HomeMy WebLinkAbout002-230-00-0100-LUP-1998-366 � �3',= .
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Application for Land Use Permit r y - -
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County of Sawyer � �
PO Box 668 -Haywazd WI 54843 Iv
715/634-8288 �
e un ersigne ere y makes application for a Land Use Pemut 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. �
�u-s0.r�� PRINT-USE BLACK INK OR PENCIL � �
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Owner Builder :
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Maihng Address Maihng Address - �; �
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City,State,Zip � City,State,Zip U
� i�!- � 'i,`- <' � Y
Daytime Phone Daytime Phone � �
Building Land Use ��
( )New ( )Fiiling Zone District �
{�Addition ( )Dredging �
O Aiteration O Grading Lot Size � ��
( )Moving On ( ) �
( ) ( ) Acres , °g
�
c
Primary Structure Accessory Building Addition � �
( )Dwelling ( )Gazage-attached/detached (y)Deck � �
O Yeaz round O#of caz stalls O Porch � o
(�Seasonal ( )Storage Building ( )Enclosed ��
(�Frame built on site O Screenhouse �Living room � �
( )Modular/manufactured ( )Greenhouse Kitchen
Mobile/manufactured �l`
( ) ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlazge �
O O O#ofnew � :
i
Type of Construction �1,
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
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( )Other � �
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Construction Cost$ y 3 7�� �'
yv�: 3f�1 � �
Vol_ ' � Pg J�S-�-kof Deed Certified Soil Test# —
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CSM Vof ,� Pg 3 � Sanitary Permit# Pa1�r. If �r�& � ,�
Plat Envelope Or: �"� <i-��5 3 4t�J`ro �, z
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Condo Vol Pg Year Installed �. I
Aff of ex septic V P Owner When Installed: �
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Application for Land Use Permit — Page 2 , ,
Dcscribe Construction: List dimensions of each strucwrF, story, addition, or altcration.
#L #2. NP��,; i'crr � ' �Ci'�d::u� #3. #4.
Sizc�(�'(o Ct. wide _IL ft. wide (c'K 14 ' ����1 ft. wide ft. wide
`� 4 ���a ft. long / �� ft. long lt. long fl. long
Floor area � a �� sq. ft. l�lU sq. ft. sq. ft. s ft.
9�
Hgt fromg-ade /��.�;�_ topeak ic ' � ' ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms o
rear lot line or waterline of �lakelriver
� �r ; , r r^ � � i �
[n the box sketch in: � G, - - — - F,����o � � � _ _�- .�
Location and size of all ,G-` �� ,~� � c
existing and proposed structures. � � I
iy �o f� .� a'v"�� �
Location of septic system. � -- � �,� ��o� < �` '�
2m� EX a tt. �y
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[ndicate distance to: �
W atcrlinc ���•p�- s ��
Road
Lot lines 3 r< d d � 1 ��� ". � � ,t
Septic system
Distance between strucwres. �EoF , s I
:; �, �
l - (,' r6✓c��
[ndicatc (YoRh. s 5 pae B' I
a � ��
Flff.` �I1fi1�C � � r � r . �i :i
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Signatdre of Owner C '
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The abuve certifes that the listed ,�'�' � �>
mformauon and intenuons are true and '
correct. The aberve person/s/ hereby
g�ve permission (or access to the ' - I .
propeny ror onsiie inspecuon. ------- centerline of Op' y Y road------
�i4��SEi13A�� 7S' t7�/Z�- i/ Eu� �!'i-OYU� 1ddSP; ��/-/l- QY U�-
[ssuc Datc July 22 , 1998 Expire Da[c Ju1y 22 , 99
�� � y � — O �o � �� �,e!e� ���i��
Office Commegts: T�( 4_'�" �31 -� �9� J
D�t o8 915 'Mt�, GFu�UDT- w���
� � �__ Sign�wrc of 7,�>nmg Admin�strawr
•f ui �n a� io'_ tob` �v;AG ,�c�d ,� � � pnw �o� a io ' w� o�- � ti,rri �uti av�,, , w�rr�con�
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