Laserfiche WebLink
LAND USE PERMIT APPLICATION — Burnett County, WI r <br /> a <br /> < b <br /> Applicant Complete All Sections Below This Line c <br /> a <br /> Permit Types and Fees�Please,check appropriate boxes) � <br /> Dwelling/Principal Structure $300 X Addition/Alteration to Dwelling/Principal Structure $200 n U� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 o�1 <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 /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °, <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 <br /> Filling/Grading $150 Boathouse $500 <br /> m <br /> Solar Panels(Stand alone or roof mounted) $150 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. ro <br /> *Communication Towers,Camping Permits&Signs require a different application form,see corresponding application,and fees. CD <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o ' <br /> z <br /> J, o <br /> Property Owner's Name: t✓ ,D}j .&J.- <br /> Property Owner's Mailing Address: �� w n N <br /> 8 <br /> City State Zip ° N <br /> Property Site,Address: .19'67(o K44,c Xj :Do., v s SiF83C� o <br /> c <br /> Contact's Telephone Number: 650 • A117. y 7-0dS S °- <br /> Contact's Email: Va W.D.Lo, CO•K- `= <br /> **If staff has a quest' n about this ap lication,you will be contacted via email. Make sure your email address is ti o <br /> legible and your email provider will accept emails from the following address: @BurnettCountyWI.gov Z. N <br /> Legal Description of Property: tek 23 e� ct,j;�J -' .V ty hf I07/,11iT 1 6-r 1546- -/70 t? N <br /> Section#: _Town#: 40 N Range#: _W Town of: Taa PC - <br /> N <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> IN 0 <br /> Tax ID#(1-5 digit number;found on tax statement): <br /> Proposed Use of Structure/Addition: Csak^ Arxxf, /dotm. (l� <br /> Anticipated Start Date: OAt/ �}y (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) <br /> Building Contractor: Dalner Al.U�w. to-*& f*t%8Sewer Installer: #4# A*S S"a sae. � 0 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY o z <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z <br /> 0Dweu��� nod Ao eti(eed y 6-d.ro>Jrr1S pe,f SPcNN-N-146 <br /> ©bwtw n� Aok 4o acee d q04 11,e i ,k+ reg+q(,-I;V] Fee Rec: <br /> � fvilow ml-hya4im reTui(2Yv"+S -}Or DP4 Do C Check#: 13 <br /> 94fvIninc) Wad(- 40 be � 11IG�S Or less In 6R hf 14 ork" 111 rt o4 ttitA4 1 D <br /> S(dQ X, - I F 4 {xcm 36 'Ir�tlaeS In -i��I� 4-(,u Ms Lill nF(d � be romb;rtec� <br /> or rarc,l- LlmS cl juSkl d <br /> Date of staff site visit: t) 2 L,-,-t2,LtInitials of site/visit sta > -� <br /> -7 ro Q <br /> APPROVED BY LAND SERVICES OFFICIAL. 0IF DATE:1.0 Z �VZ <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF CD <br /> U) N <br /> 00 O <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 04/2024 <br />