008-937-18-5312-LUP-2004-319 ��'�C�C� ll�SQ., '''�
Application for Land Use Permit(*Non-shoreland*) o o "�..
County of Sawyer � �'—
PO Box 676 -Hayward WI 54843
715/634-8288
*Property that is not located within 300'of a creek,river or stream or within 1000'of a
flowage,lake or pond or does not have any of the above waterbodies located within
the property's boundaries. . �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK iNK OR PENCIL
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�c�'e2��1 � ��Al'1!=/L a �
Owner Builder �' �
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.�7�c /�� ���n,�ty ��
Mailing Address Mailing Address � �
�'i�'C�/ll(.'O D 1) �,� �l �5�k�i�7 � �
City,State,Zip City,State,Zip
7/5-�S�/-���� �
Daytime Phone Daytime Phone
Additional Information: Zone District: F—� r�
Lot Dimensions:
Date lot was created: Acres: oZ 9 5 n
0
Is there wetland neaz the proposed structure?If yes,how faz n��-' �
Building Land Use Floodptain:�-j�2s O No :;
(}C)New ( )Filling �
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O Addition O Dredging Driveway access off of a(Check one): `D
tio
( )Alteration ( )Grading ( )Private Rd Q�Town Rd. iJP o
( )Moving On ( ) ( )County Hwy ( )State Hwy i,`'', �
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r"
Primary Stnxcture Accessory Building Addition � °
(jc)Dwelling (�Gazage-attached/detached OC)Deck ,,"', J,,
(,�l Year round (�#of car stalls O Porch = i'�
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room
(�Modulaz/manufactured ( )Greenhouse ( )Kitchen � p
( )Mobile/manufactured ( )Other ( )Bedroom �
(�Other primary structure ( ) ( )Relocate/enlarge
(�Arr�c'i�ru C>,��'/���= ( ) ( )#ofnew
C,t r�T�
AdditionalInformation: , >
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Type of Construction: .�
�.Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �J
( )Other �
/ i :- `ti �-1
Construction Cost:Primary Structure$ ���-, <: � �
Accessory Building:$ Addition:$ � GJ
7(cy g�� lX�`Ig5 `� z
Deed:Vol P / Certified Soil Test# °°
CSM:Vol Pg Lot# Sanitary Permit# � �
Plat Envelope Or: �,
Condo Vol Pg Yeaz Installed: � �
Aff of ex septic Vol Pg Owner When Installed: � �
o.
Previous office approvals/actions: (�
Variance:# LUP:# SP:# CUP:# �
Inspection Report:# Change of Zone District: ��
��<f� \
K�&a g
Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration in a separate column.
#1. ��/Mt ,1_ #2. "`�:��;'4�.s`� #3. #4.
Size � , ft. wide d: u�ft. 'wi ed � ft. wide ft. wide
_��' ft. long =�� ft. long ft. long ft. long
Floor azea /� �.� sq. ft. �7� sq. fr. � �� sq. ft. sq. ft.
Hgt.from gacie to peak fr. hgt. \ ft. hgt. fr. hgt.
Stories � stories � stories stories
#of bedrooms � ;; '
,� ,yr�-'��� .yc ,ra> Jf� ` 1��,�d.� /�G �
1i(
N Rear L t Line
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Fire Number and Name of Road �� G
1. Enter lot dimensions and indicate north by arrow. Signa e of Owner or uth rrled Agent:
2. Indicate the location and size of the requested construction � . c -` L � �
gnaN2
activities.
Print Name:
3. Also, indlcate the location and distance to the well, The above certifes that the listed information and intentions are
We and correct.,ihat all work shall be peAormed in compliance
SeptiC tatllc and dlalnfield, wetland azeas, lot 11nes and to the wiN ihe requirements ot the Sawyer Counry Zoning Ordinance
and Ne Iaws and regulations of the Siate of Wisconsin, and 'A
centerline of the road. acting as owner(s)agent,has Ne permission of the owner(s)to
per(ortn the work 2questetl on this appliratlon. The above
personsls hereby give permission for access to Ne property for
onsiteinspection.
Permit fee: $ �(�C)
June30, 2004 � � �
Issue Date Sign e of Issuing Agent
June 30, 2005
50°� Rule: Average Road Setback:
Expiration Date
O£fice Comments:
IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO SUBMIT THIS FORM TQ
THE TOWN BOARD FOR THEIR ACTION AND TO RETURN THE COMPLETED �
FORM TO THE ZONING DEPARTMENT
Town of ��J G C�Gci/{T l��
County of Sawyer
5-,�LC- .���
Date
SUBJECT: Town Board Consideration of a Special Use Application for the Construction of a Year-
round or Seasonal Dwelling in the Forestry One (F-1) Zone District
TO: Sawyer Counry Zoning Administration
P. O. Box 676
Hayward, Wisconsin 54843-0676
Owner. ��� C%i�'��� /_- �i�'/�M l� �
Address: �7�fC /V ��a L� N�y �{� F �3�2�" f1��'�%C''U �£;'� , ���/7
Approval is desired for the construction of the dwelling(s) indicated on the property owner's
Application for a Special Use Permit. (This application is to be presented to the Town Board for
review.)
By Action of the Town Board, use is: pC) Approved O Denied O Tabled
Comments:
Chairman���' �
Supervisot , ' �
Supervisor �� l '��� �
0 5.��.
�uN 1 �z zooa �
�'4�
���'�
Office of ,
Sawyer County Zoning Administration �
P. O. Box 676
Hayward, Wisconsin 54843
(715)634-8288 �
June 21, 2004
Beverly E. Kramer
2740N County Road F
Birchwood WI 54817
Dear Ms. Kramer,
On June 18, 2004, the Sawyer County Zoning Committee approved your application for a
special use on the following described real estate to wit:
Govt Lot 3, S 18, T 37N, R 9W, Parcel :3.1. Parcel size is 29.5
acres. Property is zoned F-1 . Permit is desired for a year-round
dwelling.
Findings of Fact of the Zoning Committee: It would not be damaging to the rights of
others or property values.
The permit can be issued when all other requirements have been met.
Yours truly,
Cindy K. Yackley
Deputy Zoning Administratar
CKY:kt
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.3.1 SE NE
SEE SHEET 2
GOVT LOT2
SEE SHEET
2
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SCALE: I INCH-400���FEET FOR ASSESSMENT USE ONLY NOT
DRAWN BY: '�q�3�''bATE:7-$-84 INTENDED TO SHOW CONCLUSIVE
COLON (:) INDIGATES GOVT. LOT gOIUNDARY�LOGATIONS IP OR