Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> Applicant Complete All Sections Below This Line 0 c <br /> Permit Types and Fees(Please,check appropriate boxes), Is a 7�J <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 v ��J <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ,-C. O <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> g <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 oc- <br /> ° p <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 P <br /> Filling/Grading $150 Boathouse $500 <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. 'q <br /> lik <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 0 1 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ' . <br /> z II0 <br /> Property Owner's Name: L..o i _, D . /''40- fr' f' <br /> 0 <br /> 0 <br /> a. <br /> Property Owner's Mailing Address: 2705 L.7 '�_ B 1)(2-, j ,' ( W{ 'Sete w n <br /> City State Zip ill <br /> Property Site Address: o h <br /> • C <br /> Contact's Telephone Number: 7/5 — 7 3 3 -- 01 I n <br /> d <br /> Contact's Email: LLC<filki I+E eAh-u_e,6 M.M4_ , C.0 ikA CD <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 0 (7Q <br /> 5' <br /> Legal Description of Property: VI ors 7 ti 0 Ap) )4 4 `i Lt 1 "A. _RL✓c Z. o <br /> Section#: 2 ' Town#: 4( N Range#: 16 W Town of: 5 ►SS c' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ( i u) h <br /> o -I <br /> Tax ID#(1-5 digit number;found on tax statement): 2-?jb6.Z (J 0 <br /> d <br /> Proposed Use of Structure/Addition: m.,C 40- 5 T-,21.6fiZ Cot—V4 ti`-►'z2 5 lcC 4 3 N <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) ' (�1 <br /> z � V <br /> Building Contractor: .5.6 Sewer Installer: <br /> CA <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY a N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: zpo <br /> 0 Mt./ ati ,t-flOCt(JS . <br /> cr o <br /> m <br /> `t O -\U la ustd -Ctir f✓" ,vux) 6191.4°)H4 tn <br /> Fee Rec:f 6a <br /> °z Check#:35 9V <br /> r <br /> ^< <br /> z <br /> 4/�ii/ 0Z�l ��J <br /> Date of staff site visit: ` Z Initials of site visit staff f � <br /> APPROVED BY LAND SERVICES OFFICIAL:—/ DATE: DZ � y M <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF g.a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> cD OW <br /> Page l of 5 �` JJ <br /> Burnett County,WI Land Use Application—Rev 12/2023 <br />