Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI <br /> 00 <br /> cn Applicant Complete All Sections Below This Line IV <br /> Permit Types and Fees:(Please,dtedc appropriate boxes) n' <br /> C7 Cal <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 gu <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/industrial Structure $200 • C) O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 g p <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < N <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 27 1. k <br /> Filling/Grading $150 Boathouse $500 i� <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 F. t <br /> 1. <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 o different application form;see corresponding application,and fees. r- R, , <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z 0. <br /> Property Owner's Name: §. , <br /> Property Owner's Mailing Address: `)e'- `T • nI•C 1 l-cY CwkVo{cam 5 M(j -�Z/ a' can _ <br /> �/ City State Zip_ <br /> Property Site Address: ti l �' je-i-k e i i I j Cf RD , AN o(Iv( RI i 9 3tm °• r a. <br /> Contact's Telephone Number: 16,. "7/© . 3 c lv d <br /> Contact's Email: Cl 1/1=1 I A_J7i,Accd . L G/41 .. <br /> c c Legal Description of Property: w -�Section#: 2- - Town#: 4 N Range#: %62 W Town of: S1'Ji S S o [C"'y <br /> �a• '` <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> - <br /> _ 7p cn <br /> Tax ID#(1-5 digit number;found on tax statement): .-, 3--OC; f <br /> Proposed Use of StructureWlddii.tion: �:.-( l91 N 0) Q d <br /> Anticipated Start Date://�� (.�-t • I 5-0 '1-02--'� (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) -1 <br /> Building Contractor: O6r'' 13C4.1& Sewer Installer: 4p?LI/J <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY C./1THIS 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 <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured <br /> home additions,and bunkhouses. * <br /> i meek all 5e <br /> �04- e�Ct,� 3 morns f e( 54 N- a-I 16 Fee Rec �- <br /> g, Check#:1139'' <br /> 10/6/?- ei <br /> Date of staff site visit: Initials f site r <br /> a <br /> 2 <br /> J"� <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 11 13/ / „ r ^ <br /> Lluu <br /> UPON APPROVAL: APPLIC UST POST COPY OF CA CD W r <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 0 <br /> Pagelof5 ,A g N <br /> Burnett County,WI Land Use Application—Rev 05/2022 r' a <br /> t. <br /> tv <br />