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LAND USE PERMIT APPLICATION —Burnett County, WI a <br /> b <br /> Applicant Complete All Sections Below This Line 0 a � <br /> Permit Types and Fees:(Please,check appropriate boxes) C7k. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 m CY1 1 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ("•' 1`•-• <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> 5 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> \ ► <br /> XDeck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o (�`�' <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o . <br /> Filling/Grading $150 Boathouse $500 <br /> CA <br /> AD <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 E. <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. , w <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. c g r <br /> L <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> -n <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC a <br /> (-) i <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 ' <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 State Zip o <br /> • a. <br /> Contact's Telephone Number: 715-204-4043 Lc,- LI3 o <br /> Contact's Email: kellee@northcampproperties.com o r <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 crc <br /> r <br /> 05 40 N Range#: 16 W Town of: OAKLAND d <br /> Section#: Town#: �' <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* =5Z) <br /> cn <br /> Tax ID#(1-5 digit number; found on tax statement): 35424 73 P <br /> Proposed Use of Structure/Addition: 1 (d <br /> Anticipated Start Date:Alle,f� l-ham (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) 'H `•'- <br /> Building Contractor: _ `7 Sewer Installer: ,.� ..^.. k-Lni <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z _r_— <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to <br /> ANY construction taking place for any dwellings,dwelling additions, manufactured homes,manufactured <br /> ksc...., <br /> home additions,and bunkhouses ** <br /> Iv <br /> Tee-f adl 5-e <br /> 6N�'�i l t.intatittslis <br /> tkko"/i Fee Rec:`c2 <br /> Check#:/4,17 <br /> c, <br /> Date of staff site visit: 7/�sl 23 Initial of site visit staff: I- a <br /> 7/gb3 rrl <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL DATE: _2) <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a ^ _ Pa <br /> PERMIT APPLICATION IN PLAIN SIGHT CA <br /> SIGNED � <br /> z m � ^� <br /> ' Oo r o <br /> Pagelof5 n ,K <br /> Burnett County, WI Land Use Application—Rev 05/2022 < N `"' <br /> m ^ <br /> ffi <br /> al }J <br /> \� J <br /> -o <br /> 1 <br />