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HomeMy WebLinkAbout010-841-35-5202-LUP-2000-062 ,.-�--" _ Application for Land Use Permit r �; County of Sawyer � � . � PO Box 668 - Hay�vard WI 54843 �� ; 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 Sa�i�yer County Zoning Ordinance � and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � BEGIN UNTIL THE PERMIT IS ISSUED. ���c e C � (r.�,� PRINT -USE BLACK INK OR PENCIL � � �- a <� �a-l.d��T /�� rtP� T�. �/��s �;,. Owner Builder I� o � ��� (�iCG�Ld.o?.l1 G� /� D C�lI�`L �� `° ., � Mailing Address Mailing Address 6�e�flU�Q h�l_1�_����--- —��at�t.i�— -��(��5��Z. � i� f-�. City, State, Zip �ity, State, Lip � � ��� - �z� - f 7�L ��l ' Lf( y - �S �� `� � Daytime Phone Daytime Phone � _ Building Land Use Q�'New ( ) Filling Zone District_�� ( ) Addition ( ) Dredging O Alteration O Gradin� Lot Size n ( ) Movin� On ( ) � � ) � ) -� � Priinary Structlire Accessory Building Addition � � (2�'Dwelling (�Gara�e-attached/ etached ( ) Deck Q � ( Year round (� # of car stalls O Porch � � ( ) Seasonal ( ) Stora�e Building ( ) Enclosed �>> � O Frame built on site O Screeilhouse O Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ' � ( ) Mobile/manufactured (� Othe� ( ) Bedroom t�'",� _ ( ) Other primary structure ( ) ' � �f ( ) Relocate/enlarge � � � ) ------�-- ( )��tA(-��� -lllecU ( ) # of new � � .s ��� — �1 - Type of Construction � (.�'F`rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � ( ) Other � � � Construction Cost �����o�� �m�CS� � �6 L��mO �.�1-i2A� � Vol���Pg���of Deed Certified Soil Test � `�7-�Z- Z � CSM Vol Pg Sanitary Permit r � -,, Q� z Plat Envelope �r� � Condo Vol Pg Year Installed AfFof eY septic V P Owner When Installed: � f�. �E �� (S ���1 i�'1��l� 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 �Z� ft. long � ft. long Floor area ,3b3�/ sq. ft. ___�� sq. ft. _�� sq. ft. s!Z sq. ft. Hgt.from grade�._� to peal: ZZ, ft. hgt. _�� ft. hgt. � ft. hgt. Stories�� _� stories _� stories `` stories # of bedrooms � rear lot line or waterline of lake/river In the box sketch in: S �� �.�j��,��/� _ Location and size of all existing and proposed structures. .�c �l���. � /�lr"s r s a� !�'���..�4�` as Location of septic system. �ll ti Gf>rc02�. � GU�4.1c ,��'v�r�t Co�cc.. — Indicate distance to: Waterline/Wetlands � ���.1`py p � � �� � ��u•� .jB�,� Road Lot lines -�� Septic systein/privy � �-'��'t- �� ��/'K� �� �k'e `Vell Distance bet�veen structures. ��,��� �,� �e� , �� �T`�� . Indicate North. ��c �--i2�'C � � �`�'�l�� �2 Gu���(�!2� Fire Number: �/ /a. Z . � w \� � � � �� � �u,� --- �� Signature o ���ner The above certifies that the listed iiiformation and inteutions are true and correct. The above persorvs;hereby ��ive pernlission for access to the property for onsite inspection. ------- Centet'11ne of I'OaCl------- ����-� ��ti' �2�,U�s�_ ,��- >— .��r�'� ��e,�m '�-1�:� ��H�yd�'t e��T1-��:— ��; �e� Issue Date March 30 , 2000 Expire Date March 30 , 2001 Office Comments: Si�nature ot oning Administrator � ,�,, �� � � �i - o'� ,,� �,(� � � �rN --_--- "//�'.� cA-i3rN �' . �e� d�L. ��'� �x�,F, eea�✓� Le1ir� �g� � � Xt� �� �� L_ _ (ADt � �iB4i �� o4SE- 3'� � `a- � � � �s. �sfi 5�-I:�lc, / �. ; ��x3� � ��'.�,.. Ga�2. ;� l�l�'� / i ���� �xas� / ' `/ ' �; ��� ����-l� ; �1 ��.st�, , o , �� ' � � ���� �� , �. 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