HomeMy WebLinkAbout024-841-11-4308-LUP-2019-104 X n O A � __
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Application for Land Use Permit(*Non-shoreland*) � '
Sawyer County Zoning&Conservation � � �
10610 Main St.Suite 49 -Hayward WI 54843 °r � � �
715-634-8288 �, � �
Property lha[does no[have walerbodles bcaled withln Uie boudaries. �C /
C,s., � �
CONSTRUCRON SHAL_NO'_[it_C�tf�l JN��ILl�LL REQUIRED t'ERMSTS i�IAVE iiE[f4 ISSUED. F� �
USE BIAGK OR BLUE INK,MUST BE LEGIBLE OR APPLIGTION Wlll BE RETURNED. �
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SCc�-�- �-l��r�x Yh��mur]n 0
Owner Bullder
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lO3 P�FrrUNS+. Un�� � — �
Mailing Address Mailing Address �
1���"�� m t�VT 53Cx�l � �
City,St ,Zip �— City,State,Zip 'Z
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Daytime P�to�e � � haydme Phone � � d
Email:�f �'7�� I� GL{�. Cy � c
ry �
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Site address of projecL__ _or applied for �S v - �
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Propo�ed construction(check one): .'o �
(Nfle�+]or replacemen[dwelling/primary building.Number of bedrooms: � � R
( )1PE.v+or replacement acceswry structum (If adding) � �
( )Additlon or al(eratbn to dwelling/primary building.TOWI number of bedrooms: �
( )Addition or alteration to accessory struaure �
( )New business or use of exis[ing buildin9
( )Usc of land._ . (��1
Conshuc[ion Cosh Primary S[ructure$�7 C��'. �
Acceswry euilding:S Additbn:$ ,2
Additional Inlorma[ion: Z
Desu•ibe what you are building.Llst each project separately.
Project#i.Size o(foo[print:_Z��R.x Z:", k=�Qsq f[. To[al sq ft:wi[h p
eaves�p0 Total habitable�ce iricludes loftr/basements !'-I'-�O 9,,
Height(rom grade to peak: �3 O I-�- �
Projed#2.Size of footprin[: ft.x R= sq k. �
Total sq k: Height from grade to peak:
Project#3.Size of footprint: ft.x ft= sq R.
Totai sq ft: Height from grade[o peak: L
PLOT PLAN o
Show lot dimensions and indicate north. � o�
� p��C I_ _ '(� Show the lowtion,size and dimensions
jt ���,x of eaCh struGture on the property.Show �
new structure.Show driveway,location �
of septic system and distance from �
structure.Show the distance&location �
road centerline, lot lines & wetlands.
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'You aic res�wn9b�c la CAmplying wilh Slale 8 Federdl laWs z
"�,� 1,E7 I I � n� I S conceming conslruc:ion nedr or on x�ellands,IaAes 8 sireams,
V vU WeYards Iha�are noi auocialed wiih open water can he ,,,�
tliKall lo identily.FaiNre to mmply may resul�in removal or
��x �C2 moadicairon ol wnstruqion�hat vidales IAe Law a dher �
Z� penalies m wsls.For mae inlomial�on visil ihe�NR wellands
� idenbfitation we0 page or contaCi a DNR SenKe CenIH.
The u:qersqneJ ce�Llies IlulOo 45�¢E iNqmalwn yip inlen. 9
Ne���e�-�- Proy�er� w��m�,�a��maiaii..oa9wnn�c�n�a��
mmptxnce.;mMerVuaemennaluw5a+nercan� I
p Za ep OrMaive d 0 Ne Im xM egulalmy I Na$lale d
L`� V + I O� ��: WscansiniAcunCers5nMWrsonlslherebY9neVaimusion
br aw:ss lo Ne piopetty loi ons�le�inspecpon�y IAw�cpal Of(iWls.
Permils eMpire 12 monNs Irpn dale ol issue. NO �
ISSUED. I �
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'y al Sign tur a�roperty owner(ar agent with Power of Altorney).Print&5ipn D�—� r�����
F�`+ ��� f Cash or Check x,_��L_Ini[ialled by�
s�uzoie APR 2 5 2ptg
SAWYER COUNTY
ZONING ADMINISTRATION