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Home My WebLink About014-942-34-2411-LUP-2001-468 Application for Land Use Permit o o �_ County of Sawyer � O PO Box 676 -Hayward WI 54843 r. 715/634-8288 "' _ z The undersigned hereby makes application for a Land Use Permit and agrees that all work � 70 , 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 N1AY NOT oS BEGIN UNTIL THE PERMIT IS ISSUED. � PRINT-USE BLACK INK OR PENCIL � �r-,�c;�;:�.{. /-� <J;�<t a �jEN /�_ MoNCE L ��`' � Owner Builder ° � 157oy W n1oRwAY Poiur RD. ; � Mailing Address Mailing Address � �1AYWRrt9, W� 5y 643 `�� z City,State,Zip City,State,Zip D 7ts- (�3y- I113 Day�time Phone Daytime Phone � Z Building Land Use r ()()New ( )Fiiling Zone District Ti�WN pF �n�2�o,— ��`� m ( )Addition ( )Dred�ing C O Alteration (�Q Grading Lot Size Z7��1 sF � ( )Movin�On ( ) ° ( ) ( ) Acres -t�3 - n Primary Structure Accessory Building Addition ° O Dwellin� (X)Garage-attached/detached O Deck L o O Year round (y)#of caz stalls O Porch � ( )Seasonal ( )Storage Building ( )Enclosed -r O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � �n ( )Mobile/manufactured ( )Other ( )Bedroom �� m ( )Other primary structure ( ) ( )Relocate/enlarge �r�� O O O#ofnew m � �f - Type of Construction ' (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other d � � 00 � ,.3 Construction Cost$ g' Sev: 9 9�3�3 � 9Y-Soi � Vol -7>> Pg�_of Deed Certified Soil Test# 93-/I y 9�1-Soo IN CSMVo1i3Z30 Pg 2�3 SanitaryPermit# q9-35e2 z Plat Envelope Or: �uf� 49- (¢(3 � Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � � � v�2 ob -oYB ' ix�ti�� Application for Land Use Pernut— Page 2 . , Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. #2. #3. #4. Size L'f ft. wide ft. wide ft. wide ft. wide Z� ft. long ft. long ft. long ft. long Floor area 10 S 1p sq. ft. sq. ft. sq. ft. sq. ft. r Hgt. from grade�_to peak ft. hgt. ft. hgt. ft. hgt. Stories I stories stories stories # of bedrooms�g_ �et-�it3e orwaterlineof Nt�sun� �.qkE lake/river In the box sketch in: ;� Location and size of all ' existing and proposed structures. � ," _T ,. Location of septic system. ` � Indicate distance to: Waterline/Wetlands -;,, . : � - Road Lot lines � � �ti°+� .- � ti� Septic system/privy tia Well p�\ ; \� • � ' � � � Distance beriveen structures. ' � � _r � � 8� Indicate North. � - � � ,� � , J ,� O � , r 3 Fire Number: � � � � 157oY w uort��r Pow� R�. J ,��'�N°°,'��a° ` \� . ., - 9,� �� Siguature of Owner ` The above certifies that the listed information and intentions are IIue and correct.The above person/s/hereby give permission for access to the property for onsice inspeccion. ------- centerline of N�RN1A`! 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