Laserfiche WebLink
CID <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Applicant Complete All Sections Below This Line N <br /> Permit Types and FeestP/ease,check appropriate boxes), n <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 K <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 X <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 -\ <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 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. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> 0 <br /> Property Owner's Name: (J I/ / ` o N W <br /> Property Owner's Mailing Address: ��(� / UI/���,/ "0 <br /> N o <br /> n� City State Zip � <br /> Property Site Address: vl K/ _# <br /> o 7 <br /> Contact's Telephone Number: <br /> v .� N o <br /> Contact's Email: ��� Ko tt� , e e- � n <br /> **If staff has a question about this applic ion,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following address: @BumettttCounttyWI.gov <br /> Legal Description of Property:_1 S 64 d(f N <br /> a ,p <br /> Section#: 4- Town#:�N Range#:__1 W Town of: 6C -^�" �' 4 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* v� <br /> Tax ID#(1-5 digit number;found on tax statement): 3 7t <br /> Proposed Use of Structure/Addition: get Q ye Lq rp eW <br /> Anticipated Start Date: (Home/Cabin;tommercial Business;Bed om;Deck;etc.)pow lye <br /> Building Contractor:�.�/ � � _ Sewer Installer: p o14 <br /> -L <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY M z r� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> v <br /> r wit4ov�SE Val- TD y X 5' c%Ls-r A)6- 5 mac.. n <br /> Q3 Senic -TAAAc- too ro 8eGoo tk C trHA M1 <br /> Fee Rec:��5-. � <br /> 4� 6TA�R5 ttn`i' 'lo ExczED rL-or W t tsrt4 , °z Check#: <br /> r <br /> z <br /> Date of staff site visit:-7j2q/?T 9(►o1?'s Initials of site visit staff:,><` t��1 <br /> a c_ Ulu <br /> APPROVED BY LAND SERVICES OFFICIAL: 1 DATE:�I(1Zo2S ED <br /> m c C <br /> UPON APPROVAL: APPLIC T4ST POST COPS' OF00 <br /> o � <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 3 Q <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application-Rev 11/2024 �� <br />