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• <br /> LAND USE PERMIT APPLICATION— Burnett County, WI <br /> Applicant Complete All Sections Below This Line r c' 4 <br /> Permit Types and Fees:(Please,check appropriate boxes) n <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 }\ <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse <br /> $15D eck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ' r�'pi <br /> Filling/Grading $150 Boathouse $500 <br /> cn <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 r <br /> w <br /> EP <br /> *NOTE:After-the-factpermitsbegun)mayup r <br /> (permitaquired afterconstruction has be un costto three times the normal fee. ro <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r r <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. ° 11 <br /> z <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC o <br /> ►f <br /> n. <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 4 r <br /> City State Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830y " <br /> rs <br /> Contact's Telephone Number: 715-204-4043 d <br /> kellee@northcampproperties.com <br /> 6, <br /> Contact's Email: N a <br /> Legal Description of Property: Lot 1 CSfyt 4945 V27P306 DOC461558 ^ <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND b <br /> q <br /> ,,,. <br /> *Attach additional page if needed fir 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 G o <br /> C , <br /> m <br /> Proposed Use of Sttucnue!Addition: C3\ ti <br /> Anticipated Start Date: (Hoe/Cabin;C'omniercial Business;Bedroom;Deck;etc.) -i W <br /> I C ` <br /> Building Contractor: Sewer Installer: vl <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY NJ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z .-C..„ <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 fir any dwellings,dwelling additions,manufactured homes, manufactured Yc—„ <br /> home additions, and bun ho ses.** <br /> 11'1ed 4 I( <br /> it, <br /> �o4- .Pv, h6,y ,t it ,r-t i,o �C <br /> Fee Rec i�3 <br /> l / Check#: <br /> Date of staff site visit:q )1'Y m° <br /> �r� Initials of site visi -taff: <br /> a <br /> z & J <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: CI/25/PN..3 < n <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF W g <br /> a m a . <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o a a — <br /> Z 0 C r`) <br /> r < t <br /> Page 1 of 5 m <br /> Burnett County,WI Land Use Application —Rev 05/2022 ' �C A <br /> „, <br /> a <br /> I <br />