HomeMy WebLinkAbout026-176-00-0300-INS-2001-072 Sawyer County Zoning Administration r O
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Owner(s) Lucy L.Raven 612 661-7703 Q � g
Address 800 Towne Circle Stillwater Minnesota 55082 � z �
Agent/Purchaser �0 �
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Address � ` � `—
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Bldr/Plber/CST Builder Stan Sveinsson 865-2550 � C
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Address P.O.Box 88 Stone Lake Wisconsin 54874 �
Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation
❑ Dwelling ❑ Mobile Home ❑ Commercial ❑ Garage � Addition �
� Setback-Lake ❑ Setback-Road � Setback-Lot Line ❑ Soils Verification �
� Chanae of Roofline a
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WD Vo1503 pg 227 RR-1 Acres:0.977 #5845N Runzel Road � �
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Discussed with Stan Sveinsson-Builder �
Date&Time Ma 11,2001 9:00 A.M.
Signature ofInspector
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Application for Land Use Permit r � , �,,
County of Sawyer y ° . ,'
PO Box (�� 1� - Hayward WI 54843 ��
715/634-8288 '
le undersi�ned hereby makes application for a Land Use Permit and agrees that all work � �
all be done in compliance with the requirements of the Sawyer County Zoning Ordinance v
�d the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT ''
EGIN UNTIL THE PERi�1IT IS ISSUED. �
PRIti'T — USE BLACK ItiK OR PENCIL �' `�
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Iailin� Address Mailin� Address � �
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ity, State, Zip City, State, Zip -# r
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�ayt�me Phone Daytime Phone Y !�
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uildin� Land Use �
) I�'e«• O Fillin� Zone District l�'� �,, I�
) Addition ( ) Dred�in� ji
) Alteration ( ) Gradin� Lot Size � ��
) Moving On ( ) C� s� � i
) ( ) Acres � ` 6 � = �
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rimary Structure Accessori� LuildinQ Addition i� ��
) D���ellin� ( ) Gara�e-attached'detached ( ) Deck �
O �'ear round O n of car stalls O Porch � ��
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed � �
O Frame built on site O Screenhotise O Li�•in� room � �
( ) Modular,�manufactured ( ) Greenhouse �`j�l Kitchen �� n � r� ` I
( ) Mobile/manufactured ( ) Other (�Bedroom � i
) Other primary structure � O �l Relocate/enlar�e p a
( ) ( ) ( ) rofnew
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�ype of Construction ���-��� �� `
� Frame ( ) Lo� ( ) Pole/metal ( ) Block � � �
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) Other SO�� �„Q➢.� � '�-� �i
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�onstruction Cost S � � . C � ^���� �:
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✓ol ��C? � Pg �� of Deed > Cer+ified Sou i s� tt �
�SM Vol Pg Sanitary Permit # � z
'lat Envelope Or: � (�., r
�ondo Vol Pg Year Installed �J ��1.,i,cs.�� � � `��a �O
�ff of ex septic �' P O��-ner �Vhen Installed: � �I3�� �
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Application for Land Use Permit—Page 2 . ,
Describe Construction:List di ensions of each structure,story,addition,or alteration.
#1. �vr rn vy� /�dn� "'�--'�� #4.
Size��-fi.��i�de y��+� ft.wide ft.wide ft.wide
ZC�� ft.lon� ft.lon� ft.long ft.long
Floor area Z.�{� sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.&om gade_L�to peak R.hgt. ft.h�t. ft.hgt.
Stories stories stories stories
#of bedrooms
rear lot line or waterline of �Ist..iC� lake/river
In the box sketch in: g��
Location and size of all
existing and proposed stnictures. 9
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Location of septic system.
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Indicate distance to: � �I(� '�"f �
�Vaterline/Wetlands � Q
Road 2y I `,�E-`t"
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Lot lines -1-'„---- —' , �
Septic system/privy �� ��' x�'�
��'ell �� ��,o .��o�t
Distance between stntctures. 5�����'�`�`� �� =�� �
-q8 a�;2
Indicate North. � �
Z P2J+
Fire\umber. SS`�SN y �'
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Signature f Owner
The abo��e cettifies tha[the listzd
infomiation and intzntions are true and
correct.Thz aboce pzrson's�hereby 1 �,�'�
�ive pzrmission for access to the
property for onsicz inspzction. ------CenteC�itte oF���ty SC�` ��;'L'��e=, IOad-------
Issue Date Expire Date
Officc Con;ments:
Si�nature of Zonin�,Admiitistrator
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ALE: IINGH=100 FEET FOR ASSESSMENT US ONLY N�
;AWN BY: DATE:6-25-84 INTENDED TO SHOW GONCLUSI'
_.. ,.. ,.,..,� .r« �n�ir i nT EVIDENCE OF OWNERSHIP OR
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