Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 0 w <br /> a <br /> Permit Types and Fees:'Please,check appropriate boxes) C7 <br /> tr <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 �.vc <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 /> a <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 4. <br /> C—.- <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 2. <br /> m <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. '• <br /> v <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 0 . <br /> z <br /> ( 0 <br /> Property Owner's Name: Jt1Ri�}XG t lw\V o — a <br /> E 1 �p b p <br /> Property Owner's Mailing Address:a� p� 40..,-,i�ofa0�2 4 ►D�►f �'i i 'b w. nj Comity" State Zip ° `• <br /> Property Site Address: acb}7-��-,tE\4-61L L J 2 14.'L ` 41 0,5 v o , <br /> Contact's Telephone Number: l/� 5 4 Z7 — / <br /> d <br /> Contact's Email: J . tAL Ei V L G.kit te,y \ . GCitA� D4 <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> 0 <br /> legible and your email provider will accept emails from the following addresses: @BumettCounty.org and <br /> @BumettCountyWI.gov o <br /> �j- / C5n 4g94 f l Pere E4 . <br /> Legal Description of Property: 1' f / D / �• <br /> Section#:0 7 Town#: `1 0 N Range#: I,,b W Town of: 6414,IcKA7...:") vl <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> E H <br /> Tax ID#(1-5 digit number;found on tax statement): CO <br /> 35-6 <br /> itA k FO2 8�1� H Proposed Use of Structure/Addition: C�• (� <br /> Anticipated Start Date: 6 - ^ gv66 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) a� <br /> Building Contractor:C 0i f t cC1. 5i2e--4 '.p i td ► ewer InstallerA AA`t-L i'kr$). (v .t <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> n/{CI-- all Se c ..�, <br /> 0 ,k),_ .,6( <br /> i„,„,,pi.4 <br /> -4-k, <br /> oc4 o✓e( Pack 00ilt / - <br /> � , I b/i /�.3 / / 17, <br /> x Fee Rec: l � <br /> et) u', p o/e$Aed , U ed 4 Check#:(' +-. <br /> �J ' o✓ it - - be-Iv-evil CA( 0��' a P m <br /> 5 hid-, , Pl' l 2-3 z <br /> - A. so c �rc -e/n�.+` 1v/ u <br /> Gc�t �` 5 P 'IJ/� <br /> Date of staff site visit: rj/a-/? > ,Azij.ofe vi it staff. r`� C <�Cpr�APPROVED BY LAND SERVICES OFFICIAL: DATE:J/3/ 3 y IJ�I E <br /> N T= <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z Ce o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page l of 5 .ccm Eg e <br /> al <br /> Burnett County, WI Land Use Application-Rev 3/2023 <br /> En <br /> No <br />