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LAND USE PERMIT APPLICATION— Burnett County, WI b <br /> Applicant Complete All Sections Below This Line <br /> Permit Types and Fees:(Please,check appropriate boxes) - C <br /> Dwelling/Principal Structure $3001 Addition/Alteration to Dwelling/Principal Structure $200 Fo <br /> Commercial/industrial Structure $300 Addition/Alteration to ommerda ndustrial Structure $200 <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure $150 <br /> `L Accessory Structure ommerciai ndustrial) $200 Addition/Alteration to Bunkhouse $150 0 (� <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(1v)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> Solar Panels(Stand alone or roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 • <br /> NOTE:After-the-fact permits(permit acquired after construction has begun)may cost up tothree timesthe normal fee. <br /> ro <br /> *Communication Towers,Camping Permits&Signs require a different application form;see corresponding application,and fees. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas, landscaping,etc. z <br /> 0 <br /> Property Owner's Name: NORTH CAMP PROPERTIES VII <br /> Property Owner's Mailing Address:_PO BOX 66 DANBURY W 54830 _ <br /> --- -- �J <br /> City State Zip <br /> Property Site Address- 6918 STATE ROAD 70 _ o <br /> Contact's Telephone Number: 715-204-4043 <br /> KELLEENORTHCAMPP_R_O_P_E_RTIE_S.COM_ _ <br /> Q � <br /> Contact's Email: _� <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address is ro <br /> legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and . <br /> (BumettCountyWI.gov O 'SC) 59 U <br /> P-29't- (FAQ S1M#4568r36- o L/ <br /> Legal Description of Property:—LOTH-CSM V26--------- ------------- ---- ----------#y <br /> ---a Z--�---- <br /> Section#: 34 Town#: 39 N Range#: 16 W Town of: MEENON <br /> *Attach additionalpage if needed for lengthy description OR attach a copy of the deed OR attach tax system propertypage.* aJ <br /> CJ <br /> Tax ID#(1-5 digit number,found on tax statement): —340N 3(05c 1 <br /> a <br /> Proposed Use of Structure/Addition: <br /> Anticipated Start Date: Va3la (Home/Cabin;Commercial Business;Bedroom;Deck-etc) • <br /> Building Contractor: j6hn WI rh oCC Sewer Installer: _ 'J <br /> -- ll z <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> �Me av kliV45 <br /> O I h t�t bu;L Li 3 GW L n,+ -f'0 Fee Rec: — <br /> Check#: rU 2.,,� <br /> r j ago I G27 <br /> Date of staff site visit: 5 S/202'5 Initials of site visit staff Ali < �( <br /> APPROVED BY LAND SERVICES OFFICIAL ATE: 5 2025CD µ-D u u <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF W <br /> SIGNED PERM_ IT APPLICATION IN PLAIN SIGHTCD C <br /> Page 1 of 5 3 ` <br /> Burnett County,WI Land Use Application—Rev 5/2023 <br /> C <br />