HomeMy WebLinkAbout016-637-20-2202-LUP-2008-122 �
Application for Land Us� Permit: (*Non-shoreland*) '�/ �
r � �
County of Saw`,�er � � �
PO Box 676 - Hayward WI 54843 `J
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 RE��UIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL
/��/TL' �%�.��'£ � S�i,oL�.7 ` ���c..r�-- � �
O�-v er —� Build��r �• �
f��� �,��d,��T.�.s�n .� �:
�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: ��-� � -
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Lot Dimensions: i �
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Date lot was created: ��� Acres: � �/ 7(� o �:�,
Is there wetland near the proposed structure? If yes, how far � �
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Building Land Use Floodplain: ( ) Yes ( )No � � '�
( )New ( ) Filling � ^ --�
O Addition O Dredging Driveway access off of a(Check one): Q � `�
( )Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � o
( ) Moving On ( ) ( ) Cuunty Hwy ( ) State Hwy ' N
� ) � ) N � °
� o �
Primary Structure Accessory Building Addition � � �
O Dwelling (� Garage-a�/detached O Deck Q W
( ) Year round (�j.# of car stalls ( ) Porch � �
( ) Seasonal ( ) Storage Building ( ) Enclosed � �
( ) Frame built on site ( ) Screenhouse ( ) Living room �%
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen , �
( ) Mobile/manufactured ( ) Other ( )Bedroom N �
( ) Other primary structure ( ) ( ) Relocate/enflarge p � '
( ) ( ) ( ) # ofnew N �`� �
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Additional Information: 4 � �
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� J �
Type of Construction: 8 � �
(�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete N
( ) Other �
b �Construction Cost: Primary Structure $ �—" �
Accessory Building: $ �D,pD0 •D U A��dition: $ ----' � � �
j� 3a7 63L � `�
D�eed: Vol � ? Pg ���1 Certified Soil Test# °Q z
CSM: Vol Pg Lot# Sanitary Permit# 70- � 7 7 K Z � 7�
Plat Envelope Or: ,; �
Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: `-' �
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Previous office approvals/actions: N
Variance: # LUP: # qy,-5$5 SP: ;� CUP: # S�Q�pB
Inspection Report: # Change of Zone District: �Ac-
��ziy
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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. �. #2. '2� C_� #3. #4.
Size� . wide � ;�, ft. wide � . wide ,/ ft. wide
ft. long �(� ft. long � ft. long _ + �' ft. long
�
Floor area sq. ft. i yy� sq. ft. sq. ft. sq. ft.
Hgt from to peak 1 y� ft. hgt. ft. hgt. ft. hgt.
Stories I stories stories stories
# of b rooms
Rear Lot Line
.
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Fire Number and Name of Road i � g8 ti �o�r� `-=�� � �--'�J
1. Enter lot dimensions and indicate north by arrow. Signature of nwner or Authorized Agent:
2. Indicate the location and size of the requested construction �
Signa e
activities.
,
Print Name• �
3. Also, indicate the location and distance to the well, The above ce ies that the listed informa' n and intentions are
true and correct.,that all work shall be periormed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the r?quirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the St�te of Wisconsin, and if
centerline of the road. acting as owner(s)agent,has the permission of the owner(s)to
perform the work requested on this application. The above
persons/s hereby give permission for access to the property for
onsite inspection.
�
Permit fee: $ /�0 �
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0 U � ��/.��G���1
Issue Date Signature of Issuing Agent
���,,�3D� Z-�� I 50%Rule: Average Road Setback: /1�
Expiration ate
Office Comments: (,�_g�� �-Z�- 2���'
iY.aBi��c� �¢/L�9 �1`t�4�� ��T I�� C,�G�� !� 7ft� �R�-�. ��
Page 1 of 1
Real Estate Properry Listing Current Year �
Real estate record updated on 1/1/2003.
Property Description Billing Address
57-016-2-37-06-20-2 02-000- MITCHELL L&SUE A SLAYTON
PIN' 000020 1288NJOHNSON ROAD
Legacy PIN: 016637202202
EXELAND WI 54835
Record ID: 19214 Ownership (lastupdated.�Z/6/Z0077.•59:09AM)
Map ID: •6.2 MITCHELL L&SUE A SLAYTON
Municipality: (016)TOWN OF MEADOWBROOK
Public Land 1288N JOHNSON ROAD EXELAND WI
Survey: SECTION 20 T37N R6W 54835
Quarter: NW Site Address (last updated.�2/6/20077.•58:49AM)
Quarter-
Quarter/Tract: NW 1288N JOHNSON RD
Plat/Entity Name: EXELAND WI 54835
Description: PRT NWNW Current Assessment Valuations (/ast updated.�2/6/2007
Recorded Acres: 9.470 7.�58.�18AM)
Calculated Acres: 0.000
Lottery Credit 1 Assessment Type Acres Land Improve Total
Claims: G1 -RESIDENTIAL 9.470 11,500 26,300 37,800
Waterbody(s): Totals: 9.470 11,500 26,300 37,800
Zoning: (RR2) Residential/Recreational Two
Districts (lastupdated:z/6/Z0077.•57:08AM)
Documents District Name Type Code
State of Wisconsin STATE 1
WARRANTY DEED Doc#:307832/Vol- Sawyer County COUNTY 57
Page:WD836/379 Town of Meadowbrook MUNICIPALITY 016
Winter School District SCHOOL 6615
Technical College TECH 17
Parent Property(s) Child Property(s)
(where the property came (properties this property
fiom) created)
N/A N/A
http://sawyerfs6/System/REAL_PROPERTY/listing.asp?pid=19214 5/28/2008
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