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HomeMy WebLinkAbout012-740-33-2102-LUP-1997-422 Application for Land Use Permit , County of Sawyer � � `- PO Box 668 -Hayward WI 54343 715/634-8288 I -- � The 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. " �•'. PRINT—USE BLACK INK OR PENCIL � ,Q C f�lGµa-,t.r� Ci,���,�. o� rl,,.��r � � Owner Builder �� = !Z"'r � (�o,( S c1 �J Mailing Address Mailing Address � � � tt i�k���.� ��! � �,v 1 5'1��6�� City,State,Zip City,State,Zip � (1� r�j 9 y s�— �-S S��� - Daytime Phone Daytime Phone Building Land Use ( )New ( )Filling Zone District ; �(Addition ( )Dredging ( )Alteration ( j Grading Lot Size ( )Moving On ( ) � ( ) � �L ( ) Acres _ � c Primary Structure Accessory Building Addition � n ( )Dwelling ( )Gazage-attached/detached (�Deck � O Year round O#of caz stalls O Porch �.' o Sja'Seasonal ( )Storage Building ( )Enclosed �' " O Frame built on site O Screenhouse O Living room ( )Modulaz/manufactured ( )Cneenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom - ( )Other primary structure ( ) ( )Relocate/enlazge � , ( ) ( ) ( )#of new � Type of Construction (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete = � ()Other " ro � � c $ Construction Cost$ �[,'a j� � -� Vol Pg of Deed Certified Soil Test# ��/- 1/�Ji. � CSM Vol Pg Sanitary Permit# y�/• .�5� Plat Envelope Or: � Condo Vol Pg Yeaz Installed A�1�I �3 I Aff of ex septic V P Owner When Installed: �l�r���io �oE�a.c� � Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. � C #2. #3. Size 1 ��~ ft. wide ft. wide ft. wide 10 ft. long ft. long ft. long Floor area �q sq. ft. sq. ft. sq. ft. HgL from grade to peak ft. hgt. ft. hgt. Stories # of bedrooms G' 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: ti Signature of Own (/V'►� 60 stories stories rear lot line or waterline of a L4 ❑(Y• 40 be- ❑ ------- centerline of Issue Date_ 26 August, 1997 Expire Date Office Comments: #4. ft. wide ft. long sq. ft. ft. hgt. stories lake/river 26 August, 1998 �)a Lj Ar\A A j road------- � 3 ¢� • � �`-.-. _....-..._�....... . . ... . � � . ...,.. . . .�se-..-...,+.......��..�.�.�...y. _ _. ,. ..-..w+.+.m^ .p 'G•� .._ . . . ..._,.. ._....�..... , ._.., .....- ,......._....�. ....�.. � ... .. 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