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. <br /> LAND USE PERMIT APPLICATION - CAMPING—Burnett County, WI a e <br /> Applicant Complete All Sections Below This Line ° w <br /> 0- 1 <br /> Permit Types and Fees: (Check appropriate box) p o <br /> Camping Unit(Six Months Per Year) $100 X 3 Year Camping unit $300w <br /> *NOTE:After-the-fact(when no permit is obtained prior to camping unit placement)is up to three times the normal fee. \ p <br /> *Sanitary Permit MUST be approved prior to placing camping unit on parcel. <br /> o C <br /> Property Owner's Name: Mark&Amy Olson o 1' <br /> ID <br /> Property Owner's Mailing Address: 18650 Brezy Point Drive, Wyoming MN 55092E. <br /> City State Zip <br /> Property Site Address: 30109 Minvera Dam Road Danbury WI 54830 r <br /> °763-458-0737 , <br /> Contact's Telephone Number: z <br /> Contact's Email: marko@vikingmoldinc.com 1 o <br /> o QT o I <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is O,T1 b <N <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and 021 <br /> n <br /> @BurnettCountyWl.gov i <br /> Document#220054 <br /> Legal Description of Property: Lot Two (2) of certified survey map#1486 volume 7 page 245-246 N <br /> a <br /> Section#: 26 Town#: 41 N Range#: 16 W Town of: Burnett d <br /> CD <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* c <br /> N b J <br /> Tax ID#(1-5 digit number;found on tax statement): 22649 a °0 <br /> Sewer Installer: Nels Koerper d <br /> Camper Type: <br /> 5th Wheel Make: Model: Year:Hartland Sundance 2010 <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY V <br /> 4 F iv <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: d <br /> I leek J 5e3 � � "_ C <br /> dt,51- be c�►'lne <br /> a �-0 544,1✓ 5 50�r 1 4_1_ a<< w ,, ^ E <br /> ,t....., <br /> p, . ,.0 .....c) <br /> 5 Fee Rec:!l <br /> Date of staff site visit 1? 4/?3 Initial of site visit staff: pr Check#:Nat <br /> c <br /> 5/a5/?3 z <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: <br /> m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF PA <br /> 111111 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o g C a 0 <br /> z <_.= inn <br /> t- m <br /> P. inn <br /> Page 1 of 3 y 0 `o o <br /> CD . <br /> Burnett County,WI Land Use Camping Application—Rev 12-2022 < kl K 2 <br /> w inn, <br /> m 11uu) <br /> 3 L` <br />