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LAND USE PERMIT APPLICATION — Burnett County, WI a <br /> Applicant Complete All Sections Below This Line g• V3 <br /> Permit Types and Fees:(Please,check appropriate boxes) 4 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 „, <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 ,� <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 '`pg $125 WI State Statute 59.692(iv)Structures $350 � � r <br /> Filling/Grading $150 Boathouse $500 <br /> v' <br /> Solar Panels (Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 . <br /> i <br /> *NOTE:After-the-fact permits(permit aqui red after construction has begun)may cost up to three times the normal fee. y <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. o <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC <br /> PO BOX 66 DANBURY WI 54830 F. I <br /> Property Owner's Mailing Address: i <br /> Property Site Address: <br /> 29221 HAYDEN LAKE ROAD DANBURY WI 54830y State Zip % <br /> 715-204-4043 o <br /> Contact's Telephone Number: �A-{- � ��� <br /> Contact's Email: ro <br /> kellee@northcampproperties.com <br /> N -V <br /> o vc <br /> Lot 1 CSM 4945 V27P306 DOC461558 5. R <br /> Legal Description of Property: bG <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND <br /> n. <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 o -� <br /> Proposed Use of Structure/Addition: \ !..a d <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom:Deck:etc.) "H W <br /> Building Contractor: Sewer Installer: <br /> O U <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY -•-r- <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 additi,ops,and bunkhouses.**veci Cs <br /> [2,51 <br /> � T 0,11 5c4.-.64 0 Fee Rec:X <br /> Check#: J7/l <br /> r <br /> `q )a HE fit I K i< a�,r SJUn <br /> Date of staff site visit:_��1� { 3 Initials f site visit aft: R <br /> 41as�APPROVED BY LAND SERVICES OFFICIAL: DATE: Inn] <br /> < Q r-- lf �ll <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF R W 0 <br /> a 5 co <br /> > coSIGNED PERMIT APPLICATION IN PLAIN SIGHT _ <br /> -i1 N <br /> O 00 = <br /> r "0 C r,,.,'!s <br /> Page 1 of 5 m m �' m <br /> Burnett County,WI Land Use Application —Rev 05/2022 < a <br /> m <br /> Ci <br /> tn <br /> K <br />