HomeMy WebLinkAbout018-837-20-4401-LUP-2004-286 �,b� �Shor�lc��1aC ���?C�'�'� '
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Application for Land Use Permit � ' . '; y�
County of Sawyer �� J U N p 2 2004 � �
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PO Box 668 -Hayward WI 54843 ,:r•..^.t;" . •
715/634-828R Z;,na.��;+�:r4�� '"'� �
The undersigned hereby makes application for a Land Use Pemut and agees that all work
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance 1
and[he laws and regulations of the Sta[e of Wisconsia -�
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder �'
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Mailing Address Mailing Address
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City,State,Zip City,State,Zip p
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Daytime Phone y �R Daytime Phone U
Building Land Use
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(J6 New ( )Filling Zone District
Dred m �
( )Addition ( ) g� g
O Alteration O Grading Lot Size X �1..� �
( )Moving O� ( ) o
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Primary Structure Accessory Building Addition ;� �
(`.J Dwelling (�;�Garage-attached/detached (�)Deck �
('.�)Year rouod (2)#of car stalls O Porch o
( )Seasonal ( )Storage Building ( )F,nclosed
O Frame built on site O Screenhouse O Living room ��
(�Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlarge
� � O O#ofnew �
Type of Construction ��
(�)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
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( )Other "
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Construction Cost$�r`� �� ' �
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Vol�P� //5 of Deed Certified Soil Test# N � C °
CSM Vol P€ Sanitary Permit t1 O�/-�B/ � N
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Plat Envelope Or: b�
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Condo Vol Pg Year Installed � I_„
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Affof ex septic V P_ Owner When Installed: �
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Application for Land Use Permit - Page 2 http://sawyercountygov.org/lup�,gZ.htm
Application for Land Use Permit - Page 2
Describe construction: List dimensions of each structure, story, addition or
alteration.
#1 (Principal) #2 (Accessory) #3 (Accessory) #4 (Accessory
Size C:,� _` ft.wide `F ` ft• ft. ft.
wide wide wide
Size V -' ft. '_��� ft. ft. ft.
long long long long
Floor `12� sq.ft 7(o$ sq. ft sq. ft sq.
Area
Hgt. from ft.
grade to peak hgt. ft. hgt ft. l
Stories '1 stories stories stories sto�
No. of
bedrooms
---------rear lot line or waterline of lake/river
1 of 3 5/21/04 9:26 PM
Application for Land Use Permit-Page 2 http://sawyercountygov.org/luppg2.htm
In the box to the right r 1
sketch in the: � � �
Location and size of all
existing and proposed
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structures. L� ` fi v�.
"�,.��4�� �aa`
Location of septic system. --1,�a� k�
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Indicatedistanceto: � ��/�`���
',y r'
,.X.t'�}� �50�' '
• waterline - �t ,� ►,{�� {
• road(s) ,t i'� �- � �
• lot lines � s
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• septic system f� �l
• distance between '"{ V
structures
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Indicate north — u rl�--�r-4-
Fire Number:
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Signature of Owner
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------Centerline of---------��-�=�`- �- �`-'��---road-----
Issue June 22, 2004 Expiration June 22, 2005
Date Date
Office comments: -"!���,e�, �
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Download Application for Land Use Permit-
Page 2
Note:This document is in Adobe Portable Document Format(pd�. Adobe Acrobat
2 of 3 5/21/04 926 PM
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5awyer County,
My property at 971N Zettel Road will be being harvested for hay &
sold. If you have any further questions you may contact me at
(317�58-2110 or (715)943-2052.
Sincerely,
�-�a�.��-�—
Doloris W. Beyreis
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