Laserfiche WebLink
., LAND USE PERMIT APPLICATION — Burnett County, WI cr t-, <br /> Applicant Complete All Sections Below This Line o CD o <br /> Permit Types and Fees:(Please,check appropriate boxes) Cl. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 d <br /> CD <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 O <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 .3 i <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> 0 O <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 e <br /> Filling/Grading $150 Boathouse $500 A <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. i l..-- <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> t- <br /> Property Owner's Name: L.c?,JJ 1, & .),.1...1;e, A E/I L DA,' c %' <br /> Property Owner's Mailing Address:2 571 )-la A'/V,.L`yv/ It2a) i Vr9iVbra:R y W1 3' t?3Z) °o <br /> __ City State Zip o � <br /> Property Site Address: 2e a 7i M2. i-p /79,,,e4; `;2,2) ) � y Gig ' E <br /> Contact's Telephone Number: 7f ET 3c3q 2.7) 3 o <br /> •1 ( � t <br /> Contact's Email: c).) '.i111.1 c),J/Ti,A.Q C"/7 , 1,i'p o <br /> Legal Description of Property: /7 1-0 / ? j ;� r` Lev Liv VLA i2 (24Z- V; i 'e. <br /> Nb <br /> Section#: 1 3 Town#:4L)4Ir N Range#: /6' W Town of: _)U�k z,C 0. °0 <br /> B. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* d <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> Proposed Use of Structure/Addition: v R +� cn <br /> Anticipated Start Date:iib;iii 2©..Z) (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: St R��,,���1 . l� �5 j, Sewer Installer: X/09. sv- y <br /> Si <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> — Net. IT 6e US 'N4' Am mewl Ag4/7444, z o <br /> LL <br /> -- SA/2492./ � a � <br /> NJ 4,,,k, 4, Aootrt colt S bake- TIH/- 1 . <br /> y <br /> — G5 vt 4v be, v-ecerd'ce/ 6 y 2/1IZozl fav <br /> Co>AA b I'I^t l-li,e, ear'-e-/S oet7 o 11 e. pa rce.! <br /> 1 Fee Rec: 50? <br /> d <br /> Check#: L_j(`_, <br /> rn <br /> Date of staff site visit: 12/2 zo zo Initials of site visit staff: / r a <br /> _ d � <br /> JCA <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: /02/2°20 < w trI <br /> �— <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF • <br /> CD c <br /> co <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD C PO <br /> Transcendent: - Page 1 of 4 .1a`` r� <br /> Laserfische: - Burnett County,WI Land Use Application—Rev 6/2020 = lliffl <br />