HomeMy WebLinkAbout002-940-25-5113-LUP-2001-403 Application for Land Use Permit o 0
County of Sawyer � � � �..-
PO Box 676 -Hayward WI 54843 � �
715/634-8288 `
The undersigned hereby makes application for a Land Use Permit and agrees that all work ��1
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 MAY NOT 1
BEGIN UNTIL THE PERMIT IS ISSUED.
PRINT—USE BLACK INK OR PENCIL cQ"', �
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Vlt , �� (��/3 (? £7��`' a:
Owner Builder = � �
Mailing Address / 1 Mailing Address
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City,State,Zip City,State,Zip
Daytime Phone Daytime Phone
Building Land Use p
( )New ( )Filling Zone District "���
( )Addition ( )Dredging .�.
O Alteration O Grading J Lot Size o
( )Moving On ( ) ,D
� ) � ) Acres �� C'��(, (: ❑
� _.
Primary Structure Accessory Building Addition � ,
( �Dwelling ( )Garage-attached/detached ( )Deck r
( )Year round (1)#of car stalls ( )Porch ° —t
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom i
( )Other primary structure ( ) °, ( )Relocate/enlarge �
( j ( ) ( )#ofnew
Type of Construction _ A
�`�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ° �
fc
( )Other � ���
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Construction Cost$ ��� �U� � ; � �
c -
Vol y�// Pg�_of Deed Certified Soil Test# �.
�
CS.v1 Vol_�Pg 3 3 8 Sanitary Permit# ` -- z
Plat Envelope �r� m s �
Condo Vol Pg Year Installed `� y
P '
Aff of ex septic V P �E3�u��F When Installed: ; � �
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JR��/— 4; :���; ;� ��,�/o/
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��� Application for Land Use Permit—Page 2
Describe Construct}'on:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Size ��' ft.wide ft.wide ft.wide ft.wide
� ft.long ft.long ft.long ft.long
Floor area � sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.from gade ; to pealc ft.hgt. ft.hgt. ft.hgt.
Stories� stories stories stories
#of bedrooms —
rear lot line or waterline of lake/river
In the box sketch in: � �
Location and size of all ,
existing and proposed structures. �/� � � ,
_ _..____ _ > =, ��G _.
,L_ ... - ._ _ . .... ; _, � �
Location of septic system. �` � �
Indicate distance to:
�Waterlin�/Wetlands
Road
�� Lot lines �_ �
Septic system/privy _ � �� ^ �� � ` '
i
1% r�y---� ��.-__
Well
Distance between structures.
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Indicate North. � � �" ' '
i
Fire Number:
/�/ �, '� L� ' �; ,
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��a ��,. �,�'�,, � _> —� r�
Signature of Owner ;
The above certifies that the listed � �
information and intentions are true and
correct The above person/s/hereby
give permission for access to the _ ,
property for onsite inspection. ����?�'-�centerline of � � road------
IssueDate August 21, 2001 ExpireDate August 21, 2002
Office Comments: ` .�:�.�-(��KR..'��
Signature of ning Administrator —r— �
LAKE
SEE LAKEVIEW VILLAG� CONDO.
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►LE: I INC�I�1=400 FEET :Z� FOR ASSESSMENT USE ONLY NOl
�WN BY: DATE: INTENDED TO SHOW GONCLUSIVE
_ON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOGATIONS