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b r <br /> LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Applicant Complete All Sections Below This Line y' <br /> Permit Types and Fees:(Please,check appropriate boxes) n 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 0,...1 O <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 /> Ca Ir / Deck/Stairs/Patio/Retaining Wall/SidewalkBunkhouse $250 °fs. Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 r /Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 El <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee.*Communication Towers&Signs require a different application form;see corresponding application,and fees. o*Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC F <br /> f1 <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 5' 7 <br /> Property Site Address: <br /> 29221 HAYDEN LAKE ROAD DANBURY WI 5483U ty State Zip <br /> Contact's Telephone Number: 715-204-4043 .� 1 e <br /> keilee northcam ro (�'Z 13 \ <br /> Contact's Email: pp perties.com <br /> o. <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 <br /> Section#: 05 Town#: 40 N Range#: is W Town of: OAKLAND <br /> 9. <br /> n <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 o <br /> l <br /> Proposed Use of Structure/Addition: f- p <br /> Ei <br /> Anticipated Start Date: (Home,/Cabin;Commercial Raciness;Bedroom;Deck;etc.) -1 <br /> Building Contractor: Sewer Installer: <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY 0 1") <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z `'r.._. <br /> **The applicant needs to contact their UDC Inspector to determine if a permit is needed from them prior to IPa <br /> ANY construction taking place far any dwellings,dwelling additions,manufactured homes,manufactured r'- <br /> home additions,and bunkhouses.((* <br /> a_c kS. <br /> o0 <br /> Fee Rec:1 I a26 <br /> U - K <br /> '/ el a,l�:5on hrwk-��� <br /> Check#: eY/a-7 <br /> Date of staff site visit: q I.2 I (a3 Initial of site visit taff: 1 H� <br /> Q <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 1 /25113 r�LJ� <br /> FS co <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF a cr' MI <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT �., <br /> Page 1 of 5 m i-, <br /> Burnett County, WI Land Use Application—Rev 05/2022 t,g. i u <br />