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010-274-00-0200-LUP-1998-227
� Application for Land Use Permit , County of Sawyer � � � PO Box 668 -Haywazd WI 54843 � � 715/634-8288 The undersigned hereby 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 � ;� r and the laws and regulations of the State of Wisconsin. �_ � PRINT-USE BLACIi INK OR PENCIL � 7�L�hn.�1E1.� C�,�'` � ° '� eo� �JClG'Y1`f/-R t.�-.1tt^o�c4'�'; 9�/!��+��,b�rl� ,CrcrC-cll-f o:vaz���o n,� ��tl� a � Owner Builder y: 0 ��a _��.�� Lo%blc,F�w� ��.rr 1D65/v !`la vc��iie.P C',% �'' � Mailing Address Mailing Address � :; f IKAo.�,v ul ; 531�1 � rar�d �(%�� Sviy3 � ��� City,State,Zip City, tate,Zip � � � �� '7iS G-S�/-L3GG `�'' �- Daytime Phone Daytime Phone � � Building Land Use � � ( )New ( )Filling Zone District �-� � ( )Addition ( )Dredging � � ( )Alteration ( )Grading Lot Size � ( )Moving On ( ) o � ( � ( ) Acres , � � _ � c Primary Structure Accessory Buiiding Addition ;t � ( )Dwelling ( )Gazage-attached/detached �Deck � O Yeaz round O#of caz stalls O Porch ,� o ( )Seasonal ( )Storage Building ( )Enclosed �" O Frame built on site O Screenhouse O Living room ? I ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �^-�' ( )Mobile/manufactured ( )Other ( )Bedroom � I ( )Other primary structure ( ) ( )Relocate/enlazge ,� � � � � ( )#of new '� = Type of Construction � � (`�Frame ( )Log ( )Pole/metal ( )Biock ( )Concrete �, > � A ( )Other " b � o�— � (J� Consttuction Cost$ �i �� st �„i;.Pu 3l��-/ 33� �' � �.. _�s t � Vol�Pg (�>� of Deed Certified Soil Test# �_j �� CSM Vol Pg Sanitary Pemut# 9 � -��/ Plat Envelope Dr: v z I �Condo Vol Pg Year Installed � Aff of ex septic V P Owner When Installed: � �iti� �%'-5 ��y i�, ;�Y G� 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 tt. wide �� ft. long ft. long (t. long ft. long Floor area __!� sq. ft. sq. ft. sq. ft. sq. tt. Hgt. tiom grade to peak ft. hgt. fto hgt. ft. hgt. Stories _�_ stories stories stories # of bedrooms _�� rear lot line or waterline of lake/river �S.r e.� +�- �em In the box sketch in: Location and size of all existing and proposed structures. � Location of septic system. $5 , � � � � Indicate distance to: � Waterline � Road f�,,,.,�- ..._,. �, Lot lines %r��,''� �4�`��, , ,� li Septic system � t,�wede� 7. � , �,��ti Distance between structures. � , Indicate North. ---_._ `2 �_' ' � �.-- r' � -.____._ .� ..� --� / _ ; �Fire Number: �3� � , � � f 3 ati' � _ _____._.___._ �. � ,�c.�' G � _� �__. . , �j - �.J �'� _`_-__. I � .�.__ �2 — �� � -- -_ _ _ Signature af Owner "Ihe above certifies that the listed �o .'..� r information and intentions are true and - _ °�Z�� ,.. c;onect. The above person/s/ hereby ,w give pernussion for access to the property for onsi[e inspection. ------- �enterline ot� �_ road------ Issue Date � June 4 , 1998 Expire Date June 4 , 1999 __ , , Off ice Commenls: ��y' � �2������"1L _ Signature of Zoning Administrator o� J� p`. p ,_ o� a2 p� � �u_ �; . < � -'� i ' ps - _ . 0� � , � , � .. ��-� � o� 4� ,� . . , o,�, oZ. ' - _�>,����.��; �%;yt , r% �� � '_ c,�,`;� ,�tL'j�.� r���.:I�� ��� , _ _ ,�_ , . „ � - - ` -'j� - � '. ,.�(1�` .!\�. (, ' o$ L �� . �� - OS � i - �� ' , � ,'.�:;,�;�>i'�`-%` � � � ar� f= 1-;: . . �_ -.' �� (1f` i'.'�. i'�:. ���� � �b ,. , F' � . 06 �•_ ri _ '� _ : � � �"�, ^;� . - . r � _i ,_���.-r�lJ c{i+�it� ����I'' �f•r''' � � — oo� , r,�\�j�_-,ti:�` , -'4-, _.- iC�._,,��% - oo� : �,,- . � � t� ,�,,� � �_ � , . ��� ' ��_ �`� � � o!l �;� �i` - �� � �%� /!;� / .l;�,, ,� , . ., � _ QZl %". • °�� � �'a�:{�E�"'� ' �� ,�� �'�:.� �- ��� � �. - '� ,' ' �.:_: �`.. , ; . 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