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014-941-04-5212-LUP-2004-627 Application for Land Use Permit (*Shoreland*) � r y o � , County of Sawyer � /� � PO Box 676 -Hayward WI 54843 `� / 715/634-8288 *Property that is located within 300' of a creek, river or stream or within 1000' of a .� r�- - flowage, lake or pond or has any of the above waterbodies located within '� the property's boundaries. Z CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � , PRINT-USE BLACK INK OR PENCIL � 1 �� � �C��Ff C0.. 7T�C, / �� ��.c�c.t f�: z7�lC', � Owner Builder � �� � d �3�x �/� � Po �ok �� � c� Mailing Address Mailing Address � p ` ��" � �13 - + ° ' C.(��" S �S/3 � � �Y��4�2�� � Y� �'t� c� �1Kv , Y ;� City, State, Zip City, State, Zip 7i�-� � �- �'��� `7/s_- ��3�;/- ��d'd' z Daytime Phone Daytime Phone �, Additional Information: /Zone District: l� f�— / � � c: Lot Dimensions: ; �/�„2 ��c � y5 � ��� � Date lot was created: �- �c�-C� �/ Acres: • � `� � Is there wetland near the proposed structure?If yes, how far o c Building Land Use Floodplain: ( ) Yes �,)Na556S9/ooZS�O � �New ( ) Filling Chippewa Flowage: ( ) Yes dQ No � �;� O Addition O Dredging Driveway access off of a(Check one): � '�' ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � ( ) Moving On ( ) �} County Hwy ( ) State Hwy �"" l � � � N � Primary Structure Accessory Building Addition o � dQ Dwelling ( ) Garage-attached/detached ( ) Deck � �Q Year round ( ) # of car stalls �} Porch W �`' ( ) Seasonal ( ) Storage Building ( ) Enclosed � � ( )Frame built on site ( ) Screenhouse ( ) Living room � � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom ( ) Other primary structure � 5 Cr2.���l i�v,�C1-� ( ) Relocate/enlarge � � O O O # ofnew � � � � AdditionalInformation: � .� � ``� � � � Type of Construction: U ��Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � 'C � ( ) Other �`' y Construction Cost: Primary Structure $ ��5 G n O ,.ti � Accessory Building: $ Addition: $ � � � � �3�S��o � Deed: Vol Pg Certified Soil Test#�"} `-� - �--s �� t � z CSM: Vol (,� Pg/o o�o� Lot# / Sanitary Permit# �'� �-} - �i � �- �" �'. Plat Envelope �" �0�� Or: o, Condo Vol Pg Year Installed: �, � � � "Loads and Flows": Vol Pg Owner When Installed: � �. � ' .� .. Previous office approvals/actions: � Variance: # LUP:# SP: # CUP: # �, Inspection Report: # Change of Zone District: ���6`� � � � �-� ._SN � Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each additioa, each alteration in a separate column. #1. � �tu�,c #2. �1ArAf #3. LD �i #4. sektr'N Vo�eN Size o2(o ft. wide �2(o ft. wide � �O ft. wide /�{ ft. wide �ft. long �/U ft. long �ft. long �(�ft. long Floor area �l0 �10 sq. ft. D �/0 sq. ft. �// �' sq. ft. �sq. fr. Hgk from gade � to peak d' ft. hgt. _�ft. hgt. _�ft. hgt. Stories I ��Z stories stories stories # of bedrooms�_ �5C' � Lake/Pond/Flowa elRiver/Stream Name S �'1� L/�K� � � r �' �!)� a � . .. •� p l�-ut�� _ .-0,�` / � �- �. p�, 3� � � . 5 C Q�� QW� �—' \� _ '"� J.� z yo /02 i iy�� � Fire Number and Name of Road r �Z-rJ A� 1��TJ� o� �D�N'rY IZD 7— 1. Enter lot dimensions and indicate north by arrow. Sig t e of ne or iorized Agent: 2. Indicate the location and size of the requested construction Signature activities. PnntName: 3. Also, 1ndiCate the locatlOn and diStanCe to the well, The above cerM1fies that Ne listed infortnation and intentions are � true and crorrect.,Nat all work shall be peAortned in compliance septic tank and drainfield, wetland areas, lot lines, with Ne requirements o(ihe Sawyer County Zoning Ordinance ! and ihe �aws and regulations of the State of Wisconsin, and if I Centeillne of th0 rOad alld WaterbOdles. acting as ownef(s)agent has the permission of the owner(s)to pedortn the work requested on Nis application. The ahove personsls hereby give permission for access to the property for � �, ansite inspection. � Permit fee: $ :�'�s` � Total land azea within 300' of the waterbody: (A) �7 p�78 Total impervious surface azea [including this project] (B) 1 y/!o (B)/(A) x 100= % Used J'r °70 (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required?� Yes O No Idovember 3 , 2004 (�.. — �' Issue Date Signature ofIss n gent November 3 , 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: i � �2 13 �� 0 i � �o 0 „ � �o ou-e�i-o� M � F � 1��� 12.20 AC 1.S7AC � 2.OIAC. 9.l3 AC 01h941-04 5307 � 014-941-04 5301 , s •�O: .` .� q. 'a: , ^� G . L. 3 NE- NE 3 v"D 3 � 014-941-04 1101 J ' 4174 AC �� 014-941-04 5302 w+'; k\ � O,k h+p� I J.72 AC 3�e, . � . � �� �O.EJ AC �1 �9 � 'Ni -.� . . � 2 O�� �J °• . :'0.6E � x:' 9p\ f{ ' � � � 0�,�7� � . - 0.44 AC � O �p4 C � � 014-941-04 O.L 7 9]O6 ��' . . . Q� � 070-941-U4 5302 ��y� A , �. � � d. L [ ... l 014-201-� �• .. . .. .. ��r. � • 014-941-0 ��'��. � � 3 5202 C� OI4-941-04 5211 t0.ts �C �. 4.55 AC F+ - � 014-941-04 , . 5203�.� � 014-941-04 5203 e.se �c .'� . . ... 014-941 � ' . . Q4 5204.Ot �C 014-941-04 5206 S.n �c 014-941 04 5207 p,9p q� 0,.-9„ G . L. 2 D4 5208 a�9� �c 014-94� ` 04 5209 i.as �c . 414-941 04 5210 ti3 nC 014-941-04 5205 074-941 � 28.98 AC � 04 5212 � ? 0.85 AC 8 o �� 1.t7 �C 014-941 p ry q� � � !. 04 5217 a '° t h� Op O e iJe AC 1_07 AC .�1FLi;J': ;_�p;F ,?U.. ��� 014-941 �SNO1Wa '�S 68� vriDT•� �p� � 04 5215 014-941 Mp,f,r;�h� ri , - ,r ;•-._ - 04 5216 �'�FJ:r_.>. j :EN PARCEL Ot4-106-00 . . .... ..... .-� :02. AOD[iItlNAL _.-._.-' !ED. 3 6 t I � 014-941-04 5604 ° ;� g G . L. 1 SUBD[V[S[ON [S ROTATE� Tp � i PLAT qF G.OiS 4 1 5 FO2 [g. ^ �� 014-941-04 5101 1rq�0�'�;�. A 2].97AC :`�, �iYC HS.�Sfj y {o A. 6\ ?c C :i�, 6 4� lyY7� F: S `n � 76,0� / � b�� / / �.�qrC. NOTE� CSN 4/27l VAS ROtATE➢ TO T}IE -Q NQtTH LCNE ff G. L. 7 AS REFERENCEO RI . p0 TI£ CSM. lT ALSO APPEARS T� F1AVE �p6� CLDSURE ERRQ2S �1 TFE PARCEI AN� THE ��4 p802 EASENENT. ADO[TIQIAL RESEIIRCM IWY 9E � 6 0� REO�tRELL ' 3 0�4 p9�2 ots- �.85nc. NOTE� iHE i'[RSi �ESCR[pT[ON [N DEED � IA2AC. 941-04 �56/22t FQt PARCEL q p1�-94L-0� 580t �. .aB�C.� Q HAS A 14'� QOSURE ERROR THE LD7 014-947-04 YqS PLACEO BY BEST FI7 lEtMOD. i701 �� 570� � 5i�� .��. �9 AD➢CT[ONRL RESEARCH MAY BE REQILRED. � . . , `� +_9+,' . � � � ���k �98��� FAiE� GIIPS ANO OYERLAPS EX[Si BE7YEEN „� ► Y � 014-941-04 , o�� PARCEIS U14-941-UI 5801 - 014-941-01 b� a1 � 5810. THIS MAY BE OEE� ERRR2S ANO I�T 5702 � ���� ,��' REfIECi 0511ERSHIP. AOOIT[ONNL � p� p > RESEARCH V[LL BE RE�UIRE4 � , �'L. . 57t1 ���'� ,� e"� 1UTE: Tf£ DEEDS �ESCR[B[NG ,,l� � � PARCELS [N GOV' T L0T 8 CONiAM !' O� e. g� f,�' NUIEROUS ERR�2S ANO DiISS[RiS he � 'f� �,��� �,. LDi LIPES VERE PLACEO BY BESi FIT �: r -�_ _ � �,7 IETNOO FQ2 MAPPING Pl1RPOSES QIL1'. ''�� o' -`<i'� ADOIiIR1AL RESEARCM MHY BE \ o• F�F n � n �.c� REOU[RE�. 014-941-04 5709 0 � a a or � ,q�� 014-941-04 �-: � ! ! 4 587 7 �;���� � � a� o°' o- � � ,�' � d S� i.61 AC. � �^ h oP�oi / O- � �q,�0 O,. G . L. 8 � `�T_�_ CERTIFIED SURVEY MAP Q9Y�vf�{oYWNt�cKk�2 �/t(.ktoK�l•T41�1-Q'W '�oWn v��GNYook 59WytX �UM�, V�15Cox5lN e�4-<�M�b5e� u �r.vY-ssE � �. z l.st ���/ Je>ri�.wy w�"t )/ ��NfM.n.n NA�{S)r ,� �TRac �!� ____ o.T /;3� _ . .N.fr. ry e •''£ n i�s.u'��s� �i`� ^4ye S�Y.VS=SS'E /M � ���..U.S (NV f� \' ��? 1 S r�u. wtt. � s, �•` j^ 6�>„ �ti 5 M t e..� LAKE � � r/0.6. ' � t�h..o bn t n�l n�/p� M�ir kl�vArn 9w�.f..�.xwr1 i11ta Wni4�arrenf 5uH j�+: �t+�F�w v���w+4n.4 ry�. ` 1 � -- >�o.�,: � ��,�.,,: E�w'/4 i�:., �__—_ -�e �y{Yj6'�54"W � �ki5 SYYJly i5 1 lUbI�J1410N o�'�Af b �� �CYFIFIt� hVYVI+{�453G � E D 0�LND�'LS 5fG{lCN(DYNEY MINYWCH�(OVMD • QLNOF(h'�Id�IYON b9Y Qovra/� yLAIE�1�•�Oo • O�KoFtS iM�30�IYOK If1Y y4{'�W('.•Ih0�d4.�Fk� p So i� ve' n A PAULA CHISSER �/INl�Y�I�,NGS f6CGY�At�YD}Il�N,I4F�WU��I�{I1I�N1G SAwYEA COONTY, WI W'KN�oN k,nwaMJ k�bNY I'IM�A��i�'SS�NE� REGISTER OF DEECS 325351 . . . � . i��'G�N��� � 09/2'//2004 9:35 AM DAVIDF. 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