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010-841-26-3306-LUP-2001-119
Application for Land Use Permit Q c ' �-.:_ County of Sa�vyer �, < �. - PO Box`7!� - Hayward WI 54843 - 715/634-8288 �. The undersi�ned hereby makes application for a Land Use Permit and agrees that all work -� shall be done in compliance �vith the requirements of the Sawyer County Zoning Ordinance _ and the laws and regulations of the State of Wisconsin.CO�iSTRUCTIO�' I�IAY I�iOT � BEGIti UNTIL THE PER��IIT IS ISSUED. � PFtI�T — tiSE BLACK I�K OR PENCIL �' r � �f^ C C' C. _�o 8��.� L �.��,/��'--1� i N�`�i.�►� ��Y�,E;S , l,L-C:.- N: O�vner Builder —� ° o � V V l� � _� Z S�� O - �#�'� �3 I ���] f�� C�' ; 3 � Mailin� Address Mailing Address �� V'1/�� -��- � I CJ�SS � 2 �%� CJ LI��� 3 �' City, S ate, Zip City, St te, Zip R'� lo "3�� - 2"��s 3 C��� ��i�'i � Daytime Phone Daytime Phone � Buildi�l� Land Use � I�`e«^ Fi11inQ , ���� G ( ) � Zone District ��� i �p��,-T-i ya�,�. '� Addition ( ) Dredgin� � , O Alteration O Gradin� Lot Size � ( U X �-} C� (� �, � ( ) �Iovina On ( ) ° � ( ) ( ) Acres � � �'j� � � � i _ „ Primary Stnicture Accessor�� Buildin� Additioil �� /� D«�ellin� .� Gara�e-attached'detached :� Decl�S� - ( ) �'ear round (�) � of car stalls ( ) Porch � i� ( ) Seasonal ( ) Stora�e Buildin� ( ) Eiiclosed O Frame built on site O Screenhot�se O LivinQ room � ( ) i��lodular'manufactured ( ) Greenhouse ( ) Kitchen � � j� �lobile/maiiufacttired ( ) Other ( ) Bedroom ( ) Ot11er primary structure ( ) ( ) Relocate!enlar�e ' � ( ) ( ) ( ) m of ne��� � L Type of Constniction �= ,� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other � (J U f" �('� n Construction Cost S �� ��� C� ^ �� < Vol Vl I � Pg�'C� I of Deed Certified Soil Test r �9 - '�)ri� '� CSM Vol Z� Pg ��, Sanitary Permit # 6 �— C�/ \ z Plat Envelope 4r: � '~ Condo Vol Pg Year Installed � Aff of ex septic �" P O���ner �Vhen Installed: � � �D � .5� �,.� ii3i3 Application for Land Use Permit — Page 2 . Describe Construction: List dimens'ons of each structure, story, addition, or alteration. � # 1 . � #?, ��G11�6� #3. U��- � PolF #4. 1�-�2� 1C Size �sp y �� ft. wide Z'-t ft. wide �' ft. wide ���� � ft. wide �' � ft. long .�Z ft. lon� ` � ft. long 30 � 2- ft. long �{o Floor area sq. ft. '�$ sq. ft. � Z ss sq. fc. i aoo � � sq. ft. H�t. from grade � to peak �S ft. hgt. ft. hgt. ft. hgt. Stories �_ �_ stories stories stories # of edrooms � rear lot line or ���aterline of lake/river I "12 '' � In th ch in: Location and size of all existin� and proposed stnictures. � I Zd Location of septic system. Indicate distance to: ��'aterline�Wetlands Road �t� Lot lines ��,�ti�� �x��, � Septic systenl�privy �Q S'1 _., _._.�.._._...�...��.�_ .__ ��'ell �S � 3 Z X �J-�.rP Distznce bet«�ee�i structures. , � 1�w�t..t. � N �, �9 � Indicate �'ortll. � �— � Fire tiumber: � _ -_ _ _ - �t����� � ' �xiz� Z`� , Dt��4 , �o' ���� uo �_ _ 3L ---', , t'' Signature of O���ner � �S� The abo� e certifies that the listzd � � . inforillatiocl and intentions are tnie and correct. The abo��e perso�v's! hereby ��i��e permission for access to the properry for onsice inspection. ------- centerline of road------- Issue Date May 10 , 2001 Expire Date May 10 , 2002 . � Officc Comments: . . ^ Sl�ll�lTlll't; 0 L011lll`, �C�flll[11S[CClIOI' I . , �'�� � 1 `\`� i I 573 � 5502 5512 ��\ i / • 5511 �\ j� • � 5510 � � • � 5509 � /..��//' \ • 5508 \�\ . /'� . � /� 5.' 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