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HomeMy WebLinkAbout002-940-33-2404-LUP-1997-283� Application for Land Use Permit � County of Sawyer � � .� PO Box 668 -Haywazd WI 54843 �o 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 �" and the laws and regulations of the State of Wisconsin. �� PRINT—USE BLACK INK OR PENCIL a � � � .Tol��rr c�,��,��f<< � ✓ ��� � [� �.! Owner Builder y 1 f�.6 �'s��(�6 ? �-' � Mazling Address Mailing Address � � /�/�Y C�w i�i� r�� s�� ^, City,State,Zip City,State,Zip ' � �3y-2�3� � Daytime Phone Daytime Phone �^ � Building Land Use ^ ( )New ( )Filling Zone District �� � ( )Addition ( )Dredging � ( )Alteration ( )Grading Lot Size s ( )Moving On ( ) � U �'� ( ) Acres �� 9 c Primary Structure Accessory Building Addition ;� ( )Dwelling ( )Gazage-attached/detached (�Deck � ( )Yeaz round ( )#of caz stalls ( )Porch � o ( )Seasonal ( )Storage Building ( )Enclosed ( )Frame built on site ( )Screenhouse ( )Living room �J ~ ( )Modulaz/manufactured ( )Gteenhouse ( )Kitchen ' ( )Mobile/manufactured ( )Other ( )Bedroom '� � ( )Other primary strucriue ( ) ( )Relocate/enlazge C �' O O O#ofnew .� : Cr; Type of Construction �jFrame ( )Log ( )Pole/metal ( )Block ( )Concrete � .' v � ( )Other � u� � � pJ , Construction Cost$ �J` = ' �� � i � ��_�.;� a � Vol 5 y�7 Pg ��of Deed 1 Certified Soil Test# CSM Vol Pg Sanitary Permit# � C: Plat Envelope Or: z _ � CondoVol Pg YeazInstalled�'�;�.,;� � Aff of ex septic V P Owner When Installed: �; � i . �. � �_�;�d- ti�`113 � ; �ren�-39a� Application for Land Use Permit—Page 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. �C� F�� #2. #3. #4. Size I�a 8.wide ft.wide fr.wide ft.wide ,`�`� ft.long ft.long ft.long ft.long Floor azea "��� sq.ft. sq.ft. sq.ft. sq.ft. Hgk from gade �.S� to peak ft.hgt. ft.hgt. ft.hgt. 4 Stories stories stories stories #of bedrooms reaz lot line or�u�ref �k�er In the box sketch in: r . Locarion and size of all ! existing and proposed structures. Location of septic system. \� Indicate distance to: Waterline Road Lot lines `' r— '> Septic system � ��� ��� Distance between structures. O Indicate North. � �. , Fire Number: � �~—� t`� f /�� l 1 l'J �VI t��G�.'�� y' . - t ,. �� -� . ..-...,._..._ : - . � : r_�_� � I�;, ,, _- .1 � ,SIihL+r �` ;r `� + � �� (/� ` ' ' �G , ` i — I � sT�r-I �/ As+fVc4.( ` .. _.... ..... �; . ' , �., _...__.___. �. ----.. _��� # � 'Signature of Owner /� � ', ��I -------centerline of S�o�,e ��� � �oGr:/ road------- Issue Date 17 July, 1997 Expire Date 17 July, 1998 Office Comments: �,�iMli 1��'tQ ���'�1 I TOWN OF BASS LAKE � SEC . 33 TWP. 40 N . R. 9 W. � .6.4 � 5 00 z.z i.l .5. 1 .2. 1 �I 2 .� $.2 .3. I .� .8. 1 ) .8.3 .32 � ) 10.3 .9. I S EET 2 � �4.2 • 4.3 • 4�4 .12. 1 �4. I �4.5