HomeMy WebLinkAbout002-940-16-2201-LUP-1997-258 Application for Land Use Permit y
County of Sawyer � � `
PO Box 668 -Hayward WI 54843
715/634-8288
T'he 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. ��
PRINT—USE BLACK INK OR PENCIL �
��lG � CIn��Y I-IANaS � �S�AME � �
Owner Builder '
IZu��T� 10 Box 141 �� � �-�1
Mailing Address Mailing Address � �
�lay��,'A�� ; ��1� 54�4�� _
City,State,Zip City,State,Zip
�-�
(��3y-��5�'(�- exT 3�,�
Daytime Phone Daytime Phone
Building Land Use
(�New O Filling Zone District ��� I
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On ( ) �
( ) (-) Acres Z�'.�c�— �
K
Primary Structure Accessory Building Addition ;�
(�)Dwelling (�Gazage-attached/detached ( )Deck n
S
(�Yeaz round (z)#of caz stalls O Porch o
( )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
� � ( ) ( )#ofnew �
Type of Construction
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
� �
�
( )Other "
�ca�1/Y� 1�W�LLIN�-� � �
'f"L�.' o
ConstmcrionCost$���'�1,� fI�I�Y��X.� Yl,il� � �
-.�
Vol � Pg ' of Deed Certified Soil Test# '�':- �.-" � �
CSM Vol Pg Sanitary Permit# � ' ;�
Plat Envelope �r: z
z
Condo Vol Pg Yeaz Installed
Aff of ex septic V P Owner When Installed:
E
Application for Land Use Permit—Page 2 '
Describe Construction:List dimensions of each structure,story,addition,or alteration. •
#1. 9�� #2. #3. #4.
Size z�' ft.wide ft.wide ��- ft.wide ft.wide
3� ft.long � ft.long : � ft.long ft.long
Floor azea '�� . sq.ft. �_�=sq.ft. - ���sq.ft. sq.ft.
Hgt&vm gade �3� to peak ft.hgt. fr.hgt. ft.hgt.
Stories � stories stories stories
#of bedrooms�
rearlot line �-:.a��- +akr1-�._
In the box sketch in:
Location and size of all
existing and proposed structures.
i
Location of septic system. il
Indicate distance to:
q .
Waterline � �
Road
Lot lines �I�' �
Septic system ��� i
Distance between structures..��. 3b �-
�/UG y,t, s`I � t�---- �
Indicate North. �°F 2C��>
9p j
Fire Number: '-�- '�'' ` .
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N ,
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Signature of Owner �
�-1 ' �
-------centerline of road-------
Issue Date 08 July 1997 Expire Date 08 July 1998
Office Comments:
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