HomeMy WebLinkAbout002-939-05-1102-LUP-1997-336 Application for Land Use Permit o o �
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 w �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin. �
(J v e /y�qr�i r� , �f ) PRINT—USE BLACK INK OR PENCIL �
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�a� �c�ooc! /-�o(sfrrti , ln�,� �C�tcv�er } � �
Owner Builder y
/i�. �a Bok 6�SG � �
Mailing Address Mailing Address �
/-�a��r.�a�c( (.�l l s�1 B�/.3 ~
City,Stat ,Zip City,State,Zip �
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Daytime Phone Daytime Phone �
Building Land Use �
O New O Filling Zone District A ' l �`
( )Addition ( )Dredging �' �
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( )Alteration ( )Grading Lot Size
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(,Y)Moving On ( ) ,
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( ) ( ) Acres�>1 1-� 3��* �t�.YjYI � � �
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Primary Structure Accessory Building Addition � �
( )Dwelling ( )Gazage-attached/detached ( )Deck � �
O Yeaz round O#of caz stalls O Porch n r
( )Seasonal ( )Storage Buiiding ( )Enclosed � �
( )Frame built on site ( )Screenhouse ( )Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �`�
(�Mobile/manufactured ( )Other ( )Bedroom Z
O Other primary structure O O Relocate/enlazge M
( ) ( ) ( )#ofnew :
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Type of Construction m
(X)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete >
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( )Other �
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Construction Cost$ y�,�d� �.2�`SC-�' �v�.t.S�� dr��� ���� � �
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Vol � ^'� Pg of Deed '� Certified Soil Test# �/l� �
CSM Vol Pg Sanitary Permit# _��-}
Plat Envelope Or: z
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Condo Vol Pg Yeaz Installed �
Aff of ex septic V P Owner When Installed:
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Application for Land Use Permit- Page 2
Describe Construction: List dimensi ns of each shucture, story, addition, or alteration.
#1. , #2. �uYw�S C'r�p,r��� #3. #4.
Size�_ft. wide ��ft. wide ft. wide ft. wide
�ft. long �-� ft. long ft. long ft. long
Floor azea I f.�L� sq. ft. �_sq. ft. sq. ft. sq. ft.
Hgt&nm grade J� , to peak /,5 ft. hgt. ft. hgt. ft. hgt.
Stories j �stories stories stories
#of bedrooms .�
reaz lot line oF-�veEer}iiie'af� �ef-
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. ;� yl �„i
Indicate North. �--- '
Fire Number: �- _ I� � n �; t e ' '
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C��� �ar, i. _
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7/&.Vr.�'aCd 7fo�sfeihS� �vZL.. �', Ta��k �e �
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Si ` ature of Owner � , �
�a�/� �Pc't %" / G° _
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� ;.-{ , �" ' . . � �
;_.` ' ------- centerline of / ;;,; ., road------�
Issue Date i. Expire Date
Office Comments: �
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�riu� w �y �r�n ,'-�' D�y� �r} l�rtl�,'y
PERMIT FOR ACCESS DRIVEWAY TO TOWN HIGHWAY�`L�et� y . .
DISTRIBUTION �`G-vy-�
White-Applicant Installation oi Drivaway,by APPlicant
Yellow-Town � LandOwner �' ��t- �
��/J ��O�p �
NAME AND ADDRESS OF MPL / HIGHWAV COUNTY
Haywooc� �o/sfe;ns ��� ` �e �arj�n,� S�Awy�-X _,
n�� �Ox G � S.G / TOWN-VILLAGE-CIiV
x f/� w�erd ��� Sy � �
NUMBER OF DRIVEWAVS E OF DRIVEWAYS PR D SE COMPLETKKJ DATE �
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Location of Driveways
.�a�-3S� �
�p r�T1-� side of the highway���of /P a � _
Quadrant ��Section /� Township �ASS l,4�f North Range _
REW IRED DRAINAGE STRUCTURE IF NO DRAINAGE STRUCTURE,STATE WHY.
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DESCRIPTION OF PROPOSED WORK(INCLUDE SPECIAL RES7RICTIONS,INTERSECTION CLEAMNCES,O7HER DETAILS,AND REFEFaENCE TO ANV
SKETCHES WHICH MAY BE ATTACHED.)
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Any driveways shall be constructed in accordance with all requirements printed on the reverse side, and any special conditions stated
herein. The maintenance ot ihe driveways shall be the responsibildy of the applicant >;°
Issuance of this permit shall not be construed as a waiver of the applicant's obligation to comply with any more restriclive requirements
imposed by local ordinances.
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SIGNATURE OF A LICANT�--�� DA E
�. PE APPIIED DATE
7•/� -9
STRUC710N APPROVED DATE
SEC . S TWP 39 N. R. 9 W . .
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