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HomeMy WebLinkAbout006-439-11-1203-LUP-2001-654 t ,�, , � 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 MAY NOT I BEGIN UNTIL THE PERMIT IS ISSUED. PRINT—USE BLACK INK OR PENCIL � � a �c;��2.✓c� C- /� Ct/2� l�J(t�/1L/l. " I � Owner Builder 7 o V\ ���7? Gt� U l�( (-�� 70 � 1�• Mailing Address �— Mailing Address � t��� City,State,Zip City,State,Zip I ��pP� w�s� SySsS� Daytime Phone Daytime Phone Building Land Use ( )New ( )Filling Zone District �R�� ( )Addition ( )Dredging O Alteration O Grading Lot Size�_i .:� �, ,� �/ o ( )Movin�On ( ) ° ( ) ( ) Acres � .,--. � � ��p'� � � � Primary Structure Accessory Building Addition ° ( )Dwelling ( )Garage-attached/detached ( )Deck o ( )Year round ( )#of car stalls ( )Porch ( )Seasonal ( )Storage Building ( )Enclosed (xl Frame built on si[e O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) =-(t�QS e (�/a�2� ( )Relocate/enlarge 1 � ti ( )---- — ( 1<I- eSJ'o�t�_ ( 1#nf ne�v �� Type of Construction � > ( )Frame ( )Log (�Pole/metal ( )Block ( )Concrete � ( )Other G 1� �h ; i� `�' ' �%7 � la Construction Cost$ � �?�,� � Vol 3 7 9 Pg�_of Deed Certified Soil Test# . � CSM Vol Pg Sanitary Permit# � z Plat Envelope Or: � Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � a�l C� ����� �� a�� Application for Land Use Permit — Page 2 �. Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. #2. #3. #4. Size�3 ft. wide ft. wide ft. wide ft. wide � ft. long ft. long ft. ]ong R. long Floor area ��O sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade to peak �y , ft. hgt. ft. hgt. ft. hgt. Stories_� stories stories stories # of bedrooms •—� � reaz lot line or waterline of lake/river In the box sketch in: Location and size of all existing and proposed structures. `�(t u7AY �� Location of septic system. � Ze�T ! Indicate distance to: Waterline/Wetlands Road � Lot lines I G Septic system/privy i Well � Distance betw�een structures. Indicate North. � p�C� Fire Number. �— —- - .� .I � � � i _- � _ !� ,.�/ � 60� � � ;�::: . � �,.y ��.� � ���� /° � �� � ��/ ��. ,. 1 y Sigoature of Owner � �/r J � f The above certifies that the listed _ _-T� L�_ E� information and intentions are true and � � G�a cosect.The above person/s/hereby �� give peanission for access to the property for onsite inspec[ion. ------- CenteCllne of Ioad------ IssueDate � ��c�b�r��, 2001 ExpireDate y, D�emb�r 5 ,, 2002 Office Comments: _ Sign ureofZonin AdFni istrator aF DRAPE R � : , :,� ._r �_ � c.__�.�:�c :..e.,_,:�� c.. G�S��E72- . s:2.s:� 02 GC�:��.:.:.:'�_ ROCA� T W P 39 N. R.4 W, �,��as..� 2 p10 7U " RO, .Z�2 � .2.4 �39; � ' i.i � .2.5 F ,2,� � �� -.� � 4.1 3.1 12 -- ; � ; =.39. 1 , q,2 �3� /4.1 � � � _.� � r . . . - . ._ ."'_....__' '—_".__._... . ___ WARRANTY DEED r�u wrs wur� rw rww.� ru I DOGUMENT NO. . , , I � STATY BAY OF�VYISCONSIN POR1l Z—sY�A ' . . f'74 �1 � . � t 9 , x�ars ota� 1 , I� saw.ar c«�h � R ived fox reeord Ihe /� �� d Ha,7,�.]...�iUx.x.,r�»aotidow...;�rid••r•ro�...reniamr•i�ed.......................... ��,.,r AD19�J e!�`'o•a� ............................................................... UM and recbrtled Sn vd (.3� 77 ..........................�................................................................................... d Re�.wrcla on Pn9e a U!5 ... . ... 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