Laserfiche WebLink
LAND USE PERMIT APPLICATION— Burnett County,WI <br /> 2 <br /> Applicant Complete All Sections Below This Line c <br /> Permit Types and FeesfPlease,check appropriate boxes) - d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 Q <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �C <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> 1 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse 52S0 << (, <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 c <br /> Filling/Grading $150 Boathouse $500 n <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 /> 'Communication Towers,Comping Permits&Signs require a different application form;see corresponding application,and fees. 3 <br /> "Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> Property Owner's Name: :�t:C IT k G i\/ SM s (v r <br /> x nQ <br /> Property Owner's Mailing Address: y S 96 2 (_,l XF AST 1301trz M tit <br /> City State Zi N <br /> Property Site Address: 1 3� qS FL'Xr;S LgNOIN 6 11"D , 6(bWT_S13u" ; (W I Sy yC) o`' y <br /> Contact's Telephone Number: 7(3 — Z 3 Z— U 3.3 2 <br /> Contact's Email: k /S /t� l . G <br /> "`If staff has a question about this application,you will be contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address: CBurncttCountyWl.gov <br /> s <br /> Legal Description of Property: G//Z N& 4 0 <br /> Section#: Town#: ! N Rangc#: I W Town of: WjE!jE T M114S 14 6AA,'O <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax systent proper!)-page.• <br /> 0 X <br /> Tax ID#(1-5 digit number;found on tax statement): J r7`y S <br /> 0 <br /> Proposed Use of Structure/Addition:—�om = G1 <br /> Anticipated Start Date: S It ! 2�� (Ilonne/Cahin;Commercial Business:Bedroom;;Deck;etc.) W <br /> �c Ck,G <br /> Building Contractor: �Vi l�l NC (Jti� I r't- Sewer Installer: I2G CS DLUwQC_?_) (A <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLI <br /> r Z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o <br /> aV S 4,bajs <br /> m <br /> SAiN <br /> Fee Rec: oo- <br /> 0 Check <br /> m <br /> v � <br /> Date of staff site visit: / 2y i�Zs Initials of 'tc visit staff: > a <br /> APPROVED BV LAND SERVICES OFFICIA , DATE: `t jZ5 1 12,026 <br /> H = iV <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 00 o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m <br /> Pagc I of 5 U <br /> Burnett County,WI Land Use Application —Rev 11/2024 <br />