Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI <br /> S. R It, <br /> Applicant Complete All Sections Below This Line a. e N <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addion/Alteration to Dwelling/Principal Structure $200 1 � a <br /> ti <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure 5200 1 9 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 n <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 i a <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <„ <br /> xDriveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 V <br /> Filling/Grading $150 Boathouse $500 i!� <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Al lowed Once) $100 j @_. <br /> i <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. S , <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc c <br /> Property Owner's Name: l4101114.6 a s'td_ Tina_ia„ . 511 Lim o, <br /> b <br /> 0.� <br /> Property Owner's Mailing Address: g'02I I wQ.bf Ll n <br /> (.� J�t, <br /> ki . ( f'tg N- W1,J 55 3(7 E* @ <br /> City State Zip C <br /> Property Site Address: -3C012- L4.111 bri v'Gl b bUAI/ b.:T .17(iu)i'i 4 St uiSS o I. <br /> Contact's Telephone Number: 4 52—2!D 100 9 (7i tmt'5 Le-41) 8 <br /> Contact's Email: i"Shavr epinch 51 . co vv .r <br /> b <br /> L, 5. r <br /> Legal Description of Property: Pia+ Cif 1,4042 2L ge5Dr+ (..G'rIcio u.n t+ 4k5 gi' ev t r14-eregrlin w' <br /> /Ylrnen areaE <br /> Section#: A 7 Town#: `}I N Range#: (.5 W Town of: a�5 3. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> N <br /> Tax ID#(1-5 digit number;found(on tax statement : o &'6.'0 _` j <br /> Proposed Use of Structure/Additio$?- O 'e p1 f-1 attlinl U -loteLt.( 1C g) —' n 8 <br /> Anticipated Start Date: (Home/Cabin;Commercidf Business;Bedroom;Deck;etc.) 1 '3 <br /> Building Contractor: Sewer Installer: 1 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to xi <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured <br /> home additions, and bunkhouses.** <br /> Fee Rec: <br /> Check#: <br /> N <br /> M <br /> Date of staff site visit: Initials of site visit staff: <br /> i Cr <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: o s <br /> j . <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF m �- <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z W <br /> Page l of 5 <br /> Burnett County,WI Land Use Application—Rev 05/2022 ce <br /> Y <br /> ( <br />