Laserfiche WebLink
• LAND USE PERMIT APPLICATION —Burnett County, WI <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 .215--o ` <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 g <br /> ro <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 F <br /> n <br /> XDeck/Stairs/Patio/Retaining Wall/Sidewalk/ Bunkhouse $250 c it <br /> Driveways/&Campground Structures rr $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading 150 Boathouse $500 r <br /> cn <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 P. <br /> 1 Ilk <br /> *NOTE:After-the-fact permits(permit aquired after construction has begun)may cost up to three times the normal fee. b <br /> *Communication Towers&Signs require a different application form;see corresponding application,and fees. a . Ill <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 1111 <br /> PO BOX 66 DANBURY WI 54830 '�' <br /> Property Owner's Mailing Address: Cl' <br /> CityState Zip 9 <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54830 0 <br /> r m. <br /> c <br /> Contact's Telephone Number: 715-204-4043 J(.-fri{� -7ip o <br /> Contact's Email: kellee@northcampproperties.com <br /> 0 <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 WO f\ <br /> R. <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND a <br /> *Attach additional page if needed.for lengthy description OR attach a copy of the deed OR attach tax system property page.* <br /> cn <br /> Tax ID#(1-5 digit number; found on tax statement): 35424 Ul f 5 <br /> Proposed Use of Structure/Addition: b <br /> Anticipated Start Date: (Home/Cabin;Commercial Business:Bedroom;Deck;etc.) W H <br /> Building Contractor: Sewer Installer: s <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 UDC Inspector to determine if a permit is needed from them prior to `o <br /> ANY construction taking place for any dwellings,dwelling additions,manufactured homes, manufactured <br /> home additions,and bunkhouses.** <br /> t <br /> � CP� <br /> Fcc Rcc: 1..2` <br /> g Check#: 75 31 <br /> Date of staff site visit: cP/j-/Z-e9Z Initials of site visit st f: / <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: /0 Ze Z y l _,...j <br /> J <br /> ' w <br /> inn <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF cr, cx <br /> a m EO l\ <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT o N <br /> Utr11 <br /> vC r....) <br /> Page 1 of 5 ' <br /> Burnett County,WI Land Use Application—Rev 05/2022 $ 3 Ifffil <br /> G <br /> H LL )J <br /> t <br />