Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County,WI <br /> Applicant Complete All Sections Below This Line a <br /> Permit Types and Fees fPiean,check appropriate boxes)- <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/P i Structure 2 ti <br /> Commercial/Industrial Structure 5300 Addition/AlteratiWJ to Commercial Industrial Structure $till 40*01— <br /> ,TOQ' <br /> x Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory St re $150 <br /> Accessory Structure(Commercial/Industrial) $200, Addition/Alteration to Bunkhouse 50 <br /> Deck/Stairs/PaVo/Retaining Wail/Sidewaik Bunkhouse 50 ` <br /> Driveways/&Campground Structures $125 WI Statg; to 59.692(1v)Structures $350 �Vhl <br /> Filiitig/ m $150 Boatho $SW ) <br /> SolarPonels and alone or roof mounted) 350 Permit Extension 1 Year sion-Allowed Once $100 <br /> NOTE:Aker-the-fact permits(permit acquk'ed after;onstrucxion has begun)may cost up to three times the net* ,**A �N <br /> *ComnWnfcation'flowers,Carrying Permits&Signs require a different application form;see carmsponding appikutlgn,and fees. <br /> *Items not listed above will be treated as accessory Structures,such as:peldolas,landscaping,etc. � z <br /> 0 <br /> Property Owner's Name: I A Ck rl et Rn ynGt rti =' <br /> Property Owner's Mailing Adams: 2. Cp X ,gyp <br /> zi <br /> Property Site Address:) 0 �' 1� �� �S- y <br /> Contact's Telephone Number: L S 7 d r $ <br /> 1• <br /> Contact's Email: j r-O M a r10 cf: 4-L,,ry n:t r' <br /> **If staff has a question about this applicetk"ir ydu will be contacted via entail. Make OW your email address is <br /> legible and your email provider will accept oma4s$om the hbo*ing address: IimeaCattaywi.gov m <br /> jj \ as <br /> Legal Description of Propertl+:PC Gam, 1 +S I ¢a CTrc <br /> Section#: 5 l3 Town#:Ty N ,ange> :RAWoWvA Cif: <br /> *Attach additional page if needed for lengthy description OR attach a vo <br /> Py of4%deed OR attack ta;system properly page.* � <br /> o � <br /> Tax I D#(1-5 digit number;found on tAx sla ment): v'Z 13 3 9 N W <br /> Proposed Use of Structure/A dition: r'a CI P <br /> Anticipated Start Date: (HoWA/ a&n;Commerc'a <br /> rr`�.t Bw ss:Besiroo�n; etc.) <br /> Gar <br /> revr, � <br /> Building Contractor:)9 M-,y^i CC r1 S+e4 Xsrh Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES N S/ M S Y z <br /> THIS PERMIT IS SUBJECT TO ALL COIF S LISTED BELOW: <br /> 0 WEET 6t_l._ 57ET&fCX5 V) <br /> Q Ab r It BF us Eb po R t4oj u,anf Wt9i mTzyV. <br /> Fee Rec-. t' <br /> Check#:_ <br /> Date of staff site visit: to/3/25 d (,/iol2'S Initials of site visit staff: 11R r- <br /> b <br /> APPROVED BY LAND SERVICES OFFICIAL: , ) DATE: //i/z0Z5- <br /> WCD <br /> 3r <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> CA <br /> co <br /> ,SIGNED PERMIT APPLICATION IN �AIN SIGHT 0id <br /> Page 1 of 5 "' <br /> Burnett County,WI Land Un Application—Rev 11/2024 �----� <br />