Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WI a 2 b <br /> , tV <br /> Applicant Complete All Sections Below This Line 0 <br /> c n A <br /> Permit Types and Fees(Please,check appropriate boxes) d p <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 Fri k <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 a t i <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> �/ Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> 5 <br /> to .., , T.... , <br /> lN Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ^ , <br /> Filling/Grading $150 Boathouse $500 05 <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 /> *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. -. 4 <br /> N o i <br /> Property Owner's Name: (t 11/.. C iv lL 6 b r <br /> Property Owner's Mailing Address: 431✓1 D�'e r pa- 2 �R r�i t U w 1 �J�l��JD n <br /> City i State Zip ° E <br /> Property Site Address: S a 04C-- o <br /> Contact's Telephone Number: te•- -1I Z30 a. <br /> Contact's Email: C Q Y(1- 1 Co Ala koo C 0 m `' <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: @B ettCountyWI.g v �, d0 <br /> Legal Description of Property: .f�.S t cr poc '+ a(�C f 'i V ovn e li I�*i )own.(, v C Cof g <br /> 6. <br /> Section#: ID Town#: z-}D N Range#: /Cj W Town of: JO r-�-SO✓) <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* c <br /> Tax ID#(1-5 digit number;found on tax statement): 6 8 i <br /> C7 <br /> Proposed Use of Structure/Addition: p1Cl�. l <br /> Anticipated Start Date: 5'I 2y- (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: y C� <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 8 z '� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 6 , <br /> a �0�7—Fee Rec: <br /> Check#: c7/4Z5 <br /> • C <br /> 0/oz� <br /> Date of staff site visit: In' 'als site v' ' taff: )' i fl <br /> APPROVED BY LAND SERVICES OFFICIAL: — DATE: 000 / ' C.- <br /> u E+ <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o a `n <br /> m e N !< <br /> c CJ <br /> Q',< r,.3 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3Eff <br /> Page 1 of 5 v <br /> Burnett County,WI Land Use Application—Rev 12/2023 <br />