Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a g <br /> y. <br /> Applicant Complete All Sections Below This Line < c <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> C7 1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200fp <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure _$200 �J p <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 hw\ g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n �\ <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o ' <br /> Filling/Grading $150 ,Boathouse $500 <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. 6,114 <br /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. < IY <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. g' • <br /> o <br /> _I <br /> Property Owner's Name: � _ S -�. V1(I'i_ o cry N <br /> • <br /> Property Owner's Mailing Address: 47(7 J ��£ r `Pf pkI ft 34I d , <br /> ° r o <br /> ,/� \ City State �Ziin c) <br /> Property Site Address: 2J'00i0 tt5(xcl/l.T ll/AL`� I)414 VI AiT ? 3O o N <br /> Contact's Telephone Number: ?69-11$5-9 ` W/it 7 z • n <br /> Contact's Email: :�1!VI , kPd 1 I�(g i L.,cow( et,**If staff has a question a out this application/you mall be contacted via email. Make sure your email address is N b <br /> legible and your email provider will accept emails from the following addrJess: @BurnettCountyWI.gov 0 °Q N <br /> Legal Description of Property: S ,VI P) 3 &VV`E 11 Add 1-1-4 on tot 7. dc73 p <br /> Section#: (7 Town#: �D 'Range#: /4 W Town of: Sco r+- 5. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cn <br /> Tax ID#(1-5 digit number;found on tax statement): /q C <br /> Proposed Use of Structure/Addition: T24-+tO /1-ad yV,}L f—wAu -, --fl <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedro Deck;etc.) <br /> Building Contractor: x►A-tf , A-14d Sewer Installer: y o re <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: cpzi <br /> &Ned- etti .24 a ds• ,,, - <br /> In // _ <br /> m Fee Rec:/Q <br /> -11 <br /> ° Check#: Cep <br /> z <br /> r <br /> -C <br /> P <br /> m <br /> O t ) <br /> Date of staff site visit:I 0/i 1202L1 Initials of site visit stafff T a ry G <br /> �/ <br /> '/ DR <br /> - rz <br /> APPROVED BY LAND SERVICES OFFICIAL:`fL DATE: `D/.3/24V`7 W g' m 0 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o o = <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT at" <br /> Page 1 of 5 = - ---� <br /> Burnett County, WI Land Use Application—Rev 04/2024 ` JJ <br />