Laserfiche WebLink
. i pp},.ev LAI Pet—twit r-r <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> NI <br /> Applicant Complete All Sections Below This Line o c4. <br /> Permit Types and Fees:(Please,check appropriate boxes) a. <br /> C <br /> w7 <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 r <br /> Accessory Structure(Garage,Shed,etc.) $150 K. Addition/Alteration to Accessory Structure $150CD <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 <br /> Filling/Grading $150 Boathouse $500 <br /> En <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. `5 <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. r <br /> z <br /> o <br /> Property Owner's Name: Q t/1 o t'i .7' S' ` <br /> .C. r <br /> Property Owner's Mailing Address: e93-s a s c_.yt f ! r, k f t . c; vo_ii 3-V8? I. n <br /> City State Zip <br /> Property Site Address: SGI./ii-e_ <br /> .7 0 <br /> Contact's Telephone Number: 7/s.c (06".34Sb a <br /> Contact's Email: f st cud r . �r►�y�'/r 044A ' <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N ,b --I <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov "0 ,� <br /> N <br /> Legal Description of Property: o <br /> Section#: / 9 Town#: 3 S N Range#: / 7 W Town of: 04 ti i e /5 5. .t <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* c, <br /> N a <br /> Tax ID#(1-5 digit number; found on tax statement): 49,'"ZS-© 3 <br /> ET,' <br /> Proposed Use of Structure/Addit n: /� <br /> Gtst / 4rto,� .--3.--3N <br /> �Anticipated Start Date: Sef r 'P� (2Q Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> _SQ ' x W <br /> BuildingContractor: Sewer Installer: y 00 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> y <br /> Dmm-v- co,,t .k,-‘-ic.oas R3 ___, <br /> 0 N0 40 b2 u S2cL -Foy kAuAno.-n \r\o60 i-4-a-4-i Dn _ <br /> Fee Rec: /`J D <br /> °I Aii IQ1*+n i✓I�X-� �o arzz�e (Sui S ide, n e S G � ��e ✓m►f ced z Check#: / �S <br /> moved -Iv ►1lee-1 at e des m <br /> n <br /> m <br /> v <br /> Date of staff site visit: 0 p J 012oZ� Initials of site visit staff: T t-�'" <br /> Q 111i <br /> p <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: l//D/ZU2 ro�awn <br /> ,. <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 2 o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 z <br /> Burnett County,WI Land Use Application—Rev 04/2024 -------2) <br />