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b <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> ,d <br /> Applicant Complete All Sections Below This Line c c w <br /> Permit Types and Fees:(Please,check appropriate boxes) a -,,e: 4 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 F <br /> . <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 �F <br /> 0( O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 . \ Z <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 ° Ilb <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o C 1 4 <br /> Filling/Grading $150 Boathouse $500 C b <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 z. <br /> ii <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. b <br /> ilk <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. r n b, <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. c <br /> 74. 11, <br /> 0 <br /> Property Owner's Name: NORTH CAMP PROPFRTIFS V, LLC o <br /> Property Owner's Mailing Address: P.O. o <br /> Box 66 Danbury, WI 54830V. <br /> City State Zip <br /> Property Site Address: 29221 Hayden Lake Road Danbury, WI 54830 Z. _ ;. <br /> Contact's Telephone Number: 715-204-4043 LOT #45 o <br /> Contact's Email: 01 <br /> 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 <br /> cra <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and c \ <br /> @BurnettCountyWl.gov <br /> t; <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 Ei <br /> v <br /> Section#: 5 Town#: 40 N Range#: 16 W Town of: Oakland <br /> *Attach additional page if needed far lengthy description OR attach a copy of the deed OR attach tar system property page.* o <br /> 35424 W 01 <br /> C <br /> Tax ID#(1-5 digit number:found on tax statement): <br /> Use of Structure/Addition: <br /> Deck 12'X 12' (moving from Lot next door on corner) <br /> Proposed <br /> Anticipated Start Date: 08-31-2023 (Home/Cabin;Commercial Busin s;"eiroom;Deck;etc.) w <br /> !' -- <br /> Building Contractor: Lot Lessee Sewer Installer: Cj <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x, <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> b Me,ei- S.0 sefb4 cliS C. <br /> g Fee Rec:(-25") <br /> y <br /> 5 C#ueck#: <br /> r(I'D' .22-Ci7-75, a) <br /> d <br /> rri <br /> Date of staff site visit:g/.2*(7)/d 3 a of s' e 'sit staff:H� <br /> • Q / m i-- <br /> APPROVF.11 BY LAND SERVICES OFFICIAL: DATE: S(�L`f?� y ID <br /> z <br /> 3 <br /> Iiiiii <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF z <Eto <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT Eo <br /> Page I of 5 m. --,: <br /> t•w� <br /> Burnett County,WI Land Use Application—Rev 5/2023 s t <br /> Lc, / <br />