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012-740-04-4306-LUP-1997-311
� � Application for Land Use Permit � r y County of Sawyer y � � ' PO Box 668 -Haywazd WI 54843 �' " `� _ ���1_-' 715/634-8288 � The undersigned hereby makes application for a Land Use Pernut and agrees that all work f-' 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 � � � � e � -�- ri.� .�! �6��.L.l_,-__-'Q- � � O ier Builder � ` ,� ���`?,��--f y-�:<)i z b ��, �� - � � � � � 1� �(-aAuw�2Gt.�� . �i3oX`?3c��, Mailmg Address� Mailing Address ���j-�� <,�Il`<D (�r� S�l���> l � , � t. I ���.�;zL�a, sU�`��> �� City,State,Zip City,State,Zip � ;-- �/l�Z-- 3�{ i5 �" 3�i.5 Daytime Phone Daytime Phone Building Land Use �;�� ' i ( ew O Filling Zone District t' ` `"� s (�ddition ( )Dredging ( )Alteration ( )Grading Lot Size ( )Moving On ( ) � ( ) (� ) Acres � �� /•�5`.� g b c Primary Structure Accessory Buildin Addition # ( )Dwelling (��)'�'az� ag_e-attached/ etached ( )Deck � O Yeaz round (,)�f caz stalls O Porch o O Seasonal O Storage Building O Enclosed w Frame built on site }� ( ) ( )Screenhouse ( )Living room ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom � ;., ( )Other primary structure ( ) ( )Relocate/enlazge c ( ) ( ) ( )#ofnew � Type of Conshuction T� (,�j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � >' V � ( )Other �' � � Construction Cost$ �'S,C=��C = � y Vol �S�} Pg �ti Z of Deed Certified Soil Test# `J; -!�� � CSM Vol � Pg 2^:�^ Sanitary Permit# ;=> - /b�`7 � � Plat Envelope Or: �� z Condo Vol Pg Year Installed � I� Aff of ex septic V P Owner When Installed: � � Application for L�nd Use Permit—Page 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. #2. #3. #4. Size �� ft.wide fr.wide ft.wide ft.wide 3� fr.long ft.long ft.long ft.long Floor azea r�yU sq.ft. sq.ft. sq.ft. sq.ft. Hgt from grade�to peak ft.hgt. ft.hgt. ft.hgt. Stories_� stories stories stories #of bedrooms�� reaz lot line or me lake/river In tha box sketch in: r� � Location and size of all existing and proposed structures. I Location of septic system. Sp I Indicate distance to: a Waterline Road Lot lines ��,���S�� ± Septic system � �� � Distance between structures. � 1� � � � Indicate North. c; � � �` �� �� ' � Fire Number: _����_ � t-��� �� � �q-j /!Lz s� ��, �' ' �' � r�;�°� �� �a� f� � �' � ° 3� IL m `°�1-- �J � � �,e<< ,� �i � ,��r ii ����� � 1 ^n�_�_ � gnature of Owner S �� ' t. 1F� � � � f -------centerline of� �� � � road------- — --`-� Issue Date 28 July, 1997 Expire Date 28 July, 1998 OfficeComments: �� •�'l�l)C��S���"��� � \ f r' _ �� — --- /. � �� , �� ,�...����,,,,` ���__ - � � I `N,• �' _ ��` , � �� '�1� �/ � , . _. �_ "__. . , . _� fl , _ _. � — � ----�_�_�� —��; �l� 1 �� c �, 1);` 0 I � C -------- -�-� 'I' � L l�'L � � �f�4� (�=� / , I i�� . n 1 .O ; '', , ,J �� I _ _ _ _ 'f' _ _ t �� �-- I � � i`, w ; �, �, ;. � ; ��, � , ,`,, � � � �\:,, � ( � r `,1, � � _ .-_ � N, � � � ��� - ���� � �N�� N� I � � j . ��� � i �'� �� i . �,�; -� �� � , -O �N ��; I - � �,� � �� � �� ; � , �� . `t��;; , �� "t�+ � � -. . w i 1 c� ; � � . I ' -�� �� . � � �,�O � v -- �r � � 1_---- \ � � i --- RF�-�---- � � _ - ' 1� � /� � � ` � � i Cr �� � -i I \- � � ��ry •� � � ��; (� _./�*� ti� :P, W - � � �) ,�, 0 � � i � n �� � � V`G� -AI � I -�;j-� r � I 'r� Y�/ Ra p' � �� ' � � � � I �,\�G o '- � � c . �, _- _- -- i --- --- - � - — y� � � �� � a ; � , � � � N �a^� I ? I t ` I . � I ` `4 ` � { ' � � � � � �' � .� U = � o � � L O � _ 1___ _. .______ ___.____.___.__ __ _____ 1' , � a u W I , ��� ;_ �' - � i � i � =�� ,_-� � , � � � � - ' G� l '� � � �, . � � \-�/ � ! O � . , � ; � � � , �a, �„�: a: �., � W� � � n� � r � � j I , ;-. � - , , �w , ��'�i � �s. '� r: . il � � �� il � � I � � �� - ii � ��-r . \ � � ro, � � �' fl ► �~ -� --------- --- --------- ----- . � , _ . - , � � -�--� � � ;---� � � � ; . ._ + �� � ---�-. � , � , ! � � R � � � '° Cj i � I �`S� 1� � � c.�1 �� � . � ��, ;r � � 6 � 0 � � I I____`r'_.— -- - ,._�,.�_ � � _..n. — 'J� .� N..:,['�? � `. �, .�