Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI <br /> a <br /> Applicant Complete All Sections Below This Line 0' c 7. w <br /> N 1 <br /> Permit Types and Fees(Please,check appropriate boxes) ° <br /> t7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 2z 00 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 b <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° A <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 VI 6 , <br /> Filling/Grading $150 Boathouse $ ( t <br /> X cn <br /> Solar Panels(Stand alone or roof mounted) $150 l\ 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. g. ' <br /> I n o t' <br /> Property Owner's Name: 1)�M k-€ ) L- r V ` - -e—Y 'r <br /> Y °o <br /> KJ <br /> Property Owner's Mailing Address: 701 ."7 12nn--e�‘v� w < �'-a-.- ' (�y&' , 4 n <br /> amity 1 r State Zip <br /> Property Site Address: Z7 Y3r1 e-c.�.5'� '(_n,,tir� <- Q<s � ..e 5 bY' KM s- 3 z < <br /> o Contact's Telephone Number: 5 ( - 24 (s big q a <br /> C7 <br /> Contact's Email: \n ve\. vv1 -ey` 4 v S y-1 . ca., r...-- CD <br /> **If staff has a question about this application,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 0 °Q <br /> @BurnettCountyWl.gov cro w <br /> o <br /> Legal Description of Property: L 0� � 0..S lY1 l( i P I �0 �. •P <br /> Section#: 3 C, Town#: Lr U N Range#: ! (o W Town of: oN----S4- �c7 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> p <br /> Tax ID#(1-5 digit number;found on tax statement): -�"l 3 (375 <br /> Proposed Use of Structure/Addition: -4t-"`A 0 G .,..-A-.- . Ltis-''`-1. 1 -' <br /> Anticipated Start Date: (Home/C in;Commercial Business;Bedroom;Deck;etc.) q <br /> Building Contractor: Sewer Installer: V) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> iM1 �tee Secs <br /> l� 4- all p�ie&i '�Myef 4 a.S S4 liye ftc" <br /> Ain <br /> 473 <br /> Fee Rec: <br /> v Check#: jai G U <br /> m <br /> / cA <br /> v <br /> Date of staff site visit:I! 07 3 Initial evisit staff: H.b < c <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 9113123 v, m , M <br /> > a Stc� ffi <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o pi, <br /> r @ V <br /> a r <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT w <br /> Page l of 5 < r �,, '� <br /> Burnett County, WI Land Use Application-Rev 3/2023 0 `L J <br /> a <br /> 3 <br />