Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> a. <br /> X Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> d <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 $1S0 N <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 � <br /> Driveways/&Campground Structures $125 1 jWl State Statute 59.692(ly)Structures $350 <° <br /> Filling/Grading $1S0 I lBoathouse $500 r <br /> Six Month Camping Unit(One Per Year) $100 1 jPermit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&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. PIN <br /> Mark and Laurie Soulier <br /> Property Owner's Name: o <br /> Property Owner's Mailing Address: 3184 Billyboy Lane Shell Lake WI 54871 0 th <br /> City State Zip <br /> Property Site Address:24875 Beaver Dam Road,Hertel,WI 54845 <br /> Contact's Telephone Number:715-416-0753 c <br /> o C <br /> CL <br /> Contact's Email:souliermark@gmail.com e (a <br /> Legal Description of Property: Lot 5 CSM Vol. 29 Page 173 (CS # 5168) J <br /> Section#:31 Town#:39 N Range#: 14 W Town of:Rusk <br /> *Attach additional a e i needed or lengthy description OR attach a co o the deed OR attach tax system property <br /> PS .f f S Y P PY .r Y P P n' <br /> Tax ID#(1-5 digit number;found on tax statement):36194 N <br /> H <br /> Proposed Use of Structure/Addition: Permanent Residence <br /> Anticipated Start Date:September 2025 k(Home/Cabin;Commercial Business;Bedroom;Deck:etc.) <br /> Burch ConstructionNVausau Homes Dan Burch / Burch Plumbing <br /> d <br /> Building Contractor: Sewer Installer: g <br /> y <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: : _ <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to -0 <br /> ANY construction taking place.for any dwellings, dwelling additions,manufactured homes, manufactured z <br /> home additions,and bunkhouses.** <br /> Q MCCr ►90-- 56r31+CVS <br /> 2Q pw6t_�tM� M r -Tb 6(c6'11Eu Z 3CDR0VV45 PER SfI/V-Z5-M1. <br /> 1 C <br /> Fee Rec:3Mcp <br /> Check#: ? <br /> site visit: <br /> Lolvtf,A p <br /> Q`Il 25 r tzn�`t <br /> Date of staff Initials of site visit staff: z '' '� � <br /> APPROVED BY LAND SERVICES OFFICIAL: / DATE: )2 <br /> r <br /> n <br /> UPON APPROVAL: APPLI0 CD <br /> ANT MUST POST COPY OF (a W <br /> � si <br /> a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o o M <br /> I of 4 e z <br /> Transcendent: - Page � cm3 can <br /> Laserfische: - Burnett County, WI Land Use Application—Rev 12/2020 <br />