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HomeMy WebLinkAbout026-939-12-5420-LUP-2001-607 Sent By: Sawyer County Government; 7�5 638 3277; Aug-31-00 14:06� Page 1!2 . �� Application for Land Use Permit a o; County of Sa�vyer � � PO Box 668 -Hayward��I 54843 715/63�-8288 V` he undrrsi�ned hercby makes appiication for a Land Use Permit and agrees that all �vork _ lall be done in compliance with the requirements of the Sa�vyer County Zoning Ordinance ' nd the laws and regulations of the State of Wisconsin.CONSTRUCT[ON h1AY hOT ;EG(Y UIYT[L THE PER�IIT 1S ISSUED. �' PRiN't-USE BLACK[�K OR PEhCIL � � JaL�.. � . ;�j /�;0�TNU++J� PL'cRt:le�cninl li0✓ne�c�1C o. )wner Builder ° � f � W 33� lJb�t't HY C I'Ob36 IyAY�.ilat� Cc�; = �Iailing Address htailing Add�ess . � N(1 S 1�O TAN �L'i_ S`i o ti 8 ��t Ay�`a2�a ,��ti�� s y 8�3 � :ity,State,Zip � City,State,Zip �, «6a- 3(�7- �D88 b�4-6 364: — I � �aytime Phone Daytime Phone � 3uilding Land Usc p "' L�1e�� O Filling Zone District nQ-� i � )Addition ( )Dred;in; �o )Alteration O Grading Lot Size�� 8 8'2 � � )blo�ine On ( } � ) ( ) n«�5 1,3 - ; Primary Stnicture A'c,/cessory Bui���n� Addition I� _ �`�D� eltin� (')G�rage ttached etached O Deck �, ; {�'ear round (aJ�*of car sta s O Porch I� � ( )Seasonai ( )Stura�z Buildin� ( )Enclosed O Frame built on site O Scceenliouse O Living room ��� '� { )Nlodular,'manufactuce�i ( )Gre�nhouse ( )Kitche�i �'�- � ( )Mobileimanafactured ( )Other ( )Bedroon� j� O Other primary structure O O Relocate/cnlar�e I� I` � ) ( ) ( )#of ne�� �1 ,I � - Ty e of C�nstn�ction . (�Frame ( )Log ( )Putehnetal (�Block ( )Concrete � ( )Other � � R fi Construction Cost 5 ��'S ><<� ; Vol �Y7 P of Deed Cettified Soil Test� ��'"�y`�` �' � S���_ �' CSM Vol�(i Pg /(�-5 Sanitary Pecmit� t�� '��S,S� �`� z z Plat Envelope Or: � � Condo Vol P� Year[nstallcd AfC of e�septic�' P O����er�b`hcn Mstalled- { _ __.. rGl�aioi �8�'�� I Sent By: Sawyer County Government; 715 638 3277; Aug-31 -00 11:07; Page 2!2 Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, srory, addition, or alteration. pe�T 13eu�2 #1. lJou�f #2. �n�e K3. scRee.,i Paa��� #4. Size�g_ ft. �vide a�' ft. wide IY fl. �vide �_ ft. wide y1 R. long �_ h. long � `! ft. lon; �_ n� long �:,uuorr 1i'�b Floor area I i`I� sq. ft. 72X sq. ft. 1 b 59. f�. --�—Sq. R_ �.o F� H�- Crom gade, �2 to p�k � ft. hgt. I`{ R. hgc. _�_ ft. hgt. Stories I ��e I � stories I stories 1 stories # of bedrooms � rear lot line or��aterlme o E l�Ac c�� 2� e �e «te��akelriver �,,Fp� `� N In the box sketch in: - 2�• Location and size of all ; existin� and proposed structures. 13' 15'. Location of septic system. I a"' ��o,.�t LnJicare distance tu: /� �ti'aterline!�Vetlands Road Lot lines -- 31. �� r�wc_-� Septic systenUpn�y - «'ell s�R+-�N Distance bztwccn structures. pD�'" ___ - µwri Indicate Koftit. � Fire �umber: --' � G��l wai � •15� . pRwcwR7 � Signa�re of O��ner � � S�P1'iC Tlie abo�e certities thu thc listcd � iufomution and intentions are ttue and corrcd.Tht abo.e person's/hetrby gi�•e permisswn for atcess ro thc prope�ry ior ons��c [nspeceian ------- centerline of S��omo��r ��=h QuCK EY� _i0ad--•--- (ssueDate October 30�2001 ExpireDate n�r�hor �n . �nn?! 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