Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a <br /> Applicant Complete All Sections Below This Line a c41. <br /> Permit Types and Fees'Please,check appropriate boxes) a. (r\ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 cz <br /> CDn <br /> • <br /> • <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> x Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <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 0 i <br /> Filling/Grading $150 Boathouse $500 <br /> sw <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 _. t <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. cp <br /> qv <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z ID <br /> p <br /> Property Owner's Name: p 7r 4 of / 't s o o <br /> Property Owner's MailingAddress: W� .$1( ,93 �. n <br /> P rt3' � l 02 C s�.. w�Y 1�.®.4� <br /> City State Zip <br /> Property Site Address: S A.M r Z o <br /> N <br /> Contact's Telephone Number: (i 12-Le 0 -$3 6 4 s> co <br /> v <br /> Contact's Email: S I,4 ---Nr S o otc $ 5- Qc/4-4 R, C. , Cet A.I co <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N -0legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov o °0 <br /> d <br /> Legal Description of Property: !001 S N L.Y 01 C`T k N. <br /> Section#: S I 3 Town#: 7-3 90 Range#: "R,J 6r_ W Town of: H:�C-N D AI z. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ii <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): j IV Z ip <br /> 6 <br /> Proposed Use of Structure/Addition: /- t R W® B to C RYA P0 RT H <br /> 3 — <br /> Anticipated Start Data`. F OF--re-it..w/ (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: O w lV E 7t- Sewer Installer: 3 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY r" z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> v <br /> Met.} cL- st--I-6aclS F <br /> A <br /> Nod 11e used - \1vcm0,rt b1 r <br /> Fee Recs' 150 <br /> 2 Check#: <br /> r <br /> -C <br /> a <br /> m <br /> ,9 J <br /> veil <br /> I m, � U <br /> of staff site visit: 0 eil�Z`f 4 7{21'I24i Initials of site visit staff: 61-4)6T -i ;- <br /> DateFrO <br /> APPROVED BY LAND SERVICES OFFICIAL J�DATE:g y co <br /> I a) Wll <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF ca <br /> CD a ra cc <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT .K <br /> 1,0 <br /> Dili <br /> Page 1 of 5 ��=J <br /> Burnett County, WI Land Use Application-Rev 04/2024 <br />