takingplace for any dwellings, dwelling additions,manufactured homes,manufactured z <br /> home additions,and bunkh es �� , 1 A V� �4 r�r � <br /> Fee Rec: 15P. <br /> L, Check#: 21 8'5- <br /> Date of staff site visit: �� �nitials of site visit staff: <br /> N <br /> APPROVED BY LAND SERVICES OFFICIAL: <br /> UPON APPROVAL: APPLICANT MUST POST COPY OFF �? <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT cm <br /> Transcendent: - Page 1 of 4 < o <br /> Laserfische: - Burnett County, WI Land Use Application— Rev 6/2020 <br /> Cn <br /> a <br />