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. <br /> • LAND USE PERMIT APPLICATION — Burnett County, WI a 0 <br /> S. b <br /> Applicant Complete All Sections Below This Line E <br /> f'DPermit Types and Fees:(Please,check appropriate boxes) a u i <br /> Dwelling/Princlpal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 s <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 i <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 c <br /> r <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 . <br /> fk Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o I', <br /> Filling/Grading $150 Boathouse $500 1~ r <br /> Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:Atter-the-tact permits(permit aqui red atter 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. o 2 <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: North Camp Properties V, LLC DBA DuFours Campground 0 ip <br /> w cA PO Box 66 Danbury Owner's Mailing Address: WI 54830 y 4 <br /> City State Zip <br /> Property Site Address: 29221 Hayden Lake Road Camp Site#: He <br /> 715-204-4043 e�( �- C k r ' o Ot.re d <br /> Contact's Telephone Number: ''� \I d C <br /> kellee@northcampproperties.com f <br /> Contact's Email: `�� o - <br /> ro <br /> Legal Description of Property: Lot 1 CSM 4945 V27 P306 b <br /> Section#: 6 Town#: 40 N Range#: 16 W Town of: Oakland g. &-. . <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 rstatement): 35424 <br /> Proposed Use of Sttucnue/Addition:)eCtt 4 b <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) -.32, rBuilding Contractor: Sewer Installer: � `AREA IJELO1Y TIIIS LINE FOR LAND SERS ICES STArr.OM'YMMVIE TS/CONDITIOl\S Ji LY �� <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 70 <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 bunkhouses.** <br /> 6 ilk ee4 RII 5e4-be <br /> a' Mod- 4( ty✓iRei rich je,,4 6/) z Fee Rec: 1 hra <br /> Cheek#:0 A6 - <br /> / 0 <br /> Date of staff site visit: 6 ( 2"3 Initials f site vi 't staff: a <br /> z <br /> T S1/12.3cn <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: x ` J <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a 0. <br /> 11�� TT a cn W 0 <br /> ► IGNE IJ PERMIT APPLICATION IN P LAL•iT SIGHT z - m c <br /> Inl <br /> yn <br /> n _t- UUU <br /> Pagelof5 m S r.a o <br /> Burnett County,WI Land Use Application —Rev 12/2021 a s< <br /> m miffli <br /> o 1 <br /> 3 <br />