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LAND USE PERMIT APPLICATION - CAMPING—Burnett County, WI <br /> V. y <br /> Applicant Complete All Sections Below This Line <br /> c 1 <br /> Permit Types and Fees: (Check appropriate box) o <br /> Camping Unit(Six Months Per Year) $100 V 3 Year Camping unit $300 E <br /> 09 O <br /> E <br /> `; <br /> *NOTE:After-the-fact(when no permit is obtained prior to camping unit placement)is up to three times the normal fee. c r }� <br /> *Sanitary Permit MUST be approved prior to placing camping unit on parcel <br /> r X0 <br /> m <br /> Property Owner's Name: Nick and Amy Vosters y <br /> 11 <br /> Property Owner's Mailing Address: 4163 Edgewood Rd Circle Pines, MN 55014 k <br /> City State Zip g" <br /> Property Site Address:7738 Glendening Rd Danbury WI 54830 ,21 p <br /> O -n <br /> 651-319-3805 " ° <br /> Contact's Telephone Number: OE. <br /> 4,\, <br /> Contact's Email:vosters.nich@gmail.com ; E <br /> Legal Description of Property:S/150' SE SE LYG E OF YELLOW RIVER EX E 25' z <br /> Section#: 3 2 Town#: 7 1 N Range#: id, W Town of:Swiss o <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> Tax ID#(1-5 digit number;found on tax statement):22201 N <br /> 0 <br /> 5• <br /> ac, <br /> Sewer Installer:Cory Jackson Plumbing p <br /> A <br /> Camper Type:5th wheel Make:Nuala Model: Hitchhiker II Year: 1999 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY \I�1 f K <br /> THIS/ /P_ERMITLIS SUBJECT TO ALLCONDITIONSLISSTED BELOW: N `° <br /> c /Uteri , o 6Ta 1 N ro IAA;ff" `IP/" M1' T2, 1,04744' - \ <br /> by °/t/ 2—Z , E <br /> (f) Ulc1J//9c-ce$A Gpy'1jy / /O c ', O € 1) '' so ' � \A <br /> \/A* 1 <br /> of tn,a oh/y 35 ' of ve.9e,71a.74dH I'cyl'A 6N <br /> cah SOC GN7 . <br /> �' Fee Rec:3� <br /> Date of staff site visit:_a " /ZOLZ Initials of site visit staff: 1 r Check#:3D 3,-c� <br /> Ig Z�f/Zaz . o <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> z <br /> v <br /> m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF P iiiiill <br /> Co, fa <br /> 32. <br /> SIGNED PERMIT APPLIC TION IN PLAIN SIGHT o C GI <br /> z <br /> :,. z � � <br /> -71,s p M I " e p 1'v4,5 CO 2,035; <br /> y � o <br /> 10 <br /> Pagelof3 vR c Q <br /> Burnett County,WI Land Use Camping Application—Rev 11-2021 ='c N <br /> v eo <br />