Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a I. <br /> Applicant Complete All Sections Below This Line 0 (a <br /> CD I <br /> Permit Types and Fees(P/ease,check appropriate boxes) C7 4 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200co <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r..p <br /> XAccessory Structure(Garage,Shed,etc.) $150 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 o R3 r <br /> Filling/Grading $150 Boathouse $500 c4 C <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 I <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. " <br /> ro <br /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. `D <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ' <br /> z 1 <br /> Property Owner's Name: 'E P ` L.S iA E.f .<-S 0 N o 1, <br /> r oQ. <br /> i <br /> Property Owner's Mailing Address:i 3 No 9c k low.: /J� C(i t, vht A f't�l�S MA! �a`��(Zf w <br /> City J State Zip vi I <br /> Property Site Address: 11 7(p5 ' t,w f 1 Nut AS k vc, OF K l d �UiNN it,f i WI. y <br /> • G <br /> Contact's Telephone Number: Ii 1.1. 10 F'— 11 31 - e( i C.-. a. <br /> G <br /> Contact's Email: t.P j c..A r,, ti.t c. VI(2 ri , c W'is i t } CO Inn <br /> **If staff has a question about this application,you wilrbe contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and °a' <br /> °O <br /> 5 <br /> @BurnettCountyWI.gov ao <br /> P..Legal Description of Property: t-f,?(Ati4< Ad i i --; ,tD -t-a ri ifPi SI1 yt_i/OW ',A _ Id W y :• <br /> Section#: 520 Town#: 90 N Range#:/ b W Town of: © AK /c ,/ ) „, <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* H <br /> Tax ID#(1-5 digit number;found on tax statement): i i/z// "-- <br /> y <br /> Proposed Use of Structure/Additio : ct of rar. Z,, <br /> Anticipated Start Date: " /i 5'/23 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> C <br /> Building Contractor: )-C..I. Sewer Installer: b <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> ee-4--- a i( 5 <br /> = Fee Rec: <br /> c Check#: <br /> ilial— <br /> tr <br /> z <br /> / � v <br /> Date of staff site visit: 6(-lj/I�� I itials f site isit taff: a ��-J� <br /> Fi r <br /> APPROVED BY LAND SERVICES OFFICIAL: I DATE: / 3C)/?-3 cA M a c_ II 11 Li <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z <3 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT j o. Q <br /> ..:< w <br /> Page l of 5 < 3 Oil <br /> Burnett County, WI Land Use Application—Rev 3/2023 v l f <br /> 3. <br /> �e <br />