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HomeMy WebLinkAbout032-539-29-4302-LUP-2008-244 R � � � ; - - � 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 witr►in � the property's bounda.ries. CONSTRUCTTON SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ro PRINT-USE BLACK INK OR PENCIL ' � � JvV' e , � �/.���- � �. wner � �� Build��r �: � �� �� �� �. Mai ' Address Maili�lg Address O � �,����� � �1���� � City, State, Zip , , � City, State, Zip � � � l-� ` ��%'_��' " � � Daytime Phone ��S -a.(v(�- !o ZD8 Dayti�ne Phone _ � Additional Information: ,�t�,� Zone District: (�tt `"�'� �����- �`�,� --� � - �C Lot Dimensions: �{- .�i.�':� �:%.�; s��- �� Date lof was created: Acres: ��� �� n � Is there wetland near the proposed structure? If yes, how far � � Building Land Use Floodplain: ( ) Yes (�') No ` � � n ( )New ( ) Filling � � '� O Addition O Dredging Driveway access off of a(Check onf;): � �,, ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � o O Moving On O O County Hwy O State Hwy ti N � � ) � ) �' o � (j�y N C"' Primary Structure Accessory Building Addition ..p �o � O Dwelling O Garage-attached/cietached O Deck a W ( ) Year round ( ) # of car stalls ( ) Porch � � O Seasonal �jO Storage Building O Enclosed �, � ( ) Frame built on site ( ) Screenhouse ( ) Living room ^o� � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen y, ( ) Mobile/manufactured ( ) Other ( ) Bedroom o �, � ( ) Other primary structure (X) �Q1'�n �-t-;� ( ) Relocate/enlarge (,,� , " ( ) ( ) ►�ae,��n��� / k��s�►r� ( ) # of new o ,�� `'� � vJ � AdditionalInformation: � i� .� p �- v� 0 � Type of Construction: N s � ( ) Frame ( ) Log (,�) Pole/metal ( ) Block ( ) Concrete � � ( ) Other �` ,,� b Construction Cost: Primary Structure $ � � c� Accessory Building: $j r pDC> Addition: $ ^ � � Deed: Vo13 yy 3�( Pg Certified Soil Test# a`' z CSM: Vol Pg Lot# Sanitary Permit# � � Plat Envelope Or' �,, �s� Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: �-' � � Previous office approvals/actions: Variance: # LUP: #� 7 —� �7 SP: � CUP: # � � �� Inspection Report: # Change of Zone District: �` Z. \ .39� Describe the construction using these columns. List the dimensions of each struc:ture in a separate column. List each story, each addition, each alteration in a separate column. � #1 . 5��� r � �� �" #2. #3. #4. Size .3 ft. wide ft. wide ft. wide ft. wide � ft. long ft. long ft. long ft. long Floor area ��� � sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade � to peak ft. hgt. ft. hgt. ft. hgt. Stories ( stories stories stories # of bedrooms �? Rear Lot Line 1.00 � ���;� �� Jti ,� ��' - — - -- — — — _ _ - - � �u ` rh , 1�"5 y� ..ia���- P'"' e.°`� �,�y� i,yt r Wa t d ro F�' ��' �,6�08 , N - � �W on adJo� n i�+S o �C �,t�S � 1 ��� i Fire Number and Name of Road !� �� l� l . Enter lot dimensions and indicate north by arrow. Sig re of C)wn o utho�i d Agent: 2. Indicate the location and size of the requested construction � � � . �� � Signature activities. - ' Print Name: 3. Also, indicate the location and distance to the well, The above ceRifies that the listed information and intentions are true and correct., that all work shall be perfortned 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 reclulations of the State of Wisconsin, and if centerline of the road. a�tm9 as ow�er�s� a�,e�t, 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: $ � CS � • � � n�ia.�- Co , 2 OU� - Issue Da e ^ Signature of Is ing ent t �o , 2U09 50% Rule: Average Road Setback: Expirati Date Office Comments: � .2.� .�.� � � .3.1 .4.1 .13.2 � �� � � . � i �, - .i3.� � .14.2 .14.1 �1 �\�li .�Ili �� .15. �� � � .ib.i - .16.2 �.1..LL.[ .(Q.3 .16.3 .fb.b .16.5 �►6•+ 2a 32 33 SCALE : I INCH = 400 FEET FOR ASSESSMENT USE ONLY NOT DRAWN BY : R.M.S. DATE : $- 14-79 INTENDED TO SHOW CONCLUSIVE COLON ( :) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS