Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a " t~ <br /> b <br /> LJ <br /> Applicant Complete All Sections Below This Line 0 n t� <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> • <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 1.(7...c)\� Commercial/Industrial Structure 300 Addition/Alteration to Commercial/Industrial Structure $200 �� <br /> �(q Accessory Structure(Garage,Shed,etc.) 150- Addition/Alteration to Accessory Structure $150 co <br /> // Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> G) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 0 P <br /> Filling/Grading $150 Boathouse $500 <br /> v) <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits (permit aqui red 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. o g <br /> *Items not listed above will be treated as accessory structures,such as:pe galas,landscaping,etc. o <br /> �' l -n <br /> Property Owner's Name: 3 0 k i"_ i 1 1 Ga. <br /> 366 J' /d, 11 C7 <br /> Property Owner's Mailing Address: kp <br /> ��a J ��ha2/20 i/6 City State Zip <br /> Property Site Address: r/ `� a <br /> Contact's Telephone Number: IJ q63 1)2 7 g d <br /> ei 2S 2' 6/h ai, 1, <br /> Contact's Email: / '� <br /> 0 ao <br /> a <br /> Legal Description of Property: Li0 f / C 6 M as`'(y v 13 r- E. 1 <br /> �y <br /> Section#: o_ Town#: i/ 0 N Range#: 1(o W Town of: Oa) 4-7) I d NJ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR atta i t#, system property page.* <br /> 5. <br /> j 35 g .s1Ti71Raf <br /> Tax ID#(1-5 digit number;found on tax statement):/ cn <br /> Proposed Use of Structure/A ditio <br /> cG oz \ 6 <br /> �" . <br /> Anticipated Start Date: / �jj, �Q. (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ^3 <br /> I <br /> Building Contractor: n W 7\'e r Sewer Installer: •--., tk <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY (� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: Z \4 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to S <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured <br /> home additions,and bunkhouses ** // <br /> ‘514\& /tWH <br /> 4 6e_ used -tgr AuktAcekk. 4 /S7,"J04 , <br /> ex ►fhH /D /0 ' 5N de. HIOL /T/7 ct GOw° /4N <br /> Z , FeeRec <br /> : / o <br /> �OGq 4 'k1 y 9 1 27/zo Z 3. Check#: 3' 51/ <br /> y I , <br /> Date of staff site visit: /l 24720 ZZ— Initials of site a <br /> lc <br /> 0 , <br /> ?:7 ZOL _'f�� <br /> APPROVED BY LAND SERVICES OFFICIAL: . DATE: Z- y <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF ngo <br /> FriT 10 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0r..., P <br /> . <br /> Oi O ad�114,M9/ / ' c r3S u lj^e5 cr��oWe�Y mr► 7�i/S ;; 'Page l of 5 <br /> rit <br /> PQr' , 4,7-1,17-SBurnett County,WI Land Use Application—Rev 05/2022 <br /> 144i15 C4,10e71- 4na� W.e, to x i0 s%e.1. c.L.,.______'j <br /> a <br /> 3 <br /> -o <br />