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• <br /> LAND USE PERMIT APPLICATION —Burnett County, WI b r <br /> a <br /> ►d <br /> Applicant Complete All Sections Below This Line 6 <br /> Permit Types and Fees:(Please,check appropriate boxes) r, <br /> C7 1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ��V <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> A <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> 2. <br /> if- Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> `\ Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o <br /> Filling/Grading $150 Boathouse $500 W <br /> 11> <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. t <br /> v <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r- i. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. !v <br /> ,� ti eft <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC a <br /> `. <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 TS <br /> =• \; <br /> CityState Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 , �.�e� o <br /> Contact's Telephone Number: 715-204-4043 d <br /> Contact's Email: kellee@northcampproperties.com <br /> N iio <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 rro. <br /> Section#: D5 Town#: 40 N Range#: 16 W Town of: OAKLAND <br /> 5. <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 -� <br /> Proposed Use of Structure/Addition: A OD i +t O N Dec Is 5 J-4CP 1. a <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) '-i <br /> Building Contractor: Sewer Installer: �- <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY �J Q-) <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 'v <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured <br /> home additions,and bunkhouses. <br /> ✓'?ee - .11 , <br /> nJpT- fsto{ w,41R4 �t Fee Rec: '� � <br /> 3 SGY`ee� �o�c� ►'vlt'`'S� be 50 , Wall Scree/lS 4 CI, Check#: /yl l <br /> PI <br /> Date of staff site visit: F/lO l 73 Initia of site vi ' staff: 1ti <br /> l J <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: �l l I`a,3 <br /> xi a - <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 7-1 sg= ': <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 0 ® r <br /> rcl <br /> co ail <br /> Page 1 of 5 P c, <br /> Burnett County,WI Land Use Application—Rev 05/2022 G. �� JJ <br /> cr <br /> ro <br />