HomeMy WebLinkAbout024-641-22-4206-LUP-2006-118 �.. .�,.. , •
Application for Land Use Permit: (*Non-shoreland*) o o .
County of Saw�Jer � � �
��� 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 fi
flowage, lake or pond or does not have any of the ;�bove waterbodies located within s
the property's bounda.ries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE��UIRED PERMITS HAVE BEEN ISSUED.
flo r�S s�r4c h en PRINT-USE BLACK INK OR PENCIL �
Su1/ � ��l � ev� � � yr � � ��
/ /� � � / ���! � �I .S � �.
Owner Builder ' � �
�G �1 �/�l 1� w S � C� N c��� 1' !�� �:
Mailing Address Maili�ig Address O �~��
�u�-��,r�/�t raL �. '� 3 ���a/�Yr�, 1,�,�. ��� � 3 � ,....
City, tate, Zip City, State, Zip �
��- �� z- 3 � � � �
�
�
Daytime Phone Dayti�ne Phone � _� pf-� R���dA� � �
Additional Information: Zone District: � � — , le���r S�d f o f
R�c�
Lot Dimensions: 1 3 � � � J 3 � U �
Date lot was created: Acres: � U o �
�
Is there wetland near the proposed structure? If yes, how far_ Y�/-� _ �
Building Land Use Floodplain: ( ) Yes (�No �
�New ( ) Filling �
O Addition O Dredging Driveway access off of a(Check onf,): �,
O Alteration O Grading O Private Rd O Town Rd. o
( ) Moving On ( ) �County Hwy ( ) State Hwy N �
� ) � ) � �
0
_ � t"
Primary Structure Accessory Building Addition � �
(�Dwelling '(�.�0.�,¢w�oMt` QC�Garage-attached/� O Deck �
�Year round (Z) # of car stalls ( ) Porch �
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen C �
( ) Mobile/manufactured ( ) Other ( ) Bedroom .-
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
( � ( )_ ( ) # ofnew �' �
�
�
AdditionalInformation: t .�
:�
N �
1 "
Type of Construction: S .�, �
(�F'rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete $,
( ) Other � ,�
�d �Construction Cost: Primary Structure $ ��U; �d�U �
c�
Accessory Building: $ Addition: $ �
T�� 3367z8 �/3367�9 �
Deed: Vol Pg Certified Soil Test#��-3ys-' �(D-O/Z �Q z
CSM: Vol Pg Lot# Sanitary Permit# p!-3B/ ��'">' r` •'if o� �
?r�v�s �
Plat Envelope �r: �, �
�..,
Condo Vol Pg Year Instalied: c�
Aff of ex septic Vol Pg Owner When Installed: �-' �
.
Previous office approvals/actions: =G
Variance: # LUP: # SP: .� CUP: #
Inspection Report: # y(� - lS7 Change of Zone ]�istrict: �'��
�`�i� �'2 �`'.
�
Describe the construction using these columns. LisC the dimensions of each structure in a seplrate . �
column. List each story, each addition, each alteration in a separate column.
#1. {fiOUS � #2. �uru #3. #4.
Size �� ft. wide ��ft. wide ft. wide ft. wide
�ft. long �-�_ ft. long ft. long ft. long
Floor area 1 � `/ � sq. ft. 7r �L sq. ft. sq. ft. sq. ft.
Hgt.from gade /�� to peak �(�� fr. hgt. ft. hgt. fr. hgt.
Stories�_ _� stories stories stories
# of bedrooms L
Rear Lot Linc
— _ � —
� ..�� x 1`�
��TTac�,rl,� G-G✓aGj�G
���\._- _ C i'V2 1�
, � �c � u � �
� � 3U0 �' 7,(�i(r �++ µ�usc
�
� • S�rLi I UU�/ `
;
ru„K
� I I'� • .
; ,_ �c;.a I
_ L _ ,
� s� i�c
ne�u' F, � I�(
� 13U � — i,. - �
, � i ; n
, �
� � M
] ��
i
i
�
�
�- 1 3 � --�'
L (i u ✓I �`/ � G�. S
Fire Number and Name of Road �� (� y�N C u��h 7�i � G� S
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or A t orized Agent:
2. Indicate the location and size of the requested construction �L L����
�gnaNre
activities. �" ,/
PnnWame'. JC���C/ �� . �/��6 S
3. Also, 1ridIC32E 1}10 lOC3YlOR arid dlSt3riCC t0 t}IC W011, The above certifes ihat lh listed informati n and intentions are
true and wnecl,ihat all work shall be perfortned in compliance
Sept1C tank azld dCalnfteld, wetland areas, lOt 11nes arld to the with the requirements ot the Sawyer Counry Zoning Ordinance
and ihe laws and regula6ons ot ihe State of Wisconsin, and if
CeriYOI'llri0 Of TL1C I03d. acting as ownef(s)aoent has the permission of ihe owner(s)to
peAortn the work requested on this application. The above
personsls hereby give permission for access to ihe property for
onsiteinspection.
Permit fee: $ 1Q�+ 'JMJ� �
O la l'1ou,S�e hns h��ev� r �e tmv�ecl
��� ��� g r r.� 74-
Issue D te Si natur�e of Iss m ent
s'Ig /Q� 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
�
/
�
2?�
a —�
2 Z . �.
°�.
. �2.
�
. ��� � �
N
— �.
�
W (�,(
_ d =o.
1t? �: .
� '� ,
- �` .� ;
��'
22
, � �1
._ �, } .
: i
. �.�'c. �
2 � -
� � .. ��
� ` _ � w
� � � � � �� ...�
--�.-`_ --------
�---__�-'--,
� � � /'"-�,._--�— --�"=�_
�/f `---- --���``�=�-
� �
� �,-,-�_'--`
. �` �--"`���� /^� '/'� ^���
��-- -� __-___ ��--� ���.�� ,���, ��:
�/-' _ �w.�� �-�-=--.�..,- � .
/ ����/ 7/rl�� . .. _ .. _ �. .
/'`� / . '�
�
.� � - w c� � r, ;A
W ,� �.
W � vz� � � N
//--� � ��� - w � � �
r/ ��.�,,�// �rn W _
N �
.2 2. /fJ ,����/// �p ut � s ___ �,.�
�. � // �/f/,-� ^
� n I �/ � � ~ ... '" I" . . 'i� �--v� . e'\
J ��
� f �, • /._ �
/ � .
� � _
� , _ -
� J/� _2�. . � W o .
�� � , � � p � � �.
� . . �
� _ a
�� � w _ _
;� . z� _ w �
J.,�.. � _ w :,
-�- . �. �, � .:
1 4 `�
I � N
,
' -r t W � Z
- �
. . � __ _ ,
« .� _