HomeMy WebLinkAbout026-939-02-5202-LUP-2013-253 \�•
Application for Land Use Permit(*Shoreland*) � .
County of Sawyer � f �
10610 Main St.Suite 49 -Hayward WI 54843 Q ' �
715/634-8288 � � �
*Property that has frontaqe on a creek,river or stream,a Flowage,lake or pond � �
or has any of the above water bodies located within the property's boundaries.* 1 �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � r t�
SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER. t �... V I
SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL � (.��
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Owner F'�,,.,,};,,� Buflder �
r:�I (� �e.�p l�n�d'1' �c�. � C:4.N /I.� �� �r T.,�. 1.J:. Rd� �
Mailing Address ( �,b�,�j Mailing Address `�
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City,State,Zip Ci ,State,Zip � �
Ri�.-R4L- �ie �3 `)IS- �(��- 4�.5'� � r.
Daytime Phone Daytime Phone o
Email: '
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Site address: �O 3 G /l-� l-v i c n.o �.�...�z (Fire number&name of road) �
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Proposed construdion(check one): (If adding) �
( )New or replacement dwelling/primary building.Number of bedrooms:
( )New or replacement accessory building (If adding)
(�)Addition or alteration to dwelling/primary building.Number of bedrooms_ '� —
( )Addition or alteration to accessory building
( )New business or use of existing building
OUse of land(such as mining,grading,filling,other)
Construction Cost:Primary Structure$ 3
Accessory Building:$ Addition:$ �l�S c v v �
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Additional information: �
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Describe what you are building.List each project(from what you have checked above).
Project#1.Size of footprint: .2.2 ft.x J �3 ft= �ti� sq ft. N
Total sq R: �,41�: Height from grade to peak:^i.T ,o
(This total includes additional stories or lofts.) � ^
Project#2.Size of footprint: ft.x ft= sq k. ,$
Total sq ft: Height from grade to peak: rZ
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Projed#3.Size of footprint: ft.x ft= sq ft. o j
Total sq ft: Height from grade to peak: � �
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Additional information:Example:A dwelling is#1,an attached or detached garage is#2. � �
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Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. ��
The Zoning Office can help you determine if a surFace is considered impervious.) �
*** A maximum of 15%impervious surface is allowed. �
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Calculate lot area: Z�
Determine lot width in feet: i C C ft Multipty by lot depth in feet :.Z.�7 � �
or multiply by 300 feet if lot is more than 300 feet deep: �� ��D sq ft
Multiply square foot x.15= '�v�S' sq ft.
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Calculate impervious surface area: Z �
Determine the total size in square feet of your projects listed above (include eaves): ° C�
,a.$1� sq ft �^
Determine the total size in square feet of all existing roofed structures(include eaves): �
sq� `�
Determine the total size in square feet of all existing paved/bricked/blocked surtaces: " �
�i r- sq ft �'
Add these square foot measurements to determine total impervious surface: ;�C `i�-I sq ft. �
(Office:Total Used )
The drawing on page 2 must indicate the location and dimensions of all these
measurements.
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