HomeMy WebLinkAbout014-842-09-3301-LUP-2008-327 , � �r.
Application for Land Use Permit (*Non-shoreland*) r ,�
County of Saw��er � � ,k .
PO Box 676 - Hayward �%VI 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 ��bove waterbodies located within
the property's bounda.ries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT—USE BLACK INK OR PENCIL -�—
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Owner Builder ¢'
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Mailing Address Maili�ig Address � p
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City, State, Zip City, State, Zip �`
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Daytime Phone Dayti�ne Phone �
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Additional Information: Zone District: -) /�R'Z,
Lot Dimensions:
Date lot was created: 1- ' - Acres: � `� /�/, q o �
Is there wetland near the proposed structure? If yes, how far .� �
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Building Land Use Floodplain: O Yes (X;�No ° `—
( )New ( ) Filling � *k
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O Addition O Dredging Driveway access off of a(Check onf,): �
O Alteration O Grading O Pr•ivate Rd (���Town Rd. o
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N �
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Primary Structure Accessory Building Addition s � ,.o.r'
( ) Dwelling ( ) Garage-attached/cietached � Deck N ,�
( ) Year round ( ) # of car stalls ) Porch „� �
O Seasonal O Storage Building O Enclosed N �
( ) Frame built on site ( ) Screenhouse ( ) Living room i �--
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( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen� � �
( ) Mobile/manufactured ( ) Other ( ) Bedroonn p �.
( ) Other primary structure ( ) ( ) Relocate/en};arge '� � "
( ) ( ) ( ) # ofnew W �
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AdditionalInformation: W C A
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Type of Construction: o Q �
( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � �
( ) Other � ' �� � � � � �
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Construction Cost: Primary Structure $ O � �
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Accessory Building: $ A��dition: $ � „C
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Deed: Vol 30 Pg 37Z Certified Soil Test# `l�/3l °4
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CSM: Vol�l Pg Z l7 Lot# / Sanitary Permit# 9y-//.� o, �
Plat Envelope �' �o3S Or: '�
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Condo Vol Pg Year Installed: h
Aff of ex septic Vol Pg Owner When Installed: �-' �
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Previous office approvals/actions: �
Variance: # LUP: # C�o� �(�`� SP: � CUP: #
Inspection Report: # Change of Zone J�istrict: qI2L)Q8
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Describe the construction using these columns. Lis1:the dimensions of each structure in a separate ' �
column. List each story, each addition, each alteration in a separate column. �
#l. �Q j,q�� #2. #3. #4.
Size !/J ft. wide ft. wide ft. wide ft. wide
�ft. long ft. long ft. long ft. long
Floor area �b'o sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from grade 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� � � =-�- �":
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1. Enter lot dimensions and indicate north by arrow. i ature�C)wne or A ri d A ent:
2. Indicate the location and size of the requested construction g i ,���� g
� Signature
activities.
Print Name:
3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentio�s are
true and correct.,that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements oi the Sawyer County Zoning Ordinance
and the laws and rec;ulations of the State of Wisconsin, and if
centerline of the road. a�t��9 as ow�er�s>a��e�c, has the permission of the owner(s)to
perfortn the work requested on this application. The above
persons/s hereby give� permission for access to the property for
onsite inspsction.
Permit fee: $ '�S l
O��a.r Z, Zoo� - �
Issue Date Signature of Iss ing ent
���.�.�jp,�r z, 2,(�D� 50% Rule: Average Ro��d Setback:
Expiration Date
Office Comments:
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NW-NW NE-NW
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2201 �
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SW-NW
SE-NW '
2403
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I 'JAMES RD'
SHOWN AS 88' WIDTH FOR
MAPPING PURPOSES.
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I3201 3107
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��� 'PE7ERSON RD'
I ��' SHONM AS 66� WIDhI FOR
eoowr_Di iwDllc�C
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SAWYER COUNTY CERTIFIED SURVEY MAP
LOCATED IN THE SW—SW 4F SECTION 9, T. 42 N., R. 8 W.,
IN THE TOWN OF LENROOT, SAWYER COUNTY, WISCONSIN.
FENCE N 89�41'43" w Nw— w 31► 1/i8
657.2 —
FD. 1-1/2' I.P. N 51'S2'32' W,
'E.45' FROAf CORNER POSITION
3 1N FENCE CORNER.
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648,254 SF. �ssrc� ar�n�rr
14.88 AC.
V. 230/P. 372
3 SUIYb7l�'� IIAYIIABQl1C
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� �, �? LMAY 7 'i l�-,
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� W SURVEY � c �C
V o . NE N — � 276
� DATED TH15��� '�U��`999.
g6' HOUSE 1 � � z SCALE: 1 iNCH4,�i'u�1�S�t�����LET"``
ORIVEWAY Q
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L.P.
200' 0 20d' 400'
54.9 ' Y�'a� 327. 1637.47' s 1/4
s CC 9 � PETERSON RD.
— -- 49 E, 2619.93'— — —
CEGEND CLIF.N7` DAVID SAALA.4Tl j�T OF ?��E NORTH
� FD. 3-1/2' G4P. AL. MON. JQB: H779/99 ORa�ED BY.• OtU �RyFS•lNf+ L�XAYWAKL� ��
� fD. 3/4" IRON PIPE SGiLE.• 1" � 200' D/SK: 7LU39 N. OUfFY lU640 Pfk 7t5/GN-24�2
�SET 7-1/4'x24' /P, Wr�1.6B f/Ff. ��NC R£F SOUTN UNE NB.S 160/AG.S �� � �� F.IX.• 7/5/6J4--64ff
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Coniried survey Mo. �0��
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