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Si4-e A . 4- got <br /> . LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line es s Va <br /> a\ <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 i <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 U\ r4 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> n <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 o s I <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 it--.., <br /> Filling/Grading $150 Boathouse $500 1 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 <br /> w <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. ; 6 <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. c r <br /> vp <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> NORTH CAMP PROPERTIES V, LLC S <br /> Property Owner's Name: ►- <br /> PO BOX 66 DANBURY WI 54830 <br /> Property Owner's Mailing Address: k <br /> City State Zip <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 �`' <br /> a <br /> Contact's Telephone Number: 715-204-4043 i 4 2 Q 1J o (� <br /> d <br /> Contact's Email: kellee@northcampproperties.com <br /> 0 CIO <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 v <br /> Cl. <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 /> Tax ID#(1-5 digit number;found on tax statement): 35424 V .--1 <br /> - <br /> p CMlper/Va_ is darnSiir , 0 <br /> Proposed Use of Structure/Addition: C Q,T � iY1 u.y W <br /> Anticipated Start Date: (Pile h'/z,t,'Z3 Om/Cabin;Commercial Business;Bedroom::Deck;etc.) "3 <br /> Building Contractor: Sewer Installer: <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 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 bunkhouses.** <br /> III 1 eel' ell 5 Act,c‘S <br /> � <br /> IN ‘f Vt K A 11A,bA'*i/ 11 T Fee Rec: 1�5 <br /> y Check#: 5 3,37-, <br /> ^ o <br /> Date of staff site visit: ¶1'?IJ 4�2 Initial of site vis' staff: �/ ' I- D , <br /> ii; t �a u <br /> Q C o L�_�� <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: y J/�'3 °, �- Inn <br /> Q Cr" <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF 71 <br /> <5 - <br /> (D . —, l� <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0 C <br /> ff <br /> Page 1 of 5 <br /> Burnett County, WI Land Use Application —Rev 05/2022 t...l J <br /> s <br /> S <br />