HomeMy WebLinkAbout002-184-14-0100-LUP-2002-387 � �';'/�'l �/f/1��1�'/(/% �,, �. ..� L-- _
Application for Land Use Permit � .� �
� a
County of Sa�vyer C .� ��?���7 � �
PO Box 668 -Hayward W1:4843 �; �!�' `/
715163�-8288 G
he undersi�ned hcrtby makes application for a Land Use Permit and agcees that all�vork� �
Zail be done in compliance with the requirements of thc Sa+vyer County Zoning Ordinana� V�
nd the laws and regulations of the State of Wisconsin.CONSTRUC"I'(Or MAY NOT� ,� �
tEGIY UIYTIL THE PER:�IIT IS ISSUED. �'���s
PR1�'P-USE BLACK I�K OR PEI�CIL � �
/� /� �
t'hJe '�l_�Hrc l �-r�c�,1^i A�1.,.,L.� �a„�� rs� ^c-.a�-,c�� (ti- ` g �
)wner Builder „ , ' o
� �
l�Yo3� Na���a�L���- �' ;
�i l �L.tn� �-��._____ — �_
,4ailing Address Maiting Addtess _ �b
Peei,���� VAI�eH kUtinps� 1��1��r t� ' �y��j � n
:iry,State,Zip City,State,Zip a � �
Soa-��(I— ���-3_ ��� -�3y- ������ � .�
�aytime Phone Daytime Phone �c�
3uilding Land Use p
)New O Filling Zone District 1C �—'
�Cj Addition ( )Dredging �p-
)AI[eration O Grading Lot Size � S `
)b[ovin¢On ( ) = � p
: ) ( ) ac�es . 5�S = � �
_ ,.,
Primury Stnicture Accessory Building A�ditioii �0 _
� )D��elting �Gara -attache etached ( )Deck � ;
O Fear round O�:of ca a s O Porch � �C
( )Sea�onal ( )St��a�e Buildin� ( )Enclosed � i"�
O Frame built on site O Screenliouse O Living roont � IUl
( )Modular!manufactured ( )Grecnhouse ( )Kitchen � �
( )Mobitdmanufactured ( )Uther ( )Bedroom — �
( )Othcr primary structure ( ) ( )Relocatelcnlar�e o 0� �
( ) t ) � )#of neti�• I
Type of Constniction I `
( came ( )Log ( )Putohnetal ( )Block ( )Concrete ' I `f'
( )Other ; �(f�
=
Construction Cost S �l,o�l����U <
� �'
Vol r�y i Pg1�_�of Deed Ce[tified Soii Test� (, � - 3G z Lw
CSM Vol Pg Sanitsry Pecmit� C� ��/ 'Z Iz
Plot Envelope Or: ' F
Condo Vol Pg Year 1ns�altcd �
AfCof e�sep�ic V P O��ner Whcn Insialled: �� z
�
� ����
Sent By: Sawyer County Government; 715 638 3277; Aug-31 -00 1a:07; Page 2/2
:�TM;
„�:�
Application for Land Use Permit — Page 2
• ,►
�Scsc�ibc Construction: List dimensions of each structure, srory, addition, oc alteration.
�j` � #2. K3. #4.
Size' �`� R. wide ft. �vide ft. wide ti. wide
'�� _�� ft. long h. long ft. lon� ft. long
Floor area 7/0� sq. ft. sq. ft. sq ft. s�. �_
�.�t C?om 8rade..�Q to P� ft. hgt. R. hgt.
� ft. hgt.
,�ories / ��-- stories stories stories
t�.oF 6edrooms_�
, ' rear loI line or�vaterline of lake/river
!u the box sketch in: �
Location and size of all
existing and proposed structures. N
Location of septic system.
inJicate distance tu:
�Vaterline�Wedands
Road
Lot lines
Septic systenVpri�y ,�
«'ell ,� � ���,k`�`P
Distance bet�veen structures. /��r''
Indicate l�otth.
Fire \umber. �/�
-� ► � y I�l Q - � - - _,
, ,
, ,
,
: � ,
- �- �a w � �z 1
� ` X g I 1.,. 0�0.ti �JY �,
1
� , c�� H� u ,o:
� �
z
5ignature of »ner
,
Tlie abo�e certitits tha[the listed I�� ���
infomution and inteneions are crur and
coiTcct.The abo�e person's�hereby
efve permission for aaas ro thc
i±roperry for onsiec insptction .•----- centerline of road-------
(ssi�eDate October 9, 2002 ErpireD;tte October 9, 2003
OffccC'ommcnts� (.�C/�%CG�L.1�C�1//"/��%���� _...
Signaturc u1 Zoninu Administratur