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HomeMy WebLinkAbout002-939-04-1201-LUP-2001-506 1 : 7� - Application for Land Use Permit o o � 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 � ` 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 bIAY NOT 1 BEGIN UNTIL THE PERMIT IS ISSUED. � PRINT-USE BLACK INK OR PENCIL � a ��� w � c�1���iP,�'1�.��!'QL. : `�iCL_Qwl�lX.c_. ��GVGYI�'TYC.�[Ln kOC�mll7. . o: Owner Builder ° o \��� i 1 x> lL'� ' ��vtiz (�r{ \S�a c� ..',. �a_�_4 F,v�c.,�-�Q ' � Mailing Address Mailing Address \ t.� �� �+ �c�n...!C��,Q w� <<-l�-i'3 City,St te,Zip City,State,Zip `1�S ��u-�02�3 `•l iS ��� - ��Z� Daytime Phone Daytime Phone �^ Building Land Use /I � O New O Filling Zone District_ i7 '� ( )Addition ( )Dredging ( )Alteration ( )Grading Lot Size � '�1 ( )Moving On ( ) � '� � ) � ) Acres �l7 ,�7 � F � � Primary Structure Accessory Building Addition � � ( )Dwellin� ( )Garage-attached/detached ( )Deck �" o ( )Year round ( )#of car stalls ( )Porch � ( )Seasonal ( )Stora�e Building ( )Enclosed � Cu O Frame built on site O Screenhouse O Living room r� � ( )Modular/manufactured ( )Greenhouse ( )Kitchen ' ( )Mobile/manufactured Q9 Other ( )Bedroom � ( )Other primary structure (�\r.Y_t�Sv-�o C'�. ( )Relocate/enlar�e � � ( � O O#ofnew � � � T}pe of Construction ' ( )Frame ( )Lo (�Pole/metal ( )Block O(J Concrete�F�� �� � ( )Other ' �x�r�,a,1 `' � �,c% '� -� Construction Cost$ ��COC? � Vol �7 L' Pg,�(c 1 of Deed Certified Soil Test# /C�����o�7 � I`�j CSM Vol Pg Sanitary Permit# 1�- ���� � �z Plat Envelope Or. c.ll� `�`�-/`�� � Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � �I�� qIl ',�55"(� 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 _� 8. wide ft. wide ft. wide �� ft. long �Lp ft. long ft. long ft. long Floor are��� sq. ft. 1�,� sq. ft. sq. ft. sq. ft. Hgt. firom grade�to peak� ft. hgt. ft. hgt. ft. hgt. Stories�_ _�s[ories stories stories # of bedrooms / VJL�•�She1��� reaz lot]ine or waterline of � lake/river In the box sketch in: � ��'-�0�-1� iaw�a � Location and size of all � �k,�...� , existing and proposed structures. �.��17�-� �,�1�`�'r`'" � 70 Location of septic system. • ��, xitc Indicate distance to: ' �Y'�'""k ��� Waterline/Wetlands ���� �bw��� Road I ��� ~ � x� Lot lines ; Septic system/privy � � Well Ek�sn:.q I Distance beriveen structures. � ��-�_ i Indicate North. � ! �� �x�5�� ! Fire Number. � �S�� -Ws��' �I 1�'_�8l o� W � i I � � �� �!� S' atu e f Owner y( The above certifies that the listed information and intentions are[rue and correct.The above person/s/hereby give pecmission for access to the property for onsite inspection. ------- Centelllne of ioad------- Issue Date September 26, 2001 Expire Date September 26 2002 OfficeComments: � �����_�� Signature of Zoning Administrator � r � t� H � � � 1--� � �. :��� � �� << �� � �,���,� � . i� W P. 3 9 N . R . 9 W. � � -�� � ��_����. ��_ �>}z� ��� `��, �t� . 3 3 �t�a_� ,,�L� _ � - , _, �/� r�� ... . . . ` �.r' \ . �i.� ��'�. �- ��CT�',,�, • 1 ss� gl i � � I � '\ � � . �\ ,` � �J �� ;. 1 � ~ i � oa r� ��: ' 3 �, � d . 9•� 39 39 1 `, �, � � �� � � �9 �� ' '2 '/. ' , � 39 . � , � � _' ,2 , ; _ � _ ; . , , �� � . .� , � � � :�" / a c�:� `� '� � -- . , ��� � ,,' , � 11�' ,, ' , �r I , ' /, , . :� �� 3� �' S C O T T � ��\�, � ' ',� / , , , � , , ; '�2, � , ( �S' / /'..' v � '. ' ` , 1 � .., . , _,.1� , , , , �, ; . Lr.' � � .! '25 r. . ' . , ; , ,�; , ' i / � , \\ � I/ ! \� � i `�'. � : ' % � ; 2 , 2 � 39� � �, � '.,� ! 3\ d ' �\ �./� � '�.• '� � �i � � ,��Z � ; i� , ✓' ',_3 ' �-i � �� � �� '� r � = \� /� � � - �—r� � -- >._ 3 , ` � ' .� 3 / � .� ,, ,�• � •� • • ,' ` �p �t � .3 ,��. � '.3.2 , ; • , .3� ' . ► . d �D ,*'� � �D . '9. ''.3. 12 39, '�'. 3 � `B ,, . .�' � , ' '• �� 3 � '3, � � � . ' 3�� ,39 � . � �' � �r �� :�, 5. � -.3, � ', � , 39, � 39 j � � • � � �' � , . \� 9,� � , ,39, ';3, 8 �3 �� , � 3 9, � � . � � � �3' 9 .39. 3, 1 � e} � C SM VOL 3 F'G 42 �3 9.� . �.3�� ' .� . j� � '3. � . ' a A C � . . ��� ' � 39. ��� 1 � � �� � 39� � , . - . 3� y � , 439, � - � C � U t� T 4. �,� �' � 'j7 ' ��;4, A , . � _ �