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002-139-00-0900-LUP-2001-109
� Application for Land Use Permit o c County of Sawyer � < PO Box�Z�C - Ha}nvard WI 5�843 � 715/634-8288 � . The undersigned hereby makes application for a Land Use Permit and agrees that all �vork � �shal( b:; don� in corzpliance witn the requirements ot the Sawyer County Zoning Ordinance `� and the laws and regulations of the State of Wisconsin.CONSTRUCTION �IAY NOT BEGIN UNTIL THE PER��IIT IS ISSUED. ��' PRINT— USE BLACK Iti K OR PENCIL �' �` �c=-�Z�'1�:2 � �. ��4�s� 9C � � ���,�-r���,.�-�- �r�tii� /'►?��'N�F� K��✓� �� Owner Builder � a _j�`:�- S��n�.�r;✓ �2 p.o . a�x ��7 � ., Mailing Address Mailing Address ��;U���������2� ,��r�.� ����. sr- u�yw���v w.�. s�¢g�� � � City, State, Zip City, State, Zip � � J_ � _s� �� ���: � � ��- � � � .�¢ - �¢���- G - = Daytime Phone Daytime Phone � ti �.:.. �" .� Bt�ildi�:� Lapd �rSe _ �� ( ) ?�e«� ( ) Fillin� Zone District��� �Addition ( ) Dredging � ( ) Alteration ( ) Grading Lot Size �pF; �� '�,�� � c j ( ) �IovinQ On ( ) - � ( ) ( ) Acres �, �-..��'-�' � I - — � j — .� - Primary Stnicture Accessory Building Addition '� �� ( ) D���elling ( ) Gara�e-attached!detached ( ) Deck � ���-� � — ( ) �'ear rotmd ( ) � of car stalls ( ) Porch ��'�'���� �� i� � ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed � � O Fraizle built on site O Screenho�ise O LivinQ room � ' � � ;�, ( ) :�Iodular;manufact�ired ( ) Greenhouse ( ) Kitchen � ( ) ��lobile/maiiufactured ( ) Other ( ) Bedroom i� O Ottler primary structure O O Relocate/enlarge r�� A � ) ( ) ( ) # of ne«� �;� r-. Type of Constniction �� �- �'rame ( ) Lo� ( ; Pole/metal ( ) Block ( ) Concrete � � ( ) Other �_ �� �; ,�,.1 � �� � � °J Construction Cost S �s, �'�'�"� ` �� 2_S' �`") _ <' Vol 1- b Pg .�� of Deed Certified Soil Test �= '� ��� � '� (�. CSi�i Vol Pg Sanitary Permit # � z Plat Envelope pr: ��J�� � Coildo Vol Pg Year Installed fl ; ; - �� .Aff of ex septic �' P O�rner W�1C[1 I[1Stalled: g ��,��6% _ i o�S ' G�/�i�F�:� �7.�i�/S /l/�C!/ �Th� � �/DU/N5 ����Do� , • �XT��i.7/N� �i i Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. _ # 1 . ' G'��3/N #?, c��:a.�..►.�r �3. S/��/,;� #4. /✓��.G/ Size ft. wide � ft. wide � ft. wide � ft. wide ft. long �O ft. lon� 10 ft. l�ng - �" ft. ?ong Floor area /�75' sq. ft. 20 sq. ft. �_ sq. ft. � f� �_ sq. ft. H�. from grade / � • to peal: _1� ft. hgt. �_ ft. hgt. /� ' ft. hgt. Stories / / stories / ' stories � stories # of bedrooms 3 -�,�-'ro'�� or ��•aterline of � Du��=2�- � lake%s.� In the box sketch in: � Location and size of all I e�cisting and proposed stnictures. � L�� 90 � c�r�� � � Location of septic system. � Indicate distance to: � — � - � `�'aterline/`Vetlands �'� �I C,4�N�� � �� � ; Road , —__ --- Lot lines �A �,�/cli. � �ET-�rl � y.��;N, . . YT/loii-iu�... . - � � .. � Septic system/pr�vy �zX � � 'r ���' �( � �� - ���ell � Ntivl.�CLG. . � 0 . � �� /��-�) �� Distance between structures. zoQa ; �.\ , ; � � ' N�w G��v� ,. Indicate \'ortll. /6 x �o � �; h� � (�' - 2aoo � �� ! � � \� Fire \umber: _ _--- �y5.s� � . � n�y���� � , ; LvS�cTvr� � < Auti zrx,� ) - �G'Z�'i�.� � �� . 7 Signature of O���ner ; , i The abo��e certiFies that the listed ' information and intentions are tnie and correct. The abo��e persocL�s! hereby �';] ��i�•e permission for access to the '�� propzrty for onsi�e inspection. ------- centerline of TQGI//V road------- Issue Date _ May 8 , 2001 Expire Date may 8 , 2002 � �ffil'C C011lillt[lIS: SI`fl�llUfC 0( Zpllltl`� �C�III(iIISIC�lIOC MAY-01-2001 02�43 PM P� 02 � � G�/�.�e��1z�v�vs �i�ar,G�i�� 9��liovii�� /sE�ORao�, . �� Application for Land Use Permit—Page 2 s�i�o i /(au�s�o Describe Construction:List dimensions of each structure,atory,addilion,or alteradon. . RI. �i11�S�i✓ q2. �aooe.Rt� k3. SAS�r/a q4. I✓�"i(.t/ Siae R.wide �R.w ide �_�.wide !'� . R.wide R.long ZO R.long /0 A.long �;R long Floor area/o7S` sq.R• 310 sq.R. _�_aq.R. �sq.ft. F1gt 6om ffiade�6o Pedc__�6�ft.hgl. �_R.hgt. {'f� R.hgt. Storia / / stories �_stories / storiea Nofbedrooms 3 Yeer�et�line or u•ate�tine of — ItkNlfw� In the box sketch in: I Location snd size of all exiating and proposed atructuces. � 90' �6�xa�c,: ' �� CnCltinn�f s'nfi'eversm � W . . l00--0 Indiate distance to: � �� ;L'ar H'uerlindWetlands 3� �D '� CA� w~� �a'°� Rad ---•-� `�`� Lot lines � �/ti" \� l.r.i CEPn e�wa1r If�..s�..�. , ,.� Septic system/pmy ,�x.,'; I�I , ��'ell neive.+vtL -i � ' I i �5�� � Dishrnce bet�veen structures.. , ,� •� �^� Nta U�vc' � [ndituc horth_ ��� I 6:� � � ' � � y � I � Fire rumber: i 7�/�S.V (� oaywrr� �s,ae��o /�'4 7oiCio) �►�9h ��� �' ' . SiYnature of On'oer The�ho�e certifms tlut the listed i�fommtion�nd int¢nlions�rc tcue�nd ooncct.ifie�bo.e peisonls/hercby �ive pem�istion for acess to Ihe popecry tor onsim inspection. -------eertterline of TAu�N road------- tuue Date E!cpire Date OfficC Comments: Sitinaturc of Zoninu Admioislrator / � � \/ � � '''�� � - , `.��t ,• .' '. 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