Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a 2 <br /> N V ' <br /> Applicant Complete All Sections Below This Line o N <br /> n <br /> Permit Types and Fees:(Please,check appropriate boxes) C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 V`5' <br /> Accessory Structure(Garage,Shed,etc.)ZZS'$156 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 • <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> e) <br /> 11, <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> 9 <br /> e *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fe 7 f' <br /> *CommunicationTowers&Signs require a different application form;see corresponding application,and fees. 9. . <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> Tr'i open),Owucr'J ivaTTlc: /`e li 1 i N PO l) i <br /> rf <br /> 2 9 Z 6 3 Or ix j�.� Y,pi/e�- in . 5 <br /> Property Owner's Mailing Address: ! / . .4 t,t w• <br /> t( City State Zip f t < <br /> Property Site Address:29 ZL_? /C Av 5 14 etyd e.-' la ille. Pam" A 04 ) t.Lt i 541 t4.30 I <br /> I <br /> Contact's Telephone Number: 0 5/ - 7 f 5 ys 70 <br /> Contact's Email: Il Y r o,7 J e e & yell 1,0u (....0.-„„ C N � .. <br /> Legal Description of Property: <br /> J + DI f LSM V Pa •5C� Jw, cm <br /> t' rr�� b <br /> Section#: 014 Town#: "{ 0 N Range#: I (0 W Town of: (girl to <br /> frCi <br /> 5. <br /> 0 <br /> *Attach additional page if needed for lengthy description OR attach a coir of the deed OR attach tax system property page.* <br /> cn <br /> Tax ID#(1-5 digit number; found on tax statement): 15 o <br /> 9—� <br /> Proposed Use of Structure/Addition: 1 e-vy.Po i t�.�y $ 7'U j.i«.5 C u <br /> Anticipated Start Date: 011 ,/'1��J (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: <br /> 0 <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 Ipo <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured • <br /> home ddi 'ons�d bunk ouse .** <br /> 44 kot ituot4.4 k4b o' 1 _i Fee Rec: <br /> /�� tA <br /> Check#: c Z <br /> G �' / / <br /> Date of staff site visit: ►al6�af� I 'tials site visit st ff: L 1 m <br /> a� <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: I?/ 7) ?? A ��1 l`1/I <br /> Oijil <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 133 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z w 0 f.., ND <br /> r 00 O <br /> Page 1 of 5 r §� <br /> Burnett County, WI Land Use Application—Rev 05/2022 < S _ if <br /> L� J) <br /> -o <br />