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HomeMy WebLinkAbout032-539-06-1401-LUP-2008-262 ! • Application for Land Use Permit: (*Non-shoreland*) o o � ` County of Sawwer � � 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. .�1 CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE��UIRED PERMITS HAVE BEEN ISSUED. 1 , PRINT-USE BLACK INK OR PENCIL � �'���ic K r� v'���r� �v p� coNsr�uc7'�U�v � Owner Build��r c- �. � Po Bo� 3�3 8'aoa Yv �i�t�cra�vD �o.�� �. Mailing Address Mailing Address � � '7�5�C��IN/y►��'�l.VT� L(/! �3'tBWA, W/SC_ S�,18l0.2 � City, State, Zip City, State, Zip � �.�/- �69- 3a�y 7�s- 9y.s �9b3 Daytime Phone Daytime Phone Additional Information: Zone District: �-I � Lot Dimensions: � Date lot was created: Acres: $� 7� o � Is there wetland near the proposed structure? If yes, how far �POf�I)/(• � ' � � Building Land Use Floodplain: ( ) Yes � No � � �j New ( ) Filling � rn .�. � O Addition O Dredging Driveway access off of a(Check onf,): � � ( )Alteration ( ) Grading ( ) Pr•ivate Rd ( ) Town Rd. � o ( ) Moving On ( ) � County Hwy ( ) State Hwy �, �, � � ) � ) �, o S � � r Primary Structure Accessory Building Addition � � � O Dwelling �jGarage-attach c etach O Deck � W ( ) Year round ( ) # of car stalls ( ) Porch cr � 0 ( ) Seasonal �f.Storage Building ( ) Enclosed o � ( ) Frame built on site ( ) Screenhouse ( ) Living room s� � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � Q ( ) Mobile/manufactured ( ) Other ( ) Bedroom � .. � ( ) Other primary structure ( ) ( ) Relocate/enParge „�� � tt� ( ) ( ) ( ) # ofnew g � o W AdditionalInformation: o � � o � � � � Type of Construction: � � (�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete 0 w ( ) Other ` � _ � b � Construction Cost: Primary Structure $ � � � Accessory Building: $ 3Q���C� A��dition: $ � ,-, c� Deed: Vol 58a Pg zv'{ Certified Soil Test# pz-137 UQ z �5��1: Vo1 P� Lot# Sanitary Permit# D�-.�o� � � Plat Envelope Or: �, Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: " � Previous office approvals/actions: 'C ` Variance: # LUP: # OZ•'�Z SP: ;� CUP: # Inspection Report: # Change of Zone District: � g g�����-�,. ,349�0�O / .. 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. la�J�,y4�� #2. #3. #4. Size �� ft. wide ft. wide ft. wide ft. wide � ft. long ft. long ft. long ft. long Floor area l�6 sq. ft. sq. ft. sq. ft. sq. ft. � ii Hgt from grade/y-$ to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories #of bedrooms Rear Lot Line �U�S� �//V� � � __ /32a � � �� � o � �. � � �SE�riG � � � � �1 FXtS�"rNG � �1-{aM� • WEt1- nl _� � � fjF�[�! �� PRoA�sE� P1eoX. 3�X �vC7 f� � Sm�QAb� . � 0 h sr �inl� Fire Number and Name of Road /� �� �� CouN7� RoA� � — .i- /� 1. Enter lot dimensions and indicate north by arrow. Signature o C)wner or Authorized A ent: 2. Indicate the location and size of the requested construction Signature �S/O-d activities. ' 1_ 1 _ Print Name:�CI�i� �Qe !A/��� 3. Also, indicate the location and distance to the well, The above certifes 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 regulations of the State of Wisconsin, and if centerline of the road. a�s�9 as oW�er�s�a�,e�t, has the permission of the owner(s)to perfortn the work requested on this application. The above persons/s hereby give permission for access to the property for onsite inspection. Permit fee: $ Z� �1 �i,��� ` � - Issue Date Signature of su' Agent i��i `� �Do�' S0% Rule: Average Ro��d Setbacic: Expiration Date Office Comments: ! N OF WINTER . 6 TWQ. 39N. R. � W. 31 __v .r� s .Ji. ..l ii � ti• ,vv — ..ry " v 1 .�/v •�_ .1.2 ,��.,. — i� ��v. — .�u� �� — .�iv .I.1 � .z.� ,�„ - ,� � ,�i,, ,�K/ Si2 •r .� .3., �� .g-.� ��„ � 3 .A�� � — ,v�/. .�I�i 1� _ � .n�ri •'�V ���ii ���.i .��i = SC_� �tl/i .�i� ,icf,( , .13.1 .9.2 —�: R G� .16.1 .,_.. .���, .ib.3 \ .15.t � ,_�. �y .v. 16.4