Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI . fin ro <br /> .1: <br /> y 1 <br /> Applicant Complete All Sections Below This Line 0 to <br /> Permit Types and Fees:(Please,check appropriate boxes) ° 5.-' <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 /> G] <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 <br /> Solar Panels(Stand alone or roof mounted) $150 _Permit Extension(1 Year Extension-Allowed Once) $100 ,p1)... F <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. n <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. S I <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. c <br /> � o Property Owner's Name: 0 r' ol/ `s I2 44// 00. ' <br /> Property Owner's Mailing Address: /.27 1 S /X ` i&- G(4.wis ., W� S�f F 0 e. <br /> G �1 /�/, �/ J �C <br /> Property Site Address: ac7`7'5 G `-�"AA , J ) ��:'�1✓�Ty )1 S? Y�Zip o 1 <br /> 7 o. <br /> Contact's Telephone Number: -2/'S ' ' ' el k, U, d <br /> Contact's Email: t,✓/' 72° 9c��`s 6uf tle ., . ,✓�-/- <br /> Pf. <br /> b k <br /> Legal Description of Property:'rOi We l0 07 T3OA) 0 Le. .a ti <br /> Section#: ae Town#: 3 8 N Range#: I g W Town of: Wont. £'✓ z)� <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* N <br /> Tax ID#(1-5 digit number;found on tax statement): £ 7 �`� i <br /> Proposed Use of Structure/Addition: t Ill d <br /> Anticipated Start Date: r - "``, '�L (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) .-3 <br /> Building Contractor: ar'S V✓,fz.<7 Sewer Installer: —C..) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY r-C <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 7' < <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured <br /> ho, e additions,and bunkhouses.* ���e _ l f�0 Tl I( 1 I <br /> 0 i ieek a. I1 se4b C� eA '/ <br /> ‘50 1)t-ieliva i'li--- 7-t) evce_.e4 , . Le6treoins "S---Ve' <br /> Fee Rec: <br /> 3 sail r�'confr/eC (Ie/dht� I�5 4eeiec� ,�i7 id�11�3 z Check �00 <br /> V -J f u <br /> Date of staff site visit: q/) 1?2 Initials of site visit s i IL mEi ,___. <br /> qAPPROVED BY LAND SERVICES OFFICIAL DATE: 1 I I UPON APPROVAL: APPLICAN UST POST COPY OF FS y SIGNED PERMIT APPLICATION IN PLAIN SIGHT z.<Page i of 5 RBurnett County, WI Land Use Application—Rev 05/2022 <br /> 0 <br /> i <br /> b <br />