HomeMy WebLinkAbout030-737-20-1401-LUP-2008-139 Application for Land Use Permif: (*Non-shoreland*) r ,�
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 within ' �
the property's boundaries. t� ��
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REi�UIRED PERMITS HAVE BEEN ISSUED. -�
PRINT-USE BLACK INK OR PENCIL
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Owner Build��r �
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Mailing Address " Mailing Address O
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City, State, Zip City, State, Zip � '
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Daytime Phone Dayti�ne Phone � � �
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Additional Information: Zone District: �-� -- 1 � Y=1 - P� -
Lot Dimensions: - '
Date lot was created: Acres: � 6 n �
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Is there wetland near the proposed structure? If yes, how far J�J,-� �
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Building Land Use Floodplain: O Yes (�C) No � �
( )New ( ) Filling � �
(� Addition O Dredging Driveway access off of a(Check onf;): v �,
( ) Alteration ( ) Grading ( ) Pr•ivate Rd OQ Town Rd. � o �°
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � �, �
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Primary Structure Accessory Building Addition � � �
( ) Dwelling � Garage-attached/cietached ( ) � ck � �
( ) Yea:round (Z) # of car sta?ls � ) Porch ► �
( ) Seasonal ( ) Storage Building ( )Enclosed C �°
( ) Frame built on site ( ) Screenhouse ( ) Living room � � _
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen N �-� �
( ) Mobile/manufactured ( ) Other ( ) Bedroom 0 ,- �
( ) Other primary structure � `��`,.�•>�.�` >-r i ( ) Relocate/enl�,arge ` w �
� � O O # ofnew
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Additional Inform,ation: � � ,� ��,�, � ► O .�
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Type of Construction: � �
(�'Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other Q � ,�
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Construction Cost: Primary Structure $ `�v ��--` �:- • � �
Accessory Building: $ -��-�-'��e,��:- Addition: $ ���'� "� , �„', � J I
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Deed: Vo1347qq(, Pg Certified Soil Test# $�-Oy7 °Q z
CSi�i: 'v'oi Pg Lot� Sanitary Perniit� -Y 46 'v45 � �
Plat Envelope �r� N �
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Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: `-' �
Previous office approvals/actions:
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Variance: # LUP: # QS•op� SP: � CUP: #
Inspection Report: # Change of Zone ]�istrict:
Describe the construction using these columns. Lis1:the dimensions of each strurture in a separate
column. List ea h story, each addition, each alteration in a separate column.
#L�,��G��� ���,✓�ti��� #2. --- #3. --- #4. ^
Size Z 4 ft. wide ft. wide ft. wide ft. wide
1� ft. long ft. long ft. long ft. long
Floor area �O sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from grade 1 Z ' to peak ft. hgt. ft. hgt. ft. hgt.
Stories i stories stories stories
# of bedrooms�_
Rear Lot Line
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Fire Number and Name of Road � �� `�� � q- �-�ca o� ��...�� '' ''' ���- =��
1. Enter lot dimensions and indicate north by arrow. Signatur��wne Qr ; thorized Agent:
2. Indicate the location and size of the requested construction ,% :<r'' ������ --
Signature
activities. v
Print Name: �a�� l�. ha �
3. Also, indicate the location and distance to the well, The above ceRifies that the listed inform tion and intentio�s 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 rec,vlations of the State of Wisconsin, and if
centerline of the road. a�c��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 propeRy for
onsite inspection.
Permit fee: $ S�C� . GC�
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Issue Date Signature of s n Agent
p 50% Rule: Average Road Setback:
Expiration ate
Office Comments:
Nabitat�ie Livin�; aroa �h�.l�
no? !� crsa;ed irs accessory
str�ctures.
=CTION CORNERS POSITIONS WERE �
SERTED BY THE SAWYER COUNTY
JRVEYOR'S DEPARTMENT. SECTION pARCEL,�030-373-20 1107 DEED REFERENCE I
JBDIVISION WAS EXECUTED BY THE MID 736/119 OESGRI6E5 ALL LANDS LYING NORTH 4p
�INT DEFINITION. ANO EAST OF HWY 48 AS IT NOW LIES. THE � �L'. �
PREEXISPNG PARCEL MAP SHOWS HWY 48 �� � I
RUNNING PARALLEL WIiH THE RAI� ROAD. �,���
HWY 48 HAS GHANCED LOCATION AND $AID � '. �
DEED MAY NEED A GORREGnON. �. -
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