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V] I -y l <br /> LAND USE PERMIT APPLICATION — Burnett County, WI 0- j 3 <br /> . <br /> yr <br /> Applicant Complete All Sections Below This Line ' t <br /> Permit Types and Fees:(Please,check appropriate boxes) a ImoI ..W <br /> 1 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 " <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 v1) <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 $350 r <br /> 0 <br /> Filling/Grading $150 Boathouse $500 <br /> cn <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 w <br /> *NOTE:After-the-factpermits q begun)mayup(permit a ui red after construction has be un cost to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. r. <br /> 0 <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. z <br /> p i <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC g --- <br /> 0. <br /> -0 <br /> PO BOX 66 DANBURY WI 54830 n ' <br /> Property Owner's Mailing Address: d z-• <br /> 29221 HAYDEN LAKE ROAD DANBURY WI 54830Y -- State Zi • <br /> Property Site Address: -.4-- S o c <br /> p 715-204-4043 a. <br /> Contact's Telephone Number: v d <br /> 0 l <br /> Contact's Email: kellee@northcampproperties.com <br /> N b <br /> 0 <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 <br /> go <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND I <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 <br /> W o <br /> Proposed Use of Structure/Addition: c""i O e <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) --I .--N--) <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 1 <br /> ANY construction taking . or anydwellings, additions,manufactured homes, manufactured `� <br /> placef li�dwelling .f f c- <br /> home additions, and bunkhouse ** <br /> - �t �Uu / .Wt ' !1V4etl� Fee Rec: l <br /> J �,� � � yar -�Skd �1v � " " � S .#4,j .id 'c✓ 2,15/tro Check#: h <br /> Date of staff site visit: 9 /2(/a3 Iditials of site v staff: V j4,I K m <br /> z U <br /> ' 91a7/a3 ° <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: z 1,��,1 <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF m V U01 <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 0 —4 _ <br /> w < N <br /> Page 1 of 5 m 3 `"' inni <br /> CD <br /> Burnett County, WI Land Use Application—Rev 95/2022 = LL JJ <br /> 0 <br /> -., <br /> K <br /> m <br /> 1 <br />