Laserfiche WebLink
. .4 en-at 1 , cved p e g h1 lfi-3 <br /> • LAND USE PERMIT APPLICATION — Burnett County, WI t^ <br /> g <br /> a b <br /> Applicant Complete All Sections Below This Line tJa <br /> Permit Types and Feeselease,check appropriate boxes) _ a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 r <br /> Commercial/Industrial Structure $300` Addition/Alteration to Commercial/Industrial Structure $200 U G O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 n 5 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 . <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 Z ° <br /> v <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 (ijir. lib <br /> 0 <br /> Filling/Grading $150 Boathouse $500 a_ <br /> iv r <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 c ? 4 <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. C° `5 <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> v <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping, etc. o <br /> z <br /> o Property Owner's Name: O h0. � V 1--- e\Ritz 14 � o i,J <br /> o —I) <br /> 115CI Pal Me.,r Lt .. - 1. 1 • <br /> Property Owner's Mailing Address: Gbher ►�/ ISligo .. sh <br /> City State Zip <br /> Property Site Address: Earn e._< � �V2 7 II g I Z o c <br /> ilk <br /> vr Contact's Telephone Number: - 3 3 T ` b Z� y ° r <br /> l0 <br /> LL I r OW I, CD 1'v1 <br /> R Contact's Email: � 1t r\ 7 ® w <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: @BumettCountyWl.gov 0 <br /> Q <br /> '5 <br /> Legal Description of Property: L1 P I e Pt hey S 0 813 0.?, ' 9 -a <br /> Section#: 12- Town#: 3ci N Range#: i LI- W Town of: R.()S -0 <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): 16142J <br /> ci <br /> Proposed Use of Structure/Addition: 5 4o <br /> :-c*") e <br /> Anticipated Start Date: "'a'I Za2.(Q (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> x <br /> — <br /> Building Contractor: Sewer Installer: (a) C 6- <br /> v) <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY ° F N <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: o pz <br /> w <br /> d t ET Ace. SSeT,D ta(S <br /> b /�T lb ► e.. tXCD Fo-rx ttUwl4 w NABir r/cy✓ n —� <br /> w <br /> 4 r hI <br /> Fee Rec:/ V* <br /> z <br /> Check#: 4// i <br /> r <br /> -C <br /> a <br /> n <br /> m j <br /> vsv <br /> Date of staff site visit:/0/i/25 Initials of site visit staff:-fp'C� a , <br /> 0 m ;'t"I <br /> APPROVED BY LAND SERVICES OFFICIAL: C , i��1,1 DATE: /o/lb/ZOZS- .3 -0 <br /> Nn I,...) 1-511 <br /> UPON APPROVAL: APPLI T MUST POST COPY OF o= �' o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page l of 5 I <br /> Burnett County, WI Land Use Application—Rev 07/2025 ` <br />