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HomeMy WebLinkAbout008-937-20-5209-LUP-2004-240 Application for Land Use Permit (*Non-shoreland*) o o �^ County of Sawyer N � � PO Box 676 - Hayward WI 54843 715/634-8288 m *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 2 the property's boundaries. � � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMIT5 HAVE BEEN ISSUED. �' PRINT-USE BLACK INK OR PENCIL 1 1 IZ A y�woN� C'� �.1� ��=�c � �. � � �r{��J i L . � ���� ¢, Owner Builder c, � 1 ( (�Z� j i rvl [3�Yz Tr� ��51�N� �� Mailing Address Mailing Address � �r V2 C�I-1--r.c�oc;_J (�=-1 S�-( ��l 7 � City, State, Zip City, State, Zip (�r5) 3'jl/- 33Z`/ � Daytime Phone Daytime Phone � Additional Information: Zone District: I���'�� �`- Lot Dimensions: �) Date lot was created: %L'� a�r '�\� Acres: Z o � � Is there wetland near the proposed structure? If yes, how far � � Building Land Use Floodp�ain:( j I�es (�j No � � ( )New ( ) Filling � �, (x) Addition O Dredging Driveway access off of a(Check one): �, ' ( ) Alteration ( ) Grading � Private Rd ( ) Town Rd. o ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N � � ) � � o � � r Primary Structure Accessory Building Addition � ° ( ) Dwelling ( ) Garage-attached/detached J�beck W ( ) Year round ( ) # of car stalls ( ) Porch � ( ) Seasonal ( ) Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen `� ( ) Mobile/manufactured ( ) Other ( ) Bedroom � � ( ) Other primary structure ( ) ( ) Relocate/enlarge � � � � ( ) ( ) # of new o w AdditionalInformation: � � � � �` � , Type of Construction: ,r, �F'rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �Y 'v � Q ( ) Other � ,� b Construction Cost: Primary Structure $ � � c� Accessory Building: $ Addition: $ � `� �GC�. �>c> � W � � Deed: Vol�Pg �,3 Certified Soil Test# 8� � a��o� �" z CSM: Vol � Pg 3 3 Lot# � Sanitary Permit# $� —o?y(o � 7� Plat Envelope Or: �, � Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: `� � v Previous office approvals/actions: p 3` 1�8 � Variance: # LUP: # 9�{-3$� SP: # CUP: # I.� Inspection Report: # Change of Zone District: . �3�`� � 8 7�'� Describe the constructio� using these columns. List the dimensions of each structure in a separate wluma List each story, each addition, each alteration in a separate column. #L C:��� �t #2. #3. #4. Size fr. wide ft. wide ft. wide ft. wide fr. long ft. long ft. long ft. long {�'{QFloor area �r o sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from gcade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms � Rear Lot Line � �, F-� i�.../'%� ;' �,i f,,�:� �`���f.(,.�>� / �'!_ �l ` �� 5'C� � , , � ��, � � ----�- �----� 1�`ras, - _� r - � � e � t� _ � ,�� � , � __ . � w /, � � ----�� � ---- C� 9i 0" � S� �� _ _ � ��-� �k �,c-��,�-� �'��� �:;� .----- _. - - - _--�, Fire Number and Name of Road � I G�L�U I'i M 8 caZ TiZ�I�5 LA i�� Pr� v a{� �'� 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 SignaNre activities ' > Ptlnt Name: ��-CILz('��-�l/� 3. Also, indicate the locatlon and dlstance to the well, The above cedifes ihat the �isted le7o'rn,ation and intentions are hve and covect.,that ail work shall be performed in crompliance Septic t3C11C and dralnfleld, wetl3tld 3I'eas, lot �1nes and to the with ihe requiremenLs oi the Savryer County Zoning Ordinance and Ihe laws and regulatlons of the Sfate of Wisconsin, antl if Centerllne of th0 rOad. actlng as owner(s)agent has the permission of the owner(s)to peAorm the work 2quested on this application. The above personsls hereby give permission for aceess to the propeRy for onsite inspection. Permit fee: $ 7S, ��� June 7 2004 - Issue Date Signature ofI ui Agent June 7 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: � •^. � ' Rice Engineering & Lake Surveying Co., Inc. fifteen east eau claire street rice lake, wisconsin 54868 pnone: (715) 234-905d SAWYER COUNTY CERTIFIED SURVEY MAP N0. i �! J J Q � / / S 87�38' 29"E . � I 80.78� � ReQisteieOffi� �, o. 8 earings referenced to Sowyerco�y 1 a° the east-west one- � �O dQY 02 / O NJ: R�Q1,,� to�recora u+e u q u a r t e r 1 i n e o f �C'N A D 19�at ��o clocY w � � / ,; v Section 20 , T37N , N a� racorded fn vaL � R 9 41 , T o w n o f E d g e - � . —_,�cr, o°��90��D , / water �� � � Re9islet � �62'0906�� p W N � D2PU�Yi U� N U � ° p L OT I � I � � � °i- 2.00 ACRES 1 � ��Z6�o2� , - � , , •'� , ,' r $ . �'-'; � � o .ti^ o .�.�, � ., ,> , � ° B. �,:. ; � � 2a�.3a' a: �� N 87'38' 29'�W � Z � ' Part of Government Lot 2 , u�', o Section 20 , T37N , R96J , N o � �. � Town of Edgewater , d m • I m � �' %; , . I � �� � � \, 1�.1�Setl``�1i✓'�,{'�r,�� /� � J �\` �s�,v�..uw:�r��� ����j� \� � I' ��1 ��o �) `ti �... . `'��,/'''i � � A $ \ � `'t � � a i. 6To/ ' ��,. ..1t:�:0 . 1� � �+es 2qs4 24„e � ' ... `.�'::c ±� '� ej � CJ �1,i,�::�i0, � % 189'01�06" � ���, 1'c;�l.l ,,,,' `• �j \ e °° ��%l,� � ; � /� q�e e ''�����,1 I IR1111��O�`,``` =E. ° .^' L 0 T 2 y � . zm� / y � � . .. . _ _ . . ... . . . _ O zn°z / 1.39 ACRES O �o ��m w October 15 , 1981 Z� %��:���Gc� i o �� ��� ' '\ J (� � ) � �2 0`S 2� a. � w °� 300.38' �'� James D . Ritchie , Land Surveyor 0�.yw N 87°38 29• W EAST—WESTI/4LINE �., J� � y��— � �� �� LINE SECT. 20 U � � EVO CORNER 20-37-9 /O ' ab '8� 1 ' � — —fl I/2�� I.P. � ��� _ S 87° 3829"E " ---- - --- - 3791 .34' Cc.c-� 3 � � 7�,�,,;J a�.. swi.: i"= wo' , 7 /� ��.,.� �.Q L �—���� . . �",:.' . _-�;r.•; '.;:. � (p L E G E N D I, James D. 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