HomeMy WebLinkAbout026-939-16-5315-LUP-2008-031 Application for Land Use Permit; (*Non-shoreland*) r y
County of Sawwer F, � � ' .�
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PO Box 676 - Hayward VVI 54843 • �
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715/634-8288 � "
*Property that is not located within 300' of a creek, river ar stream or within 1000' of a �'
flowage, lake or pond or does not have any of the above 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 ^�
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Y`LL 1�+vL�
Owner Builder �'
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Mailin Address Maili�ig Address O
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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: � �/�•�� x `���/ 7
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Date lot was created: Acres: d� � �l o �
Is there wetland near the proposed structure? If yes, how far t�v •a \
Building Land Use Floodplain: O Yes (�-3�To � �
( )New ( ) Filling V, ,� �'�
(v�Addition O Dredging Driveway access off of a(Check onf,): .l �, ��
O Alteration (�Grading O Private Rd O Town Rd. O o
( ) Moving On ( ) ( ) County Hwy (�'f State Hwy � N �
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Primary Structure Accessory Building _. Addition � � �
( ) Dwelling (�'�Garage-attached cietach ( ) Deck �, W
( ) Year round ( ) # of car stalls ( ) Porch � � �
( ) Seasonal ( ) Storage Building ( ) Enclosed � �
, �
O Frame built on site O Screenhouse O Living room �► „ � �
( ) Modular/manufactured � ) Greenhouse ( ) Kitchen � �, � r_
( ) Mobile/manufactured ( ) Other ( ) Bedroom N � '�'
O Other primary structure O (�Relocate/ n};arge o ' � A
( ) ( ) ( ) # of new � � ���� �.�
o �r
AdditionalInformation: g $ � ' �
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Type of Construction: � �S
(�,,�'Frame ( ) Log ( ) Pole/metal ( ) Block (L}-Eoncrete � � (�
( ) Other ,�
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Construction Cost: Primary Structure $ _ � �
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Accessory Bui��n�g: $ A��dition: $�c�u�A G v ^ �;
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Deed: Vol ���Pg � Certified Soil Test# � 7 " � C '}� °°
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CSM: Vol � � Pg��3-/�'{Lot# / Sanitary Permit# .� yq���/ � � o, �
Plat Envelope �5R87 Or: ,; ��
Condo Vol Pg Year Installed: ��� � � � �
Aff of ex septic Vol Pg Owner When Installed: „� �
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Previous office approvals/actions: "� ,3�
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Variance: # LUP: # ,::�r�� �''' ��' SP: ;� CUP: # w ,�, �
Inspection Report: # Change of Zone District: `� (�
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Describe the construction usiug 4tiese columns. List the dimensions oF each structure in a separate .
column. List each story, each addition, each alteration in a separate column.
#1. #2.�f,l�,y�,bwT✓ GA�ky �- #3. #4.
Size ft. wide a8 ` ft. wide fr. wide ft. wide
ft. long ao� ft. long fr. long fr. long
Floor area sq. ft. +�/oc� sq. ft. sq. ft. sq. ft.
Hgt.fromgiade topeak �?,d„ ft. hgt. fr. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms
Rear Lot Line
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Fire Number and Name of Road�597�t S'fQ�e Qi�• �7�7 J
1. Enter lot dimensions and indicate north by arrow. Signa of G ner 'Aut d1'Ize Agent:
2. Indicate the location and size of the requested construction j ,:.;_ �� ��
Signature
activities. Sfe��- f� C=r,z��•� ����
Print Name:�
3. AISo, lndicate the IoCatiOn and diStanCe to the well, The above ceRifies ihat the listed information and Intentions are
irue and covecl,that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the wim me requ��emems of ine sa�,�yer counry zonin9 o�d�nance
and the laws and requlations of the State of Wiswnsin, and if
CerilOLllriB Of ChC 202d. acting as ownef(s)agenL has the permission of the owner(s)to
pedortn the work requested on ihis applicalioa The above
personsls hereby give permission (or access to the property for
onsite inspection.
Permitfee: $ `� (�� ��'0
�r� 1 1 � ZAO � -
Issue Date Signature of Issui A nt
��r� 1 1 . 2U0�1 50% Rule: AverageRoadSetback:
Expiration Date—�—
Office Comments:
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FN15 WITHIN R/W 026-939-16 54D5
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FLOYD GOBLER 1944 PLAT .���N W.
s9—�7 \ OF PART OF G.L. 4 SHOWN AS 88' WIOTH FOR
'fi »q�_ ` � MAPPING PURPOSES.
5.72AC. 1
17 5107 _ 39_�� �� 10 9 � 8 7 6 5 1 3 2 �
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NOTE� PARCELS .O6AC. 02AC. \
�� �. 026-939-17 �SI30 ANO 026-939-16 . �o _ � N O �� ;'M m p' �N� o�i
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=���^c BEACON RESORT 54t5 0 .�qc '^ \ ,;n, , i h
CONDOMINIUM NOTE� I9B9 PUT 9Y R RIPIEY � OLt �6qC, - � °j^� �N N
UNITS 1 THROUGH � HAS NUMER�US CL�SURE�ERRORS � R � �L ��JAC - � � �^� �
YAS PLACEO ON LFYER 25ERROFt FOR '�QA� \ O~ c 0 �-
' I 026-206-00 0700 .04AC. REFERENCE PURPOSES. O '�4FC � � ' � O �
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,g �..�� 2 026-206-00 0200 .08nG � 026-0939-76 5308 . �SAC. \ _ .3�nC.
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- NaTE� AOD[TI�NAL PARCEL [➢
NUNBER SUPPL[EO FOR ALl Of 026-939-16
- BEACON RE RT CONOOMIN[UN. 5303
026-9��7 5727 � .
- NOTE� CSM 112327 MPEARS Tf1 HAVE A NpTE� N-S 1/I 1
� P. Q H. ERROR ANO YAS PlACEO ON lEAN BEARING 01
LAYER 25 ERR�t FOR REFERENCE.
� THE LOTS YERE LOCATEO BY 6ESi{IT
� � � � METH00 FOR MAPP[NG PURPOSES.
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