Laserfiche WebLink
r LAND USE PERMIT APPLICATION— Burnett County, WI a 2 b <br /> w tJ <br /> Applicant Complete All Sections Below This Line 8' n A <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> l7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 I <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 a <br /> F <br /> XAccessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 .�. <br /> Q <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° N <br /> `Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures •$350 0 <br /> Filling/Gradin $150 Boathouse $500 0 <br /> v <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. `� <br /> *Communication Towers,Camping ping Permits&Signs require a different application form;see corresponding application,and fees. 'y " (� <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 7b <br /> Property Owner's Name: MO.Y'GtA. Lean rav 4t✓ + ificvtr►e. MA rL( ✓li'4 k o W <br /> I� t <br /> Property Owner's Mailing Address: 1404 4 LorsCe..1'o W A./G ,M�Innea f li's MN Wiry a. n W <br /> City 1 State Zip <br /> Property Site Address: 2T9 go A.I. ( n} Lakt,. RA W e o s--.- WI C <br /> o <br /> • ro <br /> Contact's Telephone Number: (Q(2 - 20 Z - 8$ 7 1 <br /> 01 t7 <br /> Contact's Email: rAtikal ret vte(&r e ei ma i i. co 1,11 Fo <br /> ' <br /> **If staff has a question out this application,you will be contacted via email. Make sure your email address is N -o .� <br /> legible and your email provider will accept emails from the following address: (a BurnettCountyW l.gov c r W <br /> Legal Description of Property: (.O+ ( CS V 5 P I% &14 NW t i)4- 6OY_LOT J)4 ZOt/OS �~ <br /> M <br /> Section#: 2$r Town#: 4 D N Range#: 15 W Town of: ,aGk So te1 W <br /> r <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* a <br /> Tax ID#(1-5 digit number;found on tax statement): 5 749 7 N x <br /> d <br /> Proposed Use of Structure/Addition: (rate. -i LA 0 <br /> Anticipated Start Date: (liome/Cabin:``Commercial Business;Bedroom;Deck;etc.) <br /> 'Id SING L <br /> Building Contractor: l�v}4er�e� the/&J v4L Lmd e ewer-In z . —4staller-. AVA 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY rn z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: › Ix <br /> DM + cup34,-kbackS <br /> CI NO -b lac used -Ft( huuw'i Itk"W I "?- t S'E'D(A/k o Yl t•-f cn <br /> i Fee Rec: /�co <br /> Check#: 4/l Duo <br /> r <br /> .e; <br /> x <br /> m <br /> n <br /> rn <br /> Ca <br /> Date of staff site visit: 5131 Zz-t Initials of site visit staff: (9L--4'KT 3 ,, IInns�,,'' <br /> APPROVED BY LAND SERVICES OFFICIAL��/ Wk `---* �t',�/�-- DATE:5/7120Z y v�co <br /> AL: APPLICANT MUST POST COPY OF <br /> UPON APPROV CA �ti C� <br /> CM <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ro <br /> Page l of S CD hill <br /> Burnett County,WI Land Use Application —Rev 04/2024 <br />