HomeMy WebLinkAbout032-338-17-4105-LUP-2008-043 Application for Land Use Permit(*Non-shoreland*) o o -l'' _
U� County of Sawyer � �
`—� PO Box 676 -Hayward�VI 54843 � �
715/634-S2S8
*Property that is not located within 300'of a creeic,;iver or stream or within 1000'of a �
flowage,lake or pond or does not have any of the aUo�e waterbodies located within 3 �
the property's boundaries. s
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED i'ERMITS HAVE BEEN ISSUED. ��
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder <' m
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Mailing Address ivfaiii:�g A,'tc:css O
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City,Stste,Zip �Q�/ City,State,Zip
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Daytime Phone Daytime Phone �
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Additional Information: Zone District: I�'�-1
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Lot Dimensions: S,/ R c'R�s r
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Date lot was created: 8•23- 7$ Acres -'�./ A�R�S o �
Is there wetland near the proposed structure?If yes,how far /3-•`- FE�7-' � �
Building Land Use Floodplain:( )Yes (xl No _ :;
QQ New ( )Filling '�
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O Addition O Dcedging Dciveway access off of a(Ch�ek one): '�
O Alteration O Grading O Private Rd O Town Rd. o
( )Moving On ( ) (k}County H�vy ( )State Hwy ." N �
� ) � ) � �
0
Primary Structure Accessory Building Addition ' � �
(�Dwelling ( )Garage-attached/detached ( )Deck � "'
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( )Year round ( )#of car stalls ( )Porch ��� �
(S�Seasonal ( )Storage Building ( )EncIosed � `D
(�Frame built on site O Screenhouse O Living room
.. �
( )Modular/manufactured ( )Greenhouse ( )Kitchen ` � r
( )Mobile/manufactured ( )Other ( )Bedroom � \
( )Other primazy structure ( ) ( )Relocate/enlarge � � i'�
( ) ( ) ( )#of new .� ��
AdditionalInformation: � J
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Type of Construction: o
(�Frame ( )Log ( )Poie/metal ( )Block ( )Conerete � y
( )Other
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Construction Cost:Primary Structure$ SfD ODO.`�' � �
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Abcessory Building:$__ Addition:$ � W
Deed:Vol�Pg ia 9 Certified Soii Test# 90-U'7l p -pj rl b4 ��
CSM:Vol��Pg_�L Lot# / Sanitary Permit# 4D-USZ Of9-Uz8 Q, �
Plat Envelope _ Or: N �N
Condo Vol Pg Year Installed: � I
� �
Aff of ex septic Vol Pg Owner When Installed:
Previous office approvals/actions: -�'
tn
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: a
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Describe the construction using these columns.Lis1:the dime7sions of each structure in a separate
column.List each story,each addition,each alteration in a separate column. �
#1. #2. #3. #4.
Size�r'C�ft.wide ft.wide ft.wide ft.wide
A� C ft.long ft.long ft.long fr.long
Floor azea //�e sq.ft. sq.ft. sq.ft. sq.ft.
Hgt from grade /'7 t to peak ft.hgt. ft.hgt. fr.hgt.
Stories / stories stories stoxies
#of bedrooms ,�
__ Rear I.ot Linc __________ _
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Fire Number and Name of Road /�o q� � (y�V �� �cJ
1. Enter lot dimensions and indicate north by anow. Sig ture of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction ���
activities. l �s mre
PrintName:��iN+S �7��lr�l�
3. Also,lndlcate tlle location ancl diStaTlCe to flle well, The above certifies thal the listed n(orma6on and intentions are
true and conect.,that all work shall be performed in compliance
septic tank and drainfield,wetland areas,lot lines and,o the with the requirements of the Sawyer County Zoning OMinance
and the laws and regulations of ihe State of Wisconsin,and if
C8rit0111Il0 Of 211e T'03d. acting as owner(s)agant,has the permission of the owner(s)to
perform the work requested on lhis application. The above
personsls hereby give permission�or access to ihe property tor
onsite inspec6on.
Permit fee:$ cr�'��-��'
N�r; � !S, .ZC1C78 ������ _. � v____---
Issue Date Signature of Issuing Agent
Aor.1 l5i z 009 50%Rule: Average Road Setback:
Expiration Date
Office Comments:
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i � Register�s Office �
Sav�yer County }�
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Recewed toz record the .x-� day of
-^Gv° �_A U 197�f at�o�clock
� �. Pi i and recorded in vol.�
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Reqister •
Depu[y
j CEATIFZGD SliRYsY FOR CL�,TUS SZ�fLLiAN
., IN i7ic N5� 1�4� Sii 1�4� JGCiION 17� T38rr, R3+'Y�
' TC':JN Oe V1I NTC:rc� jA7lYER COUNT'Y� 7�'I SCONSI N.
FFt�P��FtED PY �CF:NnIpER ENGIT�ERING O SOLAR
�HZLLIPS� 'hISCCNSIN 5455$ BEARiNGS
DRA'�Y?J HY PE;TE HAHN AUGUST 16� 19�8
FROJECT ti0. 43� FTI,� N0. F-t37
FI�LD BOOK T�O. 16
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p, SCALE f��= 300
0 NB9�20�17��E 1133.84� ti
O 150 300 600
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c •= 1 1/4" X 30�� SOL1D ROUND IFON 8AR
\yj, SE T BY THIS SURVEY.
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'� � � ARE AVAILARLE IN COUNTY 5UR'JEYOR
T CERTIFY TYAT 'I'.�:Ij SiJ'RV�'Y \ '9' � c"�n FIL:,S� BUT CARL KIELCI-IESKI AND
COb:FLIE3 WITFi S.i,CTION 236.34 OF � . 3 � . '.1fESLEY JOHNSON Fi.�VE SAZD Tci.;; :.S
7eISCOhSII3 STATUT�r:�� IS CCRRcCT ..ND �� N STATE E:.SYLOYk�:h:S THc.Y �UBDIVIDc.D
CCPJ.FL::ZE TO THE BEST OF �GY KNO".YLED,�E � �N T'rfZS 5ECTION.
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