Laserfiche WebLink
LAND USE PERMIT APPLICATION - Burnett County, WI <br /> a <br /> <' b <br /> Applicant Complete All Sections Below This Line 7 to <br /> Permit Types and FeestP/ease,check appropriate boxes) ° 41, <br /> m <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 io <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 /> F <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 � <br /> C) Jv <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° _ <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 r <br /> 0 <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 /> u <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. o <br /> z <br /> Property Owner's Name: y / e <br /> — k, PMj <br /> �+ (� w <br /> Property Owner's Mailing Address: �7 S !J GL � ET W <br /> City S Zip <br /> Property Site Address:XrY�C � 0 fz y ���' f-k,� �r <br /> Contact's Telephone Number: v C/ r 3_�y <br /> Contact's Email: R tJ N Q 1 C3�.�3 r <br /> **If staff has a question ab6dthis application,you will be contacted via email. Make sure your email address is N O <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov <br /> ao <br /> Legal Description of Property: _ N <br /> /�) 0 <br /> Section#: .2/ own#: Range#: l,o W Town o£ D(�o�� _ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* N <br /> q o � <br /> Tax ID#(1-5 digit number;found on tax statement): g <br /> C7 <br /> Proposed Use of Structure/Additio ia,C t k,? 96Re.en ed <br /> � ✓���- <br /> Anticipated Start Date: '�� ���._ (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> x <br /> Building Contractor: Sewer Installer: = (TI <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° 0 � <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z z Z <br /> v z <br /> Q To 8t CoNvs- 'Ruam im S',9w/E PooreizjA rr' q4t> vkO& `t'_ <br /> n � <br /> ® Pelz o Toz'r{S ?o PE 17omavE BY 8115.1 Zo?5, y <br /> ILb tnADeoN PL�,WaA 6 t.tn -eSS 0,,/4)r c.rGXj Ta P6wrS, Fee Rec: 0P <br /> 0 <br /> Z Check#: <br /> r- <br /> C <br /> a <br /> Date of staff site visit: 9L115 Initials of site visit staff: ` Ijuu <br /> APPROVED BY LAND SERVICES OFFICIAL: < <br /> 1 DATE: 81 It Zo2.5 � <br /> N {Llt7l <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF N o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3 <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application —Rev 07/2025 <br />