Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI (71 <br /> a <br /> <' 00 <br /> Applicant Complete All Sections Below This Line o' c <br /> Permit Types and FeestP/ease,check appropriate boxes). <br /> CD ' <br /> C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 \ <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse lnomafee <br /> 0 °< <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(Sv)Structures0 0 <br /> Filling/Grading $150 Boathouse 0 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed ?_ <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see correspondin . <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> Property Owner's Name: N <br /> 0 <br /> Property Owner's Mailing Address: LA i J <br /> City State Zip <br /> Property Site Address: :ti 5 G ca(—ty 04CIOL&UW L o y <br /> Contact's Telephone Number: �� a ' , l <br /> d <br /> Contact's Email: CO--'�Cam,l,�C1(� o �Cj�L � , Gl'Y1C�t I Cam <br /> **If staff has a question about this plication,you will be contacted v4A email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov °O <br /> Legal Description of Property: .-CSC a C-5 M y 9 � <br /> Section#: 3 0 Town#: 140 N Range#:� W Town of: <br /> 3. <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* v <br /> c y � <br /> Tax ID#(1-5 digit number; found on tax statement):_ <br /> C7 <br /> Proposed Use of Structure//Additi n:OU d C�-k \ C) <br /> Anticipated Start Date: ) va (Home/Cabin; mmercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Sewer Installer: y -4 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o z <br /> k-l-bac k 4o 4 kt Dd,�� na ry N �. ► ivta/k� m _ <br /> M <br /> `fur- NL4-j ty ya.n ,4 Faso ALcLr 4At -e 1kouSk . <br /> �a�ILhJCt\� IQ� �Q.�10.(kC� LYE Fee Rec: <br /> ° Check#: � <br /> bt W�,� lo,l c�,l c l�c,�t, by 1215112q <br /> Date of staff site visit: Io 16 ZD?1-� Initials of site visit---- �> <br /> APPROVED BY LAND SERVICES OFFICIAL. DATE: ZOZ y m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF -ao= ^' <br /> z <br /> W,zNJ <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page I of 5 <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />