Loading...
HomeMy WebLinkAbout006-146-03-0500-LUP-2004-377 V� Application for Land Use Permit�(*Non-shoreland*) o 0 County of Sawyer �= � PO Box 676 -Hayward WI 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 above waterbodies located within p � the property's boundaries. � � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUII2ED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � � �� G�C / ' �� -F� ��GrtST �y G r.��1C."�5 C ' T � �i-� � i—l�/Q��O�j — � � � Owner Builder �' 5� � 'c`I5 N 5���-{�z N.�.� v �' � 3�l�c� N � �s�. , 7 Mailing Address Mailing Address � ,Lc�Pf��,� �c�. S�5!S i<; w�✓�-�1� ,�>� S 4 b,`iLP r, ., City,State,Zip City,State,Zip �%is���,�� - yaa7 7is - ����— � i�l� I G�, Daytime Phone Daytime Phone � � � � � Additional Information: Zone District: �-� � � I,ot Dimensions: �G� >C aGG� ,`� Date lot was created: J„�7 3 Acres: c y�� o � Is there wetland near the proposed structure?If yes,how far �'J% � � Building LandUse Floockplain:(��)�Yes ��j�No � `; �� ��New ( )Filling � '� rn �. O Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd �Town Rd. o ( )Moving On ( ) ( )County Hwy ( )State Hwy N � � ) � ) o � t" Primary Structure Accessory Building Addition � ° ,�j Dwelling �Garage-attached/detached ( )Deck W O Year round (�)#of car stalls O Porch � O Seasonal O Storage Building O Enclosed � O Frame built on site O Screenhouse O Living room �-- { �.Modulaz/manufactured ( )Greenhouse ( )Kitchen G �� ( )Mobile/manufactured ( )Other ( )Bedroom F ( )Other primary structure ( ) ( )Relocate/enlarge � � ( ) ( )#of new � � AdditionalInformation: '� � 1I.; � n N \ � Type of Construction: �j ', ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ,�� �� �Other Moc�,.c�ar� c / ��r���r �u5r'�ney1� � 'o � c� � Construction Cost:Primary Structure$ �5;.,�o�, — � :° AccessoryBuilding:$ S��c,= Addition:$ � V� �3t98Y7 � �::: Deed:Vol Pg Certified Soil Test# /-E_�. ���� C';T `�' z CSM:Vol Pg Lot# Sanitary Permit# o y-a� a o, � Plat Envelope Or: �;, � Condo Vol Pg Year Installed: _ � � Aff of ex septic Vol Pg Owner When Installed: � � �, Previous office approvals/actions: Vaziance:# LUP:# SP:# CUP:# �� ��v Inspection Report:# Change of Zone District: R S"��{I 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 . ��=u • j !vJ����u �c,r #2. !,�u , �,�: -�._ #3. #4. � Size � 3= ft. wide 1 s� ft. wide ft. wide ft. wide ��' ft. long �' �' ft. long ft. long ft. long Floor area 1/ Z�: sq. ft. �Fl � sq. ft. sq. ft. sq. ft. Hgt. from grade to peak ft. hgt. ft. hgt. ft. hgt. Stories � � stories stories stories # af be�'r�ams _3 : ' Rear Lot Line f ` 1 4 '`,: , . Y ` _ �� � � � ` � � . i i ; /` � � � {�� ; ; i � � -�� �� -� �.. �: �. ^ f� .?�- .�, �_1 .+� �� . � . �' .. �,P • . 1 �,.1 \ �p :' . , � �� � \ i' J' 4J I Y�,: l i . � . . . . �` � ' (J��� ' . _ . ... . . . . ... . - . �. F' �r , j , � � ��' ,Y .._.. - � . �^ ✓` �� � i :�� �' � �f� a� � �, , ,� , ; . , . ; ; �-__ _ ------ --_-----�----_ .. . � , � ' �, .�.._.___ � � � � ' � .; � . ��� ,� , � � 1 �, , u <� �v '` —� � ' � I i:� �,, — _ . , , , i � � � � � � �- _ , _. ; . . __. . _ _ e.. — ._ _ _ . _ _ _ . __ _ _ _. — --_--- __- —_ --, �� � � U� � ,� _ __ _ _, - --- } , � � . C��} ; 1 i i .J _ , ` � �,- , ' � � �• � � �1 �' -,, • � ' � { ��, f � Fire Number and Name of Road 701� � � �, �' � 5 � r� e -t 1 . Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction Sig activities. Print Name: 3. Also, indicate the location and distance to the well, The above certifies that the listed in Qrmation and intentions are true and correct., that all work shall 8 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 tate of Wisconsin, and if centerline of the road. act�n9 as ow�er�s� a9e�t, has the pe ission of the owner(s) to perform the work requested on this�pplication. The above persons/s hereby give permission for ess to the property for onsite inspection. Permit fee: $ � �. c% C� - __ _ r�_—-- -- - -- �— �. -/,�.� � July 27 , 2004 Issue Date ' nature of; s i gent �%' July 27 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: . �,� ;r,t,laa:,:.,� �or.�" �/ I � � %� �.7 � �.1 C l___ �..J !�C � I k f-�i SEC . .�3 TV� F� 3 ° N . � . 4 W S �ALE i" - � 0 I� W o F S. E . � .3`. . r 3 .. ' '� • ' .3 . '� . �� �3y � � `z.► ` � z.2� ��.3` �3�' �'4a� m'�?-� ----________ ------ .. . _ - ------ ----_ , _----__..�-----�_ -- --__.____ y ,� .�; Z : " �'39 3 v � 9. m � � �\, � ��, � r,� ,m � c� , -`�m, ��'.I `'.2� \'�,3� �.�. r'Q-,ti/ �'.�' � � _ _ �-___.. _-- -- -.�_ __... —. __. ____ ( � 1 � s .3 � ' 3`% S .39. S .'39. •�� 3 3`�. n , m � � ' i m t ? n' i � 'z.i '' " ��'2� '�3� .a3�`e ��4,�� ,\,� �v?� ?� `;: � .3`�. .3 3 9. .3 9 �� ��j I "� ► „7 m i m � �'. i �./ 2 a� � � `�?.3°` � � ��,4 a `��,;�� �.''��:� � '.39• � - --3� (!) 3 ��;� \\ � � � �`; � ' � � ° m � `� � ����> ,��� �.� � z.z� �.��� �3� � � ��� � ,.-� -- - � . .� �\s �,O ' . . ___ . � ._-__ . -( — -- - - _ ._ - - -. .__,/'� o• . ___.. . . .. _. _; _ . .. . . - .. .� \_ _ _. � _. _ ._ . t� . � —r- ( M � cn � c�� `� �. i .co z _ �3� ��q..� -,> ¢ � � ��� - - --�_� --- — — 3 .3g . ,� � Q ''°;�� _ 9 , !� � � ��,�� � m I m � ni � c� � � , - �- �3 . Z?3��` LY �. ��. .u� � , , � 0 �� � ? ,�,' � .� .3� � 39. 3 � � 3�� , � � � (� `• U �n i � � � , i �� , � � ��z .�� � � � 3�� W �.3�' ���'' �� � I �� �.,;�� , c� � �`� Cn � � .3 U L� � • .3 . ,3� '39' f�'��� � ��, I °� � �� � 0 •�9• �. �� �3.� i� �4• �" ����J � � � �' \y !�'• �'•�� —1 �'•ti ' " �9. 3 � •� • '� ` Q] .3 p� m � � m �'_ �° � 1 �c'.3� ��.3� �� �'�l� � ; '��s�' � �.� _ �Z\� _ L____���__� _ _._.; _� .39 .� EL �� � T ! � m�3i � ��8.�'� i�- 3� C L - o BLK. , - ?-c, 3�� , ,�. ` !��' � _ . 39. 3 � • � ,�; , �2 � ��• � 39 .3 .3 � �`�' m � \? 5� C� '3 '� �, m m ` � � 25� �'S'' - �` "� �? Co. �•� � _. .3�� „ 8 �. J `2.� • ��N `�.�• -� � �_.. .._.�-� �8 � , � H W Y. � - s � R C� F W'�Y � . R , ��� � . ULD ,�; � � �g �. i �'8 Z- i � I ; � ' S V�/. O F S E . ' � � � � � ! � � � I , _ , � ' 3 ;�� ; ; �. I 0,;,, .�_�._�