Laserfiche WebLink
j <br /> LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> c <br /> Applicant Complete All Sections Below This Line ' <br /> Permit Types and FeesiP/ease,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk I 113unkhouse $250 ° d <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 1 Permit Extension(1 Year Extension-Allowed Once) $100 ?_ <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> z <br /> ( o <br /> Property Owner's Name: �•�nt— =' <br /> Property Owner's Mailing Address: <br /> City State_ Zip ° <br /> Property Site Address: 9 SZ ! Sc,y n V �Z, (kv S f° "` LAk 5 zt g < <br /> o N <br /> a c <br /> Contact's Telephone Number: 7 <br /> t7 <br /> Contact's Email: vt°,e �' C�ID �tS- <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov CQ <br /> 5 <br /> Legal Description of Property: a+ 5 C j K4 S 3-7$Y 3 a t d <br /> u N N <br /> Section#: (o Town#: N Range#: 1 5 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. <br /> c <br /> Tax ID#(1-5 digit number;found on tax statement): '3 l <br /> d <br /> Proposed Use of Structure/Addition: P<uk U� -� <br /> Anticipated Start Date: i 3 27� 5 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> x <br /> Building Contractor: 'T r,y1j. a w, Sewer Installer: N <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY °m <br /> z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> z � <br /> Mk EA WASOWLkS <br /> M <br /> m <br /> a <br /> Uf)\-jy 4t lot 1( 044 413 ?MeCSkJ loca-HM Io�ore use. per Nfe-2q-39; n <br /> � <br /> P <br /> 1_ _ ' �A <br /> 1� 1 CotMD+ I)P_ Ukd -�pr" Ink Maa'i VW�l�ln lslufI(I Fee Rec: 00 <br /> I 40 Nou Ck i d Permm i+� GS OL r 1L110 I�I,e. S 1 rul /� . z Check#: 5-1 2 t1 <br /> �2e. SpS 3 2U <br /> ° m - <br /> Date of staff site visit: `1L2 ceq Initials of site visi taff: rt j- Q a I <br /> m w �k <br /> APPROVED BY LAND SERVICES OFFICIAL. ATE: ZZ�Z�l <br /> UPON APPROVAL: APPLg C, <br /> CD <br /> ICANT M ST POST COPY OF 0 C NJ <br /> o <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT CD <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />