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• <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line <br /> ' <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> n <br /> v <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 g ll <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 t..1 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C) <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> " Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 S' \, <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 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. .? V <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o g. <br /> ka <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o 'k. <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC .T1 <br /> 17 <br /> PO BOX 66 DANBURY WI 54830 <br /> Property Owner's Mailing Address: ' E ;Ci' <br /> Property Site Address: <br /> 29221 HAYDEN LAKE ROAD DANBURY WI 54830 State Zip < �11 <br /> Contact's Telephone Number: 715-204-4043 �(-�4 1c�7 v <br /> Contact's Email: kellee@northcampproperties.com .. S <br /> ry ro <br /> oo. <br /> m <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 ro <br /> C7 <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLANDai- <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> ti <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 c x <br /> Proposed Use of Structure/Addition: �a <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;;Deck;etc.) ,--1 V <br /> �/" <br /> Building Contractor: Sewer Installer: -�C <br /> G 1 qJ <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 them prior to <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured lizz, <br /> home additions,and bunkho ses.*R * <br /> ft <br /> ( NM- �r h4 11 ,_ <br /> Fee Rec: <br /> Check#: 7 <br /> De- <br /> vi <br /> o <br /> Date of staff site visit:7 /�3 Initials f site vis. staff: � „, <br /> a <br /> . -f. o <br /> 7/R03 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: z a, <br /> CI lin <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF r n <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z o o J lMl <br /> � ' cc <br /> Pagelof5 r B ` e <br /> Burnett County,WI Land Use Application—Rev 05/2022 r1 S lird <br /> .4 <br />