HomeMy WebLinkAbout014-942-27-1203-LUP-1997-183 Application for Land Use Permit r y � �
County of Sawyer w � .�
PO Box 668 -Haywazd WI 54843
, , 715/634-8288 � �
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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 C; ,
and the laws and regulations of the State of Wisconsin. `�'
PRINT—USE BLACK INK OR PENCIL �
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�wner Builder y �
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Mailing Address Mailing Address �
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CiTy,�,Zip CiTy,State,Zip ^+
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Daytime Phone Daytime Phone A
Building Land Use y�� �
O New O Filling Zone District �K-"I �,
�Addition ( )Dredging b
( )Alteration ( )Crrading Lot Size �
( )Moving On ( ) �
( ) (� ) Acres i.1(k� ,a
C
Primary Structure Accessory Building Addition � �
( )Dwelling ( )Gazage-attached/detached ( )Deck • �
� �Yeaz round O#of caz stalls (K)Porch �H-Fr Y r
( )Seasonal ( )Storage Building ( )Enclosed � �
O Frame built on site O Screenhouse O Living room 'r �
( )Modulaz/manufactured ( )Gteenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom ;�
( )Other primary structure ( ) ( )Relocate/enlarge N �
( ) ( ) ( )#of new W :
C�U i�crsPvnent �
Type of Construction R'�
( )Frame ( )Log ( )Pole/metal ( )Block (X)Concrete GaS��NFy�,���,�fy �
( )Other "
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Construction Cost$��o v cl = '�
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Vol S Rlo Pg 4 i of Deed Certified Soil Test# i 7"�5 3 �
CSM Vol i�- Pg 3S3 Sanitary Permit# �? — J�((P �
N
Plat Envelope �r: z
x
Condo Vol Pg Yeaz Installed
Aff of ex septic V P Owner VJhen Installed:
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� Application for Land Use Permit—Page 2 '
Describe Consirucdon:List dimensions of each structure,story,addition,or alteration.
#1. �Z b4s<».rKt' #2. Cnt„i( #3. #4.
Si� �t:�ft.wide �fr.wide ft.wide ft.wide
, �.1 c 3 L R.long �ft.long ft.long ft.long
��� j�cc`lci,
Floor azea c � s"'�q.�. ,�y� sq.ft. sq.ft. sq.fr.
Hgt from gade d`/ to peak 9 fr.hgt. fr.hgt. ft.hgt.
Stories / �stories stories stories
#of bedrooms 2
reaz lot line or waterline of ►J e�S�� lake iver
In the box sketch in: � ,�. ��g�' -�
Location and size of all (.1 �'�'�� U�`
existing and proposed structures. � � n
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i -( hew, p.�f�y
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Location of septic system. � �
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Indicate distance to: ,� 105� ( �
Waterline � , E-�! �, � �
Road � r�, �j`-�{� w C z
Lot lines �o � � � ^• ' \ �
Septic system � � �� ��� � i �r � 4 „x.�
Distance between structures. � � �,� o� � �-.
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Indicate North. ���' � x 1
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FireNumber: �� � E' °r�
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Issue Date 04 June 1997 Expire Date
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