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006-440-19-5706-LUP-2004-178
Application for Land Use Permit o 0 County of Sawyer � �--- PO Box 676 -Hayward WI 54843 715/634-8288 � � The undersigned hereby makes application for a Land Use Permit and agrees that all�vork 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 PERMITS HAVE BEEN ISSUED. F. PRINT—USE BLACK INK OR PENCIL � � �ri�-5 ���f-,C� �.QQ.�� � Owner Builder a — � 0. 3ox 22�y o� � Mailing Address Mailing Address � � � � SCFf/LL�,e �'.A-/t�/,L 2 (,al7L :; City,State,Zip City,State,Zip ��y7 I 3Z z — Z3 a 1 Daytime Phone Daytime Phone � Additional Information: Zone District i��-� t-{QL� �C�� ���`l�' � Lot s�ze �� � Date lot was created Acres .�,U!p ,� Is the property in a Shoreland District7(within 1000'of a lake or pond,within 300'of a river, �' creek or stream) If yes,how far from the shoreline&water name: G31 A-f S�sce_ ��rYs i n Is there wetland neaz the proposed structure?If yes,how far `3�i 0 0 � � Building Land Use � �New ( )Filling Floodplain:( )Yes ( )No # � ( )Addirion ( )Dredging *� G� ( j Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No (� ,°a, ( )Moving On ( ) b� o ( ) ( ) Driveway:( )State ( )County ( )Town Rd. � � ,"J Primary Structure Accessory Building Addition (� �Cj Dwelling ( )Garage-attached/detached ( )Deck ' ( )Year round ( )#of car stalls ( )Porch � ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen C ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlazge ( ) ( ) ( )#of new p � � Additional Information: ° b � �, � � rn �T e of Construcrion � Frame � ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other .� Construction Cost:Primary Structure� �ODO�' ;�7 O AccessoryBuilding:$ Addition:� � �z 7� Vol�Pg '�/ of Deed Certified Soil Test# ,C CSM Vol 13 Pg aaj Lot# I o1 Sanitary Permit# 'J�/-�!3 � Plat Envelope Or: � Condo Vol Pg Yeaz Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg sl'lc�� Previous Variance: LUP: Inspection Date: �/I � �13'-I"7 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. '/ #2. #3. #4. Size Z`f ft.wide ft.wide ft.wide ft.�vide �Z� 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 #ofbedrooms / Lot Line or Lake/River nam : - _Q� � �`° ��3bt�a � H�' "T�` � � ja, � i � �� � � �� � Qh� —�"�— �' � o �� � � .,�� � __ � � � fjl /fi�S �4z � L�� � ,� � - � =�C�_- ____ _—_-- ___ ._ � 4t� L =-_ _ � � _ e.iU4� �`� ___:— _ __ � �e,��� � ce� (�rww� � — Fire Number and Name of Road 1.Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2.Indicate location and size of existing and new structures. 3.Indicate location ofwell,septic tank,drainfield. ��� -"�'h-ttio ��l`� 4.Indicate distance to existing structures,lot lines,septic system. 5.Indicate distance to the ordinary high-water mark of any lake, pond,river,stream,creek,and name the body of water. P���Name: ���"`�� '�'�« The above certifes Nat the listed information and intentions are 6.TI1d1C3t0 3I1}'$1'3d1riF�07 Cle3ririg lri CXCBSS Of t110 COriS11"LICtlOri SltO. tme and corred.The above personsls hereby give permission for access to the pmperty for onsite inspection. 7.Indicate distance to any wetland. Permit Fee: Ma� 11 2004 - � Issue Date Signature of Issu g g nt May 11, 2005 Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: �'�� � „�� � � � � �T� 4 .a . �%vs� �.J:::;:;:;'�`.._.•, � ���. � f��Y I..T�.;-���`�:� �'� S;t�V'� / � r—�, / C�.�3�9tS4 �+�"sw�r QF AV:�f°.�R- �� �. .—,_�� �. f�,� U��/. ���a� Q�Y �Ut��.�9P.�1f. �.��+ Ytta��.. � / I C�� \ .SCACK S R U r�.—` _ � , — ---_- - ----- --- _ __ _.____ __ - - ( /�% , _ �� o.�.► ��. t Z —2 __-- - � A-0 i�f�� S� ��\\��'�� :�•� .�. l ,� � r y 73 �O �. . ,�.4�� i-�----�:�� ��� �j � ��,{o � �� �� �-Q .��✓ �./.� � � / 0� - � ., _ � �„� � -, . \ �_�`�\-,. � _, � �i \, --�-_ J �-`2 �--=��� /4 ,."�I �% ,=_r._�\� �-_- -' ��. _ -J _ �,. / ���-'-1=- : .�J->>% �� _���_J� `�"�(� \;\(�j' \�1��--��- i I 21° \r��•r`�=—'�-=--����`s o y y�\~�' :7.5 s 3 1 9 � � I 8° .tf.2 .Rc •fIo_... �� ��� vi �, —;7.� :6.4 �� o � � '� 1 i.r, „ � � 4G I ��r:, � �� :7.15 ,,���\ :ZI � � �J O .Z � a� ,� � � :�' :6.6 r� r r. j .E-_ ��� 7.f3 ' :7 �.. ti� '61 � ��..�:� :_ ,�. � y ,�,; � 7�\ �. ��. �\�� '�—�_- �'`� ,�� � ����� � ��.� \ . � ��`p �•.�� —� ,z��7 � `� �V'"�''�V� �Y' �\� \. ' � I'',1 �------� L �� . -- -----.------- ��� l �� � �� - � �� �--�. � � ------ ------��--- ��� ,, �—�J 11 f� �' , � _ � 4� � '''- �.._.._.///� °� ,-f' �40� � ,, � , � � . � _—..�� � ' �� , �� I !� - �.`.,���_..�� ` . � - -- �°' .�,� i N �y � �`�_�_ :7.i� j � � � ' � ,, , _ _�. ._` , � , ,_ � , � � � � ;� ' , � '�_._ __ � � � � I� -� ____ , � , , ��� 6` ��� I �' ' � I �, , � � � � �.� . ' 40 i � -� I � ,� _ � i � ��� �� � , � � � ,rn -� � � �'�� �6•3 ; � �7� �� � ' ; ; �� � � , �I .4!� i � �� � 5� -�.. , I � � _.. ..._.. ._�'��'' , ' �____- ------- — --- -- �-. _. .. _---- ____ � � -5. � — ----- � � , j ;,. i fl ' I , i 1 � �.1�.I i i -� �, 1 � � `--�' � �4� '. �� � � � � , � ' � - I � �=3-� il � I i i :5•I ��� � i �' !- — I ---------------� ; I, - i 40�1 i � '; ; � � :�, . ;; i� �� ', � i�z� ; � � ; .1�.2 ' -----___-- __.._------�, , � �i/4��, � i ��• �l ; � `./3.3 ' � � _..._ � �..._.�_------�---� --- � _ _------ - - --------------- _ - -- - - � -- ---------------_ __—,- —____- � -------- _ � � i � � � , � i � � � , ; : ; � � �� � .----. , , �. , , � � . • - �, . - . � _.._ ....._..._._._--_._...� / � � rn � k(3; � �� I [, .�, --(c3,,__:� � � � ' SA WYER COUNTY CERTIFIED SURVEY MAP # PART OF GOVERNMENT LOTS 6 8� 7. SECTION/9, TOWNSHIP 40 NORTH, RANGE 4 WEST, SAWYER COUNTY, WlSCONSI.N. � N B9°04'2B'W 1347,IB' � N.IINE.NE�i.SECTION l NORTHEAST CORNER SECTION 19�7. 40 N,R. 4 W. �+ �\ \ ALUMINUM MONUMENT A �,m,� � � �� LEGEND � mym o� � c o 1"X 30"IRON PIPE SET,WT 1.68 LBS/FT � -�iim %�4� � /�p O PK NAIL SET o�� F A x STEEL FENCE POST FOUND ON OCCUPIED Z v z I �\� F SWTH LINE OF PARCEL DESCRIBED IN boy �� � ��,4 VOL.2B0,PG.55 =-+i � �/ THIS INSTRUMENT DRAFTED BY n=�n � � �� DAVID E.7LUSTY. y mZr� \�S I t � �R�� m ��� n�' j iB��. � _/ �� � . �Ny�� �J�°� � ZZm �� o ���/� �m� O oO� y�__ N84��9'ID_W 1240.Sj' �N _\ —i32.�7' ' IV=O �07.B6' m�Z � ____- . Z � PARC L lf � �"' 117,400z Sb.FT..OF � �n yo WHICH 11.31 t S0.FT. y Z ',m Q cn� IS TOWN R AD RIGHT- ;�, �e r �� w OF-WAY.o c� o v� 'p Z N � 4 0 � � o '.� �d r �' 4 �% o Cl �`� !Cl �" ° � j �+ u,t� ��W •tn O� � � `�' � � y�N�.��." � , a O w ,N .� A O 179.08' ,(� � � � wo�•��' 2J ? 5�88°21'53"E 2 5.38' ` 0 26z io5za� � '" � a`2S.? � i3J.52' 25'ACCESS ESM'T, i I � - w 9 .,o �, �3��— _ � �20923 ��� N 39°I7'5p"E ' 9�?X 4.�2B�e � y 56.11' 9Be PARC L /2 r '2�93�„ D ' 89,5B9!S0.FT.,OF WHICH, 2 �`�s• y. � 19.359t S0.FT.IS T WN ROAD RIGHT-OF-WAY. �a� �� w °� a � 9'�3 OCCUPIE SOUTH L(NE.VOL.ZBO..PG.55. � q S6`O 1" - � aeN �y� e ies.9s� �% 295.os 'da• bs4.ss� \ S BB 50'37"E 546.95' \ p Approved this_���day of , 19�_. ��i�"I 1 � � /a�� l Sawyer Coun y Zoning Administrator 2 � I✓ l/"- �@e,���h�� .��.-�.".�y, ,� anro c � nwrr �r osaso � � �'�'''�,�,...,,,,,,,•��,'►p �►hll9d „���r� PAGE 1 OF 2 �� R�Z� 91�M9yy1'�D. ..'"-.r"''