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LAND USE PERMIT APPLICATION — Burnett County, WI a r <br /> Applicant Complete All Sections Below This Line O' t� <br /> 2. <br /> Permit Types and Fees:(Please,check appropriate boxes) �; C' <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 /> XAccessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 ri.. . <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 1r <br /> Filling/Grading $150 Boathouse $500 �, <br /> i <br /> Permit Extension(1 Year Extension-Allowed Once) $100 <br /> g tit, <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. - g <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. F. i. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o `,� <br /> Property Owner's Name: North Camp Properties V, LLC DBA DuFours Campground 0 w <br /> 1% <br /> Property Owner's Mailing Address: PO Box 66 Danbury WI 54830 w h1 <br /> City State Zip o n ` <br /> Property Site Address: 29221 Hayden Lake Road Camp Site#: /15 pp `` <br /> 715-204-4043 dp C <br /> Contact's Telephone Number: <br /> Contact's Email: NJ i <br /> kellee@northcampproperties.com N <br /> Legal Description of Property: Lot 1 CSM 4945 V27 P306 <br /> e <br /> Section#: 6 Town#: 40 N Range#: 16 W Town of: Oakland a. <br /> *Attach additional page if needed Jar 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 /> d <br /> Proposed Use of Structure/Addition: SI-ket! 1110W Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) e w <br /> VI <br /> Building Contractor: Sewer Installer: -� --t. <br /> AREA BELOW THIS LLNE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 1U PO IV_ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: x <br /> **The applicant needs to contact their UDC Inspector to determine if—a permit is needed from then[prior to <br /> ANY construction taking place for any dwellings,dwelling additions, manufactured homes, manufactured <br /> home additions,and bunkhouse ** <br /> I ell ee4 U- e. .Se ,4c�t- :�-..}► <br /> h�"'`� a Fee Rec: I A5c o <br /> z <br /> FA Check#:534F5 <br /> Date of staff site visit:9/^ � CrtI I?3 Initials of site v' it staff: )'i, . 1�'l <br /> z <br /> • n I^ r� a <br /> (4APPROVED BY LAND SERVICES OFFICIAL: DATE: Cf/?d. PJ m t <br /> J <br /> Fi <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF rn a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z < 0 <br /> Page 1 of 5 m o 0 �, <br /> Burnett County,WI Land Use Application —Rev 12/2021 .� <br /> m 3 Innl <br /> cn CD a hill <br /> I <br />