Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> • b <br /> Applicant Complete All Sections Below This Line a ' w <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200CD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> g <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> ''. .''..:.): ) <br /> Filling/Grading $150 Boathouse $500 <br /> v) <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 k ilk <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. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g' 4 <br /> l <br /> , <br /> / z <br /> Property Owner's Name: w///j1.3�7i '�l/'i ►^ • ' <br /> 0 <br /> Property Owner's Mailing Address: '7 83 1 CAD V( n + ed C/1 , Awl br y 5V 5.44 w n <br /> e/ o cn <br /> Property Site Address: 2 75 i cep 5e� j City GO Stat 'Zip - 0 1 <br /> _ c O,r <br /> Contact's Telephone Number: & 6 / " 3a 3 - 7/1p& a. .! <br /> d <br /> Contact's Email: e-- " ' e r Zip3 5 7 o7�✓YY�/ I . a d M <br /> **If staff has a question a'out this application,you will be contacted via email. Make sure your email address is N ,9 <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and °Q <br /> @BurnettCountyWI.gov I <br /> Legal Description of Property: V ( ' Cta). 4/e//c2cz) 5dC, D-/— tP Aki �. <br /> Section#: ar) Town#: 40 N Range#: W Town of: ®AC _e6. v, <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* p o <br /> Tax ID#(1-5 digit number; found on tax statement): / VS 7,=D__- G . G <br /> Proposed Use of Structure/Addition: hE� <br /> Anticipated Start Date:a0 Ile_ (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) cil <br /> Building Contractor: Sewer Installer: 1.3 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> z <br /> THIS PERMIT IS UB ECT TO ALL CONDITIONS LISTED BELOW: <br /> �� eel- an ts <br /> 0M74. . *f. Li-T4 47t7CC'll <br /> x Fee Rec: <br /> 4 Check#: 0:7 <br /> v <br /> m <br /> z <br /> z <br /> /i J 2 rn C—� <br /> rn <br /> Date of staff site visit: (l✓I 9"✓ itials f site 's' staff: 1-1E < m --�-=� <br /> 81� /g-3 I <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: D N W 4a. <br /> c <br /> a 7 Z <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z y _ n[—rt <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT . 3,K N C <br /> Pagelof5 affi <br /> Burnett County, WI Land Use Application—Rev 3/2023 v �L J <br /> -3 <br /> a <br /> 3 <br /> -o <br />