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• <br /> LAND USE PERMIT APPLICATION —Burnett County, WI 0.0 <br /> r <br /> a b <br /> _ Applicant Complete All Sections Below This Line 0 <br /> c. <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 ° v <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ` . (: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 /> yBunkDeck/Stairs/Patio/Retaining Wall/Sidewalk <br /> house $250 e, <br /> Driveways/&Campground Structures $125 WI State Statute 59.642(ly)Structures $350 `-- <br /> Filling/Grading $150 Boathouse $500 II <br /> r <br /> r. <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 = <br /> r <br /> b <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. ] I <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o 5. r <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. S <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC <br /> PO BOX 66 DANBURY WI 54830 F. <br /> Property Owner's Mailing Address: <br /> Cit State Zip ' <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830v o <br /> Contact's Telephone Number: 715-204-4043 '-.T d <br /> Contact's Email: kellee©northcampproperties.com c j4i-k i+ 1 L )e <br /> N 'e <br /> a o ao <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 rro. <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND . <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> va <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 0 0 ' <br /> Proposed Use of Structure/Addition: 2-1 : d <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) '-3 W <br /> 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: <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,an bunkhouses.** `' <br /> r. <br /> g1.5 JSe- cL4 <br /> {, of c vet/Deck. be > <br /> �, <br /> /MCGi� Fee Rec:-A/g660 <br /> 04--rol il,,"410, ha % 0;6 Check#: /0005. <br /> Date of staff site visit: 1/?1 ` d3 Initials f site visi taff: 4 1" k a t"t igikLe * 'i <br /> APPROVED BY LAND SERVICES OFFICIAL DATE: 7 A5/a3 3 <br /> r �I <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF m Cr'Cr)co a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o y �I <br /> p p o <br /> Page l of dz s 9 r' <br /> Burnett County,WI Land Use Application—Rev 05/2022 2 g c,,,) <br /> i <br />