026-105-00-0900-LUP-2004-253 Application far Land Use Penr�t(*Shorel:�nd*)
County of Sawy�r ° ° �
� PO Box��''6 -Hayward W, 54843 � �����
'15/634-8288 H
*Property that is located within 3u�'of a creek,rivc or stream or within 1000'of a � �
a
flowage,lake or pond or has any of the above c�aterbodies located within r
the pro�erty's boundari s. x �
CONSTRUCTION SHALL NOT BEGIN IINTTL ALL REQi-IRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK O 2 PENCIL
Frank Tiller & Patricia Tiller Custom Building Specialties cn ,
c �
Owner Builder a
800 S. Wacouta Ave 13185W County HWY 00 N�
Mailing Address Mailing.Address � �
Prairie du Chien, WI 53821 Hayward, WI 54843 �
Ciry,St�1te,Zip City,State,Zip '"
608-326-6086 715-634-3300 n
Daytimc Phone Daytime Phone �
x
Additional Information: Zone District: RR-1 �'
�o
There is an existing structure and a
se�tic system that will be replacedLotDimensions: 219.5'x326' n
prior to constructioin �'
Date lot was created: Acres: .76 w'
Is there wetland near the proposed structure?If yes,how faz No c� y
— o �-
Building Land Use Ploodplain:( ,Yes (X)No b �
(�)New O F:lling Chippewa Floc�age:O Yes �y) No � n
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading O Private Rd (�Town Rd. m
( )Moving On ( ) ( )County Hwy ( )State Hv✓` °0
� ) � )_ � S
Primary Structure Accessory Building Addition o 0
(X)Dwelling (�Garage-attached/���� �Ck)Decks N �
O Year round (3)#of car st�lls O Porch �
�)Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenl�ouse O Living room cc �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Otlier ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlarge � �
� ) ( ) ( )#of new O1
0
Additional Information: N
o '�
o cn
rn
0
Type of Construction: o I
(X)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other �
y
Construction Cost:Primary Structure$ 200,000.00 �
AccessoryBuilding:$ i6.000.00 A:!dition:$ 6,000.00 � �
5i.� '1a =
lleed:Vol 232 Pg 593 Certified Soil Test#_Q�( D'.� �
�-- � Iz
CSM:Vol _Pg Lot# I Sanitary Perm�t# _ Q�/- /y5� tlQ 7�
Plat Envelope Or. o, �
Condo Vol Pg Year Installed N
"Loads and Flows": Vol Pg Owner When nstalled: o �
�
Previous office approvals/actions: �
'.ri
Variance:# LUP:# SP:# CUP:# — �
Inspection Report:# Change of Zone District b�
�I��
'.2 l��7'1�d
bescribe the construction using these colcmn . List the dir nsions o each structure in a separate
f•�lumn. List each story, each addition, ca�.h :. terltion in a separate � lumn.
#1. House #2. Garaae #i. Front Deck/porch '�4. Rear Deck
Size �q ft. wice q0 ft. �,.idc -
6 fr. ide l0 ft. wi.ie
40 ft. long Z 6 fr. lon 1�
— S ft. �ng a0 fr. long
Ploor area 1825 sq. ft. 1040 sq. ft. 86 sq. t. 328 Sg_ g,
Hgt.fromgiade 34 topeak 24 fr. hgt. 6 ft. t. 8
g ft. hgt.
Stories 2 � stories 1 ste ies � 1 stories
# of bedrooms 3
103 '
Lac Court Oreilles
�ke ond/Flow� e/River/Stre�m N me
�— �o —�
���
ro- � �
� - ,,
�..
� � z
- v � � Y
�
��
� �i
N �
�` t�3 `S -
� �
N
�� (�7
\�oJPJS2..O �Jc1..hZ D
`
T
I
— '��1 � rfJ
_ /
— � � �
-- ` � �
rz �
—�-
t �
206 . 66
FireNumberandNameofRoad 6722N victory Height Circle
1. Enter lot dimensions and indicate north by arrow.
Signature of Owner or Authorized Agent:
2. Indicate the IocaYion and size of thc requested construction ��� � . y� f�
SignaNre
c1CtIV1t10S. ='�v7in���� 4,�
anntName: Franklin M. Tiller
3. Also, 1ndlCate the IoCatiOn and diStance to the Well, The above cedifes that the listed intoimation and intentions are
true and covect., that all work shall be pedormed in crompliance
septic tank and drainfield, wetlaad areas, IOi IIIICS, with fhe requiremenGs o( the Savryer County Zoning Ordinance
and the laws and regula6ons of the State of Wiswnsin, and if
centerline of the road and waterbodies. aa��q a9 owoer�s� a9e�i, nas me ���ss�o�or me owne��5�m
pedortn the work 2quested on this application. The above
personsls hereby give pertnission for access to Ihe property for
onsite inspection.
Permit fee: $
Tota] land area within 300' of the waterbody: (A) �,3, �z 9 _
;'otai impervious suriace area �including tllis project] (B) 333�_
(B) / (A) x 100= % Used /O _ (Shall not exceed 15�%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? Yes O No
June 9, 2004 -
Issue Date S �nature of I uit gent
June 9, 2005 � 1% Rule: Average Road Setback: _
Expiration Date
Office Comments:
SUBDIVISION OF PART OF GOV�T. LOT I ,
SEC ,I I T. 39 N. R. 9 W.
� COURT
�.�, OREILLES
N -3.A °�s. L A K E
0 �o.
�o.
� " 3.8 �o.
�
-3.c 3.F � ,�
�o,
3.G ��°_
� 3.D -3.E -3.H
� 3.I
\ _ .e.• a
°v.
\ 3.7.
-3.E.\
- 3.7.3
M U D B AY ���4
3.r.iz
h 3'��
3.7.T
3.T.
3.I8
3zy
3.3.1
3.7'.
3.I'.6
SCALE: I INCH= 2O° FEET F
(Rt-DRAWN BY: �R� DATE:Q/�2/eo II
COLON (�) INDIGATES GOVT. LOT E
B
Ui� Y �. � �,- � )]�.. � ��: <���
.�r .
� ,y`. �,.'Y- ,
f. � ; � R .
= -a -
M1
,� , ,. �
�r � „ �
_ � �� � •
J -, _,�'�,,� ,�.:�,
'Np ��r�
..� ° . �.',.
r..��. � ��y��,.
�� •
. _ ��,._, "�i:�5r.�o*'t+�, ,. '
�< <
' _. ` ' �. ,F . . . . . .
. ,rr�'�S`v.. . ��:Z�.
.. - .� �4R i�*��::
Y ^'
�'�Y ...�+^...
'�i"'�;�.',A �'� a�:. .. . .
.,,
• ` � '.r��
, y
r rr ,
,�fo -,�,' - -
`�� � � ac' _
,y� 'R�-� .z„��
y Y� �`�".
�,� .
_.;. _ . �',�. ���I ��.,�� �, .
�� ���-
� ,��._
' .r -�
_-�:� -
.� .
rr
_,_ _.. ;r P•' ;,-
:'s ,F"�.
,� �,
� ' .
" �a:,�' �1
�v�v.�7:.-�.'�� L� . �. ��. � n- �
..�� i���" .M�
� A"<
; �, a
} rF �•.�..
k •� • • O ., .•'"�i��'!` _�. .
� � ' #
� � �
. x,....� �.r �
� _ ,,� �:
� ��
�.
�.. . {Y�4�� .
� � � (
^ �d ��^{ aM�' .
..� i+'p. (1� . � .. .:
`l r ' �1
� `�, '� � a"���'�v � �` ' �
7ia,. �s "a� r, �
«
.� ��,�
. _ tr` ^',$, 'g'. , .
.� -
�-
, . '� ..x� �; -� y� .� . .
, „� . . �_. ..m
. .._. ,r .. �. _ _. .
..._. �,.,i. "-°��.t+ ' - _.r .. ' _. .. . .
3" -'�•. � -- . .
. Y . .
� � ���' ���. . S �� R� � .�� �
�'� a ,,�X.', G `.3R .�. �d4 `,� .�. t , �
`�Cir" '�e` '' ��.
�� .�', . . i .f- -�t. .�
-:. �_�yy .ir � ,�"y� ^�;M���*yy, ��
�.ati ':. � ..��14+ � !��'tIS���,r�y: W.Y� � P
y.' - +�
�
��I�i���,v'� � • — f`� ��y,'^_'� '.,r
�y tj 4��'i
. 4������ � {`�� � ' . �
_, g, .
��i"'S� 1l:' i
�"•,� . C f �.._ .
IiM
� �"' . re�'�'�f+ ' .
�° Y
i" -
_ ' ,,�, �, . ..
_ ,
. �:,
.. . :�� :,.{_y-�,�- � • ,->-;.r.. �...�..
� . _
...`.. f, _ .,.,s,r_ ; �".n
�- :
� - . , ^ �F �Y �� ... ` � ..... -
. i�� .' `"'�.. _ ' '�+ '
�� � ��� . {�.
.r-� � •ti, 1K--�
� '�i�• 4���. t ���•. ���a ••+'..�' .•.,
, � ` _.y..� .�.�,.�.
��: .� ���� _ ' ye .. �. -r'• ..+� s
�+' �9'.. ��- <-,•� ��"x �
a a^�',e:`., y.i. �na
q �
' c -.�' '- ..-.- .. E�.n,�°'' . '.
����R _
., ,,.. . .:.
�.
' ;f * ..•� r��'.'�r _'rR..... � �e... ,...�..
,d:.'i.'� 3.• _,�v....
.. � r- , yl ."�� . ;•� <.+-= rS-.y�; ._.
� ".�-_ �a�+ ��„ �, ,�..,. � � •
�i 4
�� "I � . � `;� v �CrT�; T4'?"._ 'E'T`''�",!".+,
r
i � �� ar �'�,� .
�� f • ` 4. . � ���Y� ��. ' ��- .
�`,� "� � ��� � �, R�^ µ�'*� � � � .
� _ :x _ L. ro. ._., _
� ..���
-.. �;`
4 �;.�� s •,5r' `•^�°�R,�:
0 +��-- . ..s '�� .�� "'� -_
��' ':
('< f _ �` k+ �` . � `' ����s._ ���.'