Laserfiche WebLink
• <br /> LAND USE PERMIT APPLICATION—Burnett County, WI = b <br /> i. h N <br /> Applicant Complete All Sections Below This Line 0 w <br /> a. <br /> Permit Types and Fees:(Please,check appropriate boxes) Z C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 . --t <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 G <br /> •7k Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 GI g <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 N <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° 10 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Vl C <br /> Filling/Grading $150 Boathouse $500 , <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 5 <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. N <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. I <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S <br /> z <br /> Property Owner'sv PT Name: Ke U i // 2 C . 'e w <br /> Ce j / 8 <br /> Property Owner's Mailing Address: /?S a p �4'If'!br id,e. C'T 174rfr onptn /40 572i2 7. n <br /> AiZA State Zip � �Property Site Address: 3e/2Z egi/C Zak iCc 2� »s ..31I 736 ' o y <br /> Contact's Telephone Number: ( 2 / 0- Yd.? O 6 t e °- <br /> d <br /> Contact's Email: zr't ei ) "Qb e-reov /n d< <-© ii-, <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 addresses:rBurnettCounty.org and 8 <br /> ( BurnettCountyWI.gov <br /> Legal Description of Property: //(/'n.1 eio L.,jye,i i AlP K. e-e.5, es":5 P411 k i (7 N <br /> Section#: d2 7 Town#: •i//A/ N Range#: 41 s W Town of: sJi v b S > <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* W N f <br /> —. C d a?.,2 <br /> Tax ID#(1-5 digit number,found on tax statement): 7 CG (p -� 0c. N <br /> Proposed Use of Structure/Addition: (!✓� ; e C 5 I�e d ' N <br /> Anticipated Start Date: //-1— 23 (Home/Cabin;Commercial Business;Bedroom;Deck,:etc.) -- LA .__, <br /> Building Contractor: - c,,� /firi e cv p (7f1 J 2d taalllt <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY PzJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: _ <br /> •WO—A- Ck \ S.e.,-k S u1 <br /> 1o.[-- 4-0 lae- v,s_k_d- -fir Iru-+'vtaxl VITAI-I-ethi NA <br /> 6 ID <br /> Fee Rec: �� <br /> d Check#: 9 a 1 L <br /> tri <br /> a <br /> Date of staff site visit:ID I i i 12(V Initials of site visit staffd< 1 C7 <br /> ril <br /> APPROVED BY LAND SERVICES OFFICIA� ,1 �-- IrG�NFJ,� DATE: I D'/ 3/2c23 , co m "\ <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 1 o ,N <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT az N <�` <br /> Page 1 of 5fili <br /> Burnett County,WI Land Use Application—Rev 5/2023 d <br /> 6 <br />