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LAND USE PERMIT APPLICATION — Burnett County, WI <br /> Applicant Complete All Sections Below This Line Ba g Ur <br /> Permit Types and Fees:(Please,check appropriate boxes) d "' ,� <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 /> O <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 '.J g <br /> AccessoryStructure Commercial Industrial A y <br /> (Commercial/Industrial)) $200 Addition/Alteration to Bunkhouse $150 <br /> • 'f <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 e <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 S1 <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 /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. o g <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. Z <br /> p <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC t, <br /> PO BOX 66 DANBURY WI 54830 w, n <br /> Property Owner's Mailing Address: = E <br /> cityState Zip •1` <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 o C <br /> ii <br /> Contact's Telephone Number: 715-204-4043 6l„e / l 6 Q d <br /> ( 1 <br /> Contact's Email: kellee@northcampproperties.com N b <br /> 0 tro <br /> a <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 0' Vik <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND t7q <br /> , . F <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 /> i3. <br /> Proposed Use of Structure/Addition: D e(-Cc� L CT I l Ci t7 <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) .-1 <br /> Building Contractor: 3 I F 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 bunkhouse .** , <br /> ( f eel ".c( se-4bG`�-tf'+-�� <br /> a N0+--gr iiiaenwt tttb, ,-W0,1 <br /> � �( I _ Fee Rec: 1 `:Z.. <br /> l/ 401 5 kT, o - Q(' Cif 7r' k Y c' y Check#: LD 2� <br /> y Q ^ <br /> Date of staff site visit: !i es i i v—, Initia of site v' 't staff: HE a <br /> a <br /> • / �1�3 a <br /> I� a <br /> ° l J <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: ,— <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF F, 0 W rn <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o ("1 r....1 <br /> f <br /> -1 3 IN- <br /> Page 1 of 5 ^c+�i <br /> Burnett County, WI Land Use Application—Rev 05/2022 r1 3 f <br /> �, <br /> a <br />