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HomeMy WebLinkAbout002-109-11-1300-LUP-1997-200 [ Application for Land Use Permit r y � County of Sawyer y � PO Box 668 -Haywazd WI 54843 � � � 715/634-8288 `N � The undersigned hereby makes application for a Land Use Permit and agrees that all work`° 9� y� 1 shall be done in compliance with the requirements of the Sawyer County Zomng Ordinance � ,� � and the laws and regulations of the State of Wisconsin. - L ' ;�,r,,.� y r� , PRINT-USE BLACK INK OR PENCIL � � � � � r� !S/'Q n U�;� - � Owner Builder � �: O p a p I��iC � ()r K ,� � � J /�% y Mailing Address Mailing Address � ° �-�. ri�t�� .� '� �'�� ''= � �;�� , City,State,Zip City,State,Zip � 0 C�3 5�- l 3 3 �;� rt � Daytime Phone Daytime Phone �� Building Land Use � � , �New ( )Filling Zone District �'-I �� �� i� � p ( )Addition ( )Dredging - s ( )Alteration ( )Grading Lot Size �e ( )Moving On ( ) � `^ � ) �� ) Acres - .��c� -� � °g r v c Primary Structure Accessory Building Addition # ( )Dwelling �iO Gazage-attached/detached ( )Deck ' � O Yeaz round O#of caz stalls O Porch U `` r ( )Seasonal ( )Storage Building ( )Enclosed � " � � O Frame built on site O Screenhouse O Living room ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlazge 5 � ( ) ( ) ( )#of new ,, �� : ` � Type of Construction �- ( )Frame ( )Log �Pole/metal ( )Block ( )Concrete > ( )Other � ro � �v Construction Cost$ % � � '" � -' # -� Vol - %-Z Pg /i-�/ of Deed Certified Soil Test# � � � � , CSM Vol Pg Sanitary Permit# L � ,'� Plat Envelope 9 7�F N Q Or: - z Condo Vol Pg Yeaz Installed �r�`t'r !�/G� � � z Aff of ex septic V P Owner When Installed: =� ` `�� C �� � � _.�.�f. 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 ��� ft.long ft.long ft.long ft.long Floor azea�sq.ft. sq.ft. sq.ft. sq.ft. Hgt from gade � to peak ft.hgt. ft.hgt. fr.hgt. Stories stories stories stories #of bedrooms reaz lot line�^f lake/river In the box sketch in: Location and size of all existing and proposed structures. Location of septic system. Indicate distance to: Waterline Road Lot lines Septic system Distance between structures. Indicate North. Fire Number: ��F� j i\i t :r � , � � � -� Eh � , � , � Go i �n�V�1 1 .�-�i � - . �� O��.0 Signature of Owner �� -- ,A �' I G6� �' i -------centerline of � o.�,;; - - , �.', road------- Issue Date 11 June 1997 Expire Date Office Comments: l�(�;i���c,-�2.(�1,�� ABENDPOST QEACH 2ND ADDITION SEC.31 TWP40N. R. 8 W. 3.i 2.� �.� I 32 2.2 i.2 6 5 4 3 2 I 6 5 4 6 5 4 3 2 I � qp � 40 7 40 g 39 8 39 8 � 9 3 9 3 38 t0 37 10 37 10 37 �I � I I 36 I I 36 12 35 12 35 12 35 13 3 i3 3 13 34 LLI 14 33 W 14 3 > �4 33� > a a 15 32 a 15 32 15 32 � �5 31. 16 3 I 16 31 a 30 i7 17 3 17 18 29 18 29 i8 29 19 28 19 28 19 28 Zp 27 20 27 20 27 21 26 21 26 21 26 22 25 22 25 22 25 23 2 23 24 23 24 6RANT i ao i ao � ao 2 3 2 39 2 39 38 3 � 3 3 8 3 37 37 4 37 4 4 � 5 36 5 36 5 6 35 6 35 6 � � 34 7 34 7 3 8 - - 8 33 8 3 32 9 32 9 32 9 31 31 10 3i IO 10 3 30 II 3 ii � w �� 29 1z 29 i2 29 I U �p 28 � 13 Zg Z 13 2B V 13 � � � Q 14 Z7 z 14 14 J 5 pg � 15 26 = 15 25 16 25 �6 Z5 16 24 2 17 17 24 17 23 z3 �e 23 � _ ��1 �a _