Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI <br /> b <br /> Applicant Complete All Sections Below This Line 6. c N <br /> Permit T es and Fees Please check a p. <br /> yp { ppropriate boxes) <br /> :;.: 13 Z <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 14 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r � o v <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 : t <br /> Xv Deck/Stair �/•etaining Wall/Sidewalk Bunkhouse $250 � >\1 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> az <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 E. <br /> 4. <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. <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ' , <br /> O <br /> Z r' <br /> Property Owner's Name: /1/��, C ` Ori H t t^v o N <br /> W r <br /> Property Owner's Mailing Address: G� �� ,, <br /> i-- <br /> 3 AN so 1 , • <br /> ity State Zip oho I - <br /> Property Site Address: _6 32.3-- _T;v1,41.1 f 1/�0"roS isUk,,4 - 1 ,rr'I�'Y E o <br /> Contact's Telephone Number: 7 ,3 ) c /C (() c. <br /> c� / v <br /> Contact's Email: ���i� �ley !U( )1it�1 t '//0 (�Yt'? CD <br /> **If staff has a question about this plicati ,,you will be contacted via email. Make sure your email address is N ,� S <br /> legible and your email provider will accept€mails from the following address:@BurnettCoun Wl. ov 00 N <br /> ty g 0• �_ <br /> Legal Description of Property: fL / Cpc)/ G.C-(- I v P <br /> Section#: / 1)Town#: ]-5- N Range#: ' 9 1;ii W Town of: C,L��t-/-- n w <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* w <br /> Tax 1D#(1-5 digit number;found on tax statement): ) 1 �7 <br /> N o <br /> ,� <br /> Proposed Use of Structure/Addition:-P C) -I c <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> y <br /> Building Contractor: Sewer Installer: lr <br /> y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: i z <br /> 0/14eL-i- at C-L-Hoacks ni <br /> 0 S-klit ,41A1-e Dv-er 100 Sl-C-I- ►'e?litrer G Lund ( &e. Perm;+ h <br /> 4 Fee Rec: l2 <br /> °z Check#: -21 55- <br /> r <br /> n <br /> m <br /> r <br /> Date of staff site visit: /16 <br /> - <br /> J 'ZO214 Initials of site visit staff T- n <br /> APPROVED BY LAND SERVICES OFFICIAL /J DATE: l�/�/�Zy Z.- -y-• <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF co �1M1 <br /> o O oo C== <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT K IN) CC <br /> Pagelof5 ! l , ( <br /> Burnett County, WI Land Use Application—Rev 04/2024 �� <br />