HomeMy WebLinkAbout030-737-25-5617-LUP-2020-446 SUBMIT COMPLETED APVUCATION AND .--����r�� r%� ^ ��-',� �
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30610 Main St Suite 49 i � �(���
Hayward,WI54843 _ � �CT • �J Chk# G`' ►
(715)634•8288 � � � �
SA�NY�`� COUNTY RCpt#_ � J �7,�, � � ��`
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� Submit[al of th„ VP �,t,o.�ci e Vt�r�c� 1 �ot��•� t t t y rr..� ..rcc.
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, �GIY �C�Uct � e j e -� • .��. �
'�. Mailing Addreu: Matling Address: �
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,_ Site address: (rG C�� .� Or Date tor: �_ '�
, �e,�acYv�Nx �I ��V"� ���'��� _ ✓W 17 �___=_Townof:__ ���� '`�1�� ,
' Pertnft delivery Methad I �Cy1kOMmer i'Maii Owner �Call Contractor �Mail Contrector I
�c�s Property/Land wRhin 300 feet of River,Stream pnd. Distance Structure is from Shore�ine: �s yrsur Property
�. ��e,m�e�t) —i ' .� .,.,,,:,._., RreY4eHand;
� P y �7� feet .
'� : Creek or Landward side of Flood lain? If es---contlnue j ; �-� � - ,
Shoreia�d —�, _ _---,._ ._-- -- , �
'�. Is Property/Land within 1000 feet of Lake,Pand or Flowage Distante Structure is from Shoreline- � � �
'�. I!yes---continue � feet ;
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I n�,-sna.��a 1
� Deu�ibe DrojeR
Value at Time of Total tt of
Project type Foundation What 7ype&Capacity is the
Completion Number bedrooms
(House,garage,shed,deck, (Basement, Sewer/Sanitary System�s)
��'� ``� Addition,et[...) �Stofl05 . ��'.
Crawlspace,
'`� ` Listseparately Slab) �{' "���;;nn
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owe��,�g ^ �ir, ,�� C ori,►,�, r�o►v nt D Q n i
U�'l('�;tion
5 F C�D �n L
accessoryBldg � F�tZ(„�
S
Addttion/AkaaHan
Height:
TotalSquare Lowest
Proposed Use � Proposed Structure Dimensions
Pootage Gradeto
i (multiply per Highest
I story) Peak
( x � i � �
�� ��:' Residence
� Ft.
with 2nd story or loft ( x �
Ft.
������ with Basement ( X �
Ft.
Accessory Structure(e=elain) ( x 1
� ResidentialUse raeta�n=aonee�.:nea�,noa:no�k,,e��� ft.
Deck/Patio ( x �
(� Agricultural Ft•
Use Porch ( X �
Ft.
—I Commertial/ Attached Garage ( X �
F[.
Industrial Use
(2n°)Porch/deck/patio ( x �
Ft.
_ Municipal Use
Dih2f(explain) t X '
Ft.
� Other X
P�I�CIp31 St1UCtU�O(Agrimltural,Commercial,Municipal,Etc.� ( �� "�') �
Ft.
Addition/AReration(e.oia��) ( ` V � �
✓ �11uG�roo.-►� r �! � \G�. Ft.
� Total Non-habitable square feet:
Total habitable square feet: "ty
\v , � (decks,patlos,garages,sheds,storage area&other structures)