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HomeMy WebLinkAbout002-840-20-5210-LUP-2001-509 / ��, `� Application for Land Use Permit o 0 County of Sawyer � � PO Box 676 -Hayward WI 54843 O 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 NIAY NOT BEGIN UNTIL THE PERMIT IS ISSUED. I� 1 NRS THt�ACKET PRINT—USE BLACK INK OR PENCIL � KGL��w ri ne'YO�r�+� '-(r�S� a y � ��.//j� T��Nq ��n� �"r���e� f-'��t,:- kSI hr)t '� o: Owner Builder ' � �� "cL}�C'.n i t L�/. �,�., �'��:�� �c.� CDu iit'� 12�r�rl, (i � Mailing Address Mailing Address O �.� - ,.�--:z��a.. ,��jh. Ss�37/ f�� '-'_r a h_% , City,State,Zip �ity,State,Zip • � .,�-_- � Daytime Phone Daytime Phone Building Land Use p ( )New ( )Filling Zone District ' I��-� �)Addition ( )Dredging O Alteration O Grading Lot Size o ( )Movin�On ( ) � ( ) ( ) Acres �,�]�/ � n Primary Structure Accessory Building Addition ° O Dwelling (-'J Gara�e-attached%detached O Deck 9a � ( )Year round ( )�of car stalls ( )Porch � ( )Seasonal ( )Stora�e Building ( )Enclosed � ( )Frame built on site ( )Screenhouse ( )Living room � � \ ( )Modular/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other (�Be�nm� � I _ ( )Other primary structure ( ) � (7r eloca enlarge � � O O O#ofnew Type of Construction � = (X�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other ^ � : = x Construction Cost$ =-�� � � Vol L� Pg c��C�, of Deed CeRified Soil Test# �y'��OSo CSMVoI I�. Pg I�����1 SanitaryPermit# �j8 G.SS �z Plat Envelope Or: ��+° �'OS9 89-//R � CondoVol Pg YearInstalled /=%;; � Aff of ex septic V P Owner When Installed: � 9��„/1� t�/ �a58 Q�' Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or altera[ion. #1. #2. �� �'�' �� L EU�L #3. #4. Size ,? �i ft. wide �_ ft. wide ft. wide ft. wide ft. long a� 8. long ft. long ft. longy Floor area sq. ft. _�sq. ft. sq. R. sq. ft. Hgt. from gade "to peak 8. hgt. ft. hgt. R. hgt. Stories stories stories stories a. ,, # of bedrooms . rear lot line or waterline of lake/river In the box sketch in: � Location and size of all existing and proposed structures. �' C- � � Location of septic system. " _ - � i , c _ . �''' � �� , =: / ;� ' -�� - � Indicate distance to: � �� � Watedine/Wetlands � Road r � Lotlines ��`I �,� � :� ' ' � Septic system/privy ' ` �i� r/,�o�s�, � �/ � � Well � �___ / , � � �. _— _ �R Distance beriveen structures. ,;_ <- � /� '� Indicate North. `" �..__ . .,,, , - � Fire Number: , I ��.�y� ti- r����;���zy1-� �'`,� ' , 1 � � , �' ;� �; �_ � t�ti �y�.� ,��_ �� � Siguature o ner l7 The above certifies that the lisred � information and inrentions are hue and correct.The above person/s/hereby give permission for access to the properry for onsi[e inspeccion. ------- centerline of � '' ^ � � i :, i0ad------- a� R �v, �X ��� II bF rw_lo���etl -k� uPp�er le�� I n � �re� c�dd�� , IssueDate September 26, 2001 ExpireDate September 26, 2002 Office Comments: �,�.��,�,,, � !%� Signature ofZoning Administrator O F B A S S L A K E fOR ASSCSSMENi USE ONLY �W P. �t O N . R . H W• SH�P ' OR VSiO ND RY WNER- . i!O!N5. 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