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026-939-11-5321-LUP-2001-111 � • Application for Land Use Permit o 0 County of Sawyer v < PO Box 668 - Hayward WI 54843 � 715/634-8288 �a The undersi�ned hereby makes application for a Land Use Permit and agrees that all �vork � shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance (� � : and the laws and regulations of the State of Wisconsin.CONSTRUCTION I�1AY NOT �, BEGI�i U�'T[L THE PERiIIIT IS ISSUED. � PRI�T - USE BLACK ItiK OR PENCIL �' �- � C' � (� � I11 l,�kl,SO tiI / �iC�ir1T��'�2%J�� y: O�vner Builder � o � o2/G 3 /�f1� /�y ,�ti/ ��i /��2.s�y G�' �S'au� ��� � �c/ � ; � Mailing Addre s Mailing Address � 1 oc����� . ss o� wA� �� �'�� � �� City, State, Zip City, State, Zip � �l►"? — aZ�/ -�.�J�' 7`J=- 6 3� o?�� 7 � Daytime Phone Day�time Phone � Buildin� Land Use i (�O Ne«� O Filling Zone District ���' � n ( ) Addition ( ) Dred�in� �Q`� O Alteration O Gradin� Lot Size �; I?�� ( ) �to��ing On ( ) c .� ( ) ( ) Acres o��'�� � � � _ „ Primary� Stnicture Accessory Buildin� Addition � � ( ) D���ellin� (� Gara�e-attached!detached ( ) Deck �� ^ O Year rotmd (3) h of car stalls O Porch � ��' O Seasoclal O Storaae Buildin� O Eilclosed j �,,j O Frame built on site O Screenhotise O Li��ina room ( ) 1�lodular'manufactured ( ) Greenhouse ( ) Kitchen ( ) �lobile/mailufactured ( ) Other ( ) Bedroom ,� � ( ) Otller primary structure ( ) ( ) Relocate/enlarge � � ( ) ( ) ( ) tt of ne��� c.,� � Type of Construction � � Q(j Frame O Lo� O Pole/metal O Bloc�: O Concrete � ( ) Other --� v � � � � Construction Cost S a/,�D U ^ �� � , - Vol �� Pg .� 7,Z of Deed Certified Soil Test n ,f�' 'J 'v E�' U,� t'�+ CS1�1 Vol � Pg� Sanitary Permit # 8 7 - d�� , z Plat Envelope Or: �� 3�� �� '��/ � ^' Coildo Vol Pg Year Installed � .Aff of e� septic �' P O���ner ��;'h�n Installed: � ;i���� �� ��, _oo � - oo�l �a�:��� Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. #2. k3. #4. Size ,30 ft. wide ft. wide ft. wide ft. wide � G ft. long ft. lon� ft. lon� h. lon� Floor area �i b�' O sq. ft. sq. ft. sq. ft. sq. ft. � H�. Crom gade .7 3 to peak ft. hgt. ft. h�t. ft. h�t. Stories J stories stories stories " of bedrooms n L � rear lot line or ��aterline of '�'4C Coa2 Jf �RFi t/�) lake/river In the box sketch in: �I , ,�o/ � Location and size of all y �� � �o � existin� and proposed stnictures. '� 7 � — �li�i Location of septic system. E� ;.G,,,� ,�L-'Z��--� k�`� i Indicate distance to: � ��'aterline��Vettands � Road ! �_ _ ,_ , -- Lot lines � 3� � ti� Septic s}�stem�pri�y �-� ��'ell Distance bet��'een structures. �� ,� Indicate \orth. ,� /' l' o tie eq Fire Aumber: ��-� /�19�b [ra.t,u� �'�l � I �g � , �a 1�•� �� � ,4----,SO� > 3 E i Signature of O��ner !r �O Thz above certifiz> that thz li;ted inform�tion and intentions are mie and I/ correct. The abo�e person's hzrzby �� �"�fi�'�"''�i gi��e pzrmission for access ro thz propzrty for onsite inspection. ------- Cz[lt2�lit1� Of G�-.:,,�y �1 � � C01C�___'___ Issue Date May 9, 2001 Expire Date Mav 9, 2002 OfE'�cc Comments: G/�/i2�%GLe'�,�G%��%yy����i � � � � Hs/?. f e rt�,,^-f lMct�.y. �;� aoo0 Si�naturc of Zonin� Administrator � // (�,'A C 2 OU RT OREI LLES � AKE /CRYSTAL BEACH � '23 \ 2.4 :2.i2 :2.6 :2$ �2.9 :3.16 :3.12 :32t :5.� �� � �2.7 � — � :3.11 � ''w in an ✓.t .1. :z.is a.zs �. � 3.M� ��' — . f :3.14 F :321 � �� � �� � :2.10 � i � � 3 i3 � s � O I � �2 ?.2 :2.5 � � 3t '3.$ :3.9 I i :31B I � :3.15 :�+�7 ' � '2.11 rN •s.. :3.1 �3.7 :1.2 �31 �3-S / I � :z.� �_.. �s'3 I 2 �/ Y'�:32 Il �1 I� :5.1 :4.1 I SONMOR '4.2 :/�.2 :5.2 BEACH I 4.3 \1 \ �—=��=—�. I INCH=400 FEET iOR ASSESSMENT USE ONLY NOT BY: DATE: INTENDED TO SHOW GONCLUSIVE (:) INDIGATES GOVT. 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