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HomeMy WebLinkAbout010-841-22-5108-LUP-2001-420 o��, a�� .� = - . Application for Land Use Pern������+�� ;.;.:a;tinl�2�yy'�,o County of Sawyer � � O PO Box 676 -Haywud WI 54843 715/634-8288 � �� The undersigned hereby makes application for a Land Use Permit and agrees that all work 1 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 � � BEGIN UNTIL THE PERMIT IS ISSUED. PRINT—USE BLACK INK OR PENCIL g � w _ y � V ��}Rr RRR ENGL f/�/ �ODcR�S CRRPt-�v7�V _ o , Owner Builder � � � y3� �J�.p�cy Av�- i3�7� � P,��ST6,�T�,�� L � Mailing Address Mailing Address � 5/�o�t-v r F�-�1 /�?N ,S-�l 2f� l��r w.v-�b,; wis�. .�`f S�13 � City,State,Zip City,State,Zip 6S/— �f S3 —y/S�3 7 i�— 6 3 y— 96.5� Daytime Phone Daytime Phone Building Land Use /� m .(?�I`'ew ( )Filling Zone District /�2'"� � ( )Addition ( )Dredging � / � O Alteration O Grading Lot Size �J 0 w �`-ss� �°n� , o ( )Moving On ( ) " 3 Z ( � ( ) Acres G�c�� ; a � Primary Structure Accessory Building Addition � ° �()Dwelling �Garage-attached/ etached (�)Deck o f�Year round �#of caz stalls ( )Porch . ( )Seasonal ( )Storage Building ( )Enclosed 00 �Frame built on site ( )Screenhouse ( )Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � I� ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlazge � = � � - ( ) ( )#of new � � � �1 Type of Construction � ' �Frame ( )Log ( )Pole/metal ( )Biock ( )Concrete � ( )Other �O � e; = . � � � Construction Cost$': �DO� � Vol fo5� Pg 3 y I of Deed Certified Soil Test# Q� — �7�.�i . � CSM Vol �?o P 9'7 �S�y'� Sanitary Permit# �/ — �J�r] � 'z 8 Plat Envelope Dr� I� Condo Vol Pg Yeaz Installed � Affof ex sentic V P Clwner When Tnctalle�l• � �I��I ei Clti Application for Land Use Pernut— Page 2 Describe Construction: List dimensions of each structure, story, additi n, or alteration. #1. +f v us e #2. G¢.r«�4 ct #3. ���� ( Dz.c:�'2 #4. �e.r,y+3' Size�O ft. wide R. wide �Of`� 6 ft. wide � � �ft. wide _ �_ b O R. long 3 D ft. long a`� ft. long � a a O ft. long Floor azea � g o I S9- ft• ��59- ft• 1� y sq. ft. � �t�-/ Z E�0 sq. ft. Hgt.from gade � y , to peak � 8 � ft. hgt. �' ft. hgc. — ft. hgt. Stories I � stories — stories — stories #ofbedrooms 2 n reaz lot line or waterline of r`--.,,�,e� �..0�Ge- lakelriver � ,—�— In the box sketch in: I ; �-; � � ; b : '�q : � Location and size of all . � ; � �` �� �— �.` �bs �` 1 existing and proposed structures. ` � � .` �'�����_ �—��- _�____ � %�- � , --.��_� ,� - - :/ -` � � �--- Location of septic system. �,; � ^ � '' 'g �'�- ;�l � � . . \ r� � .-�- i � , �s . �� � Indicate distance to: � I � �.: - � � �6 ��"k 'vVaterline/Wetlands � f , ��� � ID( ` ��; Road �� �, ` � ` • a _ Lot lines ' .� � �`� � �- - , �� Septic system/privy ` � ` � `` ~�'� "�'��� -"-; � • -- Well �;� � ' ., � �o • �s6\ �"i , � Distance between structures. , � � \ '~ �� ,g � ;,%� Indicate North. Q� " \ 4\` -' " � -- o - _�_ .� -_ - � _ � ,..- �9 ' � Fire Number: �--__ ' _ � ' � `'-��� / 8 �} `� InIYI � ir �d . '- - - -�o -� ` �' - : ��' o �� � a � �'� _ ) o y � l N ' - ---- =s--_ a - _ : - ` , ' ' y a � s --��.T 'IR / � � � -- � _ -�; � __-- - ; � , - � " '�-� �� = E � --- � Signature of Owner ____x_- ' o�� � " -- The above ceRifies that the listed _ m,e _ �' _-� � , informacion and intendons aze�ue and '- _-- '�-���.'� . i � - coaect.The above person/s/hereby give pertnission for access to the property for onsite inspection. ------- Centeillne Of road------- C��4Lu ct���%Y.aC�J�/n/�(.'i/I1l!/h U �U' .�(j(�I� �i�(GL� �L IssueDate August 29 2001 ExpireDate nu�ust �9� �nn� ��!�!,E����/.�i5�!i���"�i . ,_— ,w, ,.o, . . SW- NE SE- NE r . 0 C � � ; 4101 / 4201 ��• • ��- • � . NW- SE t . � NE - SE .� �PENINSULA RD� SHOWN AS 66� W10TH FOR MAPPINC PURPOSES. _.__ - � - -- � --. _ _. ---�-- . . . .__ -_--�-=_��- . . --- - _. _ . �. . � 5101 4301 • . G . 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