Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett CountyWI a b <br /> N H N <br /> Applicant om lete All Sections Below This Line a `; <br /> Permit Types and Fees�Please,check appropriate oxes) p <br /> c <br /> Dwelling/Principal Structure $300 1 Addition/Alteration to Dwelling/Principal Structure $200 "V <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 <br /> Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(Sv)Structures $350 S <br /> Filling/Grading $150 Boathouse $500 w <br /> Solar Panels(Stand alone or roof mounte 150 Permit Extension(1 Year Extension Allowed Once) $100 \v w <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. ti <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. 3 <br /> *Items not listed above will be treated as occesso structures,such as:pergolas,landscaping,etc. z <br /> � o <br /> Property Owner's Name: KAt I' i ^t $ <br /> Owner's Mailing dk e� �4 ��Nr 01 to -Ak �'v SS g rnn <br /> Property Own g Address: <br /> rr i_q City State Zip <br /> Property Site Address: <br /> Contact's Telephone Number: <br /> Contact's Email: <br /> �. C ym A I Co V'n <br /> **If staff has a question about this applicatio ,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept er iails from the following address: @BumettCountyWl.govCIQ <br /> . <br /> Legal Description of Property: <br /> 6nz— �iry a✓G G <br /> Section#: Z 6P Town#: V O N Ran e#: W Town of: d ~e.k n ru <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* �' e <br /> Tax ID#(1-5 digit number;found on tax stat ment): q / `I v <br /> / I V�+ <br /> Proposed Use of Structure/Addition: K <br /> Anticipated Start Date: (Hom Cabin,Commercial usiness:Bedroom;Deck;etc.) A (,, <br /> x <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND ERV10ES STAFF COMMENTS/CONDITIONS ONLY x <br /> THIS PERMIT IS SUBJEC TO ALL CONDITIONS LISTED BELOW: o <br /> rA►'S tt r•�tf t�sFI�� )itg�9y'a C�i•�q. ���� a// Q�1e `� V1 S <br /> F <br /> < <br /> A <br /> Fee Rec: /M a0_ <br /> °z Check#: S OIZ. <br /> < <br /> M <br /> n <br /> m <br /> > 3 <br /> Date of staff site visit: S Ini 'ais of site visit Is <br /> APPROVED BY LAND SERVICES OFF CIAL: o <br /> UPON APPROVAL: PL CANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 <br /> B irnett County,WI Land Use Application—Rev 11/2024 <br />