Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI <br /> Applicant Complete All Sections Below This Line � wNi <br /> 0. 1 <br /> Permit Types and Fees�Please,check appropriate boxes) <br /> O <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 /> 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 $1150 lBoathouse $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 /> Property Owner's Name: !qS L e r <br /> 0 <br /> Property Owner's Mailing Address:.2 3 0.SJ i t< L ITe Road TS LN ti <br /> '/ City r State_ Zip L6 <br /> Property Site Address: 2303.5' I-t//q J Qw L4i'"1//��Q t�ogg�reran tS�g� r (All- <br /> q <br /> Contact's Telephone Number: k,2 — 9V/—4 o? / T �— YG a <br /> d <br /> Contact's Email: 4iLh• e• /A4 r 60 q Me?; _ C 0 i✓� �° <br /> **If staff has a question about this application,you wi a contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov <br /> 5' <br /> Legal Description of Property: P C L S 6 NL D E 5 O N y-iS nZ l q <br /> Section#: 15 2 G Town#: 7`3g N Range#:_&_Ly W Town of: I A/60 c/ je i r 2 V <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* N <br /> Tax ID#(1-5 digit number;found on tax statement): 1199Q�O J N o <br /> Proposed Use of Structure/Addition: �dYl�/ 1"&hid o S Q nW S f 0 rC TW[5 - <br /> Anticipated Start Date: {A— — (Home/Cabin;Commercial Business:Bedroom:Deck:etc.) <br /> / z W <br /> Building Contractor: jL/T �/�r,/C'y Sewer Installer: op <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z X <br /> 0 <br /> (D MCI✓+ <br /> S < <br /> n <br /> FeeRec: . <br /> z Check#: <br /> z <br /> r <br /> -G <br /> m <br /> m <br /> < oam <br /> /�Date of staff site visit:1 2� �f/7i5 Initials of site visit staff:��APPROVED BY LAND SERVICESOFFICIALG1UPON APPROVAL: APPLICANT MUST POST COPY OF SIGNED PERMIT APPLICATION IN PLAIN SIGHTCD <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 11/2024 <br />