HomeMy WebLinkAbout030-737-29-2201-LUP-2008-328 ., .
Application for Land Use Permit: (*Non-shoreland*) o o� ,
County o f Saw�,�er � � . n k
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 ;�bove waterbodies located within -
the property's bounda.ries. �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REi�UIRED PERMITS HAVE BEEN ISSUED.
PRINT—USE BLACK INK OR PENCIL
, � � '
�/ �� �L�N0�9 �� /5 rs� 1.�.- ���'�i►�e,�r� .� �
Owner Build��r c' �
� ��g L�u�e/ ,� t�. C �' ,
/39�� ft'ilfi�kc+. 0 �.
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Mailing Address Maili�ig Address O -
�a n�a��'//� l�a/i �.��`�� ��� � l�Z' ,s"5�8'/ �� �
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City, State, Zip City, State, Zip
�O$-- �'.5�-/�0�2. �-r 8'� ?— Z Z Y 3. .
Daytime Phone Dayti�ne Phone
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Additional Information: Zone Dist : �-z i"-/ �
Lot Dimensions: D O �
Date lot was created: /O-.Z�i- �00 7 Acres: o �
Is there wetland near the proposed structure? If yes, how far a � �
,� R,
Building Land Use Floodplain: ( ) Yes (� No � �
(�New ( ) Filling �
O Addition O Dredging Driveway access off of a(Check one): � �,
( )Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. �? o
O Moving On O � County Hwy O State Hwy W N �
O O O o �
Primary Structure Accessory Building <iddition N � �
()(f Dwelling (� Garage-attached/cietached ( ) Deck � W
O Year round (i) # of car stalls O Porch � �
(� Seasonal ( ) Storage Building ( ) Enclosed J �
(� Frame built on site O Screenhouse O Living room o � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ��
( ) Mobile/manufactured ( ) Other ( ) Bedroom i �'' �
O Other primary structure O O Relocate/enT�arge N � A
� � ( ) ( ) # of new .,p � �
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AdditionalInformation: r' �i.> .�
O � �
N �
Type of Construction: � �"
(� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete p� �
( ) Other � ,.d y
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Construction Cost: Primary Structura$ g 7, �S"� �. � c'� 4 �
Accessory Building: $ A��dition: $ o �
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.35o�c� �, ..«•r:,,a r , -r ��t 6°
Leed: Val P� C�.�i�,,,u �ci. �es�,-r � 2
CSM: Vol Pg Lot# Sanitary Permit# �8`2 l� o, �
Plat Envelope Or: N
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Condo Vol Pg Year Installed: � �
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Aff of ex septic Vol Pg Owner When Installed: "
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Previous office approvals/actions: `
Variance: # LUP: # SP: ;� CUP: #
Inspection Report: # Change of Zone ]�istrict: <j'�a�108
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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.�'n b��t, #2. � #4.
Size �,� ft. wide ����ft. wide ft. wide ft. wide
_�_ft. long _ 2$ ft. long ft. long ft. long -
Floor area Z O sq. ft. �sq. ft. sq. ft. sq. ft.
Hgt.from grade i3�to peakl3F�'- ft. hgt. ft. hgt. ft. hgt.
Stories � �_stories stories stories
# of bedrooms 2,
Rear Lot Line 1��C�
- S
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9 � �
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Fire Number and Name of Road l'� f�v �
1. Enter lot dimensions and indicate north by arrow. Si nature of Uw er or Au ri ed e t:
2. Indicate the location and size of the requested construction �
Signature
1Ct1V1t1eS. PrintName:�JND �
3. Also, indicate the location and distance to the well, The above certiees that th listed information and intentions are
true and correct.,that all wo shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the �wyer County Zoning Ordinance
and the laws and regulations of tlYe State of Wisconsin, and if
centerline of the road. a�t��9 as ow�er�s�a��e�t,has the pe ission 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: $ �t}-�..�D
.��J�� Z Za0¢� ! - -�---
Issue Date Signatuxe of Issui g ent
�_���� Zppg 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
SECiION CORNERS POSITIONS WERE .
INSERTED BY THE SAWYER COUNTY
SURVEYOR'S DEPARTMENT. SECTION
SUBDIVISION WAS EXECUTED BY THE MID . ��
POINT DEFlNI710N. �"�N
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