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002-109-61-0800-LUP-1997-179
Application for Land Use Permit y � County of Sawyer � � � PO Box 668 -Haywazd 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 Sawyer County Zoning Ordinance n'� 1 and the laws and regulations of the State of Wisconsin. 6, PRINT-USE BLACK INK OR PENCIL — � � A c x' �.��/ S Tr,�n�is .�=�°,C�s l��.�,%�.��s g c� Owner Builder y � 0 3 y� �v���c� �� �z � y �os� Yo� o � � Mailing Address Mailing Address � L%y�,',�.,�,Qr,• �.5�,'o y�a5�.2 �,�Ylit/,4.Q� �il/,' .y Y�' `/� City,State,Zip City,State,Zip 5/�- y�Y- � 9p.? 5'� �- ..33a �/ Daytime Phone Daytime Phone � � Building Land Use � O New O Filling Zone District�_ — � � ( )Addition ( )Dredging , O Alteration O Grading Lot Size ,}'O �C 3/ o ( )Moving On ( ) � � ( )Q�,� ( ) Acres - 3 s °3 - b c Primary Structure Accessory Building Addition � � ( )Dwelling ( )Gazage-attached/detached OO Deck S ( )Yeaz round ( )#of car stalls ( )Porch Q o O Seasonal O Storage Building O Enclosed � O Frame built on site O Screenhouse O Living room N ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ' ( )Mobile/manufactured ( )Other ( )Bedroom Q s ( )Other primary structure ( ) ( )Relocate/enlazge � ( ) ( ) ( )#of new � � � Type of Construction ° �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ° � o a � ( )Other " � � � � ConstructionCost$ /Boo.o o ������NC� �p. o/o = � � Vol�Pg ��of Deed Certified Soil Test#9�-� �/� I CSM Vol v�C�Pg C��✓Y7 Sanitary Pemvt# f.�- ��? � `�' � Plat Envelope Or: � z � Condo Vol Pg Yeaz Installed ; Aff of ex septic V P Owner When Installed: � � � Application for Land Use Permit—Page 2 , Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. LLrz c,�/oJ�z y #2. #3. #4. Size ft.wide fr.wide ft.wide fr.wide ft.long ft.long fr.long ft.long Floor azea.9 y o sq.ft. sq.ft. sq.ft. sq.ft. Hgt&om gade to peak ft.hgt. ft.hgt. R.hgt. Stories stories stories stories #of bedrooms xea�-FeE-fin€�or waterline of L�-� lake/river In the box sketch in: Location and size of all �I� ��G �C O existing and proposed structures. /� ��1 Location of septic system. � . �� Indicate distance to: Waterline a�/ Sj�� Road � � � Lot lines � � � ' ' , ` Septic system � �Q S ����'�c ' Distance between structures. � Indicate North. � C'�}./�% � FireNumber: \t! �.�,}T �j !�f 2KS�v cr,u�ra��;c(cs �� , � �k� Dr• �� --� Sce ��/��t�GG[�� -� V tr I' �p-tl 10 ������ ,�.L��o/ ��,'�� � , , . Signature of Owner % '' � �— �, S� -------centerline of Ca..F��rc r ll+s La k< I��'• road------- Issue Date 04 June 1997 Expire Date Office Comments: ' � 1 • • " � � � �, � DITION � . 0 ST 6EAC H 2nd AD , 6ENDP A � � SEC. 31 TWP. 40 N. R. 8 W. � I I � � `.`' EAUDETTE DRIVE Q 6� 32 I 22 I 12 I Y � 31 � 2 21 � 2 � � � 2 m 30 j 3 20 Q 3 �� Q � �. 2 9 Q 4 I 9 4 9 -� 1 �� 8 2g 5 IS W 5 � 2 7 6 I 7 �Z 6 5 6 2 6 7 I 6 3 7 62� 4 25 8 �5 � �P,�� 2 3 24 v g 14 I 23 w 10 � 10 22 Q I I C'� 9 J ��' 8 2I U ti5 7 20 12 e����� g � : 5 , , , . , . . I S. � '� - . � �� � ` 6� fie- . '". . .. . -.'. - .'..:_. . � ,� . _ % / " ' � �'' T. . � ' . � . , ? % "3� G,�j ,:, _ . , � _ _ }�: . � AY� '. .� .. . ^ . G`�� . . . ' , „ �( i ' � QR� �J� . / .. . . „r - . - , �� . -��t _ . : �:� -