Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI ro r <br /> a � � <br /> Applicant Complete All Sections Below This Line c� <br /> Permit Types and Fees�Please,check appropriate boxes) ° <br /> C7 <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 7 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 )o <br /> 0 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 _ ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(iv)Structures $350 r <br /> r \ <br /> Filling/Grading $150 Boathouse $500 0 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 R. V- <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> -o <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. r <br /> z <br /> 0 <br /> Property Owner's Name: 11 <br /> (� 0 <br /> Property Owner's Mailing Address: 1'� 0 , B vx 3 7 D q �j�� �-� � Iy p 0 .30 <br /> �/ /� City State Zip <br /> Property Site Address: cW 7�a W% 14e, w `�-1 V<r <br /> o c <br /> Contact's Telephone Number: /� ���- 7S'�3 C. ° <br /> n d <br /> Contact's Email: tAvr • $ -ilat <br /> **If staff has a question ab6ut this appli ation,you will be contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address: @BumettCountyWI.gov <br /> Legal Description of Property:f'/ dQe IZ2� d <br /> N <br /> Section#:_��Town#: N Range#: /L W Town of: <br /> A <br /> *Attach additionalpage if neededfor lengthy description OR attach a copy of the deed OR attach tax system propertypage. <br /> 4� o <br /> Tax ID#(1-5 digit number;found on tax statement): 7� <br /> C7 <br /> Proposed Use of Structure/ ition• Sr*b,-,c W <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> z <br /> Building Contractor: Sewer Installer: d69 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° <br /> THIIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z z <br /> I4 7� -/ !/ / r� r Cn <br /> o <br /> a USekl �✓' /jUW1Q►1 �AID�/a ��I. <br /> 2 V1/I a ke T W►S u M � e �7� Gt t 5 AD '"`-' y <br /> � Fee Rec: <br /> p /I z Check <br /> Tn 114 1 Udat1�S MCI u 1✓`e. G1 A c-t^I/N l ve- <br /> rat v�rno 145 S -�« s — rS evp� DA[ 04/l e��Af M <br /> c�G� vt- BFf,tee. �/Y� q�,�e.s o u s r <br /> m = FM <br /> Date of staff site visit: Z.O(/-Z 0 L.S— Initials of site visit staff: 91 /'IZ,46" C a) <br /> q o <_3 G) <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: a Z✓� m �. <br /> 00 N O <br /> UPON APPROVAL: APPLI ANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT rnui <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 07/2025 <br />