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Home My WebLink About032-539-15-4304-LUP-2008-175 Application for Land Use Permit (*Non-shoreland*) o o ' 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 ��bove waterbodies located witY►in � -}� the property's bounda.ries. � CONSTRUCTION SHALL NOT BEG�N UNTIL ALL RE��UIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL ` � �'� i ;' " ''_ 3'' " � � �� a�^'t� � � a' Q-. � Owner Build��r �� , ,_,, � �. �• � � ` ':� ^ � � � '°� �� Mailing Address Mailing Address O �� _. - `>�^ � City, State, Zip City, State, Zip � _ - � �. 0 Daytime Phone Dayti�ne Phone '� `�v � Additional Information: _ J ; _� Zone District: ' �1 �r ��- ,��,. �{s�� - ► ; s, Lot Dimensions: � � � � % �, �� - '. � � Date lot was created: � Acres: � o j Is there wetland near the proposed structure? If yes, how far �:� � / Building Land Use Floodplain: O Yes (.;� No ° � ( )New ( ) Filling � O Addition O Dredging Driveway access off of a (Check onf.): v �, ( ) Alteration ( ) Grading ( ) Pr•ivate Rd (f) Town Rd. � o ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � `'' � ) � ) N o 0 � r Primary Structure Accessory Building Addition N � o O Dwelling O Garage-attached/detached O Deck W W ( ) Year round ( ) # of car stalls ( ) Porch "o � � ( ) Seasonal (✓)�Storage Building ( ) Enclosed � � O Frame built on site O Screenhouse O Living room � � V�. ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen '` � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom ,� s" ( ) Other primary structure ( ) ( ) Relocate/en}',arge �G � A � � O O # ofnew o � �' W � \1 AdditionalInformation: � � � O � � � � Type of Construction: � � -- ( )Frame ( ) Log (�) Pole/metal ( ) Block ( ) Concrete p �'I ( ) Other � ,� Construction Cost: Primary Structure $ a � � � Accessory Building: $� � � �'`� A��dition: $ � W ,-. � Deed: Vol /07 Pg z/� Certified Soil Test# °Q z CSM: Vol Pg Lot# Sanitary Permit# � � Plat Envelope �r� N v''' Condo Vol Pg Year Installed: � � � Aff of ex septic Vol Pg Owner When Installed: `-' � Previous office approvals/actions: �' r�� .� Variance: # LUP: # SP: � CUP: # J��3°lu Inspection Report: # Change of Zone llistrict: 3S� Describe the construction using these columns. Lis1: the dimensions of each struc:ture in a separate � column. Li t each story, each addition, each alteration in a separate column. #l . �1�, #2. #3. #4. � Size ' ' ft. wide ft. wide ft. wide , ft. wide ` T . ft. long ft. long ft. long ft. long Floor area ' `= sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade la ' �;''� to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms Rear Lot Line � � r�4, � � , 5� C ,J / , _ 1 J � I , �� , �o�S.� s� �,.�,� EX i . � � ,. � , Fire Number and Name of Road .�� : � � � - - . .�� 1 . Enter lot dimensions and indicate north by arrow. Si� t e of )w r, •rized Agent: 2. Indicate the location and size of the requested construction , �,� � .�,��-�n"1�- , � Signature activities. \ I ( „ �, �- Print Name: �+ I � � IJ �- i1! � �"j�y � -� 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions 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;ulations of the State of Wisconsin, and if centerline of the road. a�t��9 as oWner�s� a�,e�c, has the permission of the owner(s) to perform the work requested on this application. The above persons/s hereby give permission for access to the property for onsite inspection. Permit fee: $ �7 � 8' D � - �P.o u�u 7� Issue D te Signature of Is in gent �,� � , p -�f 50% Rule: Average Road Setback: Expiratio Da Office Comments: ._.- _ �'_� �1L! DARBER , I Wl � � �� CRE¢ K �� `'� �� ,�u �- _�ii �� .�.� .� ., , .�„ .�i�� _ .,�.- _� � .� �� .�u� ,u� — ; v = 4 , ..,,, .3. � .4., � — � .,,�. �ur, .:s� -�ru ,.r.. � .s�11 = .iil� ~ � > — ��Id z�(ii ,��v vui — — � u . � '`ri � i 4.l „ .13.4 _ �s .,,� `� r .J�. .,�u � — � � � .�a. ► � :�lll � , , , ,1� _ � eRRO¢ .13.3 ..� " .13.2 � ra .16.2 .�s �� .IG.4 .15.6 .15.� .(b.f .15.5 ..�• — � .��.4 ,. �4 �2 23 SCALE: I INCH= 4D0 FEET FOR ASSESSMENT USE ONLY NOT DRAWN BY: O. M . E . DATE : 2- fo - �q7g INTEN�E� TO SHOW CONCLUSIVE COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHI� OR