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024-841-13-5304-LUP-2000-129
Application for Land Use Permit �- -a .� � County of Sawyer ;, < �' � PO Box 663 - Hayward WI 54843 71 S/634-8288 The undersigned hereby makes application for a Land Use Permit and agrees that all work shall be done in compliance �vith the requirements of the Sawyer County Zoning Ordinance and the la���s and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT BEGIti' U�TIL THE PERti1IT IS ISSUED. PRINT — USE BLACK INK OR PENCIL �' r � � �--, a �,�, � �- d�. �--:. �. I a =, a � �,►�r I' I a c�— � o: � Owner —� Builder o � � �'�1 � j�� t.,m._�� ��i i �.'-� t 3 t� l�1« � r � Mailin� Address Nlailin� Address � � �.�-o�..► wc.r �� S��"�3 nrr ,�.>��� {�� ,5��`�3 � City, St e, Zip City, St te, Zip � c.1�-1��.1-. �3 3�,� ���_ KG�1- �l�1 I �J��. �fc�. 3�� �,�.c. �t c.L�-�fG'r I Daytime Phone Daytime Phone IQ Building Land Use � ( ) I��e�v ( ) Fillin� Zone District (� - � � ( JjAddition ( ) Dred;ing �� ( ) Alteration ( ) Grading Lot Size �b�' �C �,�•q, � �� ( ) ��Iovin� On ( ) - � I�'� � ) � ) Acres . � � �' �c'� � ,i ; � — � Primary Structure Accessory Buildin� Addition '�i� �� ( �Dwellin� ( ) Gara�e-attached,'detached (v�eck IO — (�ear round O r of car stalls O Porch !N � O Seasoilal O Stora�e Buildin� O Enclosed I�' O Frame built on site O Screenllouse O Livin� room I I � ( ) Nlodular,%manufactured ( ) Greenhouse ( ) Kitchen i ( ) Mobile/manufactured ( ) Other ( ) Bedroom � ( ) Other primary structure ( ) ( ) Relocateienlarge --� ( )_ ( ) ( ) # of new I Ty e of Construction �p..C. y� (�Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � � o s ( ) OtheC ' � � � � `' � Construction Cost S �Lz V�. �v �' �: � i�r i� Vol (�I a Pg /�8 of Deed Certified Soil Test # 9`/'a�;=� �s � � CS�1 Vol P� Sanitary Pern7it ,� l 7 - .-�.���.:� �,;, � iz N ,U Plat En��efope Or: o � � Condo Vo( P� Year Instal(ed ��� �JC, ACf of ex septic �' P O���ner W11en Installed: � �� cy��,jGi�}��� �L � Application for Land Use Permit — Page 2 - Desc�rybe Cqnstruction: List dimensions of each structure, story, addition, or alteration. • #1. f dC�C�1� #2. #3. #4. Size �,�, ft. �vide ft. wide ft. wide ft. wide �`C�+� ft.jong ft. lon� ft. long ft. long t �-z;,r5 � � Floor area� sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from e Z' �rCo pe`ak ft. hgt. ft. h�t. ft. hgt. -t t��..,-c�. C: ►io'lx�� Stories stories stories stories � of bedrooms rear lot line or���aterline of � � ak river (-- �cb.�sr .;� I►1 the box sketch in: --�__�._._,�-__.�,.._ti... -��. �__ Location and size of all �' ���_ , existin� and proposed stnictures. ' � 1, � M, i�b Location of septic system. �' ; �--'�`�"� I . . .. � Indicate distance to: `� - ` �, �% ��'aterline!Wetlands � �� . ROad r o � � _ ► ` , Loi lines , ) ��s I � �� 4, 17'(�� Septic system/privy �r+ q �a�' � � � —� V/ '�� � �`" � ��"e 11 � Distance between structures. ` 60 /� « � ^ { � '� -/'.k' i Indicate tiorth. � �� ' � � � �----__-.�.— 3i-t� � . � �=ire �umber: �' ��0.q` � �c `p i �...�t �;� �� 1 � 3�`' �` � )� _. ��. �. °` a � Signature of O���ne � The abo��e certifizs that the listed ir.forillatio�l and intentions are true and correct. The abo��e person's'herebv � gi��e permission for access ro the � .. properry for onsite inspection. ��-- centerline of�,,,�� �-t- road------- Issue Date May. 1 , 2000 Expire Date May l , 2001 Oftice Con�ments: ��C�G� � !F:����e�%�// SI�IIaIUI't Ot ZOII(Il�� F�CjIl1lI11SIC1(OC � TOWN OF ROUND LAKE SEC. 13 T. 41 N. R. 8 W TW/N 42 LAKE ROAO � = i 4.13 9�a O :4.I I :4.1 :4.12 4.1 2.2 .1.3 �3/ �-, 44 i` �� 4.15 O � yC � � .2.1 I.I \ � � � \ � yc � �-' � 4.5 y� �K � 4.10 s 3 .1.2 ��' �` � i :4.6 � :4.4 :4.3 R - �� �. ii� � w~ :4.8 � 2 y � � � t i. .c 3.13 � 39 3.1 �2.7 '!v OO y :2.6 3.8 3.7 � 3.10 '�.. y.,, :3.15 314 3.1� :2.5 2.1 �3.1 3.1 , I.I v ' � :2.9 ;b2 24 ' 3.6 , >, , . , � _ "� - � = h 3.5 u� 3.4 3.12 3.14 :2.3 :22 m �3.3 3.12 � :28 i . � _ 27 26 25 , , I � � �i, - -- - -- -_ -- -- � --- I_ : ___-- - - -- - - - - - , ; , 34 35 � 36 II ZONE X ' � � � r. a2 N. \� i �/ _ - t T el N_ il � i,' 11 �; �/ li �_ � � �� 0 Q o � i �% � �,� 3 � � ' � , - - ��- / I � \\\ PHIPPS � � ���_ _ _ , i % I I i� I n i �� �� � � � (( `��� � fIRELANE HILDRETH ROAD �� :r- ��� yi- . � - �—_ — -- --- -- - - - - - - - \ ` ` � _ ��� ,� '� �'c. // � ��� I �� .___ � i � /; , , , r:.-.�.. ��:. I ;. .:ti . . . . . . . ��. . . . .'�:: . 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This is homestead property. �NSFER � 3 U� FEE Dated this,�2 day of `?�t�uJ� ,1997. �— � Chazles W. Lessard,Grantor ` ����� Cazol M.Lessaz�Grantor" ' � t Personally came before me this��day of 199'7,the above named C�4'a71es cW. Lessazd and Carof M.Lessazd,to me known to b rsons who executed the foregoinginst�ama�t3pd ; acknowledge the same. � Q� ' -J ctc ~ � This instrument drafted by: ary P blic,SawyerCoun t$cons�AS E v Tim A.Korf My c mission expires / / '�••_,.,,� ' Attomey Barron,WI 54812 VOL 6 y 2 PG 18 8