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LAND USE PERMIT APPLICATION—Burnett County, WI a b r <br /> b <br /> Applicant Complete All Sections Below This Line t� <br /> 0. <br /> Permit Types and Fees:(Please,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 a <br /> q <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 p <br /> C) <br /> X <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 e ` <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0l' j. <br /> Filling/Grading $150 Boathouse $500rn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a. <br /> i <br /> P I <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. ,'b • <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r `40 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> ,1-1 <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC0 10 <br /> -el k <br /> PO BOX 66 DANBURY WI 54830 E' • <br /> Property Owner's Mailing Address: <br /> Ci State Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 5483$ o <br /> Contact's Telephone Number: 715-2044043 �l;4_ a? ,� -.,e- <br /> Contact's Email: kellee@northcampproperties.com <br /> N <br /> o uo <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 ro. <br /> Section#: D5 Town#: 40 N Range IP <br /> #: 16 W Town of: OAKLAND <br /> 3. <br /> n <br /> *Attach additional page if neededfor lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 o k <br /> Proposed Use of Structure/Additio 0 Cie-, e <br /> Anticipated Start Date:�J,AA.e C1114 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 1 H <br /> Building Contractor: N/J Sewer Installer: 1111/4tli W <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY O <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 7 <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to x <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured - . lb <br /> home additions,and bunkhouses.** v\ <br /> _0cj <br /> Fee Rec: I <br /> 7, Check#: ).95 <br /> � <br /> SP. <br /> Date of staff site visit: '9(e•Z7�ZZ Initials of site visit staff: �j /r tri r...- <br /> APPROVED BY LAND SERVICES OFFICIAL. lie IOW <br /> DATE: 7//Z° ZZ a LTJ _ .. <br /> UPON APPROVAL: APP ICANT MUST POST COPY OF v, a o 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o <br /> : <br /> Pagelof5 lig s <br /> Burnett County,WI Land Use Application–Rev 05/2022 I -1 <br /> V, <br />