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LAND USE PERMIT APPLICATION —Burnett County, W1 <br /> Applicant Complete All Sections Below This Line ' <br /> Permit Types and Fees:(Please,check appropriate boxes) ° <br /> a <br /> Dwelling/Principal Structure $300 Addition/Alteration to Dwelling/Principal Structure $200 <br /> Commercial/Industrial Structure $300 Addition/Alteration to Commercial/Industrial Structure $200 p0 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 /> C� �► <br /> Deck/Stairs/Patio/Retaining Wall/Sidewalk Bunkhouse $250 <br /> Driveways/&Campground Structures $125 WI State Statute 59.692(ly)Structures $350 <br /> Filling/Grading $150 Boathouse $500 <br /> v7 <br /> Solar Panels(Stand aloneor roof mounted) $150 Permit Extension(1 Year Extension-Allowed Once) $100 a <br /> m. <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. r <br /> 0 <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 V, LLC <br /> Property Owner's Mailing Address: PO BOX 66 DANBURY WI 54830 r ^ <br /> Cit State Zip c <br /> Property Site Address: 29221 HAYDEN LAKE ROAD DANBURY All 54836 � o <br /> Contact's Telephone Number: 715-204-4043 # l J d <br /> Contact's Email: kellee@northcampproperties.com <br /> -- - ------- -- - -------- N ro <br /> _. o <br /> Legal Description of Property: Lot 1 CSM 4945 V27P306 DOC461558 o W <br /> Section#: Q5 Town#: 40 N Range#: 16 W Town of: OAKLAND <br /> *Attach additional page if needed fa•lengthy description OR attach a copy of'the deed OR attuc•h tax system properly page. <br /> Tax ID#(1-5 digit number;found on tax statement): 35424 0 <br /> \\ A F o <br /> �di n1�QC� Site 134 <br /> Proposed Use of Structur�e.� CQb- �`ti�1� ,�ddition: <br /> Anticipated Start.Date: �l ^ 4-1,5- (Name/Cabin;Commercial Business;Bedroom;Deck;em.) / -3 <br /> Building Contractor: �R Sewer Installer: <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 froth theta prior to (� <br /> ANY construction taking place./or arty dwellings,dlvelling additions,manufactured homes,manufactured <br /> home additions,and bunkhouses.''`"�` � /- <br /> TO .0 e- C C� c 140—/ ?lk SA--a/• <br /> � Fee Rec:1.2-6'�z <br /> Check#: <br /> �J 5 <br /> Date of staff site visit: g w ZDZ� Initials of site visit staff: --} I <br /> APPROVED BY LAND SERVICES OFFICIAL: w- ATE: <br /> UPON APPROVAL: APPL CANT MUST POST COPY OF Nco <br /> N c r— <br /> A 9 rV <br /> SIGNED PERMIT APPLICATION IN PLAIN SIGHT ca C." M <br /> CD r- <br /> Page I of 5 <br /> CD <br /> Burnett County, WI Land Use Application—Rev 05/2022 <br /> a <br />