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HomeMy WebLinkAbout008-938-34-5121-LUP-2001-152 ��� 15�.�- � � Application for Land Use Permit County of Sa`vyer ; < PO Box 668 - Hayward `VI 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 la�vs and regulations of the State of `Visconsin.COtiSTRUCTION NIAY NOT �� � BEGIti UNTIL THE PERi�1IT IS ISSUED. �" CGQ.�('D� Ce n.d PRI�T — USE BLACK I�K OR PENCIL � � � �+J�� �^—i•��I •�` l�� K�� cn. � O�vner Builder � o yd/ z _ 1"'��� �' `v��'� i� �,�� �� '.'1 �.,� Mailing Address tilailing Address � P a � `�� � � `��_�.."' t,� � � °� � � iT, �..,,,w�� �- _ _ .. C` City, State, Zip City, State, Zip ""'��';s . �`a �� . �-�°��`��y' --��`�- � ,.. , �4 j � „� ;�!" �'�' �.. Daytiine Phone Daytime Phone �- �, Buildin� Land Use �� �J New ( ) Filling Zone District � "� � ( ) Addition ( ) Dred�in� �,, , . � : t = ( ) Alteration ( ) Gradin� Lot Size � ���-�� '�� ���� � I ( ) ��loving On ( ) - I ( ) ( ) Acres ����� J � ; � _ ,� Primary Stnicture Accessori� Buildin� AdditioTl i� �� (� D«°ellin� ( ) Gara�e-attached,'detached ( ) Deck � — O �'ear round O n of car stalls O Porch � Seasoclal ( ) StoraQe Building ( ) Enclosed �� f�` O Frame built on site O Screenhouse O Li��ing room �' � ( ) Nlodular'manufactured ( ) Greenhouse ( ) Kitchen ��, ( ) �lobile'mailufactured ( ) Other ( ) Bedroom �. _ O Otlier primary stnicture l ) O Relocate%enlarQe �< O O Ottofne«� � Type of Constniction = (�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �' ( ) Other '-' -��' � 3::. . � Construction Cost S �O��� ^ �' O1� ,ti Vol�Pg�_of Deed Certified Soil Test m ��j -�i/Q� � :,�. CSM Vol �� Pg� Sanitary Permit # [�� [`��__ � z Plat Envelope �r� ~ � ...:.5 Condo Vol Pg Year Installed \ Aff of e� septic �' P O���ner �Vhen Installed: � 6: �S � �1 �15`'i� Application for Land Use Permit—Page 2 Describe Construc[ion:List dimensions of each structure,srory,addition,or alteration. #1. �3. n3. ��. Size ';.� ft.wide �a, ft.�cide ft.wide ft.wide :�-'-� ft. lon� i�- ft.lon� ft.lon� ft.lon� �..,., rl2'���,,� Floor area ; i +� sq. tt. iy y sq.ft. sq. ft. sq. ft. H�t,hom gade � ' r to peak ft.hgt. ft.h�t. ft.hgt. Stories �'r�r�'��t i.�`~ stories stories stories #of bedrooms ��`-^^ ��Q� 8�� � rear!ot line or���aterline of Iake/river L1 the box sketch in: Location and size of a11 existin�and proposed structures. Location of septic system. - - `_7 C:�.: �" . . . � i�r�'.��:. Indicate distance to: �b'aterline/�Vetlands Road Lot lines Sep[ic systemipri�y ��'ell Dist�nce bet�veen structures. Indicate\orth. Fire\umber: °,'.,,L�t" �r; . c�,� �IL�� r`:'1��.'�.: Sib ature of O��ner Thz above certi6es that thz listed infornmtion and intentions are mie and cor�ec[.The above persoa�s�hereby gi��z permission for access to the propzrry for onsiee inspzccion. -----centerline of road----- �vi �Ch� �G'l� �'c / �� GGfd'� (�C��l1�lE7Z� ��1�'� [ssuz Date �Y 24. 2001 Espire Date �y 24, 2002 OfficcCoinmen[s �C/�2������� 1t:%';3%fl��'' Si�naturc of"Lunin,Administrator I OF EDGEWATER � TWP. 38- N. R 9 W. i.6 — — :1.13� :��f 1.8 /// � ,/.�� :Lie s, r %/0 1 9i %2 ./S 121 1.16 I.I / �L.r.:L2 5'� n :l.l �r :/. /' s:l.l 'I.IB �1.5 � �.¢ /y r^ :?�� 2.1 2.2 � './ �� t�r � ' :2I .9.l � � :3! 14.1 ./3./ ' `\. � G�R�f� FI�D hURV�Y MAP �vk o� oUcVNv�4H�' �o�� , hLt��oK '�� . �oVJVlti�lO '�6 ��VI�1 R�'�A0 �I �ILS� 10�_ w o��wa��v, tia�u��v Co W�s. �--. � ' �� ����0 r' "_ ha9•23' 27'�� izr,o.�, hAh'.,,q.h � l ��0.0. 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