HomeMy WebLinkAbout006-439-11-1203-LUP-2001-654 t ,�, ,
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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 � �
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�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�
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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
� � �
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_- � _ !� ,.�/ � 60� � �
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��.� � ���� /° � �� � ��/ ��. ,. 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 �_
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s:2.s:� 02 GC�:��.:.:.:'�_ ROCA�
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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
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............................................................... UM and recbrtled Sn vd (.3� 77
..........................�................................................................................... d Re�.wrcla on Pn9e a U!5
... . ... ' ...F+1J��J1a..��...Sus.t.}...an..adwL�:man. .... � � � 1 'l.�-.,
oonwY�•M�. runab M.........................................................................�. �t
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tW • •
�yy �l Wbw�l�� � T�P�rod Noi ...............
The North one-half of the North one-half of the Northwest Quarter
of the Northeast Quarter (NZNzNW4NE'�) of Section Eleven C11 ) , �
i �Township Thi��,y-nine (39) North, Range'IFcuY (4) West, except one ( 1)
i square acre in: the Northwest corner of said NZ of the N2 of the
NW4NE4 . • •
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i ' 3E
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�EXEMPT �
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Thi� ...i.S...nn.�........... twm..ce.a prowrtr•
(1�) (ir wt)
�C.y�io� 10 ��rrwtira Easements , reservations and restrictions of record.
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