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002-840-20-5107-LUP-1997-306
Application for Land Use Permit r y `-, County of Sawyer y � PO Box 668 -Hayward 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 � and the laws and regulations of the State of Wisconsin. PRINT—USE BLACK INK OR PENCIL � �/) eo- � ' .i �).�x �� �.Jl',�..�•� ✓ /VB�`��1,�� �� i��'D'. a � Owner, Builder " �' . f ri�r �c��e /1/�1S�� ��r-'ir K� .�'�v' ° � � Mailing Address Mailing Address :; �1 C%r [ ,� '� �, ( City,State,Zip City,Sfate,Zip , A Daytime Phone Daytime Phone Building Land Use (yt)New ( )Filling ZoneDistrict ���� � � +�' -��•� ��)Addition ( )Dredging ( )Alteration ( )Grading Lot Size ( )Moving On ( ) � � ( ) (� ) Acres !���'� b�" � �n G Primary Structure Accessory Building Addition ;� � ( )Dwelling �JGarage-attached/detached ( )Deck � O Yeaz round (a}�#of car stalls O Porch o O Seasonal O Storage Building O Enclosed k= O Frame built on site O Screenhouse O Living room �-�� ( )Modulaz/manufachued ( )Greenhouse ( )Kitchen ( )Mobile/manufactuted ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge ( ) ( ) ( )#of new ``. � Type of Construction � M Frame ( )Log ( )Pole/metal ( )Block ( )Concrete > f�, ( )Other � '�: � �> Construction Cost$ ��i� :� � �� G-�� = �� � y Vol ;t�'-' Pg�of Deed� Certified Soil Test# '�� /'/�/ L , � , � r. ..�,[ t ?-�', L�� � CSM Vol aJ Pg , 1 �L' e Sanitary Permit# �, , l(� Plat Envelope �r: � z 7d 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. #L #2. #3. #4. Size �� ft.wide ft.wide ft.wide fr.wide ft.long ft.long ft.long ft.long Floor azea 'l� sq.R. sq.ft. sq.ft. sq.ft. Hgt from gade r � to peak ft.hgt. fr.hgt. ft.hgt. Stories stories stories stories #of bedrooms --'� � reas�iie or waterline of (//i�i��l,`;��i�� �G K'�. �elce/rii►et In the box sketch in: /3`-/� Location and size of all ���;� existing and proposed structures. � ; � . , , .� Location of septic system. _.{7S�--- � �—" �'� �� � t { Indicate distance to: �� � " �'� �`��' ,y Waterline i � S� ��'� '�� Road � Lot lines ��- Septic system ��;� Distance between structures. � i� Indicate North. �t��� y, � ' t :l b�(__ ,�� � ._______ ....._ __ ___ Fire Number: ff��.i�� �, �'��'��J � �/ i � 1 y 58 � I 3��� � � t � � 1 Signature of Owner � � i -------centerline of road------- Issue Date 24 July 1997 Expire Date Office Comments: � Sawyer County Zoning Administration Inspection Report a � n Owner Thomas W. Bentz �1�� -lis-'S�-f�^,,_ , � Address 2603 Fern Lane Wausau, Wisconsin 54401 � Agent/Purchaser ,� Address � � Blder/Plber/CST £ Address � Inspection ( ) Dwelling (�1 Setback - lake ( ) Mb1e Hm ( ) Setback - road (� Private ( ) Public ( ) Commercial ( ) Setback - lot line (x) Garage ( ) Soils Verif Violation (� Addition ( ) � � o y rt O ( ) Zoning ( ) Sanitation �, � Vol 342 P 199; V 417 P 410; V 437 P 378; CSV 9 P 79; 4.84 acr v r°n � is�a' � '-' a r P� � N 3' sr � �'o O\ Suh_ 83-oilo �' t�1 3z. --�\ � � I ` � �Ven�' td .� •,, y�•. , � � / EnD�..1 v__ I x � —58 / L.vP 8.3-ov3 — . � ..;� ., � � O �i �N C 1 �, �d ,� � �� _� r -1 � iv, m o � G� rt �. 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