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LAND USE PERMIT APPLICATION—Burnett County, WI G c%a 2 b <br /> Applicant Complete All Sections Below This Line 0 c <br /> Permit Types and Fees:(Please,check appropriate boxes) y 0. <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 0 }v <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 `.. 0 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 0, <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> X Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 ° <br /> Filling/Grading $150 Boathouse $500 W r' <br /> 0 <br /> Six Month Camping Unit(One Per Year) $100 _ Permit Extension(1 Year Extension-Allowed Once) $100 <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. 11) <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. k <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. <br /> co P <br /> North CampProperties 1�-66C &BA La `Property Owner's Name: p ° .. <br /> z <br /> P 9 <br /> Property Owner's Mailing Address: PO Box 66 N Danbury WI 54830 S -� S <br /> /, �,( .^ City State Zip -o <br /> Property Site Addrew"'el " D•e"' ; i ',;A. yl4 cier 14 it Webster WI 54830 7 <br /> It <br /> Contact's Telephone Number: 715-204-4043 S! 4 490 N <br /> a <br /> Contact's Email:kellee@northcampproperrtiiees..com Q / o <br /> Legal Description of Property:�4 I �� li� Vv p� � f 3�� "e �� b"'�A <br /> 1- N -o <br /> Section#7 5 Town#:4e LION Range#:46 I, W Town of:.�a..kacln f 1c, 0 b...aq <br /> *Attach additional page if needed for lengthy description OR attach a copy <br /> of the deed OR attach tar system property page.* a. <br /> Tax ID#(1-5 digit number;found on tax statement):5448 35`1?ti' <br /> t <br /> Proposed Use of Structure/Addition: ec_V., <br /> 4(1'4.'2 <br /> Anticipated Start Date: eta..(• CGS plZfc"' (Home/Cabin:Commercial Business:Bedroom;Deck:etc.) 7 0 s ' <br /> U1 d <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 I DC Inspector to determine if a permit is needed from them prior to Q..) <br /> $NY construction taking place for any dwellings,dwelling additions,manufactured homes,manufactured z --- <br /> home additions,and bunkhous ** z <br /> 'n 1 eel- all Se+b4G1t5 <br /> IUv--- -fir L Jb,*4 <br /> = Fee Rec: ia`) <br /> y Check#: `]b,(0 <br /> Date of staff site visit: 9 Ja.a /?-,3 Initials of site visit taff: 41 -I k i „, <br /> cn <br /> _ Q l^�� rn <br /> v <br /> APPROVED BY LAND SERVICES OFFICIAL �/'"U' DATE: ! !d ��� < r c• <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF r a <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT m � ' <br /> Transcendent: - Page 1 of 4 m '0 <br /> Burnett County,WI Land Use Application—Rev 12/2020 m = <br /> Laserfische: - ry <br /> cn m rt <br /> cn 4 <br />