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002-184-03-2300-LUP-2001-051
. �% �J �"_- Application for Land Use Permit r ,� � � County of Sawyer . . ,. t�j�" � � � j_ifi i 1i'�,...lY i � PO Box 676 - Hayward WI 54843 ��� �w �- '`���- `�x ' 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.CONSTRUCTION MAY NOT � BEGIN UNTIL THE PERMIT IS ISSUED. � ,n�l�`� ��„ �,(� PRINT-USE BLACK INK OR PENCIL � I i I ��x a Z��A-r-� �h�-��,hl s;�,� �. o� Owner Builder � o �25�/ S,S�io�e �/�� � � Mailing Address Mailing Address � 'w`1-c�'13�i�� I?/l�t,�. SS �/c - - - - City, State, Zip City, State, Zip /--��� - ,�y� -o��� 2 Daytime Phone Daytime Phone Building Land Use �New ( ) Filling Zone District � ���Qss ���.2 ( ) Addition ( ) Dredging ( ) Alteration (� Grading Lot Size (�� •< - �� Pi'»X,� � ( ) iVloving On ( ) ,� ( ; ( ) Acres � � ., � � Primary Structure Accessory Building Addition ° ( ) Dwelling ( ) Garage-attached/detached ( ) Deck , o ( ) Year round ( ) # of car stalls ( ) Porch sti '� ( ) Seasonal � Storage Building ( ) Enclosed � ( )Frame built on site ( ) Screenhouse ( ) Living room .� ( )Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Mobile,�:na:�ufactured (� Other / ( ) Bedroom .,� O Other primary structure ��(,��r�.,r� Krds p�yl�o�r.r£ O Relocate/enlarge � ► ,J A � ) ,,�/ �X�5.�ta.11 �X/� �11.;.► � ) � C�f ne�'l, ^' '�Q Sv I �iv.�,.'�a/ �u..l�to-w�Q-C c � � n Type of Construction f' s '�� � �' � A ( ) Frame (�Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other � ., � � :� � Construction Cost $ �, C%c�L � � 1 { Vol�(�Pg /Da of Deed Certified Soil Test# 79'-Oo"t8 � � � � � _ � � CSM Vol Pg Sanitary Permit# �J - Q�'`� � \ ` �^' z Plat Envelope Or: �,V(� Q5-�ba �,� � � �'� Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � �� °� ;�1a`� Application for Land Use Permit—Page 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. ' #1. #2. #3. #4. Size �� ft.wide ft.wide ft,wide ft.wide � �p ft.long ft.long ft.long ft.long Floor area I�!, 1 sq.ft. sq.ft. sq.ft. sq.ft. Hgt.fi-om gade ' - ' to peak ft.hgt. ft.hgt. H.hgt. Stories stories stories stories #of bedrooms �K/(� l��;N `�,�,� �� rear lot line or waterline of�>-' � ; �� A-Yc��-' lake/�r 7r � �g(/� In the box sketch in: � -� � �� � � � � �`'��' � � � � � � L,ocation and size of all � t�� existing and proposed structures. t` I 5 g�X�`/'. Location of septic system. GI K��'%NG L_. 0� ���/ Indicate distance to: � � �- ,�Et� 9D�Waterline/Wetlands � � �DP`K \x� ��� �� Q �„ 3��Road u �5 /6 i� � — 7 �S�/1 oLot lines � — — — P PoSf a ! �I� � ��` Septic system/privy v 12��II l d y, K4��/ J /if Well �_ r ,�s..\ �� 1- Distance beriveen structures. � � � � �� v Q Indicate NorCh. � � �� �� r� Fire Number: I ���r�>�"�,J ����'�,�/ � _-- . �� I ��r�4 32 - �� :��_. `` � M � � c/� � � �� �o �1 Signature of Owner ti �p�U�u/ The above certifies that the listed information and intentions are true and I cosect The above person/s/hereby give permission for access to the property for onsite iaspection. �� -------Centel�lne of']`���r'ti����1-t<.:.-r-` Toad------- �yl i �o��s:� P��uu� a�,-kor fo2�i�l���; c��Z,Urb�/i S��z-�.�itiE kc pi,u�mai�i(, ��P 3��i���ue..c.� Issue ate April 6, 2001 ExpireDate April 6, 2002 Office Comments: ��(/�,/���i77�Ti1• Gi�7'��1 Signature of Zoning Administrator �s \ >>� � ',��o� a�' y� ��ti ��� � � �^JK \� \ ti� �' \ � ��\ \ \�� ��� � � q \q � /,�� ��y. \~' 0 \\ \�\ \ � � ��\� l ��\o ��\\ /� \ �\b � � / �\ �'h�`' � �C� \ �g�� /��\ \�� %� \ > �•y`� �t��s• �ati � /O �\ \�\Z' ��J�i��� � \k.y J 23 O \ �� \ qk R5 A�9 \ � \ \\\ �q�6 \ \ \�\� � �a b �Y/_� �\�q\b � q'I _7� �. \ \ �q�9 Q� / \ \�� \�>� \�'� \\ �q)'h � \� �� .a � ,� � �� �E7 I INCH=9zr' FEET FOR ASSESSMENT USE ONLY NOT rVN BY: DATE: INTENDED TO SHOW CONCLUSIVE ON (:) INDIGATES GOVT. 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