Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI Cr b <br /> Applicant Complete All Sections Below This Line A <br /> Permit Types and FeesiPlease,check appropriate boxes) <br /> a <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 /> 1 Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 CD <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(ly)Structures $350 c <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. <br /> b <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 /> z <br /> 0 <br /> Property Owner's Name: Ty Slonneger <br /> Property Owner's Mailing Address: 28558 Irish Lane Washington IL. 61571 <br /> City State Zip 5 3 <br /> Property Site Address: 28365 Kilkare, Danbury,WI. 54830 0 <br /> e <br /> Contact's Telephone Number: 309-635-6294 N <br /> � d <br /> Contact's Email: Ty@mselectricinc.com <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N It N <br /> legible and our email provider a c e ils frfro f wi ress: (�Burne Coun WI. ov 8 °o -0 <br /> g y p LOT � ��1V��1 A �� ��P 11 Recorded as �ocument gao <br /> Legal Description of Property:477928 (GOV I.nT 1) d W <br /> Section#: 23 Town#: 40 N Range#: 15 W Town of: Jackson <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* E' <br /> W <br /> Tax ID#(1-5 digit number;found on tax statement): 36287 Om <br /> Proposed Use of Structure/Addition: Shelter y <br /> Anticipated Start Date: 11-20-24 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> -C <br /> Building Contractor: Adventure Buildings Sewer Installer: None y 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> r z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> No f jo used -(bt/ VwvwA-n <br /> (r2) , ,I O 4W - G � 'S sk Fee Rec: <br /> V Q�u,mbinu�+ C��nt � z Check#: <br /> Date of staff site visit:I d2 Initials of site t staff: <br /> APPROVED BY LAND SERVICES OFFICIA DATE: I m 0 <br /> 2v — < <br /> UPON APPROVAL: APPLICANT M tST POST COPY OF CA 0 w �' <br /> 00 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHTCD <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 04/2024 <br />