Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> Applicant Complete All Sections Below This Line c . <br /> Permit Types and Fees:(Please,check appropriate boxes), ° <br /> d W <br /> ' Dwelling/Principal Structure $300 /` Addition/Alteration to Dwelling/Principal Structure $200 ii D <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 /> ` Cj <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 a t <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o <br /> Filling/Grading $150 Boathouse $500 1 . <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 to three times the normal fee. i <br /> ro <br /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. C <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S tn <br /> 0 <br /> Property Owner's Name: 0 � ..z <br /> 411 <br /> Property Owner's Mailing Address: � 1 W U 19-K LoL(`� ' d i/dab bC"-` . N A <br /> City State{ Zi 2 ° 3 <br /> Property Site Address: J y `� <br /> ob <br /> NIL <br /> Contact's Telephone Number: (0 (Z �j- ZS 37 - 6'o.� 0. <br /> C7 10 <br /> Contact's Email: .,�(.,tl+..-b }u ryi y'►1L. V�9 S Q C `V1 t4 . L • cc - -' ' <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ro G <br /> legible and your email provider will accept emails from the following address: @BumettCountyWl.gov --) g. <br /> / 1 j oo W <br /> Legal Description of Property: ((��� ``( /y C�50') \'P P L74v CioC D41-e9 ._i 6a) Lc�'7 d <br /> Section#:20 Town#: Zv N N Range#: /6(GC/ W Town of: -SC.0 =' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* 7 <br /> Tax ID#(1-5 digit number; found on tax statement): /S--3i V <br /> Proposed Use of Structure/Addition: ,46/G' T'' c -3 — <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: ,',,,44- . Sewer Installer: c7 0 `1-- <br /> W AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> Dows( res fr is;bl -roc nAtdiny F sth g-f-bac.4 and a ) <br /> rS a i�s old ►n � - <br /> hid <br /> il��4,fi� t s-1�� G S ��!(�L� ' <br /> ��(, : Fee Rec:, � <br /> 4� Check#:(° <br /> _b k l is 40 be k 'ed G /al c ,L ate' by <br /> Z�2z ° <br /> rn <br /> rn <br /> Date of staff site visit: <br /> 2 (p /2021i' Initials of site visit staff:_T--. c r • <br /> APPROVED BY LAND SERVICES OFFICIAL. ATE: 2 3 262 r <br /> rp <br /> Ir,,,l <br /> -- n M l! Il I1 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <W J 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o a N.:, o <br /> Page l of 5 g. <br /> CD <br /> Burnett County, WI Land Use Application—Rev 12/2023 �' <br />