HomeMy WebLinkAbout008-937-22-2301-LUP-1991-316 s p�,c�.�A-�.,
Application for L�tttl Use Permit � f \
County of Sawyer o��� �
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The undersigned hereby makes application for a Land Use Permit and � �
agrees that all work shall be done in compliance with the require- o l
ments of the Sawyer County Zoning Ordinance and the laws and regu- �''
lations of the State of Wisconsin. - t
PRINT - USE BLACK INK OR PENCIL r t 1
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Owne Builder
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Mailing Address Mailing Address
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City, State, Zip City, State, Zip
Building Land Use Zone District F —� o 0
,(�j New ( ) Filling � a
O Addition O Dredging Lot size �3z,Q' K (3ZrJ� m n
( ) Alteration ( ) Grading
( ) Moving On ( ) Acres t�..�
O O m
New Construction �(?��(t.� �
Aw�UNy
Size ,2�/ ft wide � ft wide
�� ft long � ft long �
Floor area ij 7� sq ft �� sq ft
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Total htg �� � to peak �� to peak x
Stories / �_ Stories
No. of Bedrooms �}pE�y g,�N,Ys rear lot line or waterline c�
0
(�-=oa.:Q,� (seasonal) - ' sT =� v, rt
Type of Bldg or Addition 5�, �i'/ �/S �l�57— � r
S/J Dwelling a o
( ) Garage (1) (2) car � rt
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( ) Storage Building �
( ) Boathouse ��
0
( ) Livingroom �
( ) Bedroom �
( ) Kitchen-Dining �
( ) Porch - enclosed/roofed � �
( ) Deck - open
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( ) �Pe.IV�-o���IT v � �
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Type of Construction i 'J
( ) Frame ( ) Block y � �-
( ) Log ( ) Concrete
f,�' Pole ( ) Stee1 � � �
( ) Metal ( ) N �
��f.��y �,`
Construction Cost $ 5(, O�. , / .�v
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Vol �.7j(p Pg 1�.Q of deed ' ° —
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CS Vo1 � a �'' 0'���� w �a
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Cer. Soil Test g9 -127 � � � � W
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Sanitary Permit � - -�L Road z
� NO �t[�LS1�Pi�}�e32. �.SSURE. � z
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Issued 23 December 1991 �lenied _
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� Owner Zoning Administrator
I UWN U� EDC��W,qTER
SEC.2 2 T1NP. 37�1. R.9 W.
S.T.H. +�
65 ` 5.5 2.2 .1.2
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7°� � 590'
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Sawyer County Zoning Administration
P.O. Box 668
Hayward. Wisconsin 54843
(715)634-8288
In applying for a Special Use Application, please provide the
following :
� Complete a Land Use Permit application
2) Attach a copy of the building material list
3) Provide the following information:
- Will the dwelling be sewered? `�b
- How do you gain access to your property?
Does it front on a town, County, or State_trunk highway?
Do you use an easement or private access road to get to
the property? ��oa;� �r,��au-n- �2r-�
- Are service utilities existing to the property? �D
Could power and telephone be readily connected to the
property? ?��
- Does school bus service exist to or pass the property? �
- Is fire and police protection easily accessed to the property'?Z1e..a
� —
- Within one ( 1) mile of your property, are there other exist-
ing year round or seasonal residents? �,i p,? � H� y��i�
SUBJECT: Request for additional information
David Heath
Zoning Administrator
P .O . Box 668
Hayward, Wisconsin 54843
715/634-8288
S��.0 A-�-
To enable this office to process your application for a'�Land Use Permit/
r^^�; *� ^"' T�� r��;=: , the following information is required :
( ) Complete 1ega1 property description
( y— Mailing address of owner
( � tdame and mailing address of builder, if other than owner
O Volume and page number of recorded deed or legal document showing
proof of ownership
O Volume and page number of recorded Certified Survey
(�� List the size of �E GA��tJ. � ��V�
O Size of propertv ir footage
( �" Type of structure: dwelling , garage , storage building, etc
( ) Type of addition: livingroom, bedroom, utility room, kitchen,
porch , deck , etc
( fi Type of construction
(�-�I,ist estimated cost of construction
O The rectangle on the right of the application represents our
p-roperty. Sketch in the location of the �w�LIIJ� � QQI �l�-1
, giving a1L distances to o-'t i� I
roads , shoreline , and or to other buildings on the premises .
O Sketch in the location of the existing septic system, giving a11
distances to the dwelling , proposed addition, and/or accessory
buildings .
( ��ttach the required fee of
� � �. �o
You may make your check payable to Sawyer County Zoning Admin .
( ) Retaining your check/cash to cover the fee
( �ignature required on bottom left lire cf apulication - use only
biack ink
( ) Ceri=ified Soil Test reauired
( ) Sanitary Permit required
O Existing septic system affidavif for new addition required
(�j� Please print , use black ink or pencil . Applications completed in
blue ink will be returned.
O What year was the septic system installed?
( ) If the septic was installed after 1968 ; who oc,med the property
at that time?
( )
( )
Thank you for your cooperation. When this information has been re-
ceived, your permit may be issued without delay .