Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> N b r a i <br /> < V <br /> Applicant Complete All Sections Below This Line o c co <br /> Permit Types and Fees:(P/ease,check appropriate boxes) a <br /> d 1.V <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 v'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 I . y 1 <br /> o �` <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 e <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 ` ,ki l <br /> Filling/Grading $150 Boathouse $500 V <br /> cn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 E <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. FS <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. g —• <br /> o <br /> Property Owner's Name: �T�'RRi AJC�' �II�OItJ�'y <br /> "` g o. <br /> Property Owner's Mailing Address: /003'7 GLL4k 2iQ/JE m £ &awe /riff ��349 i n (p <br /> City State Zip a 4 <br /> Property Site Address:/35;4z LARSe'1 Rb a a 4�l73�3W24 cJ t '98'10 <br /> o a <br /> Contact's Telephone Number: L S"/'126 P- 9379 a <br /> v <br /> Contact's Email: mANG/Jgy....'t£RRE/UCE a yA Hop.COO1 <br /> **If staff has a question abouttthis application,you will be contacted via email. Make sure your email address is N b Ul <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and = w <br /> @BurnettCountyWI.gov 'if, EA5T HALF of 7Yl� Soco774�£ST QuARrlR or=77/L o <br /> d <br /> Legal Description of Property: ' N6RTHE/45T QLu4R1ZA. q = V <br /> Section#: /1 Town#:39 N Range#: /9 W Town of:WEST /ARS AAA0 c4 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* o <br /> d <br /> Tax ID# (1-5 digit number: found on tax statement): y <br /> Proposed Use of Structure/Addition: IjO/Y)L/C48/A/ ' J <br /> Anticipated Start Date: %Ju.� 07023 (Home/Cabin:Commercial Business;Bedroom;Deck;etc.) v <br /> PREMIER LI,.I,'f.Oi^J65 $ f1CTIf 4c.,AT1 C IA Hoplc/N s ,,D \�' <br /> Building Contractor: ,N`TZR/OQ— SE'LC' Sewer Installer: CxAANTSOLCAC1 pittMe X V <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT I/SSUBJECT TO ALL CONDITIONS LISTED BELOW: _ <br /> 1 /1/leek ati <br /> 2 IG 11l �f -6 -e,\z y be oo/Ys Pam' ski-cn -8, <br /> x Fee Rec v U <br /> o Check#: S])V <br /> rri <br /> L <br /> p t1 0 <br /> Date of staff site visit: 5/ 1 I�3 Intl s of sit visit staff: i'l v <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 502.3 <br /> � <br /> CDW n 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o o w m4 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT w N < <br /> Page 1 of 5 . <br /> B (A) <br /> Burnett County, WI Land Use Application—Rev 3/2023 - C--7 <br /> a <br /> 4 <br /> I <br />