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Special Use Permit - Town of Conover

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APPLICATION FOR<br />

[ ] SPECIAL USE OR [ ] CONDITIONAL USE<br />

PERMIT<br />

<strong>Town</strong> <strong>of</strong> <strong>Conover</strong> – Vilas County – Wisconsin<br />

Application Date: _________, 20_____<br />

Applicant: _______________________________________________________________<br />

Mailing Add: ____________________________________________________________<br />

City/St/Zip:_______________________________________________________________<br />

Tel / Cell #’s _______________________&_____________________<br />

Email: ___________________________@_______________________<br />

I, ______________________, hereby request a <strong>Special</strong> <strong>Use</strong> <strong>Permit</strong> from the <strong>Town</strong><br />

to dwell in ONLY as a hunting shack, the non-conforming structure as described in<br />

Section (A) below on the property located as indicated in Section (B) in the <strong>Town</strong><br />

<strong>of</strong> <strong>Conover</strong> with full understanding as described in Section (C) below:<br />

I, _______________________, hereby request a Conditional <strong>Use</strong> <strong>Permit</strong> from the<br />

<strong>Town</strong> to dwell in a non-conforming structure as described in Section (A) below for<br />

the period (2 years) while property described in Section (B) below in the <strong>Town</strong> <strong>of</strong><br />

<strong>Conover</strong> with the full understanding as described in (C) below while a permanent<br />

structure is being built.<br />

(A) Description <strong>of</strong> non-=conforming structure:<br />

( ) Mobile Home or Trailer Make ____________Model________________<br />

Size: ____ x ____ft Value: $___________<br />

( ) Other: Described as __________________________________________<br />

____________________________________________________________<br />

(B) Legal Description <strong>of</strong> Property ___ ___ Sec ___ Twn_____ Range______<br />

Road Address or Location ______________________________________<br />

____________________________________________________________<br />

(C) I am aware that the non-conforming structure or trailer is in violation <strong>of</strong><br />

General Land <strong>Use</strong> Ordinance 90 <strong>of</strong> the <strong>Town</strong> <strong>of</strong> <strong>Conover</strong>, Section 4 and/or 6 and<br />

that any alteration or deviation from the plan as stated on this application, must be<br />

requested from the town board in writing, if such permit be granted.<br />

Approved by the <strong>Town</strong> Board<br />

[ ] At <strong>Town</strong> Board Meeting<br />

On ____________, 20_____<br />

[ ] Walk thru Procedure<br />

On ____________, 20_____<br />

____________________________________<br />

Signature <strong>of</strong> Applicant or Agent<br />

Date: __________, 20______<br />

Application<br />

Page 1 <strong>of</strong> 2


[ ] <strong>Special</strong> <strong>Use</strong> <strong>Permit</strong><br />

[ ] Conditional <strong>Use</strong> <strong>Permit</strong><br />

The CONOVER TOWN BOARD, has agreed to allow the use <strong>of</strong> the nonconforming<br />

structure in accordance with terms given on the application on the<br />

reverse side.<br />

<strong>Special</strong> Conditions that must be met for this approval are:<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

Other local or county permits for sanitary, water and general use purposes<br />

may be required. For construction <strong>of</strong> a dwelling for human habitation requires a<br />

zoning permit from the <strong>Conover</strong> Zoning Administrator first, then a Vilas County<br />

<strong>Permit</strong> must be obtained and contact must be made for a State <strong>Permit</strong> from Rick<br />

Clem <strong>of</strong> RC Inspections – Tel 715-543-2094 or Cell 715-892-2056.<br />

In accordance with the agreement, the permit will become effective on the<br />

date <strong>of</strong> enactment by the <strong>Conover</strong> <strong>Town</strong> Board…………….<br />

Dated this ____day <strong>of</strong><br />

____________, 20____<br />

Attest:<br />

__________________________<br />

James M. Hedberg<br />

Zoning Administrator – <strong>Town</strong> Clerk<br />

_______________________________<br />

<strong>Town</strong> Chair<br />

_______________________________<br />

Sup I<br />

_______________________________<br />

Sup II<br />

Page 2 <strong>of</strong> 2

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