Laserfiche WebLink
LAND USE PERMIT APPLICATION —Burnett County, W1 z <br /> A licant Coo p h fete-',Jl Sections Below This Line t <br /> �Permit Types and FeesiPlease,check appropriate boxes) <br /> jti <br /> Owelling/Principal Structure $300 Addition/Alteration to Owelling/Prinripa4 Structure $200 <br /> Commercial/industrial Structure $30C Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $IK Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure{CommercW/lndustrjal) $200 Additton/Alteration to Bunkhouse $150 <br /> Beck/Stairs/Patio/Retaining Walt/Sidewalk Bunkhouse $250 <br /> jDriveways/&Campground Structures $125 W1 State Statute 59.692(lv)Structures 5350 <br /> t <br /> FilimgjGrad,ng S15C Boathouse <br /> ISolar Panels(Stand alone c roof mounted) I$150 Perm, 1 Year Extens,on-Allowed Once) <br /> *NOTE:After-the-fact permits(permit acquired after const,uct*rt has began)may cost up to three times the normal fee. <br /> *Communication Towers.Camping Permits&Signs require a different application form;see corresponding application,ono'fees. <br /> '!terns not listed above will be treated as accessary structures,such as,,pergolas,landscaping,etc. <br /> PropertyOwner's Name: <br /> , <br /> Property Owner's Mailing Address: 2nd Ave SI�N' PON 55046 <br /> City State Zip <br /> 8380 North Bass Lake Rood Danolity <br /> Property Site 54830 <br /> Contact's Telephone Number: 612w532-9188 <br /> Contact's E-mail: <br /> "II stalThas a question about this application,,you will be contacted%ia einail. Nlztke sure your emiiia4Ltdressis <br /> legible and your email provider will accept emads from the following address:(..,BurnettCounlyWl.gov <br /> Legal Description of Property: Lot 3 CSNI Vol 2'/ Pg 103 S\N! SE, i <br /> Section#: S12 Town#: T40 N Range#: R17�/V W Towncif liMot-1, <br /> *A rtach udditional page tf'ijevdvd for lengd,i dcyL-?-(prwrt OR artach a cqp,a of the deed OR an,u h taxslslem pi opert,,pqgr <br /> Tax ID#I 1-5 digit number:found on tax statem nt i f , <br /> Proposed Use of Structure.;Addition: <br /> Anticipated Start Date: Womr.Cabin,Cornmcn a!Business,Bedroom D, ' <br /> Building Contractor: Iq Sewer <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTSICONDITIONS ONLY <br /> MIS PERMIT IS SUBJECT TO.,%LL CONDITIONS LISTED BELOW: <br /> q 1,�Q/7 er .0 <br /> D /U t'�c7 �o c� a� � �lu ll1 o H St��i� �a h� � /I//S/zoLS, j � '- ` � �,o <br /> Fee Rcc: / <br /> Check#.,—qO&9 <br /> Date of staff site visit:-- Initial o 6?,-r,1z, <br /> APPRON'FD BY LAND SERVICES OFFICIAL: <br /> Initial <br /> UPON APPROVAL: APPL. , ANT MUST POST COPY OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT CD <br /> Page I of 5 (D <br /> TH <br /> Burnett County,WI Land Use Application—Rev 07/2025 0 <br /> 0 0 <br /> CD zc: <br /> -0 <br /> 3 <br />