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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line 5' <br /> Permit Types and Fees:(Please,check appropriate boxes) C7fa. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 07 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 \1J t- <br /> oFilling/Grading $150 Boathouse $500 ii <br /> cn <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 z. <br /> `G k <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> 2 Is <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. c j '• <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> -n t <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC 0 <br /> -0 v <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 cil �. <br /> 29221 HAYDEN LAKE ROAD DANBURY WI 54830 State Zip <br /> Property Site Address: Z . ° c <br /> a. <br /> Contact's Telephone Number: 715-204-4043 j. / / <br /> d <br /> Contact's Email: kellee@northcampproperties.com <br /> N 'o <br /> o (to <br /> 0 <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 <br /> C7 <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND a <br /> *Attach 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 o <br /> Proposed Use of Structure/Addition: e <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) :_:, ! ,.)1... <br /> Building Contractor: Sewer Installer: � <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z .._ <br /> po <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 /> home additions, and bunkhouse ** <br /> 0✓Yla1--R d 5C <br /> oveJ t�ver ?,SSk1 <br /> s p_�k LL be o� <br /> ,�x�e5 � l� Fee Rec: ��� <br /> Date of staff site visit: 7I U d ��%Lt14,37/25/?. 1 itials of site visi taff: i I a <br /> _gAPPROVED BY LAND SERVICES OFFICIAL: DATE: 7e02C/23 j <br /> < r- <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF n Q <br /> > CD co <br /> _ 01 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o m r <br /> -< 0 o '� o <br /> Page l of 5 N v <br /> Burnett County, WI Land Use Application—Rev 05/2022 2 g `�' U� <br /> U <br /> a <br /> L�- �J <br /> b <br />