HomeMy WebLinkAbout032-539-32-2201-LUP-1997-349 Application for Land Use Permit r y —
County of Sawyer „ � �
PO Box 668 -Haywazd WI 54843 �
715/634-8288 � �
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 County Zoning Ordinance ��
and the laws and regulations of the State of Wisconsin. �
PRINT—USE BLACK INK OR PENCIL
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Owner Builder y �
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Mailing Address Mailing Address s;
City,State,Zip City,State,Zip
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Daytime Phone Daytime Phone
Building Land Use
(gNew ( )Filling Zone District �-�
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On ( ) � �.
( ) (� ) Acres 7 ,0 9 �
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Primary Structure Accessory Building Addition � �
( )Dwelling (jg Gazage-attached/detached ( )Deck � S
O Yeaz round (�,-�#of caz stalls �'. O Porch �� o
( )Seasonal ( )Storage Building ( )Enclosed `f,
O Frame built on site O Screenhouse O Living room
( )Modular/manufactured ( )Greenhouse ( )Kitchen �s
( )Mobile/manufactured ( )Other ( )Bedroom , y
( )Other primary structure ( ) ( )Relocate/enlazge � -
( ) ( ) ( )#of new �� �
Type of Construction
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete _ ,'
( )Other �
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Construction Cost$ ����"r'� �. � � ,
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Vol �� Pg i� -'';' of Deed � Certified Soil Test# �' ' t- �
CSM Vol Pg Sanitary Permit# � � v� E ��
Plat Envelope pr; � �z
Condo Vol Pg Yeaz Installed '
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Aff of ex septic V P Owner When Installed: �
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Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Size ���� ft.wide ft.wide ft.wide ft.wide
• ft.long ft.long ft.long ft.long
Floor azea B c sq.ft. sq.ft. sq.ft. sq.ft.
Hgt&nm gcade�to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms
reaz lot line or waterl�e-e£ lake/river
In the box sketch in: Roc,;
Location and size of all 40
existing and proposed stntctures. �
Location of septic system. - -< -. - ----
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Indicate distance to: �
Waterline 'E .
Road —���--__
Lot lines � -- -
Septic system
Distance between structures. 3b
Indicate North. ? ''�
3?s
Fire Number: i� �
L'�IJ(n n 3�� —r 1�c,-5 a�., Q�6;
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r of Owne
-------centerline of T p�-���b1 �C( road-------
Issue Date 12 August,1997 Expire Date 12 August, 1998
Office Comments: ��p[�,�, ,��1("7PV1E��i r�i�i 1J
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TOWN OF WINT�R
SEC. 32 TWP. 39 R. 5
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