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HomeMy WebLinkAbout014-942-34-4109-LUP-2001-587 Application for Land Use Permit � -� County of Sawyer v � : PO Box 668 -Haywazd WI 54843 7t5/634-8288 � 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 Counry Zoning Ordinance w and the laws and regulations of the State of Wisconsin. i � PRINT—USE BLACK INK OR PENCIL (�na , Pl,����� N�,nncn I�x;er Ho� �nSi7vc}��i�i g r � owner �� =sw a � �1 �(��i 1 I*� St 15�7�� C�ntu �x,�� � � Mailing Address Mailing Address � � I�;e��r��, m►v 55�7�5 t��-�-��,a''.��t°l 1,c�i 5���'��� � � City,State, ip City,S ,Zip �lS' C93�I�L0��P�(sz �' Daytime Phone Daytime Phone Building Land Use (y.j New ( )Filling Zone District � �r ( )Addition ( )Dredging ( )Alteration (�Q Grading Lot Size pj 7.��+�,3OS" �1�,�,X 3(r;� ( )Moving On ( ) � ( ) ( ) Acr�s � �•��� � v � Primary Structure Accessory Building Addition ;� � (�Dwelling �GarageEattached�detached (�Deck - �-"��`� � (y�Yeaz round (L)#of cai staZCs O Porch s o ( )Seasonal ( )Storage Building ( )Enclosed � �-U O Frame built on site O Screenhouse O Living room I � (�C}Modulaz/manufactured ( )Greenhouse ( )Kitchen "' ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge G `� ( ) ( ) ( )#of new 1� = T-\y�of Construction �'I ,(�j Frame ( )Log ( )Pole/metal ( )Blcek ( )Concrete : `( )Other N / v� � � Conshuction Cost$ ��(y� QQQ• ; � I � VoI�Q pg�of Deed Certified Soil Test# d/- �y/ � CSM Vol Pg Sanitary Permit# Q/-:�SS- � � Plat Envelope Or: �z � Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � � � D' 15 i��'1 Application for Land Use Permit— Page 2 � ' • Describe Conshuction: List dimensio of each structure, story, addition, or alteration. ai. #2. g� �� � #3. a a;�K �a. G�"" Size .�R ft. wide _��ft. wide 5 zvv ft. wide ft. wide � ft. long � R. long �,���y ft. long R. lon B Floor area �1�(o sq. ft. �7� sq. ft. �sq. ft. sq. ft. [-Igt.from�ade /`-�' to peak / `/ � ft. hgt. ft. hgt. ft. hgt. Stories�_ / stories. stories stories # of bedrooms�_ rear lot line or waterline of lake/river [n the box sketch in: Location and size of all �i�:` � !� 6 existing and proposed structures. _ . :X �'= . y=� , ---�-- .r' 0 2 -- — - - Location of septic system. � ��t p�a�: 1,' ` , s, �y• 4,.�Z' /✓�• _ -- yo�--� , ". " -- - l3".. Indicate distance to: �/ L , Waterline �� I yJ� �� Road i ��(o --�' �'._-, � i — � Lot lines � � STj - iL� L l "} Septic system �' j� � �Id3 � Zy Distance between structures. �. �' 'f' 2 [ndicate North. ��/ I �y'� \� � � � .� Fire Number: `� ,��' �' ` , r:;� : -� �, , �- . / o�� _�� � � ���� � . ` , '\ �y l �/ � N �>.��2�' l` ature of / \I 3„ .�dE.� i �,� _ �, i- ' 2 t ---ccnterline of road— IssueDate October 19 , 2001 ExpireDate October 19 , 2002 Office Commenu: U f�� �(_p 3] (�(/�(,�,li��y,,,�(�/���j�j� _ ; V� = �pi� � . � � � I �\ \ . , � . . 'd. 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