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` t LAND USE PERMIT APPLICATION —Burnett County, WI <br /> Applicant Complete All Sections Below This LineCD <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� o <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 0- <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 o U1 <br /> Filling/Grading $150 Boathouse $500 <br /> 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 <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 DBA DuFours Campground <br /> Property Owner's Mailing Address: PO Box 66 Danbury WI 54830 <br /> City State Zip c y <br /> Property Site Address:_29221 Hayden Lake Road Camp Site#: K :r <br /> CD <br /> Contact's Telephone Number: 715-204-4043 d <br /> Contact's Email: kellee@northcampproperties.com N ,� <br /> Legal Description of Property: Lot 1 CSM 4945 V27 P306 <br /> d <br /> Section#: 6 Town#: 40 N Range#: 16 W Town of: Oakland <br /> *Attach additional page if needed for lengthy description OR attach a copy of the deed OR attach tax system property page. <br /> 7 <br /> Tax ID#(1-5 digit number; found on tax statement): 35424 W <br /> Proposed Use of Structure/Addition: � e&7 l�(t'�(i!'1 4 C,W �7 <br /> Anticipated Start Date: (Home/Cabin,Commercial Business;Bedroom;Deck,'etc.) <br /> -� <br /> Building Contractor: Sewer Installer: N <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 front them prior to <br /> ANYconstruction taking place for any dwellings,dwelling additions, manufactured homes, manufactured <br /> home additions, and bunkhouses.** <br /> Fee Rec:� <br /> Check#Caa(�N <br /> i? <br /> Date of staff site visit:10 j28'I2 ff! <br /> 02y Initials of site visit sta7l-yy-r y <br /> " t7 r- <br /> APPROVED BY LAND SERVICES OFFICIA . DATE:5 g 5 a <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF <W <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT00 <br /> M. <br /> Page 1 of 5 CD <br /> Burnett County, WI Land Use Application —Rev 12/2021 <br /> y <br /> a <br /> a <br /> b <br />