HomeMy WebLinkAbout026-939-27-3305-LUP-2008-284 Application for Land Use Permit: (*Non-shoreland*) o o ✓ �...
County of Saw�Jer � �'
PO Box 676 - Hayward �VI 54843
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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 ;�bove waterbodies located within
the property's bounda.ries. A ,
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL
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Owner Builder �
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Mailing Address Mailing Address O
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City, State, Zip City, State, Zip �,
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Additional Information: Zone District: - I �Q-Z-
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Lot Dimensions: � �
Date lot was created: 6-/0•8C� Acres: ��
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Is there wetland near the proposed structure? If yes, how far �/� � '��
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Building Land Use Floodplain: ( ) Yes (� No :;r
( )New ( )Filling �
�j Addition O Dredging Driveway access off of a(Check onf,): � �
( ) Alteration ( ) Grading ( ) Pi•ivate Rd ( ) Town Rd. � o
O Moving On O O County Hwy O State Hwy p. N �
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Primary Structure Accessory Building Addition � � °
O Dwelling O Garage-attached/cietached O Deck w W
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( ) Year round ( ) # of car stalls ( ) Porch � �-. �� '�i
( ) Seasonal ¢C} Storage Building ( ) Enclosed � �
( ) Frame built on site ( ) Screenhouse ( ) Living room �, �--
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � 6� _
Other rimar structure �c �.�„� � ( ) Relocate/enlarge �''� � "
O P Y �- ) L jB c� �.
� ) ( ) l�'K �r C �'��'r; ( ) # of new �4 ..o F �..
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AdditionalInformation: $ A
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Type of Construction: p
(x1 Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
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( ) Other d y
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Construction Cost: Primary Structure $ j " ' (l� � �
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Accessory Building: $ A��dition: $ / S�'c . �-'�= '� �
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Deed: Vol $�9 Pg ��C Certified Soil Test# ��� .� �1 7 °° z
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CSM: Vol�_Pg ,�S'9 Lot# f �' Sanitary Permit# �y-/(y � o, �
Plat Envelope � �y� Or� �'� N �
Condo Vol Pg Year Installed: �C/9y � �
Aff of ex septic Vol Pg Owner When Installed: �" �
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Previous office approvals/actions: ��_ �8� �,
Variance: # LUP: # �,9-Ozl SP: � CUP: # +� .,
Inspection Report: # Change of Zone l�istrict: `�
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z 9039
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Describe the construction using these columns. Lis1: t e dimensions of each structure in a sepa�ate �
column. Lis each story, e h addition„ e�ch alteratio in a separ e column.
#1 . l-� v� s #2. �l1!�v� R����'i #3. G«� , � � #4. « �<r co��O
Size �(v ft. wide _'?d ; ft. wide �f5-1 b= ft. wide c� ft. wide
� � ft. long ��! ; ft. long �-y �� ft. long 1 � ft. long =
Floor are�i /'��F sq. ft. / .�� sq. ft. ��a pu sq. ft. G sq. ft.
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Hgt. fror�r'grade (� to �(� � ft. hgt. ( 1 l�; ft. hgt. l � ft. hgt.
Stories ;� � �_ stories I � ( stories � stories
# of bedrooms �
Rear Lot Line
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Fire Number and Name of Road /�'S' > > w �i� � � ;�c�,�•
1 . Enter lot dimensions and indicate north by arrow. Si ture of C)wner or Authorized Agent:
2. Indicate the location and size of the requested construction
Si na re
activities. ;i , ;�����
Print Name:��� i
3. Also, indicate the location and distance to the well, The above ceRifies that the listed information and intentions are
true and corcect., that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements o( 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
onsite inspection.
Permit fee: $ �`("� . G �r'
vu� L�l/ � � � , � �l
Issue Dat Signature of Issuing Agent
� ���g 50% Rule: Average Ro�id Setback:
Expiration Date
Office Comments:
026-131-00 2900 i � � ..___.
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SECTIDN 27 APPEnR TO HAVE 8-59AC
USEO A OfFFERENT SECT[ON LINE �
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LOCnTION 6E7YEEN $ECT[ONS 22 N � '�
AND 27. PPRCELS YERE LOCATEO I _ _
BY BEST P[T METH00 FOR �
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SECTION LINE DATA AND SECTION SUBDIVISION PROVIDED BY
� J� � �7 SAWYER COUNTY SURVEYORS DEPARTMENT, LANDNET WDNR 400 0
��� � 1�7� / � U��' " AND WI. CARTOGRAPHER'S OFFICE.
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�IS/GPS Applications, Land Surveying, Consulting,
Custom Maps & Site Planning - services
WI - RLS#2489 No�Ti..�
4048W Poplar Ave. - Hayward,W� 54843 "��5��"9422
Email goold�cheqnet.net
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SAWYF..R COUNTY CERTIFIEF� SURV�1' MAP NiJM.BF:R
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