HomeMy WebLinkAbout002-840-20-5405-LUP-1997-154 - . ^,� -
Application for Land Use Permit o 0
County of Sawyer R � �
PO Box 668 -Haywazd WI 54843
715/634-8288 `^' ��
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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 /
and the laws and regulations of the State of Wisconsin.
F�i I�e a T. � PRINT-USE BLACK INK OR PENCIL �
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�ME S f. �1.1 F.F+�)A-� C�n iJ�J�N 6yS+h �-ON S�B n� � �
Owner Builder `�� �
(Zt a i3 m� Z3`I� '�+ 2, r3oX z3oZ °
Mailing Address Mailing Address �
N-°„�.�1a-QD, w I S�f s�3 ��►N�D, W r �"4B`(3 ',
City, te,Zip City, tate,Zip
� i� (�3`{ - 315� �� i (�3'� -�COZ�
Daytime Phone Daytime Phone
Building Land Use
( )New ( )Filling Zone District lz [�—(
(xl Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On ( ) �
( ) (�) Acres �•O(o g
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Primary Structure Accessory Building Addition �
( )Dwelling ( )Garage-attached/detached ( )Deck � o
( ,)Year round O#of car stalls (yJ Porch o
O Seasonal O Storage Building O Enclosed i
( )Frame built on site ( )Screenhouse ( )Living room -C
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactuted ( )Other ( )Bedroom �
O Other primary structure O O Relocate/enlarge N
( ) ( ) ( )#of new � �
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Type of Construction �
(X)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � '
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( )Other �
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Construction Cost$ 1 Z o 0 0 ^ O
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Vol `I I Pg !8 5 of Deed Certified Soil Test# g 8-I D`� �
CSM Vol I Pg .� Sanitary Permit# g� -D 8`� Q
Plat Envelope Or: �I z
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Condo Vol Pg Yeaz Installed
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Aff of ex septic V P Owner When Installed:
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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
Z� ft.long ft.long fr.long ft.long
Floor azea 33C- sq.ft. sq.ft. sq.ft. sq.ft.
Hgt firom grade to peak ft.hgt. fr.hgt. ft.hgt.
Stories � stories stories stories
#of bedrooms �
reaz lot line or waterline of (�y r��d 5+o�e. lake/river
In the box sketch in: -- 7 S �
Location and size of all IM,�,����----___.—._ _ _ __� tX G,.�K=�;r
existing and proposed structures. '��� _ y3
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Location of septic system. '�`� e� �
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Indicate distance to: Z� ,I �K I�.n�� �y�
Waterline � , �
Road ���_N_�_ �/��i�;1n�C �F
Lot lines
Septic system
Distance between structures.
�5a �5 sy ���'�� /�.;,,,�
Indicate North. /Z x�� -r
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Fire Number: ,,, � ��
gl`�� � • C ��t K LiarE
�^--P.�-c�.��
ignature of Owner
-------centerline of �!*//,t/ C 7 N I� road-------
Issue Date 21 May 1997 Expire Date
Office Comments: ��p(��(l)('Z��(l��i - I1�,�
�}v Stbk se' �
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Sawyer County Zoning Administration '
Inspection Report �
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Owner James P. and Eileen T. Queenan �
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Address RR2 Box 2345 Hayward Wisconsin 54843 (118141N "K") y
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Agent/Purchaser c,
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Address m
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Blder/Plber/CST 'ti
Address `Y'
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Inspection ( ) Dwelling (�c) Setback - lake �
( ) Mble Hm ( ) Setback - road �
(�C) Private O Public O Commercial (�L) Setback - lot Line y
( ) Garage ( ) Soils Verif '
Violation (X) Addition�s� ( ) � o
( ) � �
( ) Zoning ( ) Sanitation �'
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WD Vol 414 Page 185 Acres: 2.060 RR-1 `"' "'
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