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Home My WebLink About008-937-19-5505-LUP-1997-339 i ,- � Application for Land Use Permit r ,� � County of Sawyer � � `— PO Box 668 -Haywazd WI 54843 � 715/634-8288 � 1'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. w��m � � RINT—USE LAC INK OR PENCIL � � �, � � � l�l�(t��' I ✓ 2!` `�' Owner Builder ' � .I , �� '1 - _ �f .C� ,�� ° � �D Maihng Address �ling Address :; � i � � ` ` �i � ,—c e.� � �S�P6�` - City,State,Zip ity,State,Zip ��v�:�_�j�-�r��'1�O- Daytime Phone Daytime Phone Building Land Use j �New ( )Filling Zone District /� , � � ( )Addition ( )Dredging ( )Alteration ( )Grading Lot Size ( )Moving On ( ) � ( ) ( ) Acres /•�c � � G Primary Structure Accessory Byilding Addition � � (�Dwelling �Gazage�attache�)detached ( )Deck h � O Yeaz round O#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/manufactuted ( )Other ( )Bedroom ° ( )Other primary structure ( ) ( )Relocate/enlazge �; O O O#ofnew � : i� Type of Construction � �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete > � ( )Other " b � � Construction Cost$ .�l t �-�' � ;� ` y Vol </7 3 Pg�. "r=� of Deed ✓ Certified Soil Test# �'��yc:�� ►'� v� I��'�� CSM Vol Pg Sanitary Permit# `� '� Z�,.-'l � ''� ` ,� I� Plat Envelope Or: '7. z Condo Vol Pg Yeaz Installed � Aff of ex septic V P Owner When Installed: ��' Application for Land Use Permit- Page 2 � Describe ConstSuction: List dimensions of each structure, story, addition, or alteration. #1. � �'��.�� #2.� � � �� #3. #4. Size�ft. wide ft. wide ft. wide ft. wide �� ft. long fr. long ft long ft. long Floor azea 'C' �'� sq. ft. � ,�c sq. ft. sq. ft. sq. ft. Hgt from gade �� to peak !'� ft. hgt. ft. hgt. ft. hgt. Stories� � stories stories stories � # of bedrooms � � I . 1�� In the box sketch in: Location and size of a11 existing and proposed structures. �� , ' ��-- —� Location of septic system. �J�� , I r—+ Indicate distance to: Waterline �`�) Road y Lot lines Septic system Distance between structures. � I � Indicate North. 1 Fire Number: � l/ �t�7 3�._.' �)� � NE��%'� A7y_ , �_�� e� � ` ____> ,; ��. �;., _ ��;. � ��., -_ � Signature of��Ir �' C,ON7 r • � � �ir �� 1 �' '� �- ------- centerline of road------- IssueDate 11 August, 1997 ExpireDate 11 August, 1998 Office Comments: ' • � • i . . . � !� � �" � � � � � � � � � � � ; r, . --. ;, � ��, �� ♦ �� , �� ir�- ,� � 1 �� a� .• �•� ��/�~ � �� / �.�'�� `� � �� --_� , � �q �� . � � � � , � � .--�` � � � � � ��► , �� ►,. � �� .--. � �� .► � � :� � � ' �� -�� \ ► , � �� i�� G' E," �� , ��, ��/ � , �� . � �� , �,, I�'� . � JI.►, ��j, . ' �i .� � �� ,�. � �� /�` � �� i,�� ` � � � � � �