Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI• a b <br /> Applicant Complete All Sections Below This Line o c w <br /> Permit Types and Fees(Please,check appropriate boxes) # lt� a. <br /> Dwelling/Principal Structure $300 �Addition/Alteration to Dwelling/Principal Structure S c <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 1 O <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 /> C <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °e° L . <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> , <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 0. <br /> • ►� <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. - .. <br /> ro 4- <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. k* <br /> o • <br /> -\ <br /> Property Owner's Name: e,o',5 tH 5L e'5 II i o <br /> Property Owner's Mailing Address: ' 64 c S t c-�4' A t , C� J th'5.te1 lL $4IP`2.1 7. 1.N <br /> City State Zip ° <br /> Property Site Address: 1 o y <br /> • c <br /> Contact's Telephone Number: —2/S — 3 ? ©S 9 i" a. <br /> C7 <br /> Contact's Email: k,- C (ct..e yet li c o ,c-ci If I c <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N `O <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and 00 <br /> @BurnettCountyWI.gov t <br /> q km <br /> Legal Description of Property: 5. '� <br /> Section#: as Town#: ! N Range#: I U W Town of: MfLQ.-nr <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement): I12K <br /> Proposed Use of Structure/Addition: `,�='cu'( i �`EcXZQ lu <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) W-0 <br /> Building Contractor: C) C \0..S Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m <br /> z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> - 471- CO) 5-64-b s <br /> i V o b,ectroorr5 Cpl. k acM 4 LA t II-SSelJ l y V1 ki.fich W1 y Fee Rec: (a0 m <br /> IS C)Dn o Check#: c1I5 <br /> z <br /> 2 o <br /> Date of staff site visit: 5/16/202 3 I iti s of site visi taff: < <br /> litli <br /> `�07 APPROVED BY LAND SERVICES OFFICIAL: ATE: mv, n X <br /> m c 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m s_ o <br /> Page l of 5 TEI <br /> < 3 `"' <br /> Burnett County,WI Land Use Application-Rev 12/2022 a �` JJ <br /> 3a <br /> ,o <br />