HomeMy WebLinkAbout002-940-25-5306-LUP-1997-174 , . �
Application for Land Use Permit
County of Sawyer � �
PO Box 668 -Haywazd WI 54843
715/634-8288 v '��
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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. l �
PRINT—USE BLACK INK OR PENCIL ^-
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Owner Builder ,`�,� �
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Mailing Address Mailing Address � �
�'�,�.�� ;�G��� l,�-�, SyB�'..
City,State,Zip City,State,Zip °
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Da nne Phone , - �
Y� - , Daytime Phone
Building Land Use �`
()j1 New ( )Filling Zone District �(�—� �
( )Addition ( )Dredging ,�-
( )Alteration ( )Grading Lot Size �aD�/3�� x ��3��7?�
( )Moving On ( ) ' 7-- � �
� ) (� ) Acres /.�g �
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Primary Structure Accessory Building Addition `•°
O Dwelling OQ Gazage-attache detache O Deck � o
O Yeaz round (d)#of car stalls O Porch � r
( )Seasonal (}(�Storage Building ( )Enclosed � °
O Frame built on site O Screenhouse O Living room }' �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen „p
( )Mobile/manufactured ( )Other ( )Bedroom o I
( )Other primary structure ( ) ( )Relocate/enlazge �
� � � ) ( )#of new N :
� IType of Construction �
(�Frazne O Log (�}Pole/metal O Block O Concrete w p
( )Other � �
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Construction Cost$ ����Da � �R
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Vol �b S Pg ;�O�' of Deed Certified Soil Test# �[�— ��(o ,
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CSM Vol 5 Pg �%-�/� Sanitary Permit# �6-I/3 � �u
Plat Envelope pr: z
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 fr.wide
C�� ft.long 3�O ft.long ft.long ft.long
Floor azea ��o sq.R. D 0 sq.ft. sq.ft. sq.ft.
Hgt fiom gade �S� to peak /S� ft.hgt. ft.hgt. ft.hgt.
Stories � � stories stories stories
#of bedrooms m
reaz lot line or�aterline f G r �_� S�a h� lak /river
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In the box sketch in: � - (a� - �
Location and size of all
existing and proposed structures. �'
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Location of septic system.
Indicate distance ta _�__
Waterline ?ab•3 �
Road � � T6 1 �•_ ��� �
Lot lines o- � �� � ;a�'j ���� '�d � ,
Septic system m --- '—
Distance between struchues. i 5�'�`x�"�
Indicate North. �p �v�%�
�` , ��e
Fire Number: �
�� ��y lN /Yt4l�4r[� Lh.
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C' 'r _ 30,
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/�-r/c�-�,�, �, s-�f�-- I;� �/ � r�>
Signature of Owner � �— �� � 1 M �— �b ���� `'
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-------centerline of �� �, f` road-------
Issue Date 02 June 1997 Expire Date
Office Comments: �1N�(��.��dt'` f� Vi '��l"�„ll
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1.3
�3.6
�3.13
3.7 �3.2 �1.4
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3.8
3.14 �2.3 �1.8 �1.5
�4.9 :4.10 �4.1 '3.1 �3.4 :3.5 �2.4 .i.i 1.6
�4.2 4.8 4.7 ` z.a �2.10 �2.1
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1 .�,.n - ':1.16 ��.7
�4.3 � �4.11 �4.6 �3.1 •3.9 '3��� r
�4.12 `3.1 ~
•4.5 �3.11 � �2.18 Z.zo
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�414 � JOHNSON "s
LAKE zs z.z '•"'
'44 O O 3 � ��'
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SCALE: IINCH=400 FEET :Z� fOR ASSESSMENT USE ONLY NOT
DRAWN BY: DATE: INTENpED TO SHOW GONCLUSIVE
COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOGATIONS