Laserfiche WebLink
A. <br /> . LAND USE PERMIT APPLICATION - Burnett County, WI c r b <br /> Applicant Complete All Sections Below This Line o 6" cn <br /> Permit Types and Feeselease,check appropriate boxes) a <br /> d k <br /> `z is- <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ° <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 G O <br /> ) Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 \ . <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 „ <br /> ° Z ' <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 C.. 1 <br /> Filling/Grading $150 Boathouse $500 c� <br /> w <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 I <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <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 /> ^ <br /> Property Owner's Name: �M 1 /1 ,14( Ed Cc--{a- o l 6 <br /> (Kts,.n a a. <br /> Property Owner's Mailing Address: 7?7 5vrvt Mrs L !7 i. /Dim/ WI Silo/b 77. r\. <br /> / City State Zip r) <br /> Property Site Address: 13340 'i 97174kAA Re,rr' <br /> c <br /> Contacrt CTkele one Number: 4 5/-3/ d/3€ d <br /> Contact's Email: /1;evyn geW/e'er^ /?'9.,9—€) yynicar/. Loi 1 <br /> **If staff has a question about this application,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: @BurnettCountyWl.gov ° u'°o <br /> o' <br /> ao <br /> Legal Description of Property: o 0 <br /> 5. J <br /> Section#: Town#: N Range#: W Town of: � <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* cn <br /> Tax ID#(1-5 digit number;found on tax statement): 3(c5/5 N <br /> W 4 d <br /> Proposed Use of Structure/Addition: *MALE- ,--) E <br /> Anticipated Start Date: 117 2.4 2 S (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) (11 <br /> Building Contractor: t 4't,' (-AKE Sewer Installer: rA <br /> G <br /> co <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY m <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o 3 `� <br /> lO t AEE? ,qLL 8 ET QACuS <br /> CD tiAT To g6 Wco ,z___ t u vW It4i31TATI bn/ m '" <br /> pg.,04 1Z, gE '2,Ew.WAD OR. Y�Rtut�ri-ED SY I2/s 1 Zo25 <br /> Fee Rec: lZv - <br /> ° Check#: <br /> z <br /> r <br /> Date of staff site visit:42I2S Initials of site visit staff:-Q co t� 0 <br /> APPROVED BY LAND SERVICES OFFICIAL: C 1 .0A, ( DATE: t /z' 2025 n <br /> o 0 CO o <br /> UPON APPROVAL: APPLI T MUST POST COPY OF 3 v <br /> tal <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT _ NO <br /> Page 1 of 5 —� <br /> r <br /> Burnett County, WI Land Use Application—Rev 07/2025 <br />