030-737-20-3201-LUP-2004-683 SP�1�� US�
Application for Land Use Permit(*Non-shoreland*) o 0
County of Sawyer � �� _
PO Box 676 -Haywazd 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 boundazies. �� �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL F3
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£ �. 1/�� ,� Pr-�� c�we � Lc.�.�scuiae_ Re��u4��oc,� �
De�� u,.` cXa� �� � !-� �.wc,
Owner Builder N'
�� �� S i� s+ l��i a n� C��_ R�� �:
Mailing Address Mailing Address _ O
���u�rcc�}C et' Ine"T .5,���� r�a�i�.�0� C�� �c��'�� � �
City,State,Zip City,State,Zip � �
� L�l�l- �52�- �/�2�/ �I � � ��/ - ���jS_
Daytime Phone Daytime Phone �
Additional Informarion: Zone District: /' —� �
Lot Dimensions: g
/
Date lot was created: ` � `� Acres: y(7 n
Is there wetland near the proposed structure?If yes,how faz G �
m
Building Land Use Floodplain:( j Yes (}Q No � F.
QQNew ( )Filling �, �
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading O Private Rd �Q Town Rd. o
O Moving On QO j�t�ti+ l-/o uaF O County H�try O State Hwy i,"'i
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r
Primary Structure Accessory Building Addition � °
(�Dwelling ( )Gazage-attached/detaehed ( )Deck W
(�Yeaz round O#of car stalls O Porch =
Stora e Buildin O Enclosed CD
( )Seasonal � ) g g � �
�Frame built on site O Screenhouse O Living room
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � F'
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primazy structure ( ) ( )Relocate/enlazge � �
� � � � ( )#of new � F,
AdditionalInformation: r' '
Q �
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Type of Construction: �
(xl Frame ( )Log ( )Pole/metal ( )Block ( )Concrete f�
( )Other .,y �
Construction Cost:Primary Structure$ �� ��°C'' r'� ; �
Accessory Building:$ �/�f� Addition:$��� � �
���a Y3z "
Certified Soil Test# n y- ti7a �
Deed:Vol Pg " z
CSM:Vol Pg Lot# Sanitary Permit# 09- 5l'� o, �
Plat Envelope Or: � �
Condo Vol Pg Yeaz Installed: � �
�
Aff of ex septic Vol Pg Owner When Installed:
„�
1
Previous office approvals/actions:
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: ��/n�//�/d�
`/��
3;�o01
Describe the construction using these columns.List the dimensions of each structure in a separate
column.List each story,each addition,each alteration in a separate column.
#1.�SFe iq� #2. ,_�;:C�� #3. �1��=� #4.
Size ,��(_ft.wide _ ( fr.wide _�ft.wide ft.wide
`��/, ft.long -31t� ft.long _�fr.long ft.long
Floor azea �/� sq.ft. z i(o sq.ft. �sq.ft. sq.ft.
Hgt.from gade��to peak ft.hgt. ft.hgt. ft.hgt.
Stories / stories stories stories
#of bedrooms�
Rear Lot Line
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Fire Number and Name of Road ��lo�/ �✓ -�'�c�� ✓P�� ����
1. Enter lot dimensions and indicate north by arrow. Si�9 nature of wn/J or Authorized 9gent:
2. Indicate the location and size of the requested construction �. tJ9 +�vi ) � �(�/.�NNt���/
1 Sign3Nre
activities. �)�'�� ��-/�1��GfV���`"
Print Name:
3. Alsq indicate the loeation and distanee to the well, rne a�o�e ce��res mai me rscea��rom,aeo�ana mreneoog a�e
true and covecl.,that all wo�C shall be pedormed in compliance
SeptlC t3ri1C 211C1 Ciralnfleld,Wetl3rid 3Teas,lot 11nes aTld to the with the requlrements ot the Sawyer County Zoning Ordlnance
and Ne laws and regulations of the State o(Wisconsin,and if
COritCTllriO Of t}1C T'08C1. acting as owner�s)agent,has the permission of the owner(s)to
pedortn the work requested on ihis application. The above
personsls hereby give permission for access to Ne pmperty for
.�F/' onsile inspection.
/P
Permit fee:$ ��� �'
December 20, 2004 ! '� � -
Issue Date Sig ature of Issuing Agent
December 20, 2005 5 %Rule: AverageRoadSetback: _
Expiration Date
Office Comments
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Town of vv�� �'�JG�
County of Sawyer
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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 County Zoning Administration
P. O. Box 676
Hayward, Wisconsin 54843-0676
,
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Owner: y P�x.� �- �1 c��. � ( �=X ci i2c -� �'�
Address: (7�� �,.7 i � � �� ��C�.� �C �.J � S�/S 3 S
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 Boazd for
review.)
By Action of the Town Board, use is: f}�Approved ( ) Denied ( ) Tabled
Comments:
Chairman L(�,t, '�VL� N���C��
S�pervisor
Supervisor , ��) s �
Office of
Sawyer County Zoning Administration
P. O. Box 676
Hayward, Wisconsin 54843
(715)634-8288
FAX (715)638-3277
www.sawyercountygov.org
E-mail: zonin<�.sec(ci'.sa���t ercat�nt}�gov.or�
Toll Free Courthouse/General Information 1-877-699-4110
December 20, 2004
Dean & Pam Alexander
3566 S. 16t'' St.
Milwaukee WI 53221
Dear Mr. and Mrs. Alexander,
On December 17, 2004, the Sawyer County Zoning Committee approved your
application for a special use on the following described real estate to wit:
The NW '/4 SW '/4, S 20, T 37N, R 7W, Parcel .10.1. Parcel size is
40 acres. Property is zoned F-l . 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 Administrator
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