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LAND USE PERMIT APPLICATION—Burnett County.WI g 3 c <br /> h = ��o <br /> Applicant Complete All Sections Below This Line a "' l <br /> Permit Types and Fees:(Please,check appropriate boxes) + <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 •�J <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 /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < *, , <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures S350 �Jr L, <br /> tilling/Grading S150 I Boathouse $500 �J <br /> ...1, <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 3 <br /> ....a <br /> 'NOTE:After-the-fact permits(permit squired after construction has begun)may cost up to three times the normal fee. 7 1 <br /> `Communication Towers&Signs require a different application form;see corresponding application,and fees. r- <br /> •items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z P <br /> 0 <br /> Mr <br /> Property Owner's Name: NORTH CAMP PROPERTIES V,LLC 1. r-"---. <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 n„ <br /> City State Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830o n <br /> Contact's Telephone Number: 715'204.4043 �� '� J <br /> Contact's Email: kellee@northcampproperties.com <br /> m a <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 w 04 <br /> Section#: 05 Town#: 40 N Range#: 16 W Town onOAKLAND <br /> o <br /> 'Attach additional page tl needed for lengthy description OR alta,h a rope of the deed OR attach tax system property page• <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 O ; w <br /> Proposed Use of Structure/Addition: CYka <br /> Anticipated Start Date: Il/on e t hin;Cnron+crci,d duciurss;8edraon,;Drrk:rtc.1 '-1 tt..).3 <br /> v Building Contractor: Sewer Installer: t <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT iS SUBJECT TO ALL CONDITIONS LISTED BELOW; z <br /> **The applicant needs to contact their IJDC Inspector to determine bra permit is needed from them prior to a "r.._ <br /> A.\'Y construction taking place for any dn•ellings,dwelling additions,manufactured homes,manufacturedhome additions,and hunkhousec' I/ � <br /> ©rY1ee4 au S 4Gt4S <br /> Fee Rec: /.215(L) <br /> �• f Check#: 4/43 <br /> I 6 <br /> Cj �]/� ° <br /> Date of staff site visit: 1 I�' �✓ Initials •site v' 't s•t <br /> a <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE:9 l25/23 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF `—.�--`--j• <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 n cryfriril <br /> co m C <br /> Page l of 5 Fi 5 ., <br /> CR.L 2:7Burnett County,WI Land Use Application—Rev 05/2022 5, 5 m 1,4 EN <br /> 1 WOMEN'S 0 v o o Q <br /> fla <br /> IMAGING _ <br /> = ` Q <br /> (952)915-4320 � � <br /> I �`c w <br /> o x2a lkclCs __ - 9J9J <br /> 31 <br /> { 'rl24tt-4: - <br /> Sot <br /> to Ov 11 <br /> Co34. <br />