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w <br /> LAND USE PERMIT APPLICATION — Burnett County, WI Co <br /> a <br /> Applicant Complete All Sections Below This Line c <br /> CD I <br /> Permit Types and Fees:(Please,check appropriate boxes) II 0 c' <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 u i� <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �-.I i <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 p IDeck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Ci I Iron/Gro ding C`icn Bnathnuse <cnn I� <br /> ai..........a <br /> Solar Panels (Stand alone or roof mounted) $150 I Permit Extension(1 Year Extension-Allowed Once) I$100 <br /> *NOTE:After-the-factpermits `ti , <br /> (permit squired after construction has begun)may cost up to three times the normal fee. „ <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r- . <br /> IP <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> o <br /> liiPropertyOwner'sName: NORTH CAMP PROPERTIES V, LLC • <br /> PO BOX 66 DANBURY WI 54830 PT t <br /> Property Owner's Mailing Address: t <br /> Cit State Zip < it <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830y o G <br /> • k <br /> Contact's Telephone Number: 715-204-4043Slafe f 10 d <br /> Contact's Email: kellee@northcampproperties.com <br /> N ^C <br /> o tro <br /> Legal Description of Property: Lot 1 GSM 4945 V2/N396 DOC:46155Bcla Fz <br /> 0 <br /> • <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND a <br /> `n. <br /> *Attach additional page if needed far 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 -I <br /> C k <br /> Proposed Use of Structure/Addition: d <br /> Anticipatcd Start Datc: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) -3 <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: <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 /> IVhome additions,and bunkhouses.** <br /> rv� ee�- ill Se <br /> 1 <br /> a W - h 6, -46 4 I Fee Rec: / 5 <br /> -, Check#: Ce ,i� <br /> Date of staff site visit:7i a.51 a-3 Initial of site visit staff:r 1 L- m <br /> a <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ?/(9 6/?-3 , --) <br /> UPON APPROVAL: APPLICANT MUST POST COY Y OF <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT .• 0.CD <br /> . gam N iiin <br /> Page l of 5 a C <br /> Burnett County, WI Land Use Application—Rev 05/2022 ' § cr<s <br />