Laserfiche WebLink
LAND USE PERMIT APPLICATION- Burnett County, WI b <br /> a <br /> Applicant Complete All Sections Below This Line �' c CNJo <br /> A <br /> Permit Types and FeestP/ease,check appropriate boxes) ° W <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(ly)Structures $350 r <br /> Filling/Grading $150 Boathouse $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. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> Property Owner's Name: It-A yc )4 D D k �— o <br /> Property Owner's Mailing Address: et tt �3 S <br /> Ci _ State Zip <br /> Property Site Address: S ���3 o N <br /> N <br /> Contact's Telephone Number: ��s-- �l �--�� gy a a <br /> Contact's Email: P©►h er Of 4 am5 (ev yq ''w�•G d `° <br /> **If staff has a question about this application,you will b contacted be via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov °Q <br /> Legal Description of Property)Oil ^ 'f- lf <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 attach tax system property page.* y <br /> JC <br /> Tax ID#(1-5 digit number;found on tax statement): Ota 34 oz, d <br /> d <br /> Proposed Use of Structure/Addition: e- <br /> Anticipated Start Date: 7 ^A 5— Home/Cabin;Commercial Business;Bedroom;Deck;etc.) W <br /> n x p� <br /> Building Contractor: cen We fi45cely 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 '0 <br /> A <br /> "n Fee Rec: 5b co <br /> z Check#:�96 to <br /> r <br /> a <br /> m <br /> Date of staff site visit: ��-Zo25 Initials of site visit staff: Q <br /> o Cn W C= <br /> APPROVED BY LAND SERVICES OFFICIAL�q C- <br /> , DATE: '��� <br /> UPON APPROVAL: APPLICANT MUS POST COPY OF N D3 o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> CD <br /> �. <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 11/2024 �---� <br />