Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI c <br /> • <br /> • b <br /> 1 N N <br /> Applicant Complete All Sections Below This Line a t <br /> a `, <br /> Permit Types and Fees�Please,check appropriate boxes) O V.) <br /> a <br /> OpObwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 C '' - <br /> ,)(°Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 ~ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r' <br /> P. <br /> Filling/Grading $150 Boathouse $500 <br /> a <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a <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. 9 CA <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. �o =' <br /> z <br /> o <br /> Property Owner's Name: , \�,33, r je65: o N <br /> Property Owner's Mailing Address: p D. f.- oV I Et-e k7 r,- , M Ai 5 530- . <br /> City State Zip K <br /> Property Site Address: }r-� L-t -l W,r1 (�a_-\�� "1— . Z o <br /> 8 <br /> Contact's Telephone Number: 6 C 7- 3 D-O " c-( 1 J d <br /> .. <br /> Contact's Email: J t' ev%, (Jc r'�[, 0 (7 r�\O R . C-�'r''- ''' <br /> **If staff has a question about this Application,yrt will be contacted via email. Make sure your email address is N ,ti <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov `ro <br /> 1.ot- icy-rrs >aq �. <br /> Legal Description of Property: tpi t( -t t.. r‘ c'e-\`3 a-r-cu '(�(CI(\ 56.4,f3 t'>f JC/,9t/O P. <br /> Section#: 3- - Town#: 3 N Range#: tr1 W Town of: l&.:.'e'`•.t" I(Ackr6hlcanC3k . <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach lax system property page.* cil�__11 <br /> CJ I Tax ID#(1-5 digit number;found on tax statement): 3 6331x <br /> _ r Vv Proposed Use of Structure/Addition: � r1�'+'.Y_ ;,�Y..Ata �ka�<<=�,.�- -a <br /> ) <br /> Anticipated Start Date: S/15/. 4 (Home/Cabin;C'ommercial Business;Bedroom;Deck;etc.) H r <br /> xj r <br /> Building Contractor: 31- Sewer Installer: N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> x <br /> C <br /> tt <br /> - tJek \-D-e, vsszA 4 \uv+ , v, cA <br /> ,' <br /> v Fee Rec: <br /> k6Zotss kb .-,,a, c)3&,2J � \r %y 1 t\I-1)\ Check#: <br /> n4 " 4. C t14C'rL1 <br /> �'45 Qe rvvJec t5 -''01 b CO( •)121 O44\"1 <br /> Date of staff site visit: 5122-12.ozq Initials of site visit staff: 4<-I d-1 lL k <br /> 0111 <br /> APPROVED BY LAND SERVICES OFFICIAL:jj/il,N/r �jMA DATE: U/3/2`1 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0 0 w [rid00 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3.. s vini <br /> Page l of 5 <br /> Burnett County, WI Land Use Application —Rev 04/2024 LL )) <br />