Laserfiche WebLink
• LAND USE PERMIT APPLICATION — Burnett County, WI a 1 <br /> Applicant Complete All Sections Below This Line a' <br /> CD I <br /> Permit Types and Fees(Please,check appropriate boxes) a. K) <br /> Dwelling/Principal Structure $300 Y Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure .0 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 Fo <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 c 411 <br /> Filling/Grading $150 Boathouse $500 0 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 I <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. $ .. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. i T <br /> �/ z <br /> Property Owner's Name: U �� lE/'fZ-� o o <br /> C��7 <br /> 0 <br /> _ a. <br /> Property Owner's Mailing Address: / 1 B �,7ez/ 19 N g" 5.) A/vS b 14 C. OW q CO y 7 w. <br /> City State Zip ') <br /> Property Site Address: 3 i)73, 5 ez f' L.4A Rt D, BolZ''1 ,,, is C S1/C3 0 < <br /> o P <br /> Contact's Telephone Number: (p 11... )0_& /0 p N a <br /> t7 <br /> Contact's Email: h'ti c �h2 e,4'CL,L-u h <br /> **If staff has a question about t?s application,you will be contacted via email. Make sure your email address is N ro <br /> legible and your email provider will accept emails from the following fa�ddress: @BurnettCountyWI.gov o °Q�\ <br /> Legal Description of Property: �74 / GS1f4 v'2-7 / Z? �' 0 , <br /> Section#: , Town#: c//00 N Range#: 1 S W Town of: S� IS 6' N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the Ldeed OR attach tax system property page.* J� <br /> Tax ID#(1-5 digit number;found on tax statement): 3 C3 " / ' <br /> d <br /> Proposed Use of Structure/Addition: S C li C 11t) D('/( a 0 P/77U/t) 1(� „ <br /> Anticipated Start Date: `t-'O-1 y 7 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) �,` <br /> Building Contractor: S'L Y _ Sewer Installer: N. "V <br /> .-3 <br /> W <br /> ti p�, <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY tv <br /> ° <br /> THIS PERMIT IS SUBJECT TO ALL/ CONDITIONS LISTED BELOW: o z <br /> 6 /V�4- lDC('� t �a/ H o`t Sf�T7L �dNl�— �y /���Z�CTaN/(r= 7 \yiNI <br /> /0Ca7Ia 149e57--D•F /S cQb41) F, <br /> C)Opt 71 7 U Pc- �N s'ecier Ta Se— /' / -- P`ert,/'se q Fee Rec:, cr3 <br /> ' <br /> ° Check#: 9393 <br /> Pert,.. l <br /> Date of staff site visit: 9/2 Z ZY' Initi Is of site visit staff: //, o <br /> y <br /> y/2002-XInd <br /> APPROVED BY LAND SERVICES OFFICIAL: ATE: <br /> APPROVAL: APPL CANT MUST POST COPY OF `coW = 1 ll <br /> UPONco <br /> _ <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT = c4 <br /> C <br /> Page 1of5 <br /> Burnett County,WI Land Use Application—Rev 12/2023 JJ <br />