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002-184-15-1300-LUP-2001-356
\ � Application for Land Use Permit o o �� County of Sawyer v � PO Box 676 -Hayward WI 54843 �j _ � 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 r �• and the laws and regulations of the State of Wisconsin.CONSTRUCTION hI.4Y NOT � BEGIN UNTIL THE PERMIT IS ISSUED. � �'�.�'���p�� R� PRINT—USE BLACK INK OR PENCIL � Ne�Y�c�c� R 't"�Ct3 ,���� JOUCrv�SeN �Gv15'F�.nc�;a+, �NC o � Owner Build� ' o �5� (o:�i N . I�Cercl,r✓a 1 q�vco,�i �;sti �,v,p 2c� G � � Mailing Address Mailing Address �` ^ / 7 IC��3 � C�1CAC'A �l. I�n(5�ny(n' �U� HGywn✓d� W.4 �7U4� O �5 Cit�Zip City,�State,Zip r' • fc`�`I . �4(�S S. Daytime Phone Daytime Phone � p � Building Land Use r "b (y-New ( )Filling Zone District_��-( � ( )Addition ( )Dred�ing 3 � i O Alteration O Grading Lot Size �N`1 x ��j� � � ( )Movin�On ( ) �J /7 ,D ( ) ( ) Acres a 7 / - � � Primary Structure Accessory Building Addition � ( )Dwelling (�rage-attache etach ( )Deck � o ( )Year round ( )#of caz stalls ( )Porch � " ( )Seasonal ( )Stora�e Building ( )Enclosed � ( )Frame built on site ( )Screenhouse ( )Living room � I ( )Modular/manufactured ( )Greenhouse ( )Kitchen r ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primazy structure ( ) ( )Relocate/enlarge � � � ) ( ) ( )#ofnew � �. T ofConstruction RW ' (�rame ( )Log ( )Pole/metal ( )Block ( )Concrete " � ( )Other � �n ^ I`� = I Construction Cost� �y�� ,bb j � Vol ,3/3 Pg ��� ofDeed Certified Soil Test# � � CSM Vol Pg Sanitary Permit# ;T z Plat Envelope Or: � � C,1 � Condo Vol Pg Year Installed c,'L,l@( -�`� �� � � Aff of ex septic V P Owner When Installed: �',� � �� D� M� �����- I�cn3 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 �C_ ft. long ft. long ft. long ft. long Floor area�sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade �3.� to peak ft. hgt. ft. hgt. ft. hgt. Stories f stories stories stories # of bedrooms rear lot line or waterline of (,c�} I� (' �u(-1 P�ra� �I�� lake/river In the box sketch in: � �� Loca[ion and size of all i5�� existing and proposed structures. Location of septic system. ��i� Indicate distance to: Waterline/Wetlands '�'� Road �9 �b � ��+ Lot lines Septic system/privy a�' Not�e S Welt .� yS -F------ Sy ' Distance bettveen structures. L'W,� �y �y fra+�f< Indicate North. a� Fire Number: � �a�i nl �43 ,� a�� � Sigaatu e of Owner The above ceRifies that the listed information and intentions are tiue and correct. The above person/s/hereby give peraussion for access to the property for onsite icupec[ion. ------- centerline oF �y,� ; �Arc Qnc, A road------ IssueDate August 7, 2001 ExpireDate August 7, 2002 Office Comments: L�-4��.�_ ignature of Zonmg Administrator / ` y w _.._. . . �+` � `` . . ' - /�� 'F` � ^ \ � � . � '�. � ..,. . � � , - �"� . ' � - ' -- •. � � _'�. _ � t � ; ; . :_ . � - �. . _ �_ _ _ .. , _ C�...:�._ . : � ,� _ , _ fi ___ ; � ,. ; . . � � , , � •i , � ; , _ / �._ _ •� � r � � �— � - 'eA .Y � ''�' ,,/ ''� � 1! •� • ' i � �'0� / Rj . .� , � `�j r • _. 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CLUSIVE EViCENCE Of O�Ni.[R- SNfA OR OOUNDARY IOCA- -• Trilw�f, 32 i( 3 `�i� � 39, N� �� i / � a �4 �� � / �2.2� i L AC `) ' � ,,� C O U R T '�' 39, ;; � � ORE i LLES �,39� 39� 4. �������� 4.3 �„rs, /.' � �� � /i� � 39 � � � �;% � � � `'�,_ .39, // N � i� �4.5 39 j� n� � � ��� V �, __ �,3.I� -- �`_� � � � � % ,� � � :4.i � �� � \\�. :4.6 �� � � ��� � � I � �/ \ ����\ J . /,61 I-L�/.;I � � � � 3 � � 2 a 6 i � \�� ` s �� � � � '�� �� -- � �V �� ��,s � ` ���� '� � '4�7 :a.y '��A� �� � � '� ����� �� � ��� PLfITTED V/LLAGE . � ' , � �I� :4.10� ���. OF /ZESERVE� � � .� � � �I �� � � � //;� ,� ��� ���� �� _/���, �� 39 \ ` ���A�� � � � �'9.1� ,� � ,� ��� O \\� �= �, , _ - � � -' � � �� � . ,� � � , � � ��, � .- � � ;� , ` ;� �' LITTLE �i' COURT � � �' ,, j' OREIL � ES ,� , L��A K E ',� 39 � �� ��. ,� � �`\ �z.� 39 \\ N � � .� •/. I \\\ I ::�::�:`'::;c 7 �.\. >:•. 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