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HomeMy WebLinkAbout018-837-29-1102-LUP-2008-094 � - Application for Land Use Permit: (*Non-shorelan�*) r ,� � , County of Saw�✓er � � X 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 RE��UIRED PERMITS HA�'E BEEN ISSUED. PRWT—USE BLACK INK OR PENCIL � j� i � (.u���j^ t� �1Dr/� �e�mA-r� ,�DYyJNs` �- Owner Build�..r ¢' c' 93 b c�/���' 5.��� �/�?9 �9' '"� i,�. �� Mailing Address Mailing Address p � ��Y �GA//_____.�"�r�.��/� ���H ��/TLL� l.(LL�� i_J y/� C��D Crty, State, Zip City, State, Zip � r�=����� /���'"v� �� � �(�J�(l� � Daytime Phone Daytime Phone (`. � Additional Information: Zone District: /e 2 � Z �, Lot Dimensions: +7�a x � �s � Date lot was created: �.�-/ '��� Acres: J�, '7`� o � Is there wetland near the proposed structure? If yes, how far � � � Building Land Use Flood-plain: O Yes (k)Nc� � �New ( ) Filling Cn � O Addition O Dredging Driveway access off of a(Check onf,): �7 � O Alteration O Grading O PI•ivate Rd OC) Town Rd. � o O Moving On O O C��unty Hwy O State Hwy C+� i; ( ) ( ) �' � ° � o � � Primary Structure Accessory Building Addition v. � o �l Dwelling ( ) Garage-attached/cietached � �Deck � � � (� Year round ( ) # of car stalls ( ) Porch � � � ( ) Seasonal ( ) Storage Building ( ) Enclosed ►v � '�' (� Frame built on site O Screenhouse O Living room � � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �� Irn ( ) Mobile/manufactured ( ) Other ( ) Bedroom o ( ) Other primary structure ( ) ( ) Relocate/enl'.arge � � A O O O # ofnew � � i AdditionalInformation: � � � � � A �\ � Type of Construction: oN " �i Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ( ) Other � � Construction Cost: Primary Structure $ , . �� � � cu Accessory Building: $ A��dition: $ � ,-, � Deed: tioi3$�I g 53 r3zi Certifiect Soii I'est##�Q� � z CSM: Vol � 7 Pg�Lot# ( Sanitary Permit# Q$-p(a? � 7� �-r-- � 7 3� �' Plat Envelope Or: N Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: � � Previous office approvals/actions: Variance: # LUP: # SP: ;� CUP: # Inspection Report: # Change of Zone l�istrict: ��; �� zoo�? . '. Describe the construction using these columns. Lis1:the dimensions of each struc:ture in a separate column. List each story, each addi ion each alteration in a separate column. #1. m►4�t �uitc��n`j #2. ��1` #3. #4. Size�_ft. wide v �(�ft. wide ft. wide ft. wide �_ft. long ��ft. long ft. long ft. long Floor area�()(c�/ sq. ft. _c�� 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 ,r �J� ;� C�� _� � f� /: �., y, �' , �� �. r � �•' �'� � 4- ,i._ ��,� � ' '`, � , Q;�.` � � -== , y !r•' �r ,, ��� 1' �d���� � �'`Y 2S M�N _Qu . � a� r� �� .� '"� � v�`�" /�...� �-� y I- g `" � �J �- �t'L�r� r--� � � d t�� t , f �/� r f� �s . �`� ;� � �� ; � �� � �3 _.__.__.__------------- — -- — ___ -� __ �� � _ __ __ �;� _ ��1 Fire Number and Name of Road 7�,-��[� ���� 1. Enter lot dimensions and indicate north by arrow. Si nature of C)wner or Author'zed Agent: 2. Indicate the location and size of the requested construction � 'gnature activities. Print Name:���("f�I��YI �n0(�/"1 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct.,that all work shall be performed in compliance septic tank , ��31��c'lI'e3S, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance and the laws and rec;ulations of the State of Wisconsin, and if centerline of the road. a�t�n9 as oW�er(s)ac�ent, 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: $ ��,�.��' . o � �D, 2 vo�3 Issue Date Signature of Iss ng nt �Ll,L/ �Q . 2 (�9 50% Rule: Average Rozid Setback: Expiration Date Office Comments: � r I � , , � \ . � �� ���� (. ���3� .. 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IYOVI QIQG �OUYI� _ 3 J RIEDER 4.+'� • Q�u�kr� 3��"�tiy"�ro►� bar sck (t.5o ibs.lEk.) _*� S-,�3� ` _ �� P4Y f N t}�IC51 5 �u ao k c h Y u.o r a t,� a t c z s o Y t,v n a�,k = � BIRCFtWOOD i ; ����' !1 W� �0��� � .,��q�;•�....,_ • E�1`��� ��������Insil R�"```ll.� �� , p��� C/V (��-� PAULA CHISSER SAWYER COUNTY, WI REGISTER OF DEEDS 343301 hGALE� l�>Zoo� 12/O1/2006 8:55 AM F2ECORDING FEE I3.00 D �00� 2DD �(OD f'ages 2 SHEET l OG 2 Certified Survey No. ,�, 3 � 3 VQL 2 9 PG �+ 0 �