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�,Vwlok( NtVA6 CL toy �Iso <br /> LAND USE PERMIT APPLICATION — Burnet County, WI r <br /> s C <br /> Applicant Complete All Sections Below This Line 2 �\ <br /> Permit Types and Fees:(Please,check appropriate boxes) ° <br /> G <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 <br /> s <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 1 ° <br /> Driveways/&Campground Structures $125 jWl State Statute 59.692(ly)Structures $350 0 <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 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. �. <br /> *Items not listed above will be treated as accessory structures,such as:pergolas,landscaping,etc. o <br /> r, <br /> Property Owner's Name: NORTH CAMP PROPERTIES V, LLC <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 <br /> Cit State Zip r <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY WI 54839t <br /> Contact's Telephone Number: 715-204-4043 N <br /> CXYYI J � <br /> Contact's Email: kellee@northcampproperties.com i (, � I'1r1Q <br /> N <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 G1 <br /> � o <br /> Section#: 05 Town#: 40 N Range#: 16 W Town of: OAKLAND <br /> *Attach additional page if needed,for lengthv description OR attach a copy of'the deed OR attach tax srstenr propertt•page. <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 t3 <br /> Proposed Use of Structure/Addition. <br /> Anticipated Start Date: CJ �,1 2 (Kome/C7rhin:C'onmtercial Business.Bedroom:Deck;cic.t <br /> 0 <br /> Building Contractor: (;V4 Sewer Installer: o <br /> AREA BELOW THIS LINE FOR LAND SERVICES STAFF COMMENTS/CONDITIONS ONLY <br /> THIS PERMIT IS SUBJECT TO ALL CONDITIONS LISTED BELOW: z p <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.** 61 <br /> Q L�Cx @ 12g SQUARE FEET s <br /> Fee Rec:LQ5�r <br /> ��— Check#:ID:5,-4 <br /> a <br /> ate of staff site visit: 5/2412s 4-- lol/ol z5- Initials of site visit staff: be <br /> PROVED BY LAND SERVICES OFFICIAL: t ) DATE: lol�� 2oz5 <br /> 'ON APPROVAL: APPLICANT MUST POST COPY OF J T� �? <br /> 'IGNED PERMIT APPLICATION IN PLAIN SIGHT o 0 0 <br /> Pagel of 5 T 3CD <br /> Burnett County, WI Land Use Application—Rev 05/2022 ^� <br /> a <br /> s <br />