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HomeMy WebLinkAbout002-127-00-0201-LUP-1997-135 Application far Land �Jse Permit County of Sawyer � � . The undersigned hereby makes application for a Land Use Permit and agrecs that � �� all work shall be done in compliance with the requirements of the Sawyer County -��, Zoning Ordinance and the laws and regulations of the State of Wisconsin. � PRINT-USE BLACK INK OR PENCIL � �,Ar�l �. �.orlsn�l l�Ot�Pf� � � Owner �ai�ef rnover o Nc,usi_ � ! �'1'l(� t���U rl�(> �(' � Mailing Address Mailing Address mAnhc�n�y t�crK�Lt 1�IIIS �iAyk�aR� ����,s �r� � ity,State,Zip City,State,Zip ���s� c���3-9i5t-I (�7��� c�:��-atiqa Daytime Phone Daytime P one o O Building Land Use Zone District /� �- � � � ( )New ( )Filling " ( )Addition ( )Dredging �t Size ( )Alteration ( )Grading � (X)Moving On ( ) C� � � ( � Acres '-�,(��(�, New Construction 1�o��-ti y Size a7 ft wide 14K 3`7' 'wide 'wide n D 3l ft.long �o�l' 'long 'long �� Floor area ��-4-O sq ft _sq ft sq ft � �' � ' Total hgt �'� to peak 'hgt 'hgt Stories � � No.of Bedrooms�_ �-�or waterline � 'p Dur ke�e L�ke ^. (year round)or seasona ���, ,r � r. Type of Bidg,Addition,Use �Gol��� °' � (�Dwelling „�, �� ( )Garage(1) (2)car , ��' � � ( )Storage Building �` 3��' � =�A n ( )Boathouse ����� � � � ( )Livingroom �21 � + I ( )Bedroom � ( )Kitchen-Dining Nous� p � (;�Porch(enclosed) (roofed) � '� � _ � O Deck-open � �i� � � �Q/ " ( ) r, a.Us '° J I � N O � i � ' Type of Construction � � A � (�Frame ( )Block ` �= � '� ( )Log ( )Concrete � � � � ( )Pole ( )Steel �. � ( ) ( )Pole/Metal ��� �` Construction Cost$Frc,e�' i��" � G Vol 5'--,�}j,e,� Pg '��_�f Deed � y CSVoI �- Pg�t �nV. 3� � w � Cer.Soil Test —' � ----------------CL road-C�r�It:__[Zo�c( z � Sanitary Pcrmit q�- O�q o Fire No. i z Issued 19 May 1997 Denied _ � � � �) � � � ��/�y Owner Zoning Adminis rat � / � �7;�i.�f��� �o��adsul �o azn��u�zs I — � � ---- ,--� c�i:�Z� 7 �� „ , a )7 � ���(,• � N � �-U��:;,� u�zM passn�sTu RJ+ '� •'�t /��-f��'��f�� , �7'�/�1;�� ;�a�;f�/ iJ� ,i� r;? 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BOUNDARY LOCATIONS � a�.:..._ ; _.�.,�,:_ � SUB.7ECT: Request for additional informatio� Sawyer County Zoning Administration P.O. Box 668 Hayward, Wisconsin 54843-0668 715/634-8288 To enable this office to pror_ess yaur application for a Land Use Permit or Canditional Use Peruiit, the fo'iusaing infor.naCion is required: (?� Complete legal property description (� Mailing address of property owner (� Name and mailing address of builder, if other than owner (>q Volume and page number of recorded deed or legal document showing proof of ownership ( ) Volume and page number of recot3ed Certified Survey (� List the size of �w��iN� (�r) Size of property in footage (,,n Type of structure: dwelling, garage, storage building, etc ( ) Type of addition: livingroom, bedroom, utility room, kitchen, porch, deck, etc (� Type of construction (� List estimated cost of construction (� The rectangle on the right of the application represents your prop- erty. Sketch in the location of the (7v,/��Lirtb , givir.b 211 dictances to lot lines, roads, shoreline and other buil ings on the premises. ( ) Sketch in the location of the existing septic system, giving all distances to the dwelling, proposed addition, and accessory buildings (�.) Attach the required fee of �i-i5 [Sc� ;_-�� �_tt��U��) You may make check payable to Sawyer County Zoning ( ) Retaining your check/cash to cover the fee (�(j Signature required on bottom left line of application, use only black ink (X) Certified Soil Test required (�) Sanitary Permit required O Existing septic system affidavit required (>v Ylease print, use only black ink or pencil. Applications compleLed in blue ink will be returned. ( ) What year was the existing septic system installed ( ) If the septic was installed after 1968; who owned the property at that time ��) If the new dwelling will have a loft or second story, list t?�e size of the loft or 2nd story in the spaces provided (�') Return the original application; photocopies or facsimilies are not accepted � ) ( ) _ . ._ _ 1