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1-,LAND USE PERMIT APPLICATION-Burnett County, WI <br /> b <br /> Applicant Complete All Sections Below This Line = w <br /> Permit Types and fees(Please,check appropriate boxes) r 00 <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 4) <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 2o�, <br /> k Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 Gc <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 < 0 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 g I'4 <br /> Filling/Grading $150 Boathouse $500 cr <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 6 <br /> *NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up to three times the normal fee. • ' <br /> - ih <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. cD <br /> r~ • r <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> 74. <br /> 0 <br /> Property Owner's Name: NORTH CAMP PROPERTIES VII o G <br /> Io <br /> •r <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 <br /> City State Zip E ^, <br /> Property Site Address: 6918 STATE ROAD 70 0 r <br /> Contact's Telephone Number: 715-204-4043 Gv o ii <br /> � <br /> Contact's Email: KELLEE@NORTHCAMPPROPERTIES.COM �° <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is N .d <br /> legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and = °' <br /> @BurnettCountyWl.gov LpT )D CSM 62- U1 \i .3O rya► P.ecoaceb tK r, <br /> w Si4) a 01 <br /> �D$�►y:.GniTr�c81yviCN000�Legal Description of Property: E l ' � "'"� 1 �""" ""� g• <br /> ,� <br /> CD <br /> Section#: 34 Town#: 39 N Range#: 16 W Town of: MEENON c„ <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page.* A) (Al E 5 <br /> o <br /> Tax ID#(1-5 digit number;found on tax statement): -34939 SU �jC)� `n � 5 <br /> Proposed Use of Structure/Addition: 5k.A,*t'(\ Ppt1C1 <br /> Anticipated Start Date: LI la®2L1 (Horne/Cabin;Commercial Business;Bedroom;Deck;etc.) (P <br /> O <br /> Building Contractor: Sewer Installer: <br /> z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY x) <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> •-....___ <br /> C%KO CUB- St-HOJS <br /> OGo DNK 4 DRTGP -to ve-n i- 4-I,g1 retu,*,re aa-t �'m1�s shy �, <br /> �( �t5 �, ^ 1� � Fee Rec: `-�G.�J` <br /> >� J • Check#: /5c2./ <br /> M <br /> L <br /> ��TT 2 -KT ri- <br /> u, l <br /> Date of staff site visit: II I Z I vIJZ J Initials of site visit staff: < w �J��JJJ <br /> ���//— J a <br /> APPROVED BY LAND SERVICES OFFICIAL/�,G(� DATE: I�/Z 7�ZDZ3 c 03 0 <br /> ` T 3 C <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF i o• o �, G <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT 0a c Q <br /> Page I of 5 Inn] <br /> Burnett County,WI Land Use Application—Rev 5/2023 a JJ <br /> .-1 <br /> i <br /> 1 <br />