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HomeMy WebLinkAbout014-942-33-1206-LUP-2001-194 l_.-- Application for Land Use Permit �.. ,.� � County of Sawyer v � 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.CONSTRUCTION MAY NOT BEGIN UNTIL THE PERMIT IS ISSUED. �� PRINT—USE BLACK INK OR PENCIL � �F.itrl o L�I��aszD TI,U()��IC (�(')f�ST�-lJC�10►�� a � Owner Builder c o � IZ3�cQ,� ('_�R� I i`��=��v' �SfAfi�Rd- 77 ; Mailing Address Mailing Address �av�,.,wrzc�. 1n1� S�fS�3 �-{Fll,li,(J��2i7 GUI. �t� City,State,Zip City,TState,Zip 17r5�f�34-Z30-7 (�115 ,�4-- �`.�;2 � Daytime Phone Daytime Phone Buj,lding Land Use p S h�/f New O Filling Zone District j�/�� `� ( )Addition ( )Dredging O Alteration O Grading Lot Size on 1� ( j biuving On O 3 I,,: ( ) ( ) Acres� � � � � Primary Structure Ac ssory Building Addition ° ( )Dwelling (�f�Garage-attach�etached ( )Deck r o ( )Year round ( )#of car stalls ( )Porch � " ( )Seasonal ( )Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom W ( )Other primary structure ( ) ( )Relocate/enlarge � ( ) ( ) ( )#of new '� � c r T ,e of Construction >� (�Frame ( )Lo� ( )Pole/metal ( )Block ( )Concrete �' B ( )Other b � Construction Cost$ (Z���.ClZ� � � � Vol ,5�d f Pg a�; of Deed Certified Soil Test# �/�a3 3 � CSM Vol Pg Sanitary Permit# 8� -�3{3 !' � . z Plat Envelope or: �1,3-333 Condo Vol Pg Year Installed � Aff of ex septic V P Owner When Installed: � 6�I D� Ulk�'• 5�3 o.3i ih5�s �� Application for Land Use Pernut — Page 2 " Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. #2. #3. #4. Size__Z__�� fr. wide ft. wide ft. wide ft. wide Z`� ft. long ft. long ft. long ft. long Floor area �7�, sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from gade�to peak ft. hgt. ft. hgt. ft. hgt. Stories� stories stories stories # of bedrooms $ reaz lot line or waterline of lake/river In the box sketch in: Location and size of all existing and proposed structures. Location of septic system. � Lo-� �i�E - - - Q �i _ _ •9 Indicate distance to: � Waterline/Wetlands � Road � Lot lines I Septic system/privy � Well �00 �Distance between structures. ��'�,� �, /'� v Indicate North. Z� r a5 / � � Fire Number: � 5y� -- z'� 'I� a---- �,� � w �738G1�1 ��� y't, Exis-rirb � �A Z'{ ,to.,ae 4� �d � , we���' � . v, � f Z s'� Sigoature of Owner � The above certifies that the listed � - information and intentions are hue and CO 2D �' � ` correct.The above person/s/hereby give permission for access to the property for onsite inspection. ------- centerline of road------- Issue Date ��]�M/ Expire Date ��1�0 a Office Comments: l/Vs�L�� Ur�^A��G%�� — Signature of Zonin� Administrator 1 . 8. NOT USED. :NROOT 42 N. R. 9 W. ,,,, � , 2 � NELSON .i .i LAKE iar ` � .�.� .I .2 2.i .2.2 .1 .4 �, .1 .5 .1 .3 .1 . 6 .i.iy .2.3 .1.8 � .1.9 .i.ls .2.4 .2.5 �.�e � � v � � � � z.iz � .2e ` .2.6 ,2.ii .2.16 � a A r.r�� � ✓ .Z.� .�.�� .�.�� .� .�2 2. fs .2.15 �_ � � 2. � 2.� .2.1 3.27.1 .Z.7 zi� f. .2.14.:� � .4.I � � .3.1 '' ✓ Cp, T � ✓ n � ,�4�� � .13.1 � J .15.1 .16.1 � � � � � �ZONE i � :.>:,:.:::::'. � I �� � ���'������� . :� ��.�.�. 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