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41 <br /> LAND USE PERMIT APPLICATION — Burnett County, WI j- <br /> , ,,97, <br /> Applicant Complete All Sections Below This Line T. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> iCommercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $1.50 <br /> Accessory Structure(Commercial/Industrial) $700 Addition/Alteration to Bunkhouse S150 4 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 1 <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 e <br /> Filling/Grading $150 Boathouse $500 r \� <br /> Six Month Camping Unit(One Per Year) $100 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. 1 I <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. ,O <br /> r t; <br /> Property Owners Name: North Camp Properties I I LLC DBA Lazy Bear Campground i 'a z I,N% <br /> e9 <br /> Property Owner's Mailing Address: PO Box 66 Danbury V1/I 54830 '� e. <br /> City State Zip I i• <br /> Property Site Address:28281 County RDC Webster W 54830 a <br /> Contact's Telephone Number:715-204-4043 <br /> Contacts Email:kellee@northcampproperties.com <br /> Legal Description of Property:Lot 1 CSM#2195 v,12 pg 203 NE1/4of the NE1/4&SE1/4 of the NE1/4 <br /> ie.1-e <br /> Section#;Z1 Town#:40 N Range#:15 w Town of:Jackson g <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page ' CoS) <br /> 47 <br /> Tax ID#(1-3 digit number; found on tax statement): <br /> 5448 LT <br /> Proposed Use of Su ueture/Addition: L5=> to <br /> Anticipated Stan Date; i —I <br /> IHome/CaMn:Commercial Brainexr:Bedraonr;Deck;etc.) ;� � o <br /> Building Contractor:_ Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMEND/SON M)ITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: r <br /> **flu,applicant needs to contact their t D('Inspector to determine r'(I permit is needed_Irma I/win prior to <br /> ANT"constru tiontakingplaceforcurtdwellings,chrellingadditions,nuutufactured homes,manufactured 'z <br /> home additions,and bunkhouses."* <br /> I lieu-- all sea l <br /> $ 1404- - �,t►Z�I , -4a f'l.C�r,�r jzfi 7 <br /> ah <br /> i J-ee Kee: p'«J4t) <br /> !� 4 Check#:� _/{— <br /> Date of staff site visit:✓193___ laitisls !site visit staff:1)X L <br /> APPROVED BY LAND SERVICES OFFICIAL: <br /> 2),/ �� DATE;5l/0471 3 r— <br /> w <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF W <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 9 - o firtl <br /> N <br /> Transcendent: _ Page I of 4 m w = _o cC <br /> Laserfische: _ Burnett County,WI Land Use Application — Rev 12/2020 r.g, iifilli <br /> x <br /> CT-- <br />