Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a b <br /> Applicant Complete All Sections Below This Line CD <br /> vNi <br /> Permit Types and FeestMease,check appropriate boxes) <br /> C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 \ O <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 s� $125 WI State Statute 59.692(ly)Structures $350 r <br /> Filling Grading $15 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 R. <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. $ <br /> ro <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: 0 nn r -4- 3 u-S Q.+rl o N <br /> 0 <br /> +^e'r b <br /> Property Owner's Mailing Address: rr v%e, " 5�& d. <br /> City State Zip <br /> Property Site Address: 5c me- <br /> 0 <br /> N <br /> _ c <br /> Contact's Telephone Number: �� J �1 S a <br /> C7 <br /> Contact's Email: a� r. SS k o y,)U b � hn 0-r 1 C' n CD <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is a <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov <br /> IIalp <br /> 5 <br /> Legal Description of Property: U-y)r�S t:= C-h I-(.)L <br /> Section#: Town#: N Range#: W Town of: <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attac t tax system property page. <br /> Tax ID#(1-5 digit number;found on tax statement): 3 7- `Y N <br /> f o <br /> Proposed Use of Structure/Addition: S Q b tC +u.I-h n r7 C17 t`'e 6.r+� -� LN <br /> Anticipated Start Date:-5-1 3 -.D 5 (Home/Cabin;Commerct Business;Bedroom;Deck;etc.) <br /> -� tl\ <br /> x <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m° <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z � <br /> 011/lLks - YWe4 lOF-E- Sic4 S2-+-60j,� Ctktd GA), �` k✓ -1 ct�S <br /> 2 c S �p i>� OTC+' X i�+t►�� f,�rivev� 7 mpul,. O%Al Sw4la .Q area � Fee Rec: <br /> °z Check#: <br /> r <br /> < <br /> a <br /> Date of staff site visit: 5 z9 C.02 5 Initials of site visit staff: 3 <br /> APPROVED BY LAND SERVICES OF DATE:5 ZeI FJ CO m a <br /> me <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF01 <br /> 00 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 11/2024 U <br />