Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a tr <br /> • Applicant Complete All Sections Below This Line o• 0 <br /> Permit Types and Fees(Please,check appropriate boxes) °' <br /> o 0-Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ` O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 0 <br /> CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 '\ •• <br /> M <br /> Filling/Grading $150 Boathouse $500 V <br /> v) <br /> sw <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. ' 10 <br /> ro lb <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. ' <br /> 0 <br /> Property Owner's Name: •X" I1t5 XOPI;S i I./I a o <br /> Property Owner's Mailing Address:Al it yI fig .St,NI IA5%.tf,i//L1 f1i6'. /11 jJ'4:5— 7 n ct <br /> City State Zip ° k' <br /> Property Site Address: as / ,i Ic'%5 IAA/in A4NBVI Y,L WI: -5;/93d Z <br /> - g <br /> Contact's Telephone Number:Tt`Jc 1y'g 9J-3 °' <br /> d <br /> w <br /> Contact's Email: ,vQNt <br /> ro <br /> **If staff has a question about this application,you 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: @BurnettCountyWl.gov 0 °Q S <br /> o <br /> ao <br /> ` <br /> Legal Description of Property: L, /? 5 MVP i'T as d (� <br /> ti <br /> Section#:of Town#: 110 N Range#: //f W Town of: 5Cp7 f 5. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> J E <br /> Tax ID#(1-5 digit number;found on tax statement): /9®9/ = C7 <br /> Proposed Use of Structure/Addition: 37 A6.. H c_/I <br /> Anticipated Start Date:(�1 tl iV l' /,9 / g-i (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) g <br /> Building Contractor: -T�4/Ss�/14ss x v <br /> Sewer Installer: y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> v <br /> Iv OJ SM z r <br /> ',Ncik .'u \aC v' t:r \ryt rn LA " n <br /> I <br /> a <br /> Fee Rec: <br /> 2Check#: j: <br /> r <br /> -C <br /> m <br /> cr <br /> Date of staff site visit: (Al C Ji4 V Initials of site visit staff: l-- Ira <br /> u <br /> APPROVED BY LAND SERVICES OFFICIAL: 1,1JL4A .G'U ' DATE: i0/Io/�. CD <br /> - = 'n�,' <br /> y n hill <br /> 0. <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CD 3 �, <br /> '< r <br /> z. <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3 . hi' <br /> Page l of 5 )J <br /> Burnett County,WI Land Use Application—Rev 04/2024 <br />