Laserfiche WebLink
• LAND USE PERMIT APPLICATION - Burnett County, WI a <br /> Applicant Complete All Sections Below This Line t t I. <br /> c w <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> t <br /> • Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 •X O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> 5 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 a 0 f..., <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 eh <br /> ` <br /> VFilling/Grading $150 Boathouse $500 <br /> v, <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. q <br /> .-o <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. b :• <br /> z <br /> 0 <br /> Property Owner's Name: Li✓lla, t /Da.It /<i 2GJt o (6 <br /> a. <br /> Property Owner's Mailing Address: 7035' datl "r j Read A G(Je ksi r liJ/ .54495 n <br /> 70787 <br /> y d /� J City State Zip E _ <br /> Property Site Address: 707 ect•4,2 'R04� \ o N I <br /> Contact's Telephone Number: 7/5- 796- 763/ ` a <br /> G <br /> Contact's Email: K /7..ehL'rr@ / )�OLZ.42. Cow? <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and c °� <br /> @BurnettCountyWl.gov aq <br /> Legal Description of Prope • ��/fX #4.-- m. <br /> Section#: Z1 Town#: 4/0 N Range#: /4 W Town of: d44L42J24 o) <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 4ii <br /> Et ° <br /> Tax ID#(1-5 digit number; found on tax statement): /37g6 <br /> Proposed Use of Structure/Addition: AO? Terrace_tt.pre.' 1 <br /> �sci P�4S�"o`er %�7� �e. <br /> Anticipated Start Date: (Ho /Cabin:C'ommerciat Busine droom Deck;etc �t�1 <br /> pa?er dfiGa. tt�Q$ de -a ded 14, /-s'e • :c O <br /> Building Contractor:N/A Sewer Installer: aadG <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z A <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> © fo//Oa) alI CeNekiidit5 ✓`e7wline per V/9i —23-/6 . <br /> aTA I's P er ktA 1`7' /S -(4 it' 14e- V ct rl d u S I i/e-wI S l) <br /> T 41�/t -71 <br /> (MgZ3 -1 ctlouy �1JA Ae ‘ (1lQ/9 ^ad/Ll� x Fee Rec. <br /> . <br /> o Check#: -cvd"!( <br /> m <br /> o <br /> Date of staff site visit: q/2 4/0t,Z3 Init' Is o ite visit taff: /r � Q �• <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: / /Z/Z3 M m W 2 `` <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF o r <br /> z 0, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT `` "' <br /> m a t;tl <br /> Page 1 of 5 rn 3 <br /> rn <br /> Burnett County, WI Land Use Application—Rev 3/2023 vcn <br /> S. <br /> 3 <br />