HomeMy WebLinkAbout012-222-00-0600-LUP-1997-234 Application for Land Use Permit r y
County of Sawyer y � L �
PO Box 668 -Haywazd WI 54843
715/634-8288 �
The undersigned hereby makes application for a Land Use Permit and agrees that all work �i
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance � � �
and the laws and regulations of the State of Wisconsin.
,:=�r-F }� �,',; ,,_ ��<< , ,,- ;r. PRINT-USE BLACK INK OR PENCIL �-.,.,��
C�i� , c ��\ �
� � �4eU.t� ��i iJ� .�- -�2a� ��� ��(�lJl� ��jbzr � � �V
Owner Builder y
��� � �a X 9-�9� s��r � 7.
Mailing Address Mailing Address -� � �'W
���llJl-t �.� , C�/. 5��lil � � ,:��
Ciry,Stat�,Zip City,State,Zip `
y�. _,_ 31gs �-
Daytime Phone Daytime Phone � .
Building Land Use C
QC�New O Filling Zone District � �-Z �
( )Addition ( )Dredging �
( )Alteration ( )Grading Lot Size
( )Moving On ( ) � -
( ) (�) Acres � � ���� 3
v
c
Primary Structure Accessory Building Addition � n
O Dwelling (�Gazage-attache detache O Deck G �
O Yeaz round (2�#of caz stalls O Porch � o
( )Seasonal ( )Storage Building ( )Enclosed �
( )Frame built on site ( )Screenhouse ( )Living room l�
( )Modular/manufactured ( )Greenhouse ( )Kitchen U �
( )Mobile/manufactured ( )Other ( )Bedroom c�
( )Other primary structure ( ) ( )Relocate/enlazge �
( ) ( ) ( )#of new �' -
C `
y ��
Type of Constcuction � e �
(�Q Frame O Log O Pole/metal O Block QQ Concrete � � >
�
( )Other :� � �
�- �
Construction Cost$ �O/�"�� � = r 4'`\
3�� �- # y
Vol 5��Pg � .J of Deed Certified Soil Test# � `��''�� � �
CSM Vol�Pg /ZD Sanitary Pemut# �/�; -/.S y � �,'\
1J
Plat Envelope Or: � z
Condo Vol Pg Year Installed -t-�--� / I �
Aff of ex septic V P Owner When Installed: �
� ��
wiN 13`!s�
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3.
Size �-�' ` ft. wide ft. wide ft. wide
ft. long ft. long ft. long
Floor area J—� � sq. ft. sq. ft. sq. ft.
Hgk from grade to peak ft. hgt. ft. hgt.
Stories i stories stories
# of bedrooms
rear --lot line or waterline of ('k ,00 P CUD
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.
Indicate North.
Fire Number: _
0 7 7 --YAI Fa 26 7r"1
Signature of Owner
Se-C Q4acAed
------- centerline of C T " C
Issue Date Expire Date
OfficeComments:
#4.
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
road-------
!
\�'t-.�r.N• l .... y �
I \ �:e_
�'^` r-.c--� —
£� \ � yz� � ,..
�� \ � � f -
.• ➢ �_�_�, —1,:
�� � y\ 'y\�, +
s.s � •-� = r-L 1, 1 �Y �
i�'C- L \ � � . O I �^^� i � � }_ �-'F� E
�: � \� �-`'� L_:� _ ��==�1_ �" �
�-''� o � -L--� /----
�^� \ -� '� j., ' ,;�� I i/� 1
= v \ \�' `� �--s1J�� � �.
N \ �r�^��-�-�-�--;--�;�;,a•r-��„�;�-� /jr -"� U c Y`
�! oi oe oe c.r 1 \��`# � 11 IT� {
—_L---1--'—� / tt'
4 ^P ,�
i cq•,.o�in��.,r ��,�.Wt L�——--
���;,.M„�,�k�.� �--
— �N�'H'ri'H-v)tSf — r .
" w� M' � .
� r, � . •
� S o�
� -sT~ i � � I
. . �; �z �Z � �I
c�� o
� b � ' �
� � ' ' x- � -� ,
i. �_ �
z � I
,.�£
�
- G
�� (�
� �
3 �•
' w�.
r ���� £ � �
C���' •- �a c- � ? � C�
� _ ^�rc�`l1 �lS.AS o -�� �'��^+0 - Z �
��, K�� �e .�-� � x? yYp���ss�3T.� � O
3 ---1 3 � ,.-� s. r ti ' 3
i 5•^� . -. d � � � s $.3�+
� � ,� s cs•.^� ,c� � -`�
� � � � —S'��'` „' � "' ---' SY`�� " „ - i Z
� '�+ ...c+ E 3.�� :��.9 -A��c �� - C
..-�- � £ e�� s�� oF= � 3�,%�.�.` S 3
� � � � .> 3� ..-���'"^ ..��.�-
�� -� � F 3 ��;s�s,� ��: s-� �L�•^s�- :
zs �l �'s�� T. d - —
T �� 9' - . G• � �•.�r:.r _.� f
�� � T 3 S `� � s�E C>..a � - � w �
e - `-"��a•s" s� �-=�� "'s�� r
� .�-' ��3 s� ��' :.�.�'ie��'..=-� g
� � �� 's��' ?.�F`o—o3����.g�
�� _.�� c�� � £ _ ,�� ��• y�
..--�.s�Qv o '�se+-r.w F�`do.�E �"'
�E F � c S ' ��"� � >`
s'�3 �J� � �=_3 �F•��t � y A
:-��K-� A ��c � g_^��� e -a
F~�Sr�� (� �Kx�.�i+.-�-^� ,z o
T �• � �T r T�.Y
�3 ��' �c F�-s 3 5 �
T.- � a�C �� �^y �N
� �"��� ��„y�Zo S
�� ^S� ��'�E. � a �s
�� �� � z.F ` � �T F �F �
"�uounm.�wiy,�4 s c p v��� � `_��$y�'w� �
� �• �t ���� vs � �.3' � �,�;� M�xs� t�
�N �(�o� (�1y4 L�S�,t�. �� 'F h � .rt j� c ' Q 'z s �'
C � �� '! �'� �"rX`� � "�y.-` �
"S'+�i c�i� -'�-h�- r � � ��e= s�
. ±��4 "�•��` ���< s�` �� � s��o ���T �
"'u�wuioro`�� O 3 `� ��'s-e � � g-
�,f '^'� ,4C ^� �?��s� �
.� � � '��.'c-�c � ~��� ��.r�S s �
� �� � ��s p �_� -� �-
un� �n u Pr,� � �