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LAND USE PERMIT APPLICATION —Burnett County,WI 2 <br /> S. . <br /> Applicant Complete All Sections Below This Line c i. fiF fi <br /> Permit Types and Fees:(Please,check appropriate boxes) <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 v") <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 q <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> i - <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 �'' <br /> Pilling/Grading $150 Boathouse $500 �, <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 F. c r <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. S ! t v, <br /> *items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. c <br /> Property Owner's Name: <br /> NORTH CAMP PROPERTIES V, LLC a <br /> b <br /> Property Owner's Mailing Address: PO BOX lib DANBURY WI 54830 <br /> 4 <br /> ity Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 548C3 State Zip o [ r <br /> ,,L n <br /> Contact's Telephone Number: 715-204-4043 L-(11 <br /> Contact's Email: kellee@northcampproperties.com <br /> o b <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 1 <br /> a <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND 1. r <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> v, <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 W <br /> Proposed Use of Structure/Addition: �Q-L 1 .. ' <br /> ; d <br /> Anticipated Start Date: (Home/Cabin;Commercial Business;Bedroom;Deck;etc.) '-3 <br /> Building Contractor: Sewer Installer: W <br /> O <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 bunkhouses.** <br /> Fee Rec:_, <br /> y Check#: ci F <br /> Date of staff site visit: °I/► °I/ 7e 7 7 Initials of site visit staff 11/1,-- tli <br /> i <br /> APPROVED BY LAND SERVICES OFFICIAL: DATE: 9/ o/ZO Zq 0 ) <br /> r— _ <br /> UPON APPROVAL: APPLI ANT MUST POST COPY OF a E- -nviill <br /> IN PLAIN SIGHT co <br /> 0 2__ co <br /> SIGNED PERMIT APPLICATION � o o N � <br /> �! Co C N <br /> Page l of 5 m N <br /> Burnett County,WI Land Use Application—Rev 05/2022 i g _UUlj <br /> a <br />