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014-842-11-2101-LUP-2003-479
Application for Land Use Permit o o ' County of Sawyer V � PO Box 676 -Hayward WI 54843 � � 715/634-8288 ` The undersigned hereby makes application for a Land Use Permit and agrees that all work shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance � � and the laws and regulations of the State of Wisconsin. � NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. PRINT—USE BLACK INK OR PENCIL I � �S Aw�s d 2 �o��,v 7`� L.f!1 R 7 TS. `tF f�o,�e H� �!. t�o%?� c Owner Builder °' � �/0 G(o .�tl,�r�v 5�� !1rN yi 3od�` S f. o. Mailing Address Mailing Address � � � �/i �9 k�.�2� � W r .�lf�9 3 Cca.2ti�e,L�i lu, s4 7 3 �-- n City,State,Zip C;ty,State,Z:p � '7�S— 6G7-33y�+ A Daytime Phone Daytime Phone � � w Additional Information: Zone District F�1 �° � Lot Size + Date lot was created �y'35 Acres -�/a * Is the property in a Shareland Dish-ict?(within 1000'of a lake or pond,within 300'of a river, a � creek or stream) If yes,how far from the shoreline&water name: Is there wetland near the proposed structure?If yes,how far � Building Land Use 'G � ( )New ( )Filling �� Floodplain:( )Yes ( )No # ;� � ( )Addition ( )Dredging � G� (�Alteration-d'k�� ( )Grading Chippewa Flowage: ( )Yes ( )No � � ( )Moving On ( ) �^" o ( ) ( ) Driveway:( )State ( )County ( )Town Rd. i' �� � Primary Structure Accessory Building Addition w I ( )Dwelling ( )Garage-attached/detached ( )Deck � � O Year round O#of car stalls (n)Porch,. g�c s�e�/ U �` O Seasonal O Storage Building (4)Enclosed r � i O Frame built on site O Screenhouse O Living room `,, p ( )Modular/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primazy structure � ( ) ( )Relocate/enlarge ( ) ( ) ( )#ofnew > � � Additional Information: " �����.�a���' C�cn� l�-Y-�'�- iJiv �)� / � � �' �GJJ c"�('-C/�'/ }CZCl71..c.�','�< L/L,Ci-c.CL f� // ,/�``v � � {at'iCftGt<,ei L�. �����yi/��.L���✓ ype of rlstru�r ion � (�Frame � ( )Log ( )Pole/metal ( )Block ( )Concrete o � ( )Other � W V Construction Cost:Primary Structure$ / � Accessory Building:$ Addition:$ /���t�, ��a �z '7 ,2� �c/ 7y Vol r�v Pg 3�i of Deed Certified Soil Test# � CSM Vol Pg Lot# Sanitary Permit# �' Plat Envelope Or: � Condo Vol Pg Year Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg Previous Variance: LUP: Inspection Date: �/5�� �l9(rZ5 Describe the construction using these columns.List the dimensions of each structure in a separate . column.List each story,each addition,each alte�ti4�in a separate column. #1. #2. #3. #4. Size�_ft.wide ft.wide ft.wide ft.wide /G ft.long ft.long ft.long ft.long Floor area a ak sq.ft. sq.ft. sq.ft. sq.ft. �, Hgt.from grade /�' to peak ft.hgt. ft.hgt. ft.hgt. Stories�_ stories stories stories #ofbedrooms �;.Me, �e�k �p S(Rr�.� P,2�h Lot Line or LakeBiver name: 1 �� � !w��D � ' 9 `�� �-7 KDQ' ,.Sd� �he�>Z �� ��: �p -��_ � �J , �`r �,� _ __� � /c � �, 3�r /�( � �, r / � C �G �"� a(� � L�¢ �O,�D ���r i Fire Number an Name of Road��;�9/ 1.Fill in lot dimensions d indicate north by arrow. Signature of Owner or Authorized Agent: 2.Indicate location and size of existing and new structures. �� 3.Indicate location of well,septic tank,drainfield. �3��; � ��� � � 4.Indicate distance to existing structures,lot lines,septic system. 5.Indicate distance to the ordinary high-water mark of any lake, pond,river,stream,creek,and name the body of water. armt Name: The above certifes that the listed infortna�on and intenticns are 6.Indicate any grading or clearing in excess of the conshuction site. �Ne and corre�i.Tne above Per�o�s�s nereby 9me Perm�55�oo ror access to the property for onsite inspection. 7.Indicate distance to any wetland. Permit Fee: AuQust 11, 2003 (/L� �' �- — Issue Date Signature of Issuing Agent August 11, 2004 �0-3UA� -� � Expiration Date l�— 2 2-.?Gc3 ��L� �''-S� ��-gq��.l�-i���`t-�' �� '�''`/����� ,� c�.y��,,,ec��6�+u�. Co-G�� v.�.i-Q G�- �,�,��W"v,��� c�w�,�� �'�-�t`ifU a� �,.e Of ice Commehts: Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: --.. _. . - - t-- .-��-----1�-�-� j�--.- + _.-r-�- � -t-�_....�- � �—T—"t -._i. . ..'�--- j �-- - t-�_.-i � --� _:.�r-�_.._;��-- _ ; � i , � ` � � ' -- � , � , ! � _�- _ r-- --+ - - - - - 7 -- -- a ---'r - r--_ _.i_ � . � .._{ _ i _ _r -- �-- �- +-- j— __�-- � � i � t j � • �_.. , , � � I i i .�..' {� I �- � , ; � 1 : , , , i , � i � __ _G— — -- '-- � • ` ' �— --- '— �-- . ---- r --- _�..__�_—� L --�-- —,___—�--.� Y�� — --�—--t--- � ;� i �� � ?. � i i ; � � ' ...i �----i----r- - { -i. . 1 , , ': "� ' ! �Y + I , � i � i i �. � i � i � i � ! i � � � +-- -- --' � i t f ' ' ` + --�-:--- ' --�---' +---�--�� -�-- --i-. --�-.._.� ,_ �- - j --� - --{- -f___ !- -±-- �_ + — i , -t--�--'-�-� 1 ��- i i � j -�- 1� ! , � i � � � . i , j ( i , , , i I + � j � i � i ! • � �_ i i i i I -- �___�� �__�___ �--t- ------,---r-- , - .�--t_.�__ _--t-_-�----�--1-- ; ; � � , , � ; ; � ; � , , , : — ' � � � � ' � ' -- -- — �---f--�--—�—�—{--- —--�----r---r—�—+-- —, � ; � , , � —r---�—_;---?-- ;--,---� —r— , : ; — --: .._' . .--- — , , —t—--7 , #---—I --}— � , i `: � i i � � i 1 i I , � 1 � � � S —�— t � � � � � _� --�.__—+— —�—" I --�--i---f---�---}-- — -- —t—-- —�-- s� �-- , � a --�---�— � ` —�------- , ; i � , —_}_�__t_ I ! � � � � � _� ' —+— '—�---�-- —�----E---�— — , --t— , -- — -�----�-- -�---� i--i---}--}'_---�—'r_-�_ � i 1 --�-- ! � � ' i i ! 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