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C!� I <br /> y I~ <br /> LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line -6. ,.e <br /> Permit Types and Fees:(Please,check appropriate boxes) n <br /> C7 <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 /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> ' Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> C <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 °a <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r V* <br /> o <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. CD <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. or n• V <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> D <br /> NORTH CAMP PROPERTIES V, LLC 0 �' <br /> Property Owner's Name: o, <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 c Poe <br /> Cit State Zip c <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830y <br /> Contact's Telephone Number: 715-204-4043 i i-e-c 8 d <br /> L. <br /> Contact's Email: kellee@northcampproperties.com N b <br /> o ao <br /> a <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 aE <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND 4 <br /> `n' <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 statement): 35424 o <br /> Proposed Use of Structure/Addition: (S <br /> Anticipated Start Date: (Home/C'ahin;Commercial Businem;Bedroom;Deck;etc.) -� I <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> t 1- <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <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 bunkhouse-.** U <br /> 1 /n u.1- alit 5efb q 1 <br /> r_ L a nttrl10 mot''' 'V <br /> 1 scretlr �rrc lev as ,4' 1s4 be_ 44/e 1- 5 !d r Fee Rec:/�7� <br /> {' n Check#:06 , <br /> Date of staff site visit: S hi 12.3 Initials site visit aff: PG 4 k m <br /> m <br /> a <br /> z <br /> 0 <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 7 f 25I a3 m <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF minfil <br /> 0 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ,-,0 <br /> CD .-. _ <br /> co m �.w_: o <br /> Page Iof5 rn Ca <br /> Burnett County, WI Land Use Application—Rev 05/2022 < g <br /> No <br /> 0 <br /> En <br /> .J <br /> 3 <br /> ^o <br />