HomeMy WebLinkAbout010-841-27-5516-LUP-2001-545 Application for Land Use Permit � ,� �
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.CONSTRUCTIO�I NIAY NOT �
BEGIN UNTIL THE PERIVIIT IS ISSUED.
Karen artd PRINT-USE BLACK INK OR PENCIL �
��cHaR�7 �ICT �1Lf 5�1V1 � � �
Owner Builder � � l
!3 0 3 S w C'��u-n�i �'D l� � C� .�
Mailing Address Mailing Address �
�-l�YG�A/?U, GC'/, � y8 %3 �
City,State,Zip l City,State,Zip
7!%-- 1- 3%- 331�
Day[ime Phone Daytime Phone
Buildin� Land Use �
(�New O Fillin; Zone District�� � �
( )Addition ( )Dred�ing
( )Alteration ( )Grading Lot Size � �
( )Movin�On ( ) 3 rn
( ) ( ) Acres � , ��d = ~
�
Primary Structure Accessory Building Addition x �
O Dwelling O Garage-attached/detached O Deck � o
( )Year round ( )#of car stalls ( )Porch �
( )Seasonal (�Stora�e Building ( )Enclosed J�'
( )Frame built on site ( )Screenhouse ( )Living room � �
�
( j i�:ud�'.a�'��^ufactured O Green}iouse � )Kitchen 9u j� '
O Mobile/manufactured O Other ( j�edroom v r�
( )Other primary structure ( ) ( )Relocate/enlarge �
( ) ( ) ( )#of new p �
11�
Type of Construction =
( )Frame ( )Lo� (�Q Pole/metal ( )Block ( )Concrete �
( )Other � j�
� I�
�
Construction Cost$ ��i~C�� f
`'7pg �7� '
Vol ypo Pg a3a of Deed CeRified Soil Test# ¢'{9-/9�
CSM Vol Pg Sanitary Permit# •89 - a l.1 � z
Plat Envelope Or: 8q-356 9s-ao6 q9-s5i �
Condo Vol Pg Year Installed ��\
Aff of ex septic V P Owner When Installed: � ��\\
�
Application for Land Use Pemut — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#�� #2. #3. #4. ' �
Size f51� ft. wide � R. wide �G ft. wide � :�' ft. wide
! c; ft. long yC R. long 3°I-- ft. long �ft. long
Floor area /`�1G sq. ft. �sq. ft. � 32 sq. ft. / i -= " sq. ft.
Hgt. from grade 13 f r to peak i K f� ft. hgt. � ft. hgt. ft. hgt.
Stories 1 � stories � stories stories
# of bedrooms 7
rear lot line or waterline of lake/river
In the box sketch in: ?) ��J�y lj 5 0/V � �' _
Location and size of al( �
existin� and proposed structures. �
Location of septic system. `_ �a'�
Indicate distance to: �� � � � 15���
� .
Waterline/�Vet(ands � '�l�
Road
Lot lines �
Septic system/privy itt �D�Sr
Well
Distance beriveen structures. l , 'ila�" #"
d � ----, �
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—I �
Indicate North. ,I-���n
_�
Fire Number.
l3G' 3 � �Z �
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,����� �z�.�,�,,t�
Signature of Owne� ��
The above ceRifies that the listed /� h /.�
information and intentions are true and � � y E� �
correct.The above person/s/hereby
give permission for access to the
property for onsice inspec[ion. ------- centerline of road-------
IssueDate October 3 , 2001 ExpireDate October 3 , 2002
Office Comments: ���� �����"""'
Signature of Zonin� Administrator
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