Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> Applicant Complete All Sections Below This Line ° <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 /> �\ <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 /> O n � <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < C <br /> Driveways/&Campground Structures $12 WWI State Statute 59.692(1v)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 /> v <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: ��/��'� /' V t✓l0� T��s� W C <br /> N�►� 5 z <br /> Property Owner's Mailing Address: Io(3 10- LAt V M6 <br /> tat <br /> Property Site Address: ? (� Ip�p1 OCity,i,y 5Zip c63 Q C <br /> Contact's Telephone Number: NA,41 W�AA (p Lt a <br /> 0 <br /> Contact's Email: U.1�1 1 Sr dl� �i �A�Ot�, CGhVI <br /> **If staff has a question about this alylication,y u 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: @BurnettCountyWI.gov 2. o0 <br /> Legal Description of Property: ',i vet 00-5 Lot I3 61T 14 Qyl 1"'I r- 2, 9 <br /> Section#: So 7 Town#: 4N Range#: WW Town of: eLy k <br /> *Attach additional page if needed for lengthy description OR attach a copy q1 the deed OR attach tax system property page.* C, <br /> o � <br /> x <br /> Tax ID#(1-5 digit number;found on tax statement): (q 3(a0 t o <br /> Proposed Use of Structure/Addition: SDIrQ,gQ> W <br /> Anticipated Start Date: (Home/Cabin;C)�mercial Business;Bedroom;Deck;etc.) <br /> LLL <br /> Building Contractor: Q, YV�� �� Sewer I taper: 0 � <br /> m <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS//LISTED BELOW: o X0 <br /> 7v 6e, Xiu L&-kaH ti4��j�a�`7©h• rn <br /> Q w H 4i✓' 1�S S�O N S/ ��/e- 7'V <br /> 1" <br /> 7 �v�9 5 CAi 4ekS /Gj. © <br /> e- W t4 ei 1 > Fee Rec:�SQ� <br /> Q G sf� �) / h �y l z Check#: � 3 <br /> 7'0 Cl <br /> JA9 2/00 2� <br /> Date of staff site visit: gA ZO Z S—In ' s site visit staff: i Gi', <br /> Jm <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: Z7 ZO L b CD c <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF CD � r <br /> � a C <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> C <br /> CD <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application —Rev 07/2025 <br />