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Home My WebLink About012-640-17-3131-LUP-1997-220 Application for Land Use Permit � o • County of Sawyer v � � PO Box 668 -Haywazd WI 54843 715/634-8288 � The undersigned hereby makes application for a Land Use Permit and agrees that all work � C_ � sha11 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 -� , �f C �hl��(lF `.;C'�� - �(rc it f� I�CZ e V1 � � Owner Builder y 7 `' �: I,` SQci �v;rj; `,;� , , �T S �'� So?c:a ;' p � Mailing Address Mailing Address � C/f�:� I'�r^�,��i, ��_.�� - ��C�C c Y?rc�, Le-�� ' ' � � City,State,Zip City,State,Zip �3y- ��9a� Daytime Phone Daytime Phone Building Land Use , ( )New ( )Filling Zone District ��.�;`- ` ( )Addition ( )Dredging � ( )Alteration ( )Grading Lot Size ( )Moving On ( ) � ( ) (� ) Acres /,�5 � � � Primary Structure Accessory Building Addition � ( )Dwelling ( )Garage-attached/detached �(Deck S �,� o 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/manufactured ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlazge ( ) ( ) ( )#ofnew �- � Type of Construction (,�DFrame ( )Log ( )Pole/metal ( )Block ( )Concrete > � ( )Other � ro � � � � Construction Cost$ ��i�% � � � Vol ��-G Pg %C of Deed Certified Soil Test# 7�` "� ' '' ` r. CSM Vol Pg Sanitary Permit# �i_r � � c': Plat Envelope Or: � �� z z Condo Vol Pg Yeaz Installed Aff of ex septic V P Owner When Installed: .-� t � '+1 � � � � � 1 ' � 1 _ � � , � � � �. -.'Sa�`nqa�,, r,rg ,� ,�•v4 y, °o _�pk .'` � �--,5-- , � � �� _ � �� ,�-, , � , ' ' • ; , � , Y � JUN 1 9 1997 ��.�'�,� ��. .; ,.W�„ `� 'i �, r.a , k � iL+oa+"5'ST �..J'."a+M"'Ya�.3 i P':�'e:?��.r��p .. . i,. Application for Land Use Permit—Page 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. #2. '�;�K #3. #4. Size ft.wide �ft.wide ft.wide ft.wide ft.long /� ft.long ft.long ft long � Floor azea sq.ft. /.�sq.ft. sq.ft. sq.ft. Hgt&um gade to peak ft.hgt. ft.hgt. ft.hgt. Stories stories stories stories #of bedrooms reaz lot line or waterline of(� ,',� , � ,;f� � �• lake/river —� In the box sketch in: ` Location and size of all existing and proposed structures. Location of septic system. Indicate distance to: � � 4� Waterline ��" Road � DEc K AOD:v • '�4 °1`` Lot lines �, � ;8_s Septic system � �`� ___ ';�,� 35� � Distance between structures. �' .4ir� Indicate North. � (a�' Fire Number: S�s45v ' 'I� � � y�p Yt 1 � /' -�.-_ ,� �^-ul b1 C�6�vt S ` � � ,�"�/,.', �fJ .�:i. •� -.__ � � Signature of Owner -------centerline of road------- Issue Date��,, � Expire Date Office Comments: ��""`�r��'y�'� �"`�'�� uwi�� ur HUI�) I � K SEC. 17 TWP 40 N _ R . 6 U�J. , CSM VOL 4 �G 8� SC/ � �/ / � �; � 8 i ��wr o, , ' In/ F i" 5,� S.I 6 � U .512 �i� _ � 1 .5.8 /� � ,' /� 3 � � 2.2 �� ^,,f ±� 6.03 �, . / ,� , � �~ I i � '� �`� / � .5.9 5.io� ,5.3 ,�r � �� ) 4 ' r f ��yP 5.13 � .Z.I , ..� '1 5.5 � __ .5.� � — � � 1 ,� _- g'�� .� i� ��; -.- . - � 3.l . ,,; ` . _ �7� � , �,; , J - -- , __ �.,�.�.. _ �81� :r--,�--d....�_ � i — ;��i I �-. ,.9� �.9p ' i A K E � 8.5 `- '.3.z r .8.4 r f �' a� '6.2 io.i� � ,.zo .s; �=i� � J ,_� L ` � — --�`� , v =�ts = 3 �5 � st , � � ,.� .� P ; ��, - - a 4�� ,� 1z CH f P I � � I ,2 �-; q 7 .R.6 Y � . � � �=� ! � ; !c. _ , — � � i. �, � Z .10.1 i, � � � ` �.91 . li /�6'� . ��. � � � .��.�q � I /n . � �� G� . � , . 2 . . � S8 .s8+ D ��.��: -- .9 ` � 3 � � � -`t �, 14. ; �109 � l0_8� i q,z2,4�s � � _ _ _-- °" _�, , 3 �� --_'� � —' � — / � � \ :, � 3 I . < 3 d'. /.r -! �.52 /.37� i.e9 � � , e c.s� '- I��II � 9.w' I ,',e o �\ � 9.5�� ,�.��5 ��,- M � � ��. E., -c ' -� 4 �Sj � , � I - ,z T - �� Z O �V� [�' � \ � �\�� —{ � Z,Sb" � I O- � �' O .rf.7 ,\`.67 � I� i.za 10. s9r 10.1 �� I o-o- � s, .av 4.3 14 .1 C� - - �q � _ ', , .`7.( � .vc , '' " i /� _ __ - � - - ' ,s � .�-. — — J ,s, ., „�;, , i52 f_ .�ss y .153 ��v� 2.y Z �'�� ° � r .11.2; � � � ��, �i ; i �s.6 � i: J . �o I I . 1 :I .I /". /� ��j ..., '� - � � ��; � � 116 ", - 1 I 113 I5.1 � �� 3 I � �� r� � i -; ._ ^ � - i / �--� �� .�� .