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LAND USE PERMIT APPLICATION—Burnett County, WI z <br /> EL.. Bro <br /> Applicant Complete All Sections Below This Line 0 (34 <br /> 0. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> d <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 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 a }�} <br /> n ` r <br /> , Deck/Stairs/Patio/Retaining WaII/Sidewalk Bunkhouse $250 0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r <br /> Filling/Grading $150 Boathouse $500 <br /> to <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Mowed Once) $100 <br /> r <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. ,° 1 <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r g. i <br /> e.*Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> 0 BA <br /> ll <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC <br /> 0. <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 E ite <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 5483 i State Zip o Et <br /> 0. <br /> Contact's Telephone Number: 715-204-4043 . d C <br /> Contact's Email: kellee@northcampproperties.com oZ t�—_t_, �' 0 N 'o <br /> o m <br /> z <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 a' <br /> C7 <br /> Section#: Town#: N Range#: 16 W Town of: OAKLAND 2 <br /> ri- <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> ril <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 .J7- C <br /> Proposed Use of Structure/Addition: kll i7(_47.L ti.. .. ) cite , 4- 4-.CAv c W 01 ° ZA) <br /> Anticipated Start Date: <.l)Pc (Home/Cabin;Commercial Business;Bedroom:Deck;etc.) —I <br /> Building Contractor: NI( Sewer Installer: N/A <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY CU <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 <br /> ga addi " ns,and bun,t�hour ** <br /> Flee a 11 S bt~,t;1 <br /> Nv� %a( ka LL II__ 1 4 <br /> /I�tIOr ll� Fee Rec:6,10 � <br /> pore Mu,y{ e 5o1S ��e y <br /> (� 2 Check#: 7y�/ <br /> T//0l�j Initials f site vis' taff: JI k <br /> Date of staff site visit: M <br /> e. <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: g' /II l?3i >„ Init <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 0, <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT co a <br /> r�> <br /> �..3 <br /> d <br /> Pagelof5 co tnni <br /> Burnett County,WI Land Use Application—Rev 05/2022 < �j <br /> m <br /> o <br /> a <br /> ta <br /> ro <br />