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• <br /> S1 le L,'D <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> a <br /> . Applicant Complete All Sections Below This Line 0' <br /> Permit Types and Fees:(Please,check appropriate boxes) CD I <br /> a- <br /> d <br /> Dwelling/Principal Structure $300 Addition/Alteration toDwellkng/PrincipaI Structure $200 <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 k) i <br /> co <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C) P. <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 $' C:t <br /> A Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r }J I* <br /> 0 <br /> Filling/Grading $150 Boathouse $500 • <br /> cip <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $10000 <br /> *NOTE:After-the-fact permits(permit aquired after 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. c 0 ; <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z <br /> NORTH CAMP PROPERTIES V, LLC -,-1 <br /> 0 l� <br /> Property Owner's Name: F <br /> fa. 111 <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 i <br /> CityState Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 5483 Z y <br /> Q. <br /> Contact's Telephone Number: 715-204-4043 d <br /> Contact's Email: kellee@northcampproperties.com `" <br /> N '0 <br /> 0 OD <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 <br /> rIG <br /> P. <br /> Section#: 05 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 tax system property page.* <br /> g 35424 <br /> "fax ID#(1-5 digit number;found on tax statement): c w <br /> x <br /> Proposed Use of Structure/Addition: ° d <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) —i W <br /> Building Contractor: Sewer Installer: <br /> ..L <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z —Z._ <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 k-5:::: <br /> home additions,and bun hous .r.** Sr Iti) <br /> I Meal- all $C Ct Scree 1 o� 4 re•. <br /> o ap 7) 44.654. � -cr� <br /> Pi N a- Sor kvi►14A <br /> be,/ gire6 c eeeetS y Fee Rec:��J <br /> y Check#: C.Ccah <br /> Cr I?)/?-3 Etv <br /> Date of staff site visit: Initia of site visit staff: r <br /> d <br /> G/ / <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: " ` 3 -.--_- rz <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF m Q co tilt <br /> ._. ,( <br /> • SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 5 CD <br /> z m t� roi <br /> r. N <br /> j .o0 <br /> G7 .:, <br /> Pagelof5 -SS r <br /> Burnett County, WI Land Use Application —Rev 05/2022 § w <br /> It m I`I,11 <br /> _ <br /> 0 -. <br /> > <br /> L ------_.1i <br /> 4 <br />