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026-188-08-0100-LUP-2008-210
Application for Land Use Permit: (*Non-shoreland*) r ,� � �,� � County of Saw�,�er � � �V 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 above waterbodies located within `�- the property's bounda.ries. �- CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �? 1 PRINT—USE BLACK INK OR PENCIL � S�i����1�1� �•Ui��}�y �rs� S�js2 E � Owner Build��r �: � ��, /�x a v 1 0� ` Mailing Address Mailing Address � O S/�/"c, '/ � �'" - % �r���r � City, State, Zip , City, State, Zip � ��= �9� -0��,3 �, Daytime Phone Dayti�ne Phone � Additional Information: Zone District: � -� � Lot Dimensions: /��'' x ! 0 a Date lot was created: Acres: � 3 03 0 Is there wetland near the proposed structure? If yes, how far N� � � Building Land Use Floodplain: O Yes �}O No :; ()Q New ( ) Filling � � O Addition O Dredging Driveway access off of a(Check onf.): J � � O Alteration O Grading O Pi•ivate Rd QC) Town Rd. � o -�- ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy 6` `'' � ) � ) )'vv, o � -A � 0 WN r Primary Structure Accessory Building Addition � � � ( ) Dwelling ( ) Garage-attached/detached ( ) Deck .,p W ( ) Year round ( ) # of car stalls ( ) Porch � � ( ) Seasonal � Storage Building ( ) Enclosed � � ( ) Frame built on site ( ) Screenhouse ( ) Living room �� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ( ) Mobile/manufactured ( ) Other ( )Bedroom � .- ( ) Other primary structure ( ) ( ) Relocate/enP.arge � � � � � ( � O # ofnew � i � AdditionalInformation: C? A Gb � C� � cu o � �� Type of Construction: b � � Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete O .�p I ( ) Other ,.d � � � Construction Cost: Primary Structure $ /.SD� _ a��0 � Accessory Building: $ A��dition: $ � � .-� � Deed: Vol��Pg f 95 Certified Soil Test# °Q z CSM: Vol Pg Lot# Sanitary Permit# a, � Plat Envelope Or: N � Condo Vol Pg Year Installed: �. � � Aff of ex septic Vol Pg Owner When Installed: " i N O Previous office approvals/actions: 04 Variance: # LUP: # 9l0�03b SP� � CUP: # " � Inspection Report: # Change of Zone llistrict: „lI���lDb 2�i98 � 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. $h�e,�. #2. #3. #4. Size�/ 2-, ft. wide ft. wide ft. wide ft. wide /� ft. long ft. long ft. long ft. long Floor area / `�T sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade � to peak�ft. hgt. ft. hgt. ft. hgt. �� Stories � stories stories stories # of bedrooms —v -- Rear Lot Line � ` ' S e e �J���e e,h�- . Fire Number and Name of Road -� g.3 S✓ • —I�G�-C 50.�/ �1�� 1. Enter lot dimensions and indicate north by arrow. Signat of C)w o thorized Agent: 2. Indicate the location and size of the requested construction Signa re . aCt1V1t1eS. Print Name: � ����� 3. Also, indicate the location and distance to the well, The above certi es that the listed information and intentions are true and correct.,that ali work shall be performed in compliance septic tank and drainfield, wetland areas, 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��9 as oW�er�s�a�,e�t, has the permission of the owner(s)to perform the work requested on this application. The above personsls hereby give permission for access to the property for A� onsite inspection. Permit fee: $ �oL �� c�, �� �'�., 2 0�'6 ' Issue Date Signature of Is ing A ent � Z�0 50% Rule: Average Road Setback: Expiration Dat Office Comments: D , �� �� � � � � � � S � ��� o � � � � � � � � � � ;- � � � �� n �o�5" � 7� � ��. � N CI� o � R, Z c� O _ � �'. � � � �� � � � � � G: � _--� � � � � �1 � � � � � � A � �% v� , � Q�i � � �� � r..� �� � � /srs�� .vo�Ty - � � � , - , � ��� � � ���'� � �=� �� �.. „ �� �� v_ � . , �. .� . z � �._.__ �.�.� � � . , ,.._,� � , � � . � �� � � � :- ��.._...�, � � � fi �' � �� i �'�� i..�,�.� _ . ,' _ ��. [ , ..._.� FC3�t ASSgSSMEN�' US1� Of+lf.Y I+lC3T IN7EP�l�.� TO S�C'�J CG'!d- _ — .. , . C�.J`a�4/� EViL7�i`��� �?F 01a�fT3�R- . � . � � _' �- t � � � , (__ ' ,�.) �� �.,� �i V�r� f � ) � �I . f� V �: �. , �� SN9P C3R RC�l74�dI�kRY ��t�,�•^ Tlf,�'`,{S. _ \ . i rrh> � ; .iJ •\r,/� . ..���:%,'. J '_:..- in,._��'�. .__ :,,)�-.., .' 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