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r. <br /> LAND ISI: I'I•:It\1IT APPLICATION - Burnett County, V1.1 - 3 <br /> Applicant Complete All Sections Below This Lite - i ;4' le <br /> Permit Types and Fees:(Please,check appropriate boxes) ` (,..—_ <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Inoustrial Structure $300 Addition/Alteration to Commercial/Industrial Stn.,• ,re $200 <br /> C_ s <br /> Accessory Structure(Garage,Shed,etc.) 5150 Addition/Alteration to Accessory Structure $150 �1 <br /> Accessory Structure(Commercial/Industrial)_$200 Addition/Alteration to Bunkhouse $150 ,� <br /> pDeck/Stain/Patio/Retaining Wall/Sidewalk Bunkhouse $250 G <br /> Driveways/&Campground Structures Sib WI State Statute 59.692(1v)Structures $350 ^ N <br /> Filling/Grading $150 Boathouse $500 <br /> Permit Extension(1 Year Extension-Allowed Once) $100 <br /> 'NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> 'Communication Towers&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. r <br /> Property Owner's Name:North Camp Properties II LLC DBA l.axy Bear Campground <br /> Property Owner's Mailing Address: PO Box 66 Danburs WI 54830 _ <br /> tits State Zip < F. <br /> ' <br /> Property Site Address: 26281 County Rd C.Site 54 Webster WI 548 <br /> `r C'ontact's l'elephonc Number: 715-204-4041; <br /> Contact's Email: kelleei<cnorthcampproperties con _ ' If—'-' - ---_ ._..._ ------ - - -rte <br /> it <br /> Legal Description of Property: Lot I CSM 42195 s 12 pi,!20 t NI- 1:4 of the Nt- 1 4& tib 14 of the NF 14 <br /> Section#:_,21 Town#: 40 N Range t7: 15 W Town of: Jackson <br /> *Attach additional page if needed Jar lertethr description OR attach o copy of that deed OR attach,ax eca•nt property pap e.• <br /> Tax ID g(I-5 digit number: found on tax stat,ment): c44S v <br /> 40 <br /> r _ <br /> Proposed Use of Structure Addition: A set of stairs kt ith:,small stoop at the entrance to the carr. <br /> C.Anticipated Start Date: May,2022 ,II,,,,rer ohm.r.ommr.rxulTh,'mt's•.&dnr.m 14;A '1c , ^ ( l <br /> Building Contractor John and Ann Olson Sewer Installer: N 1 .- r <br /> AREA BELOI% THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ON1.1 .—.C. <br /> THIS PERMIT IS SUBJECT •1'O ALL CONDITIONS LISTED BELOW: c'..' <br /> **f he upplit ant neat,to contact their I in /ntpector to determine if a permit ii neeti .i from them prior to <br /> .l.1) our,'rut thin(along plait or any((Heftink8.dwelling aridittnm,ninnufauturerl hornet, Manpfar•rt:et,' <br /> !fume i,rns.unit hunkh(ruse�.4 <br /> 5e-4-64,di,s <br /> Fee Rec /�S°: <br /> a % Check a: 4".25.3 <br /> 1)aIt.of staff silt.skit: /II?' �1 I�V Initials o site t i .t • ' 1-IL_J. ,// _ ..,. <br /> o <br /> 1PPR01'EQ 81' LAN 11 SERVICES OFFICIAL: 411 <br /> ' / --/.___DATE:q ia 7b",;).. z <br /> UPON APPROVAL: APPLICAN ' z UST POST COPY OFW ` <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 2- G <br /> - urn N <br /> 1 00 <br /> z In z <br /> Page c>15 _ w _ v.,' (': <br /> Burnett County,WI land Use Application— Rev 12/2021 'K "`' <br /> - 3 <br /> zs zs1 <br />