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LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Applicant Complete All Sections Below This LineW <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> a <br /> c <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ..,' 2 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 '-�l <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 F <br /> C: r <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 0 �� <br /> Filling/Grading $150 Boathouse $500 <br /> V' <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> m <br /> ii <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. <br /> �• <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. '" o <br /> • (II <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC to <br /> ° Lr <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 U ' . <br /> City State Zip c <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 -- o G <br /> Contact's Telephone Number: 715-204-4043 /j d <br /> Contact's Email: kellee@northcampproperties.com 0 <br /> a rro <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558tiOi <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND <br /> F <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 0 <br /> Proposed Use of Sttucture(Addition: s <br /> Anticipated Start Date: (Home/Cabin;Commercial Bucinesr;Bedroom,Deck,-etc.) -3 <br /> Building Contractor: Sewer Installer: r <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY G _ <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: 2 " .. <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 �(cr <br /> home additions,and bunkhouses.** `� <br /> I 5(D, S •--1-. o-c- Deck VED be, rem <br /> /� <br /> �' i e o k 5644 G"`J Fee Rec:J2N l�l <br /> Check#: Unto( <br /> 9 r 1 /' o <br /> Date of staff site visit: /�I I�3 Initials of site vf.isit toff: d'/ . -` l�l i <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 5/23 m r— <br /> ? 0. <br /> n <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF to <br /> ;2' <.e -� <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT z o 0 o rail <br /> cu c 20 <br /> .c •4 C <br /> Pagelof5 mm w <br /> Burnett County,WI Land Use Application—Rev 05/2022 OW <br /> �- 9 <br /> a <br /> K <br />