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HomeMy WebLinkAbout006-440-20-4401-LUP-2004-077 ��a�,��L. �j���� ` . A lication for Land Use Permrt .� PP o 0 County of Sawyer � � PO Box 676 -Haywazd WI 54843 O 715/634-8288 The undersigned hereby makes application for a Land Use Permit and agrees that all work shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance � and the laws and regulations of the State of Wisconsin. NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMTTS HAVE BEEN ISSUED. (Y� \ PRINT—USE BLACK INK OR PENCIL �1�I� � u� � I' Z a � Owner Builder N 33�1 �U�' �Il� s� � b:ailin P_ddress Mailing Address � � Co� ��� 5`f730 � � City,State,Zip City,State,Zip �- - D�/ � Daytime Phone pi r p (�OpF( Daytime Phone ^ �T,,. Additional Information: Zone District � "� �'�� , �3 ' �D�'Ylt-° ���er��S Lot Size ��S"��y Date lot was created Acres d5. � Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river, creek or stream) If yes,how far from the shoreline&water name: C10 � Is there wetland neaz the proposed structure?If yes,how far 110 � � Building Land Use c �New ( )Filling � Floodplain:( )Yes (,�No # :; ( )Addition ( )Dredging � G� O Alteration O Grading Chippewa Flowage: O Yes �No p � ( j ivloving On ( j C o ( ) ( ) Driveway:( )State ( )County`�Town Rd. � Primary Structure Accessory Building Addition � j�Dwelling O Garage-attached/detached O Deck G ( ,Year round .so�NccO O#of car stalls O Porch 4., � (�Seasonal O Storage Building O Enclosed c �Frame built on site O Screenhouse O Living room � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � � O Mobile/manufactured O Other O Bedroom c fh ( )Other primary structure ( ) ( )Relocate/enlazge ( ) ( ) ( )#of new a � rn Additional Information: ° �u � °,�' � :y Type of Corlstruction � �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( i Other � � 00 Construction Cost:Primary Structure$ �� �(�DO . {��..JS IO Accessory Building:$ Addition:$ Z �3�5 a 90 n : x Vol Pg of Deed Certified Soil Test# l..S�_,��-u�� �� I � f•C CSM Val�'�Pg 3a/ L,ot# 3 Sanitary Permit# G`�—C�CJyI�' � I Plat Envelope # �59 Or: ' `c Condo Vol Pg Year Installed � Aff of ex septic Vol Pg Owner When Installed: i �1 Gard Gazebo Vol Pg �aa��`I Previous Variance: LUP: Inspection Date: 3 —13(a8 1 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. �f #2. #3. #4. Size � 1 ft.wide ft.wide ft.wide 8.wide 3� ft.long ft.long ft.long ft.long Floor area��sq.ft. sq.ft. sq.ft. �� sq.ft. Hgt.firom gacle�to peak ft.hgt. ft.hgt. � ft.hgt. Stories � stories stories stories #of bedrooms__� Lot Line or Lake/River name: � �z9/,77�> \ � . � � � N � � � � � o � � � �� � -� � ���� �'�8 � N . �� � a� � ���h3�y, �y � v �' 4 � � � �D ,4,� � � � Q� �``v ���nl �:�� ��s�,�1 o� �����ooa �o � Fire Number and Name ofRoad tt O�t3�} ��i`i�Ct�oc7C� Rd 1.Fill in lot dimensions and indicate north by arrow. Signature pf y(n or th ized A ey�,' 2.Indicate location and size of existing and new structures.�n o r1e. ���_ ��dicate location of well,septic tank,drainfie . I�o n �(, p Yv 4.Indicate distance to existing structures,lot lines,septic system. � 5.Indicate distance to the ordinary high-water mazk of any lake,��� pond,river,stream,creek,and name the body of water. Y1 o r�e„ P�nWame:��C�'. /��}r�� The above certifes th �he listed information and intentions are 6.Indicate any grading or clearing in excess of the constructih�sit�e. access�iotne P��yroonsi rs�SPeaioneoy yt�e ae��s5�o�mr 7.Indicate distance to any wetland. hOY1e, Permit Fee: April 20, 2004 � ���-c�t� Issue Date Si a re of Issuing Agent April 20, 2005 Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: � _ . � Town of County o Sawyer 3�2z �o� Date SUBJECT: Town Board Consideration of a Special Use Application for the»Gqtest}�ucFi,R�q of a Year- round or Seasonal Dwelling in the Forestry One(F-1)Zone District �'-�'1 " � "' ��� r r ! TO: Sawyer County Zoning Administration " �p� r � �;��a P. O. Box 676 �`-'_. Hayward,Wisconsin 54843-0676 - Owner: l�iI'�nKI R4� ,c �IOL�CE l!Q/'fZ <'�;,. .... _.�.,��... Address: .3�1p/ lo�� ��U� C��� L(// ,SyY� 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 O Denied O Tabled Comments: l Chairman �� Supervisor ' �� Supervisor T�",��y �� \ __ � ,. � � �� . __( / � _� ( . `i�' . 3 ,� ��'� �',.l \,' � `r� �. �'' - �, �'� �, '`�� � � LAKE � ��� � ti, � � � �I / I 1 ,/��V�`l' --._ --__.._.. .....--.�._._.--,--,. �I . � /, �. � /�, f� � . lr � � _� . �,,, /i. j � _ _.._.^ /�� 1 , .....J .... .� � ..... + ' �:. ....." �..i� .,��� � ,, ' . , .... .. �'� 3 . j �' j 4 4 �;_O � N � ��� •� � . � -�---- z ------- -----____-- G- � � \� � , 14.1 . 14.Z ` �4� -- ��' �`�J.3>� 3 . 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