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_ c r- <br /> LAND USE PERMIT APPLICATION - Burnett County, W1 <br /> Applicant(oni Ictc All Sections helm t his I inc _ Vt <br /> Permit Types and Fees:Please,check appropriate boxes) <br /> �N <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 1 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 r�` <br /> Accessory Structure(Garage,Shed,etc.) $150 Addition/Alteration to Accessory Structure 5150 00 <br /> Accessory Structure(Commercial/Industrial) $200 Addition/Alteration to Bunkhouse $150 }j <br /> Deck,/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse S250 <br /> Driveways/&Campground Structures $125 Wi State Statute 59.692(iv)Structures $350 <br /> Filling/Grading $150 Boathouse $500 r1 <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 times the normal fee. <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. _ <br /> _ z <br /> I'rupert} l)��iter's Name: NORTH CAMP PROPERTIES VII = C N <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 7 w <br /> City State /ip <br /> Property Site Address: 6918 STATE ROAD 70 715-204-4043 - <br /> 3 , �a� I r <br /> Contact's I elephonc Number. $� _ � -7 S' 2�� �-- <br /> Contact's Ismail: KELLEE@NORTHCAMPPROPERTIES.COM <br /> "If staff lids a question about this application.you w ill he contacted via email. Make sure your email address is _ <br /> Iceihle and vour email provider will accept emails liom the following addresses: allurnctiCounty.org and s <br /> u llurneitcotmtywl.gov U <br /> LOT1 CSM V26 P291 (SW SW)#450836 �D <br /> l.rgal Description ot-Property: <br /> Section l:: 34 Tuwm:t: 39 N R.mge#: <br /> 16 w Town on MEENON W <br /> '.4nuch additional Iutee it needed for lentthr description OR anach a copr of the deed OR attach lien s•rsrem property pt t e.' <br /> Fax 11)z 0-5 digit numher. Ibund on tax statement): -54939 36So`+ <br /> _ r - <br /> Proposed Ilse of Stntcture,Addi0on:ts;,- 1 / •F _ =� ' :'�1 <br /> Anticipated titan Date: (Nome Gahm.C'umnrercarl Business Hedr(xmr:1)eck er, <br /> Iluilding Contractor:_A'— _ _ _.--- ticwer Installer: '} Z �/► <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY z Z J <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: <br /> d fnC-ET ALL S-eraACV-S. <br /> © Nor i a gE vsEa Fb9- t-luw.An/ W&tgT1 oN. <br /> ® SHED /tor Tb E'XCEeb 100 NAAeRe 9--c=_T. = Fee Rec: !25-1 00 <br /> Check 4: 2569 <br /> Date of staff site visit: 6129125 Initials of site visit staff:05 x <br /> APPROVED RY LAND SERVICES OFFICIAL: DATE: AL3o12ozo- <br /> UPON APPROVAL: APPLICANT MUST POST COPY OF C WCD <br /> D <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHTCD =1FCD o <br /> Page t of 5 - o 0 o <br /> Burnett County, Wi Land Use Application- Rev 5/2023 o <br /> 3 <br /> ,` 'rr-n <br />