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026-164-00-1101-LUP-1999-724 Application for Land Use Permit r ,� - County of Sawyer � � ,�. PO Box 668 - Hayward WI 54843 � ' � 715/634-8288 � � The undersigned hereby makes application for a Land Use Permit and agrees that all work � 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 MAY NOT � • � BEGIN UNTIL THE PERMIT IS ISSUED. � � PRINT-USE BLACK INK OR PENCIL � � a C��jr//� �llJ�r'/ (�v� %o�r � y. Owner Builder � o � -- ���- ����� �;. I I $'�9 �' �cK���, �� J-�', " � Mailin� A��'r��c Mailing Address � -- __��u -� � �'r�_ ��� -��'�7 � : L� � � -� �, vG�. , � City, S�e, ip City, St te, Zip � � .��/ � 7��- 'f7��- ��2' ��/T � 4 Daytime Phone Daytime Phone ti Building Land Use � (}C) New O Filling Zone District � �� � ( ) Addition ( ) Dredging ( ) Alteration ( ) Grading Lot Size ��� l�' ��� � 0 ( ) Moving On ( ) ; ( ) ( ) Acres �,Z� c'i� r{I �; ., � �, Priinary Structure Accessory Building Addition � (}C) Dwelling (� Garage-attached/detached (X) Deck �_ � o (�C) Year round (j) # of car stalls ( ) Porch ��, 10� � ( ) Seasonal ( ) Storage Building ( ) Enclosed � �� (�c) Frame built on site O Screenhouse O Living room � � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ,� �� ( ) Mobile/manufactured ( ) Other ( ) Bedroom ' � �� O Other primary structure O O Relocate/enlarge � �' Ay � � ( ) ( ) # ofnew _ � � � Type of Construction � � ( )Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete ' � ( ) Other v � � � � Construction Cost $ 2G�C'C>0�' � � � 1lvt � �,_, ��, 13v�' t " Vol�Pg (a a of Deed Certified Soil Test # `j�/-I�/ lC-'�/�`� W � CSM Vol Pg Sanitary Permit # %C� ��; � z Plat Envelope S�/;,.,t ��q�,�� 5�,6� Or: �u�' `��' �`!�3 � �' CondoVol Pg /� L`�' �2���3 YearInstalled � � � Aff of ex septic V P Owner When Installed: k, � � �r� �7-���! a c�� �c� � Application for Land Use Permit — Page 2 � ' ti Describe Constnzction: List dimensions of each structure, story, addition, or alteration. � ' ' �� ` '� #4. �'z� �''� �� /`:�,�c v' #1 . �� 1� �'� ' �` #2. ���.3'`� #3. , Size�l"� ft. wide � ft. wide � ft. wide � � "� ft. wide __�_�__ ft. long ,3� ft. long �� ft. long `�C ft. long Floor area i�,.5 �C, sq. ft. �32 sq. ft. sq. ft. � sq. ft. Hgt. from grade 2 � , to peak 1 tS� ft. hgt. ft. hgt. ft. hgt. Stories � � stories stories stories # of bedrooms _.� rear lot line or �vaterline of lit/(,,�f�, �;; /� lake�•,� In the box sketch in: �� 3 � Location and size of all existing and proposed structures. � � � � � Location of septic system. - - _ --�-- --- -- �� Indicate distance to: ��� Waterline/Wetlands � � 4 ��U� -- Road • ' -- f- — Lot lines `- �J - - - � � _-?e�,a � I� � ✓ Septic system/privy � ����K J� ; Well � 3 - -- - - . _ _ , . ��, Distance between structures. '�" .� t`� ''� Indicate North. Fire Number: ` � , � �f � % 3 � � ignature Owner � � The abo e certifies that the listed � � U information and intentions are true and conect. The above person/s/ hereby �.�.' IG,3'__� give pernlission for access to the property for onsite inspection. ------- centerline Of �/ ��, �'� road------- Issue Date �� ,� •� 7{ �y% � Expire Date _���,c :� �, v? �c%G Office Comments: G�/ ' .i � • ~ Signature of Zoning Administrator SUBDIVISION OF GOVT LOT 3 SEC. I 4 TWF 39 N. R.9 W -8.18 61� s' -816 220' �ry.�5 -8.15 `p' '�n' � 8.14 h � �LP 8.13 �.13 �ry �P 8.1 -8.12 �� Q •B.IIA $ �.II �P "8.10 o, -8.10 �P �C/ �.9A � 0 -8.9 � -8.8 8A v 1 �O� �P ,�h� -8.7 8.7A �o � . hh � � 6 -8.6A \ h �8.5A � -8.4 p -8.5 � ss, ym a.a � y�"' .,P -e a ��P ^� Q -fl 3 ry 82A n, -8.2 �P -B.IA -8�1 FOR ASSE 653�� GALE: I INCH= 100 FEET �NTENDEC DRAWN BY: DATE�6-25-84 COLON (:) INDIGATES GOVT. LOT gOIUNDAR TOWN OF SA(�D SEC. 14 TWP � � � ii � �4.i2 s•o�� :4.2 � L '4.6 '�.: ln.l :4. 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