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LAND USE PERMIT APPLICATION— Burnett County, WI cs- <br /> U b r <br /> Applicant Complete All Sections Below This Line , ;' w <br /> Permit Types and Fees:(Please,check appropriate boxes) n' <br /> G <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 5., 0 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200• \0 <br /> X Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r C <br /> Filling/Grading $150 Boathouse $500 0 <br /> r: <br /> v <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> ii <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree times the normal fee. `< <br /> b i <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. CD • <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o . <br /> z <br /> 0 <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC <br /> i) <br /> Property Owner's Mailing Address: P.O. Box 66 Danbury, WI 54830 ncn <br /> City State Zip ' 4 <br /> Property Site Address: 29221 Hayden Lake Road Danbury, WI 54830 - .< t' <br /> uc <br /> Contact's Telephone Number: 715-204-4043 L 0'r # / 0 <br /> C <br /> Contact's Email: kellee@northcampproperties.com '� <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N 'C....b <br /> legible and your email provider will accept emails from the following addresses: @BuettCounty.org and tlQ rn <br /> @BurnettCountyWl.gov fig <br /> e <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 7. <br /> Section#: 5 Town#: 40 N Range#: 16 W Town of: Oakland <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tar system property page.* o H <br /> 35424 j 1 - d <br /> Tax ID#(1-5 digit number;found on tax statement): .NtA <br /> Storage Screen House 10'X 1/ Existing H 6 `l`) <br /> Proposed Use of Structure/Addition: • <br /> Anticipated Start Date: Existing (Home/Cabin;Commercial Business;Bedroom;Deck, etc.) <br /> Building Contractor: Constructed in 1980 Sewer Installer: A <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY . <br /> THIS PERMIT 1S 4UBJ CT TO ALL CONDITIONS LISTED BELOW: <br /> i m1ee-- c(( 5eU <br /> I'V14�? G 5 U � <br /> R - h� it t-tk-h <br /> 3 t" -6) 'e��e0( ?SF S J ' • Fee Rec: / �j�Zv <br /> s >� c k 1 <br /> o Check#: 3 h <br /> t- <br /> a <br /> o • <br /> t• <br /> rri <br /> Date of staff site visit: /2??12.3 'tials f sit vi ' staff:0 <br /> / n � IE �.< <br /> IfEl <br /> APPROVED BY LAND SERVICES OFFICIAL: .. _ _ <br /> DATE: e/�7�3 „,„; -, <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF o g 4 —j <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application—Rev 5/2023 0 .�� � <br />