Laserfiche WebLink
ro <br /> LAND USE PERMIT APPLICATION -Burnett County, WI <br /> s R <br /> Applicant Complete All Sections Below This Line c c w <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> a ' <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <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 6" 9, <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 cn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 P" <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. `� <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <0 it <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g' g IP <br /> i , <br /> Property Owner's Name: J o d i e R u I<b Y)G Y) j Pil Q r 1< Po we_ i 1 o ----1 <br /> Property Owner's Mailing Address: 6 6 9 2 Ste e co q ch Tra 'i 1 N St i I I wgter J'+I N �50 b <br /> n <br /> City State Zip ° lb <br /> Property Site Address: 1-0 T 7 Tit i n Oq ks f rq C r,q n f S b 1.,r CV 2- <br /> li <br /> A,grvO Atrvr Ct�L[.. co L <br /> Contact's Telephone Number: 6 S 1- y'3 O - I tl 7D G /a - `i a - 4 L4 16 <br /> d <br /> Contact's Email: p D W elks u P h (( . q Yrict'i I, Co r <br /> • <br /> **If staff has a question about this application,you' 'ill be contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and o 00 <br /> @BurnettCountyWl.gov 7 N <br /> (70 <br /> Legal Description of Property: .�D T 7 C$ P') 116)o� P9 v�'. ,�S b 1 ✓1 SE AEC 3 0?-3 y-/9 5. D" <br /> t <br /> Section#: 3 2- Town#: 31 N Range#: 1 W Town of: ffWM[1,,rsa la Yl d <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* U4 W o <br /> Tax ID#(1-5 digit number; found on tax statement):3.Q 3 L D lV 6 <br /> Proposed Use of Structure/Addition: 6.nti'l 6 E STOR/- 6- e- <br /> Anticipated Start Date:AS Ap 0 cT dOa3 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ; ,� <br /> Building Contractor: Sewer Installer: iU Il <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z i <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: _ <br /> • No4-- -VID lie User I _pur \-\wni .o.y, 1 06bn <br /> AVI'Ll <br /> Fee Rec: LiCiP• { SSby ill `Z�Z3 6 Check#:5rn 7 <br /> a. <br /> tri <br /> Date of staff site visit: I` lDZ J Initials of site vi ' staff: / T < N�+ <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: l` <br /> _bi/ZDZ..,3 rt <br /> a c> m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o 0 0 �== ,i <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page l of 5 _ I 1 <br /> Burnett County,WI Land Use Application—Rev 5/2023 0 J� <br /> a <br /> b <br />