Laserfiche WebLink
CD <br /> LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> Applicant Complete All Sections Below This Line ' N <br /> Permit Types and Fees Please check a ° <br /> Yp � appropriate boxes) � <br /> d J <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 /> CD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 }U <br /> o G <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < rU <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(Sv)Structures $350 �( <br /> Filling/Grading $150 Boathouse $500 <br /> v7 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form,see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. - <br /> z <br /> 0 <br /> Property Owner's Name:ThD L j 34 n i e✓rA /dS o ctv <br /> A <br /> Property Owner's Mailing Address: t`Y W 140"Aue w ,ck wo 0611 F. r, <br /> 11 .J City State ip 3 <br /> Property Site Address: e1$n1�1 C6VyJt/ Q, C-- ��FGr yi Z o N <br /> Contact's Telephone Number: 1.0- q/of 7 3M � a <br /> � C7 <br /> Contact's Email: 7't1r�P_ Ct 1�1�Sr[fLC,l OVA I� . (-OINl <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: @BurnettCountyWLgov °0 v <br /> Legal Description of Property:Lot C s M 511 16. <br /> Section#: J-, Town#: V b N Range#: _W Town of: Wick s►rl <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> Tax ID#(1-5 digit number; found on tax statement): -�?600 iD o <br /> Proposed Use of Structure/Addition: Of 41 nq -4 c.)e_ + tQn ✓2 y <br /> Anticipated Start Date: l_A,D�_ ome/Cabin;Co ercial Business;Bed loom;Deck;etc.) <br /> Building Contractor: SC he Sewer Installer: �� W O <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/COINDITtOWS ONLY M z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 6 <br /> ►T Mft4 O se-1�qC-k-S <br /> r� <br /> VA*4A'r-a w34 -it -evvta 2 �e .rmrnS fg� <br /> e Rco <br /> r-r a YI.P..LeSSGI,/+-j PZ/lY►1� � Feec:y��.�0 <br /> 9)C � 4,14tr M �n� (u U', 1rlS�QC,-�t7r -1'� Check <br /> r� <br /> Date of staff site visit:V j /ZOZS Initials of site visit stafW- -7 Q Y D <br /> cn w <br /> APPROVED BY LAND SERVICES OFFICIA6�a DATE: �J / 2ZZ5 � . <br /> Zj <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CD <br /> �5 <br /> 0CCD C <br /> C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD <br /> Page 1 of 5 <br /> Burnett County,WI Land Use Application—Rev 11/2024 <br />