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012-106-00-1402-LUP-1997-361 Application for Land Use Perniit r y ` County of Sawyer w � �r�Q PO Box 668 - Hayward WI 54843 � 715/634-8288 ` The undersigned hereby makes application for a Land Use Pernut 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. PRINT — USE BLACK INK OR PENCIL � /�{ t � ` � ._X)t1rJ � �! :�+�1�2���i� W�ta � -c_:,: ? � Owner Builder y� l(� �5� w. Td�- o -H �c. L I';,'. ' ,� Mailing Address Mailing Address �� :� p,J � t�_t � � � 1 '� � '. ,' .:� � a %_ ; � `� City, State, Zip City, State, Zip s a ` ' r, - °//�/—?'71 _ "Z2'l� Daytime Phone Daytime Phone Bu�lding Land Use (�New ( ) Filling Zone District � L " — �Addition ( ) Dredging ( ) Alteration ( ) Grading Lot Size ( ) Moving On ( ) � ( ) ( ) Acres o 7.5 � c Primary Structure Accessory Building Ad ition ; � ( ) Dwelling ( ) Gazage-attached/detached j�Deck � � O Yeaz round O # of caz stalls O Porch — o ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ) Frame built on site �Screenhouse ( ) Living room � ( ) Modulaz/manufactured ( ) Greenhouse ( ) Kitchen o ( ) Mobile/manufactured ( ) Other ( ) Bedroom � O Other primary structure O O Relocate/enlarge �* ` ( ) ( ) ( ) # of new � : Type of Construction ,(�) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ' a � ( ) Other � ^ � ' Construction Cost $�� � � �r � 'J `' -�� � _�� I� (pC "� �7r�, � Vol -� y I Pg�of Deed Certified Soil Test # � 3 ' d �U �' CSM Vol Pg Sanitary Permit # �' -�' "� ✓ i Plat Envelope 75 ��� \� z � - x Condo Vol Pg Yeaz Installed 8J`'' Aff of ex septic V P Owner When Installed: � ; , . _ �� � . . �C: -.. , ,J r v� �JL,G. �'��v.�MQ.v�'�+ ��r13'`� Application for Land Use Permit—Page 2 Describe Construction: List dimensions of each struchue, story, addition, or alteration. #1. #2. #3. #4. Size / ,� ft. wide ft. wide ft. wide ft. wide / '= ft. long ft. long ft. long ft. long Floor area�-_sq. ft. sq. ft. sq. ft. sq. ft. Hgt fivm grr�de�_to Pealc ft. hgt. fr. hgt. ft. hgt. Stories ,` stories stories stories # of bedrooms� reaz lot line or waterline of lake/river In the box sketch in: � . � � (; ,' ; �� Location and size of all ; �� � existing and proposed structures. �� '�"� '��� � � �., � �-) ���� h� �� � h,lc ,. , Location of septic system. �'` `` � � Indicate distance to: � -�G- � k �� 1 Waterline " Road � Lot lines , �: � �(�5� �^!�i Septic system �� ` ,� . Distance between structures. -� -'t Indicate North. �. Fire Number: . -��7� N _ ��, � � ;� , f�.�.. � . � �--_ ?? . , _ - - _ , ,�,�, °. � r�,�r. t_ ,� �, � Si ature of Owner � ��� � �� N�,� .� _ � � ` ------- centerline of road------- IssueDate 14 AuQust, 1997 ExpireDate 14 August, 1998 Office Comments: � � - � �.�.PJ� — 7/,s.as �.�-_ .�_ .s�L� �? � ..ti,..c.�� C.�e.P� �A.Pvi,'��,t�.�q V I� c ' c�, _,_,� tr��, y/u,� G_;' ' � sc�- he �i 9S' a�4��lE�- SQ�,:�,_ _ �.ca J�� - (.�oc�i�. c�asu �� , a e� �� _. � --'� 7l�=� S�-�D i�z� �.xt : � ___ _. �C,e:k : t ; -SG�r� _ -�,I�{� i {�. .c L� �.l.�C-�L�� .i J , �J .�_�_ , - N�U«���9 n-, � �_' � y������� � , , ; �� ��; :� , , . ' . �� / l }� � � ' � 'IV�✓1/'�� � �f��+A'�rs�� � 5 t� Q�'� .�._..,._---- .�....,.. .� � � � , (� i��'� f� � " .¢% r � .- /�.. , , r �, �� � . J �G-7'!�s'y tr. !,.� ; �;'" a / �"lDD r(, 4�f� �.;: 7 !} +'r t,"�t. M d� j � . � I � � t r �' 'G r'?�' - ' �-, t„ :.2.11Y .�.... o ✓ � \\ / O +'a /�2 � a.nN ,+�;� ' t'�sD �� ^4��%�C `✓».;. _ �/ v , #, = t5 e :•�� e��i.c�.ra:,� f�`r4�.::�'���� J�� /. __ �i �J/1 /r � ., ;?, G �' �' �. 1;c c.' '�;�-�tx, ;.�-.} ,<� ,�B �-� r ' ' �"' o , '? J6" > . �• , � + f'`� � � r� C� � , � �. '� , D��,�' . �--�' ;"�: �,r'� N �� �� �,,, � �t .. . ��. � ;l�,�t,':?} k:�� .�, :.:� � � s ,, , j �, c� ,'i .-, :—• ,�q-f� ,• .r"�, �,• �:r`= r. t� L� ;�w .......� � �._, l ' .A� � . y �' � ` � . � � � ' � �7\ � � � G' �,r..- et��� y� �y j3 � ' , ��� ' O !�� 7 ; / C`� �.�. _`� �� . . � z`� ,�� � � �` r"" - - I ��3FCT' S�y "u!Y'��'.� `C.. � r � �;,�j--•'r�-"�.��"e` � _..j � ��,Q ,t„1� -,�'r �L� —J r�� u� �. n / ��� � q t V_,i --yr - - - ... �;�•� . �r� � J ' ,y / �. ' :� . ; ,. a �., . ' fj �t� � , ___.,. �._... . ( � .:i.�`.' -.. :�..�..,�...�.� � ( �..-:..:..,�.-.- /� + ► f �� �J � �ii Sidh u . / � ` � r -- �. � ;�,7 ;f �;� �;� ,�/..:'- �, � ��� r � � � ,. !. � �,' . .,,� J°''�'k 3 � � / � �,��� �,::�h � �� P� � � �' �; f � ! _ � � 5— � r�� •4'�� � ' , 6r '' � s� ' f f�`. � vr � ; � ,�o �.s.+,."'� —� �`' ..,..�,,,,...,�„r,.,.�. / � FIN