HomeMy WebLinkAbout010-941-23-2401-LUP-1991-185 _ �'y�,.�. �i �€° � �-�; a�'�=� :
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Appl�ication for Land Use Permit y � ,
County of Sawyer o ,.
The undersigned hereby makes application for a Land Use Permit and �
agrees that all work shall be done in compliance with the require- o
ments of the Sawyer County Zoning Ordinance and the laws and regu- �''
lations of the State of Wisconsin. �_.
�,�r�. ;. �t , ; ,. ; PRINT - USE BLACK INK OR PENCIL -
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Owner Builder �
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Mailing Address Mailing Address
��. � �� . C� t S�l��l � }-�t �� i S�/��9
City, tate , Zip City, Sta e , Zip
Building Land Use Zone District f � � o �
( ) New ( ) Filling rt
( ) Addition ( ) Dredging Lot size cn n
( ) Alteration ( ) Grading `�
(:-�) Moving On O Acres C M1�,.� 7
( ) ( ) � {,'
' t � � a�� �i� �;
New Cons truction � - ` � ` ` i``� �����-
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Size i �;; ft wide b� ft wide � " � _-
` ,°`�.'i f t long � f t long �
', ��.' s f t � s f t � � ����'
Floor area � � r � q S �.P q
�
Total htg � ; � � to peak lc�/ to peak �
Stories � � Stories
No . of Bedrooms rear lot line or waterline o
(year round) o� (seasonal) U, �
G
Type of Bldg or Addition � r'
( ) Dwelling a o
�• r-r
(. • ) Garage (1) (2) car �,.
( ) Storage Building �
( ) Boathouse ~
0
( ) Livingroom �
( ) Bedroom
( ) Kitchen-Dining ��� {��C�� � —
( ) Pflr_ch - enclosed/roofed i C�
( �) Deck��pen � ��� � ��q��; , '
� � `j 1 -�,�..:' ��,� ¢ 3 r ��-- ;; ���
( ) — .-�'�__
`{� �-z-�, .____ '�', �
Type of Construction -- — � .;
( "� Frame ( ) Block + F��
( ) Log ( ) Concrete '
( ) Pole ( ��' Steel � �
( } Metal ( ) ' �
� ` _
Construction Cost $ ��� _ _ � _ _f c��� _ _ � ,.:
Vol , -�_ , P --� of deed y� -� ,,z � 1 - f�;�,�
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CS Vo1 - p __ �j '� ;�j�� ��� ..� �� ro H
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Cer . So i l Te s t a � - : - � ��' �����-� � -
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Sanitary Permit ' - � �' ----------�L Road --------------- z
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�LC�"��%-- , � � � � _ � 3�.__ • z
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Issued 30 July 1991 Denied
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/,�G'l��t �� L��� � � �
��� Zoning A ministrator _
�,R,C�r,p�S�22.
SUBJECT: Request for additional information
David Heath
Zoning Administrator
P.O. Box 668
Hayward, Wisconsin 54843
715/534-3288
To enable this office to process your application for a Land Use Permit/
Gonditional Use Pe�mit, the following information is required:
( ) Complete legal property description
( �Mailing address of owner � ��;nl�
( ) Name and mailing address of builder, if other than owner
( ) Volume and page number of recorded deed or 1ega1 document showing
proof of ownership
O Volume and page number of recorded Certified Survey
( } List the size of (�At=+'1�t,�-- b'' 1 '� C.��
(�3'� Size of property in footage
( ) Type of structure: dweliing, garage, stcrage building, etc
O Type of addition: livingroom, bedroom, utility room, kitchen,
porch, decic, etc
( �' Type of construction
(h List estimated ccst of construction
(�) ihe rectangle on the right of the application represents your
property. Sketch n the location of the ,'y�,Q�1;,�- }�,^-,` `c-
/__.!�pC'( �c�. '�'rC� , giving all istances to ot 'lines,
roads, s oreline, and or to other buildir.gs on the premises.
O Sketch in the location of the existing septic system, giving all
distances to the dwelling, proposed addition, and/or accesscry
buildings. �
(y" Attach the required fee of ��-'�-- '
You may make your check payable to Sawyer County Zoning Admin.
O Retaining your check/cash to cover the fee
(_�j' Signature required cn bottom left line of application - use or.ly
black ink
(� Certified Soil Test required
( -) Sanitary Permit required
O �xisting septic system affidavit for new addition required
( �� Pl�ase print, use black ink or pencil. Apnlications completed in
blue ink will be returned.
O What year was the septic system installed?
O If the septic was installed after 1968; who owned the property
at that time?
( )
( )
Thank you �or your cooperztion. When th__s information has been re-
caived, your permit may be i.ssued without delay.
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