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032-540-30-3105-LUP-2004-127
/�� Application for Land Use Permit �� y . County of Sawyer R � PO Box 668 -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 requiremenu of the Sawyer County Zoning Ordinance �( � and the faws and regulations of the State of Wisconsin. � ��,, PRINT-USE BLACIi INK OR PENCIL � �-- �^ ` � M J6��'.r/ `i ,<,'��1f`.i/� ( �i��i [, .h/i'%/�i.�l/C/� g 1 Owner Builder o� � �3 �i.3 � c��w��i�s%�� �r��/ c:� �y e ���,t� �d � � Mailing Address Mailing Address �\ CN'! � C �a�o� C�/�zi�%/?i C✓� �i l-/,��� � V Ciry,State,Zip City,State,Zip — � 1>,3 3 7 � `-l�G�� �� s ���` 'Z"�i`��' � Daytime Phone Daytime Phone � Building Land Use ��'New ( )Filling Zone District ��� ; )Addition ( )Dredging 7�1� _ ���n�� � ).Alteration ( )Grading Lot Size J )Moving On ( ) � _ � ( ) Acres �� 3 - c 'nmary Sffucture Accessory Building Addition p Gara e attached/detached ( )Deck S fJDwelling � ) 8 - J/�Year round O#of caz stalls O Porch a ( )Seasonal ( )Storage Building ( )Enclosed y Frame built on site O Screenhouse O Living room ( )Modular/manufacnued ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom (,� )Other primary structure O O Relocate/enlazge � R� � � � � ( )#of new = I�� ype of Construction �- L �Frame ( )Log ( )Pole/metal ( )Block ( )Concre[e - � )Ocher " �v I(!J �/ �D Cj � G onstruction Cost$ � � ol �`% Pg�of Deed Certified Soil Test# c" `! ( ' � S'vt Vol f% Pg , Sanitary Permit# L�' (�'1C�l C !at Envelope Or: z _ � ondo Vof Pg YearInstalled I� .�of ex septic V P Owner When Installed: F 41a� �� 3co3�7 Applica!ion for Cand Use Pemut - Page 2 Dacnbc Construcuon: List dimrnsions of each structure, story, additlon, or alteration. �I . i7���[. L �1/E�- k2. ��/I(/NP LL.�/C;L #3. N4. Sizc 3 � ft. wide � .�a ft. wide�i/42�v� P,. wide _ ft. wide � ft. long a� ft. long ft. )ong R. long F;oor area '�� ' sq. ft. c��� sq. ft. sq. ft. sq. R. Hgt 6om g�acie�_ co p��k ft. hgt. ft. hgt. ft. hgt. S�o:ies � stone5 srories sWries � uf bedrooms ,�_ rear lot line or waterline of IakcJnver In c'�e box sketch in: � �n�� Location az�d size of a)1 exiscing and proposed s[ructurce. I Location of septic system. Cndicatc di>tance to: i ��l'aterline/VJeUands I / � le� �� L- Road l J1 �,.�-,� :.ot tincs Sephc sy5tem"prrvy '` Well '� Distarce benveen swc!tires. y�—� � L � Lidicatc Nurth. 7�/'/`� �" � ' � fi � N��>�� Fire Ncmbzc �L�� i (ZP2Qtn�/ �„�' c r' _7`r—� - � � ' �� � � igoature of Owner �' : Thr ebc�e cccAt�<�Uwt[he lisied . �� in(omunor.enJ uitennons arc true and eorrr.c. "Ihe above person's'hereby � % �. grve pertr�esion (oz access to the ' 7ro;,eM for or.site inspcction. """' ce(iCetline OF %J i=f'✓G/..iJ G�L � road-----• [ssuc Da:c _May 4, 2004 _ Expire Date M�y 4, 2005-- - Ofr:cc Comments � SignatureofZoi ng inistracur -!!`� � �1 11:26 F.� 715 8�4 1082 RE-MAS HAYW9RD f���2 i%OO FRI 1D:17 R�IS 71S61d68J9 Sawyer Cn R..O.D.!]'reas ¢J00 r— i , i SAWYER COUN ERTIFIED SURVEY MAR � ' -� -� �.�. �r�� �� �� — _ c�aw� d,�,. �«h _ . �,E �: ' F1Y1�$4���-�� � �y tit0.�r' MW� � hT1.�7' �4' �• � `� �. ¢eurJ LYc'a.v. nroK �pe �f{6� Wt�61 Ws 0.a r� �c &�t�(er►l�n'aF fWui� 4� I A�itnqqi reRarcret��kc e�;f•we�V}4 Uic, � 9�eW�d j'e jm' 9Y�38+If �rsr. I � I � - � . �i _ I4 � ���}ik fs3rt t7+4qiy� pi,i�3 A � . �St s Ac. 4'lf:� ft76�Ae. 4K.t�. ; , j � � y (� `� � � � ~0 � �� �� �� v . � l �t •r�'.100 M � 1 _ s� i1 � � o l� S.�' M+o �! � � 1 � , * P � , � _ � 3 R � ,�w� s a ��w�ior .F os.rt�� w ► � �/✓'�� C' ' • � �{�jg �flli Uo'19. � , � •' C s ,� --� � 0 � � w � � " oa � � l� � . �s,rw - � �• Hv • OHo�Ei �'aa.�rr p �tvl'Mi./cf_(ik•t»M4�(}� �ivid f R' . Qewtos �o�+rwr �ri! fc wFc, . R ts�u►! fad �er W �r q,ss• � �°.�.°�°. 1 19 8 2 6& ������ soarer couo�y �' � � `a �G ../�, .�ee ca:�e� 9 aov d �; � DAVlD F- �' d�a►.�+ a n t �a��e.aoot � Tn cva nceedoa in,.ot� ; _ WEDER �*� aas� 9 * 6-1737 = eiract+woOQ � _ �' � � � �� -i {'+-- �� s�y�` � �'�K�: �. � i .u� '' 1 :��. — ��«� i ..g-r� �oNN ..� � � � ��. cE.�u;�a s��. Nn �3G $ �2� 7.1 .8.1 � 2 J 4 5 6 7 B g o,0.3,26 ,29 3.32 5.35 S38 5.40 5.43 S46 /4B S.S/� p53 5.52 3.4i 3�.p{- 5.23 5.52 5.0/ 5.0/ SA/ 5.0/ 5.0/ „ ;gi '' N M � � (fl f� I � N m � t17 CO f�; � � � _ — N 1'n � p O O O O O � � m ai 0� 0� � � 0� oi m 0� o� d�'i � � `- .10z O N 4 3, 4.24 3.37 .��.� o...i .{��,�2 � .��.3 3.46 sv � .sz i2.2 N 12.6 ' .i2.s _-------� .�b.2 % �// M � N J 2.5 �, /,� , N � �( � i5. NOTE! Deed �aps an,d � SCALE: 1 INCH=400 FI overlaps in th�s are�. COLON (1. NDICATES i