HomeMy WebLinkAbout010-841-29-3407-LUP-1998-671 Application for Land Use Permit �. ,� ,
County of Sawyer ° � `�_"
PO Box 668 - Hayward WI 54843
v � �
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 � r
and the laws and regulations of the State of Wisconsin.
��� �� -r��o� PRINT—USE BLACK INK OR PENCIL �
�
"�u.�� A.�h��,���, p�;� �voc�o �-}onn�s �__ . � c� . 0.
Owner Builder
y� �
`o'
R�- � a��� b�� i-�� ������ �t wv B ° �,.
Mailing Address Mailing Address �
I�l�y W A(�D .vJ:� 5�`���13 � �,� S`I`d�t3 �I
City, State, Zip City, S ate, Zip �
I
�715 :���1 3`� (,��� l.�3�k -S�`�`l
Daytime Phone 13aytime Phone
Building Land Use � _ �
(�O New ( ) Filling Zone District . _ __ _ _ _ �
�� Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size ��
( ) Moving On ( ) �
( � ( ) Acres v� �' � S � ,� �
�
�
Primary Structure Accessory Building Addition ;� '�
(�Dwelling ( ) Garage-attached/detached ( ) Deck C �
(�(� Year round ( ) # of car stalls ( ) Porch � �
( ) Seasonal ( ) Storage Building ( ) Enclosed � `"
( ) Frame built on site ( ) Screenhouse ( ) Living room � `�!� .,
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �� � � _
�j Mobile/manufactured ( ) Other ( ) Bedroom � � ��`r�
( ) Other primary structure ( ) _ ( ) Relocate/enlarge ��� �
� � � � O # ofnew � A
�
Type of Construction � �.
Q� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
�
�
( ) Other "
-�
:�
-,
�
�
Construction Cost $ �vC��C�C� O �
-�
�
Vol�_Pg ��3 of Deed Certified Soil Test# 9�' ��s �
CSN1 Vol Pg Sanitary Permit# �8 '39� !
Plat Envelope Or:
�g, �z
�
Condo Vol Pg Year Installed �
,
Aff of ex septic V P Owner When Installed: I �
�
�f(;'L��
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or aiteration.
#1. #2. #3. #4. �
Size �Z�.�$�� fr, wide ft. wide fr. wide ft. wide
� fr. long fr. long ft. long ft. long
Floor area ( ( sq. ft. sq. ft. sq. ft. sq. ft.
Hg[. from gade � � to peak ft. hgt. fr. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms 3
rear lot line or waterline of lake/river
In the box sketch in: l �
Location and size of al1 �
existing and proposed structures.
Location of septic system. I i
Indicate distance to: ��U
Waterline J'
Road -
Lot lines �w
Septic system e>
Distance between structures. � �S`�a
�ts �
Indicate North. 7 i+,
Fire Number: f
� ' �
�
1 �
;7
,� , � , �",
Signature of Owner � ,
The above certifies that the listed ✓� ��'��
infortnation aod intentions are [rue and � � � /���� �-�-`t �
correct The above person/s/ hereby - �" L 6
give permission for access ro the
property for onsite inspectioa ------- centerline of road-------
� A ,� � � \11 (� I�I�Y�IC� U ('� 11'l �h ��k"11 � ( �.�la ` 1 � �� C� ��� il � l �i �'`�
v
Issue Date November 16 , 1998 Expire Date November 16 , 1999
Office Comments: :..����"' ��� �
Signature of Zoning dministrator
�
�°� � �
��� � �
o �
�
�-- � � �
� �
� �
��
�-�
� ! �
� s f ��� � �� ,
T � I � o
_ � — �
- I ' �� �?-�
�I \ � ����h
` \ �
�
C',�
- �'�4,
Y
�`�
-�
� � �
n
.sz .5.z . (
F
�� 6.I .5.1 �
t —
�
�
4
�� .7. � .8.�
�
l
9
6
� 10.$
O .�0.
� �
2 10 .�43
.9.I
.10.1
.10.T 10.4 .IQ3 .9.4
.�3 9.2 .142� �
.12.6
il6 ^
J2.5 .12.3 .12.4 I �
II.I �
i i.a
.11.3 �3
I 1.5 .12.1
,3r � �
,.�„
15.
.��.2
; � HWY. B � ---
SGALE: I INCH=4OO FEE1
DRAWN BY:RVH D<
, COLON (:) INDIGATES GO\