HomeMy WebLinkAbout018-837-15-3401-LUP-2020-385 ___ -- --- ----
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wer�nrrconen�o�vvuc�rioN nno ��qnON FOR LAND USE PERMiT � �
c�ro: �PPI.. - - - �"
Sawyer County 1 �. w R � I �� �v L O � �
' ,v Date �
Zonlns Z Conxrvatwn Oepati 1 i t'--��j ,� � � ' 1� �
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10610 Main St Suite 09 � { �— � T._,
HeY+�'+rd.WI54843 � .
,��s>6�.8�� j SF� G 9 2�2� Chk# .s�,
}� 355q c�
iNSfRUC710h5�.Nopermitswill0ehweduntilsll�eesarepaid. \ ---- -__ RCKI�TT � �
Checks an m�de paysble W:Sawyer Coumyloni�Departmart. �,. � ... . , �i
DO NOT START GONSiRUCTbN UNTIL ALL VERMITS HAYE BEEN ISSUED j���T: �;!('Ii�{�I�ppplifetiOCFMUSt be submitted FI�L OUT IN INK (NO PENCIL) � ( �1
— . .,r�4 \J
Ovmehs)N�me: Contncte�(s)tJame ���
��C G� o� L0.�Zz1�-- ��lnM(,�C� I ` �
MaiWng Address: Mailing Addrcss:
�3tI6W CA�, �2� C 6xe�Qti�' �J..L � °�'
rekphone: 3 rNephone: � �
� CNI Vhone: ..�� �j��4��.,./ . � CeN Phoae:
Ske address: f Or Date applkd for.
lega PIN t V r 3 Tam of: !� o �
Vamrit OeGvery Method II Owne-1 n Mail pwner c GII Cont2c[or u nnail Convac(or
� k Property/land within 300 het of River,Stream�ww.
Distance Structurc is from Shoreline: is your vroperty
int•munerrc) � Are Wetlands
feet in cloodplain
Geek or landward tide of Fbodp�ain7 If yes--continue Present?
i ShOfBlind Zone7
Yes
:J h Property/Wnd within 1000 feet of lake,Pond or qowa�e Distance Structurc is hom Shoreline: Y�` No
� , . -.o.�,. __ —1 feet No
i
o-Shorcland �
Yal�Pk�^oi Total#of What Type of T
Project Projed bedrooms Sewer/Sanitary System�s) YPe of
'"�c�`'�' P�Oj� NofStories Foundatbn Post Is or the Droperty or Wateron
doeated t�re& proper[y
macerial construction W ill 6�2 on the property?
•New Construction '� 1-Story -= Basement � 1 YJWeII
s -� � `
(-� i Septic System
wvenini - J 1-Story+ Crawlspace � Z Speciry7ype:&Capacity None
Addition/Alterotion Wh < 5'
i S
� ��' _: Prnry(Pit) or "!Vaulted(min 200
� �ccwory�bi 'Conversion � 2-Story }d Slab . ' 3 alionl
i g
5 I��I RelO[]te(exlrting . _
e�eg) _ ': Porta�k(w/service wntraa)
weno�/iu..no� �Chan`e of Use - None i5i Other:'f�G�f��il!' I C�6)��
f
C
Heieht:
Square Lowett
Proposed Use � Proposed Strudure Dimensions Footage Gnde to
Fiighest
Peak
��. Principal Struaure ( �v x�-�E'. � /�/ � -^� _� <—V
l7 Ft-�1� �-'�
ty Residence ( X �
Ft.
with Loft ( x �
Ft.
I� Residential Use wfth a Porch ( x �
Ft.
wtth(2"tl�Porch ( X �
G Agricukural Ft•
Use wkh a Deck � x �
Ft.
❑ Commercial with(z^^)oeck ( � ` �
u� Ft.
with Attached Garage ( ��x SG, , �q'], FL�� ��'�
❑ Munidpal Use � X �
v
�] Mobile Home(manufadured date�
Ft.
❑ Other ( X �
. ❑ Addition/Akeretion(explain)
ft.
� Accessory Structure(explain) ;+�,-„1�p � ( �1 y x 3G� � r��
r�. ! — '•f f-i i{.< - t Ft.�L
��, � Total Habkabte: i� �
� '� u � GS
� TOWI Non-habkable:
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