Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI a g <br /> N <br /> Applicant Complete All Sections Below This Line a' w <br /> Permit Types and Fees(Please,check appropriate boxes) <br /> C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 Vo An <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ��O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 tl FD <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> " <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 n� <br /> A Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 `52, <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 *I ?.. D <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. "C & y <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. e <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. a <br /> z <br /> 0 <br /> Property Owner's Name: S C'TT 6-A-h'M C =' <br /> 0 <br /> 0 <br /> Property Owner's Mailing Address: 2.0 ci"5 2 �e w o o 4 0 r-i v F <br /> City State Zip <br /> Property Site Address: G r'A...4- S b K ri w ( S(48"c(2 <br /> T� c N <br /> Contact's Telephone Number: e S ( — 3 57 "' S Y ° , c <br /> d <br /> Contact's Email: S ci r-ct r✓t s' S e C-c t C4 sr i rl -cc' Po <br /> **If**If staff has a question about this application,you will be contacted via email. Make sure your email address is <br /> legible and your email provider will accept emails from the following addresses: @BumettCounty.org and e. 00 <br /> @BumettCountyWl.gov go <br /> CI <br /> ND <br /> Legal Description of Property: WT I CSm U3 P f9 a (# I y 0a 8 L )(I /1 (✓ 34 4)�t 7e �• Cj <br /> Section#: I Town#: 37 N Range#: 1(5 W Town of: 104 Zak- ' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* E <br /> —, o C <br /> Tax ID#(1-5 digit number;found on tax� :�G <br /> statement): )377 q �\ <br /> Proposed Use of Structure/Addition:pct% f <br /> Anticipated Start Date: to" ( — 2 V 2.3 (HeCabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: 6 G N r`f�' h 4 K. Sewer Installer: <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: .� <br /> U7 mee-- all Ju-c1S <br /> y,e4 l Mrvisc)Ls Srke ,Nt;7t�afi'v A <br /> Fee Rec I a5 <br /> o Check#: <br /> m <br /> r -1 <br /> Date of staff site visit: 5fc��1 Initial of site v' staff: t-1 F. a) <br /> APPROVED BY LAND SERVICES OFFICIAL DATE: 6Ii?/ c �+ <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CV " E <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m IA <br /> • Pagelof5 J <br /> Burnett County, WI Land Use Application—Rev 3/2023 I " <br /> s; <br />