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010-941-23-4303-LUP-2001-414
(�C}L-�._ ��I��.ler ����� ,_ Application for Land Use Permit o o O County of Sawyer ��✓� ���-1�-Kr' � P O B o x 6 7 6 -H a y ward WI 5 4 8 4 3 _� 715/634-8288 f 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 NIAY NOT BEGIN UNTIL THE PERMIT IS ISSUED. , �` SUSQ.n Q,YLG) PRINT—USE BLACK INK OR PENCIL � � �� � a ra�a���a�IJikl�orr� �c�v� I t,��rt� o: Owner , /� Builder ° � lG s�l$ ti1 ��ve rsr c�E Kcl� , t 5 3?� s�F.(a,�.l� ��' ; Mailing Address Mailing Address — �-(���►.,�a r� , �nJ�� S`z/�y� f-�t,d.��1 �c r�1•�9� Sy F��/ 3 City tat Zip City,State,Zip b�`I "� lG',7 r'/_ �l QO�' � Da me one Daytime Phone \ �3uilding�_ Lan /� / ( )New ( )Fillin� Zone District /�—/ �Cf Addition ( )Dred�ing O Alteration O Grading Lot Size o � ( )Moving On ( ) G � ( ) ( ) Acres �j , p � GlC • � Primary Structure Accessory Building Addition p �w'��n�oo� A ° ( )'_�wellin� ( )Garage-attached/detached ,�Deck � � O Year round O#of car stalls (X)Porch � ( )Seasonal ( )Storage Building � )Enclosed � � O Frame built on site O Screenhouse �Living room -C ( )Modular/manufactured ( )Greenhouse ( )Kitchen '� � ( )Mobile/manufactured ( )Other (:�Bedroom c� ( )Other primary structure ( ) (�Relocate/enlarge � O O O#ofnew � � � T e of Construction 7 ^ �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � � Construction Cost 5�_J �T� �0 , l� J � � � Vol�Pg �3 of Deed Certified Soil Test# ��„�, ��� 9 � CSM Vol Pg Sanit�e�` �/'�`�a �0 z Plat Envelope Or: , � U� Condo Vol Pg Year Installed � --� Aff of ex septic V P Owner When Installed: � C� 00 -!S/ Application for Land Use Pernut— Page 2 . - Describe Constructjo�: List dim�n�ions o �ach structure, story, addition, or alteration. #t.�i ti� �ladr�-��tk� .n, #Z�j�- �°� #3. #4. Size L� ft. wide / ,� ft. wide ft. wide ft. wide ��, �j� ft. long /D��� ft. long ft. long ft. long Floor area J�b, y sq. ft. ��C- , 5 sq. ft. sq. ft. sq. R. Hgt. from gade to peak � ft. hgt. ft. hgt. ft. hgt. Stories i stories stories stories # of bedrooms e.��x-.�t�n5 I �'"'�d'^y �.Ps'�'�'�bdz. c,��� i aR'Sh'� b�J'�°"^ . reaz lot�ine or waterline of ��lA M Q-k���� lake vei In the box sketch in: _., . Location and size of all j existin� and proposed structures. � � M '� ' � � �7 , / C Location of septic system. � (QD ��� - - -1� � '`" `` , Indicate distance to: � 2�; - - Waterline/�Vetlands yt�' � Road � Lot lines `�^ � �' Septic system/privy 'p ( Well M I � Distance bettaeen structures. � � ��`"s�e�' Indicate North. ��f ��� r — " Fire Number: T�'� � /D S�-/ $ /J � Si�e �Z��n� � �r � .ZnS�G�'lt7vi 'ID �' I `� � Gc�t��{�aria.� , � � —� , ct e I-u t � S � k ��I Signature of Owner II'���,� � The above certifies that the listed � � information and intentions are true and � conect.The above person/s/hereby � give permission for access to[he property for onsite inspection. ------- Centelline of � �Q�SI P road------- NMJL�vt�% SL�i1J.¢Cl�- !�c/ �/ IssueDate August 27, 2001 ExpireDate August 27 , 2002 Office Comments: ��l/L,���A �/'�%������'i Signature of Zoning Administrator Sawycr County 7oning Administration r rri C'> .� s� .� Inspection Report `� � �. � �; f7 Owner(s) Graham L. and Susan F_. Van Dixhorn j � Address 10548N Riverside Road Hayward Wisconsin 54A43 v � Agent/1'urchaser x O Address � j IIldr/PlbedCST -� � �� [' Address — � Inspection � Private � Public Violation � Zoning ❑ Sanitation r� R� � Dwelling ❑ Mobile Home ❑ Commcrcial � Garage � Addition `"' :n � � Setback - Lake � Setback- Road � Setback - Lot Line � Soils Ver;fication '.__ a. � O _ � ry �j �n� � WD Vo1488 pg 23 R-1 Acres: 3.840 / '��' � ` �, - -- _ -__.___� .q��c- ��. -� • `�l � .� J� ,,$ ` � �. ��� g� ` so• \ 73 \ l;� i�t� , c � r, a,� 4 �'t$. 6 0• ` � o i�f�1-{.�H� �x� - � � � a �Y' l -. iY' � � n I32• 2$' S' �/ ` G � �lhiN /"''� �.�. S � � :n ��� - --"l�..J— 1 2Y• g� � � � I � ____ L"_ � S � '.o � � / � �1C .P �1 � W L�.A.- % �RxKC �i u �ccM � �g � � �`",` ` SD°Zo Ct�iNU�� 7.�D� 7>�.J o t;; , � � — � 2�pb� �n�pas,�w 38", s"x �l lr✓,�� �^e��� � ' � i (�; �e,�i� � � �3'x36' �� � '�.�., �i,� I�oss� bl� U,q.�2.ie4ucxs � 50� G��m U ,� M I �� � � . � � � / � � � � `� ,L�� ��'. � � , ,� : � ���,�i ���� � '�,� � �� / ) , ��� / /� � � ��, , � � . � � `�� �� IU�`��,,.. ���� � ' ,� "' '-� �, � � ►` ���_���_ ►:�v���%-�,� "�' � � � .,��� �� �'e � ���.� �►� � .. ���� �; � . � . i�'� � � � `� � ►� ����,��. , � ''���,��� �;� A'' -, � /'/ ; . �i �� , `� , �/� ' �► i�!. ���p .,� � � �, � . .�►� � � -_�� , I �����_ � � I. � � � ����� . ,, ��� ,, � ,I ,r � �' / � ,� � � i � ' ' I � ,, .��.�� . . ; / .'4�'.�-�,-� I�� .�i0 � . � . • ' ' � , � � • • • � � � +r • - : ' • � � � � • • TOWN OF HAYWARD SEC. 23 TWF 41 N. R. 9 W SWSE 15.1 15.5 � 15.11 .o., �. o �. 15.1 f 15.12 NAMEKAGON RIVER 15.2 �i.4 .15.3 15.6 15.9 I 5. .15. 15.13 SCAL�° I '� =200� o C �� i� CNICAGO AND NORTH WESTERN �j � �� Q ZONE A �� ,� ' � , , � �������--� , / ��.:, .. ..: .�� �� � 63 ; �� � � NAMEKAGON II .� � �� �� � RIVER -�'��� � � � 1 � o� � � �: � Il � � 0 23 � �� � � � 24 � _ _'' � �ONE X � � �':� �) ZONE X II o � / o ° � ',�%' �.�, li � / � ;'�'�{"� b ��( I� � � � �� � <� � ,=o �� � : '� � � . . . . . �Q i ' \�— , , C-= : '�: i:�:• / �—_.—_ --- _ � II / � [__.�. .::,.'., ;: // � �ll_ �� - -- --a� / � � "•'•'•'•,'� l� -- — i-;I_ ' '•, ' ;";:�. ; . . . : F�.. 1 :::.�:. ��= ZO�NE A� : :�: ��: �.�:;�; ::::;4J�;:;'.';'�`•�•� �_�J'•' ,�.�. .•:> I•.;•. CITY OF HAYWARD . . -��° . . . . . . .� (AREA NOT INCLUDED) �:�:�:�:�:�:�:��` : �:� 26 ::��°�;::��� � HAYWARD.�'. '^_ z.. : t.::>• . �,..: ,. �• : �..... . .• :�:`. 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