HomeMy WebLinkAbout002-840-21-5204-LUP-2001-444 `
Application for Land Use Permit o o �
County of Sawyer � �
PO Box 676 -Hayward WI 54843
715/634-8288 A ~�
The undersigned hereby makes application for a Land Use Permit and agrees that all work r
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 TAE PERI�IIT IS ISSUED. �
S (.(,S@,V� L, � CLt"1G� PRINT—USE BLACK INK OR PENCIL � �
a
�r� ,�.�s (3�%y�.'r�, Cl�uiric',� o: �.
Owner �— Builder ' �
T�' ��c 3 �- �I lMf Cr�!'S � `°
Mailing Address , Mailing Address
�
/�Q ��s �`�� S�l v3 S
City,State, ip ' City,State,Zip �
Lb��� � . �3�f` s� �� -
Daytime Phone Daytime Phone
Building Land Use n A1
�New ( )Filling Zone District �1\`� �
( )Addition ( )Dredging �
O Alteration O Grading Lot Size o N
( )Movin�On ( ) � .��'
( ) ( ) Acres I,y3 -
_ �
Primary Structure Accessory Building Addition � o
( )Dwelling ( )Garage-attached/detached ( )Deck � o
O Year round O#of car stalls O Porch A' �
i
( )Seasonal ( )Stora�e Building ( )Enclosed o�
( )Frame built on site ( )Screenhouse ( )Living room o
( )Modular/manufactured ( )Greenhouse ( )Kitchen i
( )Mobile/manufactured (�Other ( )Bedroom N _
O Other primary structure (� �zc 1� t/f� O Relocate/enlarge i �
( ) ( ) ( )#of new v�
�
Type of Construction �
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other � Q'
� —
ConstructionCost$ %o I�� �e{e."/L9�nuc�/ ' �=J�M"��� ��i�DO � �
�oa, 3g ..
.�Vol 3S Pg �Y9 of Deed Certified Soil Test# �8-ia 7 !� I C
CSM Vol `— Pg — Sanitary Permit# 9$-!!3 -L z
Plat Envelope Or: �tJY� 98-ays I op
Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: � �I3�
3a°��
Application for Land Use Pemut— Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size � Z ft. wide ft. wide ft. wide ft. wide
`2-D ft. long ft. long ft. long ft. long
Floor area �� D sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from gade�L7 to peak ft. hgt. ft. hgt. ft. hgt.
Stories�_ s[ories 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. ry,
2��
Location of septic system. �
P,�p ,o s�� I Ra�� S 9
�--j' � �srr�.r
Indicate distance to:
Waterline/Wetlands
Road
Lot lines �,P���
Septic system/privy -�-Q,y�'
Well
Distance between structures. r�� `
, f I -
IndicateNorth. `! ' �K'� ` '' -`
; i
q � � pwcll,�y — '
Fire Number: /�' �� �7 �, � ?�0 -�- I �` --
�,
il
t�;��e. C {^t'� � ���
; .
�
' , r I; � �
� `o�< \ r
__._..----_. . �
SignatureofOwner '��,t,�, f'�,s{,;,,� r � ��f��T�
JThe above ceaifies that the listed E o
information and intentions are�ue and `� E ��nP'7 P
coaect.The above person/s/hereby
give permission for access to the
properry for onsice inspeccioa ------- centerline of road-------
September 10, 2001 September 10, 2002
Issue Date Expire Date
Of&ce Comments: �'.I��'✓-�-"Z �.��f��%�
Signature of Zonin� Administrator
_ ,
40 �
. .
N � '
' 6 .2 .
40� ao
cv po _ , •
� 6 . t N c�
S,
' 40
.
40 N ' o�
. �
cv � 'B. I
7. I
E
)
40
, •
40, N o0
c� � 9,
��' '
-:�-/��'���\ , � , .
' �, a9
.2•� �9 /S�.t��
. - ' .2. ► � �,4o' w
LAC � � :2. 2 �2. 1 �
� � � `
M 1,6Z ��
CDURT •`L '
\ �Y �p � .
p �PE / LLES �.� � z � � .�' � :2 .�
n v � �� =2.5
\\ � �
� \ti •ti� �
:2q \ � ��- - *`.v. :� �zr
�- , , : 2 .8
� �� � Z .
i .7,,s�i
, � �� , y 69
.
� 28
a�p �z - �� - �z
U� _ 7REF ; ' . .
,+ � .� , � � c un Tn �e ca /6 �- 5 - 70 )