Laserfiche WebLink
LAND USE PERMIT APPLICATION—Burnett County, WIt. <br /> Applicant Complete All Sections Below This Line o c tN1i <br /> a 1 <br /> Permit Types and Fees(Please,check appropriate boxes) ,: O IS"- <br /> Dwelling/Principal Structure $300 )( Addition/Alteration to Dwelling/Principal Structure $200 S ^� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 B O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 c) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> W' Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 • wo <br /> Filling/Grading $150 Boathouse $500 , <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 cf. C . <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> -0 Ilk <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> • <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. a' <br /> o ,z � <br /> Property Owner's Name:DONALD OBLAK I' W <br /> $. w <br /> Property Owner's Mailing Address: 2348 14TH AVE E NORTH ST PAUL MN 55109 co 5 <br /> City State Zip v <br /> Property Site Address:28409 COUNTY RD C <br /> <. N <br /> Contact's Telephone Number:715-651-0350 ` a <br /> 0 <br /> Contact's Email: northland001@centurytel.net <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N o <br /> legible and your email provider will accept emails from the following address:@BurnettCountyWI.gov w�' N <br /> ot <br /> Legal Description of Property:SESE .. <br /> 16 40 15 JACKSON o <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.* (A <br /> o m <br /> Tax ID#(1-5 digit number;found on tax statement): 5340 g d <br /> Proposed Use of Structure/Addition: DECK/ PORCH <br /> Anticipated Start Date:OCT (Home/Cabin;Commercial Business;Bedroom:Deck:etc.) <br /> NORTHLAND BUILDERS INC NA ch <br /> Building Contractor: Sewer Installer: yCv <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: ri <br /> d �7 <br /> C MEE/ ')Cs_ STsi v4dCS 0 <br /> vl <br /> © e()Arr",cr UDC (O,u,Fl () putwxi- Co ') 1445 P6cTaR CIA. tri <br /> rti C-C SSAR At'( 7ER1ITS a <br /> Fee Rec: ?5- <br /> z Check#: 33 a 73 <br /> ,, cmitu 3 33oz <br /> ()n s -75";0o <br /> Ill <br /> I <br /> Jl <br /> Date of staff site visit• 4�Z3 Initials of site visit staff:"bZ r- <br /> APPROVED BY LAND SERVICES OFFICIAL: v (I/% DATE: /o/61 Zt.2 S In <br /> W \�\�/�/ <br /> 0. <br /> .,, V V <br /> UPON APPROVAL: APPLI ANT MUST POST COPY OF -3 r <br /> x---- <br /> .2 <br /> 0, inn, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT sD <br /> 0 R. <br /> CS.i <br /> Page 1 of 5 3 <br /> InnBurnett County, WI Land Use Application—Rev 07/2025 JJ <br />