HomeMy WebLinkAbout024-741-19-5513-LUP-1999-651 . � � M � NLM � /� � .
Application for Land se Permit � .� � .
County of Sawyer � <
PO Box 668 - Hay�vard WI 54843 ��
71�/634-8288 ��
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work ,� �
shall be done in compliance ���ith the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � �
BEGI�i UNTIL THE PER�IIT IS ISSUED.
� �` `� PRINT — USE BLACK INK OR PENCIL �o
��
� ,� �l'Yl �C �SO .� N�V1
O�vner Builder c C�- o
�.v � �7 i'`l l��`C �� cS �
1 �
1
Mailing Address �lailing Address f �
� � � ��� � �
City, State, ip City, State, Zip
�������� v
7
Daytime Phone Daytime Phone ��,,
Building Land Use
�New ( ) Fillin� Zone District � —�
( ) Addition ( ) Dredgin�
( ) Alteration ( ) Gradin� Lot Size .;
( ) i�foving On / '
( ) ( ) Acres /� �� � � �
�
- �
Primary Stnicture Accessory Building Addition ';� ��
( ) D��•ellin� ( ) Garage-attached/detached ( ) Deck !� —
( ) �'ear round ( ) �` of car stalls ( ) Porch ;� ��'
( ) Seasonal �ora�e Buildin� ( ) Eilclosed 'i� �
O Frame built on site O Screenhouse O Living roon� �
( ) i��Iodular,'manufactured ( ) Greenhouse ( ) Kitchen � I
( ) Mobile/manufactured ( ) Other ( ) Bedroom �- �
O Otller primary structure O O Relocate;enlarge �i a
O O O # ofne�v �
� � ,
Type of Construction �V� >-
( ) Frame ( ) Log �le/metal ( ) Block ( ) Concrete ; �
( ) Other � '�.
� ��
� i
Construction Cost S ��'� ��
.Co�� CSa�?� �/�.�� � , i�
Vol�_ Pg la .3 of Deed Certified Soil Test # N�� ;U �'C
L � 1
CS�1 Vol �_ P� 4� ��y� Lfl t� Sanitary Perniit � �T�} i� z
Plat En��elope Or: �CL�P 99 -�5/ � ~
i �
Condo Vol P� Year Installed � �,
I
Aft�of ex septic �� P O��ner �Vhen Installed: � �
,C,,�" � l b��r �I���`�
5�
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 area �?� sq. ft. sq. ft. sq. ft. sq. ft.
H�. fi-om gade �� to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms
rear lot line or «�aterline of lake/river
In the box sketch in:
Location and size of all ��� ��
existing and proposed stnictures. ,
,,
Location of septic system. ;'� ' '�
Indicate distance to: � /
`Vaterline/Wetlands
� C ��---
Road �}'
Lot lines �
Septic systenvpricy �
`�"e 1 l
Dista►lce bet�veen structures.
i
�
lndicate �'orth.
Fire ti'umber: � ����
�n��( ,� �
./�
� � � .
� � ����
�� � � �
Sign re of O���ner
Tlle abu��e certitizs that the listed � ��
infornlation and intentions are mie and ��y �
correct. The abo��e person's% hereby�
�_i� e permission for access to the V
propern- for onsice inspeccion. ------- centerline of road-------
May 11 , 2000 . , , November 1 , 2000
[ssue Date Expir� Dat�
` - 1
�ff1CC C0111111ZI1CS:
SI,IIatUI't'. Ot i11I1� AC�[111I11S1C1[OC
__ - � .I.J . .
_____- 7 �
' ��� 8
_ _--- 9 :,.,2 LAKE , �
�
, :�.��
PLACID
z �
�
� ' :3.5 � - //^, �-
`(�
✓ � ' � �
3.4 , ` -1 � .
I � / 3 I � �
/ �
3 rn
���� ti_ n.7
�rL
3.1 I :3.12 ,, + (�
� �
I 1
:5.10 �5. q> f �
r� � �c, a ro cv _
��� :3.3 "' !? vi ui �rt rt r� ,� � �W
N
� O
i i � ,
�4.1 � � :4.8 .
� � �5.12 � '
� v �
�/� :4.2 � �
\ \ .
\ /�� :4.3 :5.13 � m
��� � :4.4 ✓ 2
:4.5
� �4.6 Z
� ��\ �4.7 �5.11 �
Z � v
�� 4.9
�/ - - - -- - - -- -- ----
/
/
� � �6.2 ;6.1 .16.1
�63 v "
3
�6.4
2
�6.6 �
v
�67
,� '' �6.5
� �6.11 �
cd � �
V
INCH= ;aoo FEET FOR ASSESS�IiI�ltT US���Y�
Y: DATE: INTENDED TO
:) INDIGATES GOVT. LOT EVIDEJrCf OF `�t
BOUNDARY L03