Laserfiche WebLink
. LAND USE PERMIT APPLICATION - Burnett County, WI b <br /> a <br /> Applicant Complete All Sections Below This Line 7 64 w <br /> Permit Types and Fees:(P/ease,check appropriate boxes) ° <br /> C <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 rD <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> . CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o Cj <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> cn <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. I <br /> • <br /> 'al*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. ' " <br /> z <br /> o Property Owner's Name: 170 3.. Ace rnart ell—. c <br /> Property Owner's Mailing Address: Z5- LA S0 Sidi-Z. (2 rx i/ J c!/5C AI( 5-58 3 7- N <br /> n <br /> City State Zip cn <br /> Property Site Address: r�,( C/ j�5� ►�lIU( o L, <br /> Contact's Telephone Number: q5Z-Z3 1 2-`T S J a <br /> Contact's Email: dIMa l/---2 L&Le__.co rn .(Yl 1 O d <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 °c °Q <br /> @BurnettCountyWl.gov I g <br /> Legal Description of Property: liF � 7 r::J/.0 VO/ 30 Pr/ /O 7 3. ---.1 <br /> Section#:7? Town#: 3 N Range#: ( 6 W Town of: ivt 6--e,0 0 ki - 0 - <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* (� o <br /> Tax ID#(1-5 digit number; found on tax statement): 3 6 5.�9 . E., <br /> Proposed Use of Structure/Addition: "150tJ n • <br /> Anticipated Start Date: (Home/Cabin;Commercial Business,,Bedroom;Deck;etc.) o�`v <br /> Building Contractor: Sewer Installer: v 1 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: �p <br /> 10 AV b ee- t-te...0/ • /,‘ A/41,,Acey, A c/L/V-ct /terf9i <br /> 0 MA/0 ce r-A=Fi eat surv7 w1 qlo (csij /v be re CO, el <br /> x Fee Rec: <br /> y L//J/ao a V / Qdj Li 1-( ar) / 7- A h e, ,. a rA� f .,/�,��I En. Check#: <br /> ` /l e°_ 6 t.t 17014/ H? .c eTs I ✓�e res7 v S � 4 ,s m <br /> cI <br /> Date of staff site visit: ID 1f23 I Zt23 Initials of 'te vis' aff: 1 x Fi Q <br /> I J,I/Zo g eo—� <br /> Inni <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 3 —1 <br /> a c� m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z o 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT . 3 <br /> Inni <br /> Pagelof5 R. <br /> Burnett County, WI Land Use Application-Rev 3/2023 y `� JJ <br /> a <br /> 3 <br /> -o <br />