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HomeMy WebLinkAbout026-939-19-2205-LUP-2008-178 Application for Land Use Permit:(*Non-shoreland*) o o f� � County of Saw�✓er � � � PO Box 676 -Hayward WI 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 above waterbodies located within � � the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. 1 PRINT-USE BLACK INK OR PENCIL � 5-�an e (�.�L� N-i s fcr�'c�t,I Soci e tY C � �n.�ja ���' �C�nr9 Ln L e T n'1c�a n r e� �,nn �o� a � Owner G�o��o/ f�7�1�on n�G 1 Builder � �lzl�3 i� �S�rnp�LP �� 6 0`13N ��nrt�(P lSc�. �� � Mailing Address Mailing Address O � S�u�e �1P, l.�i 5�'876 �e �(e, W� Sf�'76 � City,State,Zip �ell: City,State,Zip � 7�5 865- Scs9� �rs-sss-v9ii 7�5 S�Gs-S,>�� �, Daytime Phone Daytime Phone � Additional Information: Zone District: �4— � � �� Lot Dimensions: � Date lot was created: Acres: .S• /g o Is there wetland near the proposed structure?If yes,how far /�� v-� , � c ,� Building Land Use Floodplain:O Yes (�O No � ( )New ( )Filling '� � O Addition O Dredging Driveway access off of a(Check one): � � O Alteration O Grading O Private Rd (i4)Town Rd. d o (k�Moving On O O County Hwy O State Hwy N N C� � ) � ) � o � r� Primary Structure Accessory Building Addition N � o ( )Dwelling ( )Garage-attached/detached ( )Deck � �"'„ ( )Yeaz round ( )#of car stalls ( )Porch 'Q " ( )Seasonal ( )Storage Building ( )Enclosed � � ( )Frame built on site ( )Screenhouse ( )Living room � � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen �' N ( )Mobile/manufactured ( )Other ( )Bedroom � �` ( i Other primary structure O O Relocate/enlazge N � \ � {-�ancPil200rd l�arn� � ) ( )#ofnew p W � -la be cov�s-�ruc�-e� t� `' AdditionalInformation: �n� � p O • � � o " Type of Construction: i �} � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete p� ( )Other A� Construction Cost:Primary Structure$ �G O +— c °��' � Accessory Building:$ Addition:$ � � 7�l 3i9 c^o Deed:Vol .si j Pg z�� Certified Soil Test# 00 z CSM:Vol 21 Pg '2o Lot# 1 Sanitary Permit# � � PlatEnvelope Or: pyiU�;ici Pa-1 (n1a,�'eY' N ...�. Condo Vol Pg Yeaz Installed: '� SeWer � Aff of ex septic Vol Pg Owner When Installed: � � � Previous o�ce approvals/actions: � 0 2•33q Variance:# LUP:# 49-341 SP:# CUP:# Inspection Report:# Change of Zone District: � �I'��,,, z 86Y3 Itand�caPped ram� z8o 6, ��a.«���. «� �Sc�e � Drctw�n � Describe the construction using these columns.Lis1:the dimensions of each structure i�a scparate column.List each story,each addition,each alteration in a separate column. #1. Bo�IrSr„y #2. #3. #4. Size 2 y ft.wide ft.wide ft.wide ft.wide S6 ft.long ft.long fr.long ft.long Floor area fz.>� sq.fr. sq.fr. sq.fr. sq.ft. Hgt.firom g�ade i 3 to peak �c� ft.hgt. fr.hgt. fr.hgt. Stories j stories stories stories #of bedrooms Rear Lot Line � �'e"Nr� � � -� �\\I �12C 125 � IH[��� ^o � �6 P o DZ PcT � W �1 75= M�S���,�y.,, � 2 5��' ��° E Y ,,.. � ,' , �Hu � BLacI�-�-v {�4r,��'� 'P4 �`y'c- z l.�t � �� ���P�� 0 h � SAnlD �A KE �i o Wnl H/�c� Fire Number and Name of Road 6 D 5�N � S-�,�e [� ,� ��Q �,f 1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction � �� �,�j�,�_�� RUY,17 C�1'1 C� �1L eJL 5 rlil.��„ SignaNre activities. p needed �r Print Name:��� �• IN�D[�N:v—L�-- 3. Also,indicate the location and distance to the well, The above certifes that the listed information and inten�'ons are . true and correct.,that all work shall be pedormed in compliance septic tank and drainfield,wetland areas,lot lines and to the wrtn me req��reme��or me Sawyer Counry Zoning Ordinance � and the laws and reculations of the Stale of Wiswnsin,and if centerline of the road. C i�-cf WCe�r- 5 C acting as ownef(s)agent,has lhe pertnission of the owner(s)lo peAorm the work requested on this application. The above L/�`}��/ S P We Y �O O � personsls hereby give permission tor access to the property for � � onsite inspection. Permit fee:$ �� Q.,4.. 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