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HomeMy WebLinkAbout026-182-05-0300-LUP-1999-160 _� ,�� Application for Land Use Permit �, o �� County of Sawyer y � , PO Box 668 -Haywazd WI 54843 715/634-8288 D /'� 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 a � and the laws and regulations of the State of Wisconsin. � PRINT—USE BLACK INK OR PENCIL t c � /�o�2i��aa� Rtc�ita`�:��q� unmQi � it, �Afi� � � Owner Builder o: to636 IaAy�vaets ceua� Mailing Address Mailing Address � � WA`Iv�r�2/J � WT �4d4't Z City,State,Zip City,State,Zip b34-F,3 6C Daytime Phone Daytime Phone Building Land Use (�J'New O Filling Zone District R R�l ( )Addition ( )Dredging � O Alteration O Grading Lot Size� 4l 0 S F �, ( )Moving On ( ) � ( ) (� ) Acres (. 18 `'�9 0 G Primary Structure Accessory Building Addition � (y'bwelling (�'(siarage-attached/ tached, (�eck o (y'f'eaz round (�#of caz stalls O Porch o ( )Seasonal ( )Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge f� ( ) ( ) ( )#of new � � > Ty e of Construction ("�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ,� ( )Other � � � O Construction Cost$ q�0 0 D. ' x H 1 � Vol 5F,n Pg 4 R� of Deed Certified Soil Test# 99-090 � CSM Vol Pg Sanitary Permit# 9 9- D 7�/ �y Plat Envelope pi; � z Condo Vol Pg Yeaz Installed I�n' Aff of ex septic V P Owner When Installed: 4 �'" I� Q 9 � �d�� a,o�l� Application for Land Use Permit-Page 2 Describe Construction:List dimensions of each stcuctute,story,addition,or alteration. #1. #2. G�Ra�< #3. #4. Size��ft.wide ��ft.wide ft.wide ft.wide 3fe ft.long �_ft.long ft.long ft.long �a08 W�o Floor area I aop T��Sq• • 5'1L sq.ft. sq.fr. sq.ft. Hgt from gade �9 • to peak I y • ft.hgt. fr.hgt. fr.hgt. Stories � �stories stories stories #of bedrooms� reaz lot line or waterline of L CO Lf�kF_ lake/river In the box sketch in: Location and size of all � existing and proposed structures. Location of septic system. N ��� Indicate distance to: Waterline Road / ____ __.__ Lot lines �.__S�' _ oe3� __ �y•_� Septic system � Distance between structures. 28 Huusf I'16 Indicate North. �W P" � Fire Number: /1`� �y � pR�uF wny '�`� _� -.10� - �----� N I 1�+ \ �. I � /� I \ � \ I�I Signature o ner _ � � � -------centerlineof \/i�to2Y 11�1(.LtTi c�2 road------- IssueDate Mav 6, 1999 ExpireDate Mav 6, 2000 Office Comments: l�C/�.(^��'.c's�"(.l- (n��'y� LAKE ��- '` � / tis.e � as.a. � 16.817. -�E'a8.15. 6.8.9 -IGB. -J6Z 16.2 'y62.1 -16.�.�7.1 -a6.8.11 -16.8. 7.4 -16@I3 -1671 16.8.10 n 7.3 _�23 IfiB.I �� -162. N -IfiBJ �� 7.9 7.8 -�� G -a62.6 -16.9.2 %� T -I&8.1 -I&8.16 16.7.11 I&7.1 -IG6. -162. -Ifi. 16.6. -�.s.i �P,�E�� �sz 7i is.s. -is.sz -as.�� �i �ss. 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