HomeMy WebLinkAbout026-939-27-5524-LUP-1998-435 r
Application for Land Use Permit o c � �-' �
County of Sawyer � �
PO Box 668 - Hayward WI 54843 c �
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715/634-8288 �U\
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 Sa er Count Zoni A ' �
�'}' y ng Ordinance - �
and the laws and regulations of the State of Wisconsin. � �_�"�' \
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PRINT—USE BLACK INK OR PENCIL
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Owner Builder ��
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Mailing Address Mailing Address �
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City, State, ip City, State, Zip ���
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Daytime Phone Daytime Phone
Building Land Use
(�'New ( ) F�illing Zone District �2- � ,
( ) Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size /�y � ��.5�
( ) Moving On ( ) �
( ) ( ) Acres j. �G' � \'
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Primary Structure Accessory Building Addition �
(`jO Dwelling ( ) Garage-attached/detached �� Deck �� o
( ) Year round ( ) # of car stalls (�!f Porch � o
O Seasonal O Storage Building O Enclosed M,;
( ) Frame built on site ( ) Screenhouse ( ) Living room '
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ^`�
( ) Mobile/manufactured (� Other ( ) Bedroom �
( ) Other primary structure ( ) �#�fit�t�/t► J�4` ( ) Relocate/enlarge
( ) ( ) �C, t��A-�E>> ` !�;� ( ) # of new . A
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Type of Construction � ,!
(�C} Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete = ,� A
( ) Other " °
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Construction Cost $ ��: �'�'�' =
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Vol Ct-!�/ Pg - of Deed Certified Soil Test# 9��f� �
CSM Vol�Pg /S��/ Sanitary Permit# `I y - -y� � � �"
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Plat Envelope Or: �--- z
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Condo Vol Pg Year 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. L ! ' #3. , #4. �,� ,
Size �� ft. wide 1 e�', ft. wide � ft. wide � ft. wide
_�� ft. long 1'- ft. long �`�� ft. long � ft. long
Floor area �D� sq. fr. /�c ; sq. ft. ' i' sq. fr. sq. ft.
Hgt from grade /E'� to peak ft. hgt. ft. hgt. fr. hgt.
Stories � ��,} stories stories stories
# of bedrooms�_ .p /
reaz lot line or waterline of y�-�w� �ca-A{ lake/river
In the box sketch in: � -�
Locarion and size of all �l�
existing and proposed structures. g0'
Location of septic system.
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Indicate distance to:
Waterline , T � � �
Road - �� - � .__���
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Lot lines � �
Septic system �''
Distance between structures. �nr� �
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Indicate North. � � � � �v �
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Fire Number: � / � w� �.� � - � �
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� Signature of Owner `Y I � `-
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The above ceRifies that the listed �
informa[ion and intentions are We and I ��'�'
correct. The above person/s/hereby � �
give permission for access to the /� ,�, _ ,-
proper[y for onsite inspection. ------- centerline of (X��'-��4*� road-------
IssueDate August 14 1998 ExpireDate Aug �� 4 , 1999
Office Comments: / �.G����:�i�l�' ��
Signature of Zoning Administrator
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AC Il ' S'�° 4 � � 1�� Q :H.11
SCALE: I INCH= �/0� FEET FOR ASSESSMENT USE ONLY N0T
DRAWN BY : DATE � INTENDED TO SHOW CONCLUSIVE
COLON (:1 INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS