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LAND USE PERMIT APPLICATION —Burnett County, WI a P b <br /> Applicant Complete AU Sections Below This Line ° = MI <br /> a <br /> Permit Types and Fees:(Please,check appropriate boxes) C7 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 Z.o ` <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> 1 -, <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> G) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o 01 ino <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o r` it' <br /> Filling/Grading $150 Boathouse $500 <br /> v) <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 = <br /> XV ? <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. 6 <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o 9. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. c <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC o <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 a. <br /> �. n <br /> Ciry State Zip VD <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 o <br /> ro <br /> 715-204-4043 Site #: 136 I <br /> Contact's Telephone Number: <br /> Contact's Email: CD <br /> kellee@northcampproperties.com <br /> N -, <br /> 2 at? <br /> 0. <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 1 w <br /> C7 <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND 5. d <br /> *.9ttach 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): 35424 p Dp c � <br /> Proposed Use of Structure/Addition: Deck V i ° 5 <br /> Anticipated Start Date: 5I//JO a 3 (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) H , W <br /> Building Contractor: Sewer Installer: V1 <br /> l <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z — .... <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from there prior to <br /> r` <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured �. <br /> d <br /> home additions,and bunkhouses. • <br /> g1te - J , <br /> Fee Rec: /p��� <br /> Check#: 33 nj <br /> / f <br /> Date of staff site visit:�!25l/a 3 Initials of site visit staff: �'�G ro <br /> L� / 4 r l <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 1 I4 f� ? 3 r <br /> POST COPY OF a g g IT <br /> UPON APPROVAL: APPLICANT MUST OS 0 <br /> C CO <br /> 4 �.j <br /> CD <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT a y 0 Ira <br /> zz W0 2 <br /> m c N 0 <br /> V <br /> Page 1 of 5 ,, g'< w <br /> Burnett County,WI Land Use Application—Rev 05/2022 rl <br /> nd <br /> V J <br /> C <br /> Cr <br /> K <br />