Laserfiche WebLink
b <br /> LAND USE PERMIT APPLICATION—Burnett County, WI a <br /> Applicant Complete All Sections Below This Line a A <br /> Permit Types and Fees(Please,check appropriate boxes) n <br /> C7 N <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 1V <br /> :ittN i <br /> 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 /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 r <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. ` <br /> b <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. CD <br /> 111 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. F. -. <br /> Property Owner's Name: lb o <br /> Property Owner's Mailing Address: ys / � Nj e NS -a/( 0 n <br /> c4 <br /> 1'`f /t City State Zip 4 <br /> Property Site Address: 7O,Ct J 12,/ ` o N• <br /> Contact's Telephone Number: 1 1 3 Z3z — l� 31j a C <br /> d u\r <br /> Contact's Email: €k qqG i'/(p 0 /,C L/O ' CeM <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 address: @BurnettCountyWI.gov as 00 <br /> ao <br /> Legal Description of Property: 5 '(--2/ kl MU t. <br /> Section#: it Town#: 39 N Range#: / W Town of: bV,I St AA/15A(fie. Fi <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* -70 <br /> t <br /> Tax ID#(1-5 digit number;found on tax statement): o 11 1 q i 0 <br /> I_ n r . ' d <br /> Proposed Use of Structure/Addition: S Y`C £ C.I. - n` <br /> Anticipated Start Date: fe h Z D 2 i / (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) t _` l V <br /> Building Contractor: "r Sewer Installer: "�OV <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/ ONDITIONS ONLY P Z <br /> THIS PERMIT IS SUBJ CT TO ALL CONDI IONS ISTED BELOW: 8 x, <br /> 6s4e ne, Be. us �d' titvvtgo h4 ,,71,a.1, ,, <br /> CA <br /> Fee Rec: ` <br /> P Check#: 62-?S <br /> ni <br /> Date of staff site visit: ? 7/ Z 7 Inifals o site ' ' staff: /7/ 3 � ��----�� � <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: W2-e7aX <br /> 1. 111 <br /> UPON APPROVAL: APP ICANT MUST POST COPY OF g E° z 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT `° 00 N <br /> cn <br /> NI <br /> 0 <br /> CD c N <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 12/2023 <br /> .--:::=.1) <br />