Laserfiche WebLink
_LAND USE PERMIT APPLICATION - Burnett County, WI b <br /> o a � � <br /> Applicant Complete All Sections Below This Line o' N <br /> Permit Types and FeestPlease,check appropriate boxes) a <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 `; N <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 /> C 5� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < �1 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 o Q <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 /> *Communication Towers, Camping Permits&Signs require a different application form;see corresponding application,and fees. CD <br /> � .— <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. r" <br /> z <br /> Property Owner's Name: LOU n C—e •( S e �ey 1 @cllt 2 o <br /> Property Owner's Mailing Address: S 7/ �1 (t O cti N4 d C_ a 4j i Sal J;,3t a Q <br /> City State Zip ° —C `ri— <br /> Property Site Address: S <br /> Contact's Telephone Number: Cc I n <br /> d <br /> w <br /> Contact's Email: <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is -C <br /> b <br /> legible and your email provider will accept emails from @Bu <br /> mettCountyWI.gov <br /> following address: @BuettCountyWI.gov <br /> Legal Description of Property: y c-7 4 L--, 300 (, Do Lc,*t I d <br /> g. J <br /> Section#:��Town#:�N Range#: t� W Town of: Z-0 c-k�ctv% _p <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* v� <br /> o �Tax ID#(1-5 digit number;found on tax statement): S� S <br /> Proposed Use of Structure/Addition: Q� � y P W Anticipated Start Date: S(,��eii Zr- a p�STHome/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: S I-� Sewer Installer: y Q <br /> y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> v <br /> m <br /> Fee Rec: -T <br /> °z Check#: <br /> - r <br /> r- <br /> n� <br /> Date of staff site visit:�Q 2 3l�ZS Initials of site visit staff: y m a) C� <br /> APPROVED BY LAND SERVICES OFFICIALLY X---' DATE: 2// 20ZSco c- <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <br /> SIGNET} PERMIT APPLICATION IN PLAIN SIGHT CD <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Appiication—Rev 11/2024 <br />