HomeMy WebLinkAbout004-738-06-4405-LUP-2004-551 Spec-i Q.l l.(s� '' .
Application for Land Use Per"mit(*Non-shoreland*) r .�
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County of Sawyer �
PO Box 676 -Haywazd WI 54843
715/634-8288 r1
*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 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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6 Builder <' �
Owner
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Mailing Address Mailing Address � �
�,I'fU✓� �i� ��Z7�� :°
City,State,Zip City,State,Zip ��
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Daytime Phone Daytime Phone --
Additional Information: Zone District F"� � {
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Lot Dimensions: s
Date lot was created: � -�I- �9�U Acres: � n n
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Is there wetland near the proposed structure?If yes,how faz �
�Building Land Use Floodplain-( )Yes fk7 No `;
(�w ( )Filling �
Dred in Drivewa access off of a(Check one): �
( )Addirion ( ) g B Y
O Alteration (�rading O Private Rd O Town Rd. o
O Moving On O O County Hwy O State Hwy r,,
G�
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P,�imary Structure Accessory Building Addition � °
( )Dwelling ( )Gazage-attached/detached ( )Deck W
( )Year round ( )# car stalls ( )Porch .�'
(�S`easonal ( torage Building ( )Enclosed C°
O Frame built on site O Screenhouse O Living room
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( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ,,.
( )Mobile/manufactured ( )Other ( )Bedroom 1 �
( )Other primary structure ( ) ( )Relocate/enlarge
� � ( ) ( )#of new �
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AdditionalInformation: '� p
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Type f Construction: �
(�ame ( )Log ( )Pole/metal ( )Block ( )Concrete ' �
( )Other ,ti ,�
Construction Cost:Primary Structure$ �,�� � �
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Accessory Building:$ S� Addition:$ s�
31� ��l �'
Deed:Vol Pg Certified Soil Test# "� z
CSM:Vol 7 Pg 3 c.z Lot# I Z Sanitary Permit# n y- oz i P o, �
Plat Envelope Or: �;, �
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Condo Vol Pg Yeaz Installed: �
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Aff of ex septic Vol Pg Owner When Installed:
0
Previous office approvals/actions: "1 `
Vaziance:# LUP:# SP:# CUP:# \�
Inspection Report:# Change of Zone District: �'
1
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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. �
#L #2. #3. #4.
Size .�2Tj ft. wide � E fr. wide ft. wide ft. wide
�1�ft. long `� fr. long � ft. long ft. long �
Floor area S"Jc� sq. ft. sq• ft• sq• fr� S9• fr�
I
Hgt.from grade�to peak_�_ft. hgt. ft. hgt ft. hgt.
Stories % stories stories stories
#of bedrooms�
Rear Lot Line
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Fire Number and Name of Road S��1�c �c����� � �°� ���
1. Enter lot dimensions and indicate north by arrow. Signature f 0 n�r Authorized Agent:
2. Indicate the location and size of the requested constnzction
Signature
activities.
Print Name: �'7eti' C��' �o�.-.-`�✓�.
3. Also, 1ndlCate the loCatlon and dlStanCe to the well, The above certifes ihal the listed infortnation and inten�ions are
We and cortect.,ihal all work shall be pedortned in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requiremenis of ihe Sawyer County Zoning Ortlinance
and the Wws and regulations of the State of Wisconsin, and if
COriYC111riC Of tllC L03d. acting as ownel(s)agent, has�he permission of the owner(s)to
pedorm the work requested on this applicafion. The above
personsls hereby give pennission for aceess to ihe property for
onsiteinspection.
Permit fee: $ I 1 `. •
October 4 2004 ✓ �
Issue Date S' nature of Issuing Agent
October 4, 2005 50% Rule: AverageRoadSetback:
Expiration Date
Office Comments:
Town of LUcnC�e(��j
County of Sawyer
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Date
SUBJECT: Town Board Consideration of a Special Use Application for the Construction of a Year-
round or Seasonal Dwelling in the Forestry One (F-1) Zone District ,
;'.
T0: Sawyer County Zoning Administration �` T,�,_ �-
P. O. Box 676 ° �`.''���f "��,�; r T�N
Hayward, Wisconsin 54843-0676 �
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Owner: LC�� // l� �ee.���.SE✓�
aaar�s: ��,x �5:� /�v�%��-, I�� � � �7G
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: f� Approved ( ) Denied ( ) Tabled
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Comments:
Chairman ,
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Supervisor � '- � ��
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�--"---- $URVEYING SERVICES
�_E_D.M._� MEDFORD, WISCONSIN 54451 S�bd�vis�ona
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Proparfy Survays
Topogrophic Mappiny
Straof Improvamrnfs
Roufa Locotions
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$B9�42'�1°E 564.64� JUI�VeyOr of the State of C;is-
�, consin, do hereby certify that
i o I have made the following survey
U located in the SL4 of the SL4
w of Section 6, and in the NL4' o#i'
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o ioo' zoo' �,z LEGEND
$cale of Mep: I inch � 200' � Z'; � Iron Pipes Found
��a —o— 1"x 24"Iron Pip�s Set,1.13 Ib./ft.
STATE OF WISCONSIN(1 1 q ❑ $toneMon.Found
COUNTY OF TAYLOR )SS RODSLOUCKSUMENT DRAFTED BY
—Q—Iron Pina Sat
—�— 2":30'Iron Pipes Sat,3.65 Ib./ft.
�� OAVID E.TLUSTY � V�$urv�yor of}h�$t�t�o�Wiicomin,de 6�nby urfi{y thN oa—�UNE 17,i9B0 � ,��,.y.d�.
•bon d.�crib�d p.op�rty�ecordinq fc olFici�l ncordc�nd th.1 tA.�ccomp�nyinq m�p is�trw�nd cornef npr�s�nl�fion of fh���.riw bound��i.s of th�I�nd
wrv�y�d,ih�f�II 6uildieqt�nd impronm�rrM li�rhoHy rithin}M bound�ry lin�s,�nd M�f ne�ntro�cAm�nh by.d�.c•nr prop.rfy own�n�pp��r from s�id wnq
.ac�pt��indic.f.d.
SLABY 6-30-7W // ^ �``
Aie�r�d l�nd S�rv�ror
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