Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI L <br /> Applicant Complete All Sections Below This Line CD I <br /> c <br /> Permit Types and Fees:(Please,check appropriate boxes) —. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 e <br /> rp `�, <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o\ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150co <br /> .y <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> .L Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° • <br /> / Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o w <br /> Filling/Grading $150 Boathouse $500 P <br /> ep <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w. <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. K c- . <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o L <br /> a , <br /> Property Owner's Name: / C,4, '94- j L,.,t/ - c/Q ; / . <br /> Property Owner's Mailing Address: 3��� , -ji-b/7 ei � /h it s °• r <br /> mil <br /> q Q �, City, State Zip <br /> Property Site Address: 3/� �,/ /c _ ..f - C/�G�e— - ° c <br /> _ CD <br /> Contact's Telephone Number: /(iKV I 74.3-,zZk"--24 �w1l'e 7y)-2 --7�Z- d 1 <br /> et Fp' <br /> Contact's Email: J SP.e._Cs'k-ei 14' 14-0'4- i4 I v co /� N b <br /> 4—. / a cs- t f t�t /�!i}t// Ai/ t/i le, 5 uc <br /> Legal Description of Property:l�-�f �7 G- V ) //tI (L� m �,j <br /> Section#: �� Town#: ! `' N Range#: I c W Town of: 6 G Gf�5O ii 0. <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): 50 f 1—En 3' 7 <br /> Proposed Use of Structure/ dition: -Ch e...Q c, ?el v d <br /> Anticipated Start Date:ir(' (Hom /Cabin;Commercial Business;Bedroom;Deck;etc.) W <br /> Building Contractor: Sewer Installer: Cr'" <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z 0' <br /> Pz <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 U <br /> home additions,and bunkhouses.** \ <br /> 01 ryk, -F 11� Se5c,1S <br /> &1'-0((0,,/ ,.i( 60,, .04 S if (M - ) )--?- 0 _, Fee Rec:Z75 , 7 <br /> Check#:Cc <br /> v, <br /> �� v <br /> Date of staff site visit)a-113/?-3 Initial of site v' it staff: /4 I% , <br /> / l 1 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: �lla6/23 a � <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <c a 0 <br /> SIGNET) PERMIT APPLICATION IN PLAIN SIGHT y o <br /> 3� N <br /> Page 1 of 5 Ififil <br /> Burnett County,WI Land Use Application—Rev 05/2022 <br /> a <br /> x <br />