Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI . i <br /> Applicant Complete All Sections Below This Line 0 w <br /> Permit Types and Fees(Please,check appropriate boxes) C7o. <br /> Dwelling/Principal Structure $300 )Addition/Alteration to Dwelling/Principal Structure $200 UJ <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �^I O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 co <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 o` <br /> KO <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° vp� -'; <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 l <br /> Filling/Grading $150 Boathouse $500 N <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 `.) <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. <br /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. 0 ' <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. k* "' <br /> o 1�, <br /> Property Owner's Name: M m k.1 c(1AA.. o <br /> Property Owner's Mailing Address: 1 q 3S Te.vac A1- RA S;caw` i S HS 7 le-d n <br /> City State Zip ° <br /> Property Site Address: 1 Is 3 le.4rc.\\ V... c N <br /> Contact's Telephone Number: 1 503 S io u31\ CD <br /> - S d <br /> Contact's Email: OeSot!c 4 �7 tv V t. Goon rp <br /> **If staff has a question about this a plication,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and I. °Q <br /> @BurnettCountyWl.gov <br /> Legal Description of Property: U O 1 I (,SM 31 V.'� ? 11 (, GL 6. N <br /> Section#: 1 a Town#: 3 3 N Range#: 1 (A W Town of: 5-:sef> v) <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* _ 0 E <br /> 1 o C7 <br /> Tax ID#(1-5 digit number;found on tax statement): Li 1 -' (f a).91 t <br /> Proposed Use of Structure/Addition: ( ccce-a t ` _` V 1 <br /> Anticipated Start Date: 7 ~y °�3 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) Vv <br /> t c rS /` l_XY1 <br /> Building Contractor: 0 ztelVc ��S4Ikh 13�=wM�11, B"'�ewer Installer: ,�J <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: .�, <br /> 6 A),../ /o f" a,, c W S yo�L ,/z;.,4,4___ 6y 9//Zo z 3 . <br /> D Dwe.ih .J tHof 71v eXGeecY 3 bedro0 .4$ J)er' 5oxI'7�a✓y gad. < i,, C k, d <br /> = Fe_eRec. <br /> Pe�V`IMIT' S 30677. 2 <br /> Check#:'a 8 a7 <br /> o <br /> z <br /> Date of staff site visit: 7/67Z4 Z 3 Init. Is of site vis' staff: /// e <br /> or) E <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: cp <br /> �ZO !'V ` <br /> N c c <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF z NUl �, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT A <br /> Pagelof5 r co <br /> Burnett County,WI Land Use Application—Rev 3/2023 0 �� <br /> a <br /> i <br />