Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> a g <br /> Applicant Complete All Sections Below This Line o <br /> CD i <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> C7 <br /> Dwelling/Principal Structure $300 _Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 1\ <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ^\ <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C <br /> X Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ro • <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 /> ^ <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. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g <br /> o <br /> Property Owner's Name:-_C.t.r`Jct 1 14' Lid t(.ee.--, $"r'r�14 "0 <br /> 0. ,o <br /> Property Owner's Mailing Address: (per ��-?Bart �2 .� � �- C Al <br /> City State Zip E -0 b <br /> Property Site Address: ) -( .) --(c) Sam e-o<-Ld ffed u G i..c) S g,-� z o y <br /> • <br /> Contact's Telephone Number: 75'7- 6(f 7- /,.3'Sr" -7,5-2 6 7-67 /l F il• <br /> Contact's Email:K Y I r <69c1 t)e c Zei,--1 n ,'t 4?4-- 0 <br /> r <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: @BurnettCountyWl.gov S °O <br /> j S. <br /> Legal Description of Property: �j- " / 1?- )-''1 13(7,� o M <br /> N W <br /> Section#: 3,j Town#: 3 N Range#: I,5-- W Town of: Le_ f2 i/-e 2 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* C4 <br /> C0 Tax ID#(1-5 digit number; found on tax statement): L/S3 W <br /> tl\ ° d <br /> � <br /> Proposed Use of Structure/Addition: 1)-e C.-L -i I W <br /> Anticipated Start Date: %1,S 1 l (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> z cN r <br /> Building Contractor:Lc.t(c,S 4e'-f` 2 Id Sewer Installer: c <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m z <br /> k k.13 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z z <br /> o <br /> ���t+ a/u �i ac s CA <br /> r1 <br /> F, <br /> m <br /> y <br /> • <br /> nn ,JJ,. ,_f,�� deck a re plums ' z /r D`— <br /> I Lis 0-inrtl-- is r adck(� 1M. �� Fee Rec: <br /> y °z Check#: .2/ <br /> t\t,t S-Via 5 d t(i <br /> Date of staff site visit: y/11/ azy Initi is of site v. it staff:`K I -i-bit rn <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: l II/2Zq ¢7 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF °W 0 <br /> C, C SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 0 <br /> w,< g3 <br /> Page l of 5 B -i.- <br /> Burnett County, WI Land Use Application—Rev 12/2023 �' �� J., <br />