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HomeMy WebLinkAbout026-179-02-0900-LUP-1999-173 � Application for Land Use Permit 7� "`� - �. r -� , County of Sawyer � v � PO Box 668 - Hayward WI 54843 0� - � 715/634-8288 �' � � The undersigned hereby makes application for a Land Use Permit and agrees that all work � � f- shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �~ and the laws and regulations of the State of Wisconsin. � �� � P� PRINT— USE BLACK INK OR PENCIL I � � � � � �� � S,z-r r-�� a Owner Builder ' o: ,�� � a ��s r� � l, s-�-: �s�S� � /��/�?�/ � ,,�/ � �� Mailing Address Mailing Address � n ,��� �J.� ss�� l� ��� � 1-�, ��� �"���� �` ..� City, State, Zip City, State, Zip � �-�/.s�'�� - �3� 9 �9�L -- S�ss _ Daytime Phone Daytime Phone �, Building Land Use � O New O Filling Zone District % , i Q� Addition ( ) Dredging ( ) Alteration ( ) Grading Lot Size ( ) Moving On ( ) c� ( ) ( ) Acres � `�17 3 C Primary Structure Accessory Building Addition � � ( ) Dwelling ( ) Garage-attached/detached ( ) Deck g ( ) Year round ( ) # of car stalls (�(j Porch Su o ( ) Seasonal ( ) Storage Building SjQ Enclosed � I ( ) Frame built on site ( ) Screenhouse ( ) Living room = �f�- ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom , ( ) Other primary structure ( ) ( ) Relocate/enlarge � , ( ) ( ) ( ) # ofnew � > � Type of Construction � �Q Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete > � � ( ) Other � � y � �O � �' Construction Cost $_�S, �(�� � � � � Vol J�3�' Pg �� of Deed Certified Soil Test# � �' ��y � � CSM Vol Pg Sanitary Permit# CI � �..31-3 � Plat Envelope 4r: �Sv z 0 � Condo Vol Pg Year Installed � Aff of ex septic V P O�vner When Installed: � � .�c�l b J h't )�� 1 � i � �'�� � � ��o1a. Application for Land Use Permit — Page 2 , Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. /y 9'��,�f- #2. #3. #4. " • Size_�_ ft. wide ft. wide fr. wide fr. wide � ( �/ fr. long ft. long ft. lon� fr. long Floor area �� $ sq. ft. sq. ft. sq. fr. sq. fr. Hgt fmm gade /y� to peak ft. hgt. fr. hgt. ft. hgt. Stories_� stories stories stories # of bedrooms rte}x-t rear lot line or waterline of lake/river In the box sketch in: s-� �,���,�,Q,,,,�;wq �/���,�j Location and size of all D � existing and proposed structures. Location of septic system. Indicate distance to: Waterline Road Lot lines Septic system Distance between structures. Indicate North. Fire Number: /�"/� � c,> . � q�E:[,,.r. , A�� _� s�� �,�__ , Signature of Owner The above certifies that the listed information and intentions are true and correct. The above person�'s/hereby give permission for access to the properry for onsite inspection. ------- centerline Of road------- IssueDate May 11 , 1999 ExpireDate May 11 , 2000 Otifice Comments: ����� Signature of Zoning Admimstrator .��L �'c, _` �' �� � �. ��� �� e - `��' (� .'� `�. �'h. � �v � � �� � �= t0 � \ �� � � '� � ��� � l�� - - - I � ,�, ,_ _ _ � � ��� ��� � , � � ���� v . { � � o , �-- � -� �' . � � �� � ' � � �� �----- - - - -��� ---- ,- �� -> �. � � � ; � I � � �I � � � � 1 � � ! � � �. � , , � ; �. � � � ��! ' � �� �:1� � � � : � � � � � ; � . ✓ ; � � , ; � i - �. _, G• I / �. "°s� b`�`.1�`. (1c..v �i ,`"'a dL` �s (!.d1tP w� bkeR.r S��t��fi _y�..� .E-C-�2-< � . - .`-i�C � _- - � � --- . � �} 11 �\ 'I� � i I ' . � I . I . � � � I �. 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