Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> a. <br /> Applicant Complete All Sections Below This Line o G <br /> PP P CD , <br /> Permit Types and Fees(P/ease,check appropriate boxes) °' cd).\ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0 <br /> Commercial/Industrial Structure $300 _Addition/Alteration to Commercial/Industrial Structure $200 O <br /> ;C. Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o O <br /> Driveways/&Campground Structures $125, WI State Statute 59.692(1v)Structures $350 r' ,� r <br /> 0 <br /> Filling/Grading $150 Boathouse $500Ilk <br /> w <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. <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. C i <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S =• <br /> Property Owner's Name: 1( 0.21?�q t-I l.{p(Jt S F <br /> o <br /> Q. <br /> Property Owner's Mailing Address: i 3J5DD 60 1 ea. U t .310,5 ' a w . <br /> � " � City State Zip ° `" `n <br /> Property Site Address: 1 241 , L.iL.( M r),,t -re_• o <br /> H <br /> • c <br /> Contact's Telephone Number: L+(+ -5 10 -"0 0 Ze 0 <br /> C7 <br /> Contact's Email: `f`A(L (, pp i S t (<kO D i a o m 7 <br /> **If staff has a question aboutthis plication,yobwill 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: @BurnettCountyWI.gov oo °O S <br /> Legal Description of Property: L Q-E- 4 a C sM v I `T P ci a p 04, <br /> Section#: Z O Town#: 31 N Range#: (ss W Town of: —1--r Q ,vri <br /> 0' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): 2- "1`7 0"] ,, 1 ' <br /> 0 <br /> c&.c <br /> Proposed Use of Structure/Addition: OrWr..... \Ni H <br /> Anticipated Start Date--5o- 24 u (Home/Cabin;Commercial Business;Bedroom;Deck;etc.)1,) C/j J <br /> O <br /> Building Contractor: ' Sewer Installer: �)//� x <br /> N 1 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m �1 <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> 0 <br /> 'I tide cut s1 &( t vovt k) < H <br /> )1c9k At. fie, Vst hAWa..v ka y <br /> Fee Rec: <br /> /5Z <br /> °z Check#:3r,, '9 <br /> r <br /> -C <br /> - T1 <br /> Date of staff site visit: b/i3)ZM Initials of site visit staff: (L ICI- <br /> per/ -3 a C <br /> APPROVED BY LAND SERVICES OFFICIAL: J/14 71i�'4 / DATE: 0/7`ZD�"( �.3 Z <br /> � � c <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF =iv,z N <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT g nil, <br /> Page l of 5 y <br /> Burnett County, WI Land Use Application-Rev 04/2024 <br />