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HomeMy WebLinkAbout026-188-08-0400-LUP-2008-264 � . Application for Land Use Permit: (*Non-shoreland*) o o X County of Saw�,�er � � 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 witr►in � the property's bounda.ries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � 1 PRINT—USE BLACK INK OR PENCIL �- �- � rt. r ��'� 't -* �r�1�l2 �� �`�� (�� .�� �rC� ��t � a Owner Builder �� .-. P � �� 5 � �� Mailing Address Maili�ig Address O STLNP L r�k� L, !--G `��%� 7 �� � City, State, Zip City, State, Zip � o '�`1 � .7 �� �- � � � �/, `f'' ,, Daytime Phone Dayti�ne Phone "� � � � � Additional Information: Zone District: R�1 �° Y ..� t � �1 Lot Dimensions: /3�% 1( �5 �' � � � Date lot was created: �� �'� Acres: � 3 , � o N � Is there wetland near the proposed structure? If yes, how far � � � � Building Land Use Floodplain: ( ) Yes ( ) No :; � ( )New ( ) Filling � ,� (� Addition O Dredging Driveway access off of a(Check onf;): � �, ,� ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy 0 �, � � ) � ) � o � � � r Primary Structure Accessory Building Addition N � o (%) Dwelling O Garage-attached/cietached (� Deck w � (}� Year round ( ) # of car stalls ( ) Porch .,o � O Seasonal O Storage Building O Enclosed o � O Frame built on site O Screenhouse O Living room �° � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �`� ( ) Mobile/manufactured ( ) Other ( ) Bedroom ° k; � ( ) Other primary structure ( ) ( ) Relocate/enlarge �/` ('.� �' ( � O O # ofnew �, � � �: AdditionalInformation: o '� „ .,� � c� � � n Type of Construction: � � � (�) Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete � � � ( ) Other o - �d '-� � r.�; Construction Cost: Primary Structure $ - � �- � � � bL � � Accessory Building: $ Addition: $ /��.�C, -- ^ � Deed: Vol Zq9 83/ Pg 80 �5 Certified Soil Test# °Q z CSM: Vol Pg Lot# Sanitary Permit# � � Plat Envelope Or: �; � Condo Vol Pg Year Installed: ���,� ��g� c�atev'�s� ec�r � Aff of ex septic Vol Pg Owner When Installed: `�' � � N 4 Previous office approvals/actions: po Variance: # LUP: # O2•35fl SP: � CUP: # � Inspection Report: # Change of Zone ]�istrict: dD gll9�°8 z.7 E 9�9 Describe the construction using these columns. Lis1: the dimensions of each structure in a separate column. List each story, each addition, each alteration in a separate column. #1 . p��_ jc #2. #3. #4. •,� Size I � ft. wide ft. wide ft. wide ft. wide � ft. long ft. long ft. long ft. long Floor area •� � Y 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 Rear Lot Line � � �I ; � '� i > D / ; i i i' � i ---- --- _ ; ; � �3�/---� � _ �-- � -- ; � ���E � � ��� J�, ��V�� _ I � ,J � -- � � ` 1 r � �.�—_---�--�- �___- —__—_- �_---- -- —�-- i ��5 � I � . � i j � .., �;��� � �1, i I , . � �'\1� I ` `� I I , v ` I r� � _ __� � f _ _ ---- 5 �C�� ____ Fire Number and Name of Road % � �7 .� � C�% r��,�� s }� 5�;��-c- �- l�'� �����- 1 . Enter lot dimensions and indicate north by arrow. Si e of C)w r or Authorized Agent: 2. Indicate the location and size of the requested construction ��'t C� � � Signature aCt1V1t1eS. Print Name: � �� ���� ��, �� '� � � 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 and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance and the laws and requlations 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 persons/s hereby give� permission for access to the property for onsite inspection. 00 Permit fee: $ 7'S ' �S�- Z��ZUU `8 — � Issue Date Signatur�e of I sui Agent I�v qv.sf zi� zoo� 50% Rule: Average Road Setback: Expiration Date Office Comments: �V'�� ___ � _o_ �_ _l � __ � `��� i `�a. � _ �,. � _ .. . ..... . ._. , , ._ � _ , . . . + ,� „\ 'r '� J ' �,: � \ • '' � . j , � `� ___ \J \ ' �` � ' � a a < i �� � � � � �� �� � ��i,r L.� , � � v , � �:, r, �;; ,.�, � — •; , ,.J , � 4, I I ; . � � ; , � � � �� � , �, __—� �� � � _. , � _, ; a l , � �, ��,, , � � v � � . ;�- ,` � �� i �� t`_l: �` :� ' � � � e �� ���� ,��i � , � ,, �j �E '"a � �r � � 9 � , , .� i �� � � ��� � C•� � ---- � Ji'' —r'—`I .. , � � � I , � �Y � �, ... .) , r� I .0 �-9\ I , .- . �-� e4 �.. ` .. ' r / . .:�l . . i '� ' f ��{ \ �/ I ~ \ � �; f �n� �= � . L � r. �''�� � p.� .u�._..-..� .. ..... .. ... . � V`J i I / I � � ,�^ I � I �'I / .'_._ r ' '; I �. �' •,.�y"'1. �. 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