Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI a ro <br /> Applicant Complete All Sections Below This LineCD I <br /> a <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 c?, <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 d p <br /> a <br /> }C Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 r � <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> ,_,.. ,t, ,,,, <br /> si 6'' C._ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 „� <br /> Filling/Grading $150 Boathouse $500 v� i` <br /> m <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a <br /> iv • <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. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. 5°m. m) <br /> z � <br /> N o r <br /> Property Owner's Name: 3c;.,,,,.� a,c �c•ev1, T 71\ o �' <br /> 3 `° ..`mac <br /> Property Owner's Mailing Address: 306 F. IV/l/Cw CAA i ' )Q_ Att(R/U LLD 7( 73/O ice . , <br /> City State Zip ci <br /> Property Site Address:23705RAsr//444) 7-,22,1 Sffrtt /.AID vyl Syfi7/ i <br /> / z ° N <br /> Contact's Telephone Number: lrc £7c<8i 5R a <br /> d <br /> F <br /> CD <br /> Contact's Email: ,t('�/'.) ef(25 3 t'6 irr v <br /> .' /C '- <br /> **If staff has a question about this applicdtion,you will be contacted via email. Make sure your email address is N ,ti ,0 <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWl.gov z b0 � <br /> SD ....... <br /> N <br /> Legal Description of Property: LOT-2 Cs'M v 9 r' i 3L, ( ' Gov �v 7 7 ) q k.ni <br /> Section#: / Town#: 3F N Range#: N W Town of: v V <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* ? a, <br /> — <br /> 0 � <br /> 0 <br /> Tax ID#(I-5 digit number; found on tax statement): 3a-93 — d <br /> Proposed Use of Structure/Addition: S f\rc-i) .--3 s N <br /> Anticipated Start Date: ,4$4 p (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) [` ,D <br /> •n oQ W <br /> Building Contractor:Aa►,:s ma ss, Sewer Installer: @Ci'5+ J, I <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY n z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o z <br /> D Me�-E a,u s�.-�-bads. �; co.� 15�� Sekbac Fo Dk( ti M <br /> NO4 40 be US / -4jr hu,,nar) had► '� a r ear a <br /> �n �� .� II__.. more -1itc�n 30 S i alCaIenCIa `� 92 <br /> O CCUYl ativ 0 �{ U„_ _l Fee Rec: ,1 <br /> 1� Check#: b.a <br /> A <br /> rz <br /> l J <br /> to r- <br /> Date of staff site visit:5/3/2oZq 41(7/2-Thal" Initials of site visit staff:ler <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: l'U J 1/20/ C <br /> m ,O. N <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o_ oLI <br /> !SDK cm <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT �-�- <br /> Page lof5 �` <br /> Burnett County,WI Land Use Application -Rev 04/2024 <br />