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026-938-17-5739-LUP-2008-355
. I .`S Application for Land Use Permit (*Sho��land*) r a ,� � � . . } � County of Savv��er `� � � �� � � PO Box 676 - Hayward V�I 54843 . 715/634-8288 �'��x„ *Property that is located within 300' of a creek, river or stream or within 1000' oi�a / n - flowage, lake or pond or has any of the above waterbodies located within � ^1 the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL y� • � w� r�,,�� �� —,n,� � Owner (;re.�-�h�e►'� Builde;r � � � � `��� p���' ��� o� � Mailing Address Mailing Address � � ��t����c��-� I� S�D�� � � Zi City, �tate, Zip � City, State, p ,� ���� ��1 a�.Sb Daytime Phone .�'o,,� �` Daytirne Phone � �. � Additional Information: Zone District: �(Z-1 � Lot D:imensions: j Date lot was created:�UI � Acres: � � �f � , Is there wetland near the proposed structure? If yes, how far � � n �'— , � o Building Land Use Floodplain: ( ) Yes E�No � �'�Tew ( ) Filling Chippewa Flowage: ( ) Yes �N�� � � O Addition O Dredging Driveway access off of a(Check one:): � O Alteration O Grading f,/f Private Rd O Town Rd. cs� � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � � � ' o � ) � ) N c� � s �, r Primary Structure Acc ssory Building Addition � N o �Dwelling �j Garage-attached/cietached ,(�j�Deck � �Year round (�) # of car stalls �Porch � W � ( ) Seasonal ( ) Storage Building ( ) Enclosed d� O Frame built on site O Screenhouse O Living room � � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �� ( ) Mobile/manufactured ( ) Other ( ) Bedroom i .- ( ) Other primary structure ( ) ( ) Relocate/enlarge N 4 � � � � � ( ) # ofnew o 6 , N � � Additional Information: p � -. � o � J � CD � I � Type of Construction: ( ) Frame (�Log ( )Pole/metal ( ) Block ( ) Concrete � � � ( ) Other - " � � Construction Cost: Primary Structure $ � d .ti � � Accessory Building: $� � Addition: $ � � � ,� Beeu: Vai 3 a�c��z�ng Ce:�:f:ed Seil Test ,# c�� -30! oy-3ii 8l - 3a3� z vo � CSM: Vol_ 02�_ Pg 9Y_Lot#_ �.._ Sanitary Permit# nR— 2 7� �. Plat Envelope ��f3�Y or: � �Q Condo Vol Pg Year Installed: N � �., "Loads and Flows": Vol Pg Ownei•When Installed: � .� I Previous office approvals/actions: �' ' LUP:# SP: ;� CUP: # � Variance: # p�,- z o3 � Inspection Report: # Change of Zone I�istrict: � /D���D� � a8�1 � Describe the construction using these columns.List the dimensions of each structurc in a separatc ' � � column.List each story,each add'tion each alteration in a separlte column. #1. rQ,6 w— #2. vC���aen_ma�--#3. �c #4.�� . Size_��ft.wide ft.wide �a y� �ft.wide �fr.wid , �ft.long /l ft.long a`� 3�ft.long .3� ft.long � Floor area 1�lk� sq.ft. /�,r� sq.fr. �_sq.ft. 7� � sq.fr. Hgt.from gade�to peak ft.hgt. ��0 N fr.hgt. ft.hgt. Stories stories stories stories #of bedrooms � � ON . d� Z.I 76 /o�� Lake/Pond/Flowa c/River/Stream(Name) SP� ,������� Fire Number and Name of Road ct i��.v 4.�neG i,✓ I'�u tku 1�0:n r 1. Enter lot dimensions and indicate north by arrow. Si na�of Own uttlorf�A ent: 2. Indicate the location and size of the requested construction 9 � Y-yf� ��„_�j r�C,� 9 Signa ur�T e activities. PnntName:�� V� � 3. AISO,1ndlCate the loCatlon and dlStanCe to the We��, The above ceRifes ih�at the listed intorma�on and inten�lons are true and coned.,that all work shall be performed in compliance SeptiC talllC 3nd aialnfle�d,wetland 1leas,lot 11nes, with the requiremenis ot the Sawyer Counry Zoning ordinance antl the laws and requlations of the S�ate of Wisconsin,and if CCnte2line of the Toad and w3teT'bodles. ac�ing as ownef(s)agent,has ihe permission ot the owner(s)to pedorm �he work requested on ihis application. The above personsls hereby give permission for access ro the properry for �_ onsite inspection. Permit fee:$ 2Sv a ro� �35� Total land area within 300'of the waterbody:(A) `/'7,`�Bo Total impervious surface area[ir,cluding this project](B). ����__ (B)/(A)x 100=%Used '],� � (Shall not exceed 15%[or 25%witli a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Requiired?O Yes O No ���3 2cr�� " Issue Date Signature ofIssui A t ����,y � 3� 2��/ 50%Rule: Average Road Setback: Expiration Date Office Comments: �% ' � �C �Sq�� . ��� � ; '1� , � � ���� n '� �flr;,l a-� �� ��5� � � � - �� , �� y, \ �_ - ` f0��' � d�,� ��\(�-��'�'� '��',.t_- � � � � � � , , � OF� SAND LAKE � . 7 T W P 38 N , R.9 W. � ' �72.6' '� : QIG Z\ � �Z3 :,.�� :�Zo ISS/� BAG/�MA :7.6 �/-� K E �4.1 7'2 ' '.7� ^ \�`� MUSKY POINT i z \ CONDO. a '.7.22 '7�. \\ o�Q: �� � � '.7. �.79 :?.lo � '7. C. � ,. ��� � : :1 ;< � � O ` z3�- �,� , 1 .s.3 � 7.1 - - „ r. , � l �.r �1' , 3 �2 i 1 �' �S,�'� .'13° '. I :1.4 . � ��. 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