HomeMy WebLinkAbout024-741-01-1204-LUP-2019-288 ��"-CdtG�L� li��� o?—a-�D�l ��'`'� Dze-.a ° � �
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Application for Land Use Permit(*Non-shoreland•) �
Sawyer County Zoning&Conservation �3
10610 Main S[.Suite 49 -Hayward WI 54843 ,� Q
715-634-8288 ,"_, i0
ProP�rtY that dces not h:rve w.�lcrboAies loca[ed wilhin lhc boudaric;. a .
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CQNSIIxU: . ... .. . . .'.REQU:RL;:�--.. ....� ::_;;;L:U. �
USE BLACK OR BLUE INK,MUST BE LEGIBIE OR APPLICATION WILL BE RETUW'IED. OC� r pJ
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Owner Builder
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Mailing Address Maifing Address I �
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City,Strte,Zip Ciry,Sta[e,Zip
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Day[ime hone I' M Da �Phone
Email:_�L1Q�(�.JJ�.1��4����—�L-F�-7L NG'�
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Site address of project:_ L/�(�� Sfote NW�V 7�./�a,��or applied for__._.._ —
construcdon(chedt one): � e
New r replacement dwelling/primary buiiding.Number of bedrooms:_ /
( ev+or replacement accessory structure (If adding) � ��
( )Additlon or al[era[ion to dwelling/primary buildinq.Total number o(bedrooms: py�
( )Addition or al[era[ion to acceswry strucWre
( )New business or use of exisling buildin9 �
( )Use of land _ _. _ __. _ 5
Construction Cosr.Primary Structure 4. __.0�0�,D U _ �
AccessoryBuilding:8 Addition:; r ,2
Additionalinformalion:__ I� Z
Destribe what you are bWiding.Lis[each project separatNy. �
Project#l.Size of foocprint.�a_ fLx �� R=�/r� sgft. To[al sq fC wi h �
eaves_. io[al habilablgspace includes bf[s/basemenLs .5(96__ ��-
Height from grade to peak:_ ��T ��.;fa�59�f
Pro' #2.Size of foot rint_ �
Jec[ P ��.— ft.x__. �� R=��..---�ft. 6 J Fi� J
Total sq ft . __ _ Height from grade[o peak:___ _ _. f
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Project#3.9ze of footprint:.____._ ft.x ft=.._ sq R.
7otal sy ft:_ Height from grade[o peak:_,
PLOT PIAN G
�� Show lat dimensions and indicate north. I "
Show the location,size and dimensions � �
of each structure on the property.Show .� �
new structure.Show driveway,location �
1�HS� of septic system and distance from �
3�, �` ` sRudure.Show the distance&location �
road centerli�e, lot lines & wetlands.
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_ -, m�.ng consru�,;.n nea-c�c^ne;;anos iwe>4 streams. �
We1lanGs Ihal are noi aswuale0 wiN upen wa1M Gn be
� AiKal�io itlMl��y.Fa:ure to c,;m0'Y may 25u11�in rempval pr �
motlifKation of Conslrudton Ihal v:olales ihe lax a d�M
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�dentAicali�we�D�o�centa:t a DNR Senice Center
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P �� lor access ro me{xoperty lor onsne:nspe tron UY Idunop I OAioah
PYa11B @I�I1e 12 rt101�15 kan tlila o(m0ue. !10 ' O
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�Oi �, l- property owner(or agent wi[I�Power o(Altomey).Prin[6 Sign.
�s�Q�_._c,�5n o�cn�k��S-�_�nitialled by AUG 0 1 2�19 ,
3/I/2018
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