HomeMy WebLinkAbout002-840-07-4203-LUP-2004-283 SP���. u.s�e.
Application for Land Use Permit(*Non-shoreland*) o o `�
County of Sawyer � �
PO Box 676 -Haywazd WI 54843
715/634-8288
*Property that is not located within 300'of a creek,river or sueam or within 1000'of a �
flowage,lake or pond or does not have any of the above waterbodies located within � � �
the property's boundazies.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. 1
PRINT—USE BLACK INK OR PENCIL �
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JC�i n�n�<�,�P�I �� y�L ����C"/L-
Owner ' Builder < �
//�/�� �z�'�/ �i � �/�075 �7.f-/C �/• 7�' o�
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Maili g Address Mailing Address � �
� ' �l�ha� ur `�� -� l.C���,��"�- w.�. ���� � �
City,St e,Zip City,State,Zip ��
�7��- I ;�- ys 9s C7��1 ���- ��� 7 �
Daytime hone Daytim h ne
Additional Information: Zone District: F—�
Lot Dimensions: � �
Date lot was created: Acres: 1��� � o �
Is there wetland near the proposed structure?If yes,how faz G �
Building Land Use Floodptain:� j Yes O No =°
f�(New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): `D �
aa
O Alteration O Grading O Private Rd O Town Rd. o
( )Moving On ( ) �County Hwy ( )State Hwy N �j
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Primary Structure Accessory Building Addition � °
(�9,Dwelling ( )Garage-attached/detached ( )Deck �
(s�(Yeaz round ( )#of car stalls ( )Porch "
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room � �
QS'f Modulaz/manufactured O Greenhouse O Kitchen O
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlazge � '
� � ( � O#ofnew � R
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Additional Information: a
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Type of Construction: �
(�1 Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
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( )Other ,.ti' ,�
Construction Cost:Primary Structure$ � �'� � �
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Accessory Building:$ Addition:$ �
�3<'•/$�c'�j �o
Deed:Vol 7a'J Pg y7'�] Certified Soil Test# �� ��/�/ °O Z
CSM:Vol Pg Lot# Sanitary Permit# ��/� l�3 o, �
Plat Envelope �r� N �
Condo Vol Pg Yeaz Installed: � �
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Aff of ex septic Vol Pg Owner When Installed:
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Previous office approvals/actions: w
Vaziance:# LUP:# SP:# CUP:# J�
Inspection Report:# Change of Zone District: ��\O
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Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration in a separate column.
#1. 1-�u��� #2. #3. #4.
Size ft. wide ft. wide ft. wide ft. wide
�ft. long ft. long fr. long ft. long
Floor azea //av sq. ft. sq. ft. sq. ft. sq. ft.
Hgk fmm gcade 1 > to peak fr. hgt. ft. hgt. fr. hgt.
Stories / stories stories stories
#of bedrooms_�_
Rear Lot Line
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Fire Number and Name of Road
1. Enter lot dimensions and indicate north by arrow. Si 2 ire e or Authorized Agent:
2. Indicate the location and size of the requested construction
SignaNre
activities. �/ � ����,�
Print Name: --��%�//
3. A�SO, indicate the location and distance to the well, The above certifes that me listed iniormation and intentions are
true and coned.,that all work shall be performed in compliance
Sept1C t2lllc aTlcl dTalnflelcl, wetland areas, lOt Ilnes and to tlle wim the requiremenis ot the Sawyer County Zoning Ordinance
and the laws and regulations of Ne State of Wiscronsin, and if
CCnteLllne Of the IoBd. acting as ovmer(s)agent, has me permission ot the owner(s)to
perform �he work requested on this appliration. The above
personsls hereby give permission for access to the propeRy for
onsiteinspection.
Permit fee: $ <�C'�� ``r ��� d SC���
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June 22. 2004 � �,�--+�-�/ / / C,�����
Issue Date 'Si�nature oY lssuii g nt
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June 22, 2005 �50% Rule: Average Road Setback:
Expiration Date
Office Comments:
TOwn of Bass Lake
County of Sawyer
�, _�4"` �t�"
Date
SUBJECT: Town Board Consideration of a Special Use �lpplication for the Construction of a Year-
round or Seasonal Dwelling in the Forestry One (F-1) Zone District �
TO: Sawyer Counry Zoning Administration ,
P. 0. Box 676 ,
Hayward, Wisconsin 54843-0676
Owner: � o NI�� � C-1:C% � 4. L= I L t�L IU fC�� �-f.�=�G Z�/ �`
Address: �1 r��� ��J 4,�� L�^ /�L�
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Approval is desired for the construction of the dwelling(s) indicated on the property owner's
Application for a Special Use Permit. (This application is to be presented to the Town Board for
review.)
By Action of the Town Board, use is: �Approved ( ) Denied ( ) Tabled
�,v j`S � `4 LF'
ComiriCIItS: The Tovn approved the application as it would not be contrary to the
public interest and would be in compliance with the sp� �t and tn n of h
zoning ordinance and the Tovn of Bass Lake's Comprehensive Plan (Section 8.10).
TttO tovn�c a�i'nval iS viYh thn fnllnwing rnnditinnc �larcd hv rnvP..�..t OII tllP dred
1) The lotscannot be further subdivi�d�or additional dwellinQs. 2) The placement
o£ only one single family dvelling at+:/,.6(i��lote Finding of Fact: 1) It would not be
damaRinQ to the riKhts of others or vronertv values. 2) It would not be detrimPntal rn
ecology, wildli£e or wetlands. 3) It would not create traffic or highway access problems.
Chairman � �� �
Supervisor _
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Superviso -_ ' � ( � `�
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