HomeMy WebLinkAbout026-938-06-6114-LUP-2005-407 i �� .
Application far Land Use Perrnit(*Shoreland*) o o �
County of Savv��er y �
� '����.� PO Box 676 -Hayward V✓I 54843 � � O
J �'" 715/634-8288 `-
*Property that is located within 300'of a creek,ri��er or stream or within 1000'of a �
flowage,lake or pond or has any of the above waterbodies located within
the property's boundaries. 1
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
� o`V� PRINT-USE BLACK INK OR PENCIL
u� ����2�n� ��� � ��c� ��� � �
Ownf�r ,. Buildcr a �
�, l� , ��C��3 � 1n� 7Oa �7'-�b�,� �r� o:
Mai1 Address / ^ Mailin Address � O �
��(�C (..��� 1� �N� 1�k� ��- �
City,State,Zip S�g7� City,State,Zip 5��� �
� �S - �/S�- aay� ���� ��3� �� �
Daytime Phone Daytime Phone �J
Additional Information: Zone District: � � �
Lot Dimensions: � p O X 7 bb
Date lot was created: U�fJ Kl�01n1� Acres: � �O ( �
Is there wetland near the proposed structure?If yes,how far 1�J o �
Building Land Use Floodplain:( )Yes �No G �
( )New ( )Filling Chip�ewa Flowage:( )Yes No ^ �
�Q Addition O Dredging Driveway access off of a(Check one): � ��
( )Alteration ( )Grading �f PTivate Rd ( )Town Rd. �
( )Moving On ( )Commercial ( )County Hwy ( )State Hwy � �
O O N S
Primary Structure Accessory Building Addition o ,°-r.
( )Dwelling (Xl Garage-attached/�ae�a ( )Deck � _
O Year round C3)#of car stalls O Porch W —
( )Seasonal ( )Storage Building ( )Enclosed �,
( )Frame built on site ( )Screenhouse ( )Living room �o
( )Modular/manufactured ( )Greenhouse ( )Kitchen ,•`_',
( )Mobile/manufactured ( )Other ( )Bedroom G �
( )Other primary structure ( ) �[Relocate/enlazge�� N� '
O Single family or multi-unit O O#of new 6
Additional Information: ��vC w��� ��� �� �"'�uv���� ���k�S'��' CAet� � p
-�L ctl\p��:, �,Y �77� ����uC�-fror� GHvJfi� Nt�' n' �
13�11 Chns-r��,Aros �,�s�ec-�on1 3-�-0:�_ �Sp.�>o �
Type of Construction: ,
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ,� �
( )Other ^ ...3
Conshuction Cost:Primazy Structure$ ` ,.d �
Accessory Building:$ A�dition:$ JGi 7G� � �
� �
Deed �� '� �-� � �i .� Certified Soil Test# -1 q - a a�i � z
tia
CSM:Vol Pg Lot# Sanitary Permit# �� - 1 2.(o (�5 Z�1�( : �
� � �
Plat Envelope Or: ��2�1�a\s- =.a-�,1c,c c-r, �,,. . � "
Condo Vol Pg Yeaz Installed: n� �
� �
"Loads and Flows": Vol Pg Owne:•When Installed: �
�
Previous office approvals/actions: —
Variance:# LUP:# ��-'=��`� SP:� CUP:# ,
Inspection Report:# G5 ��t"; Change of Zone:District: -� ��
Describe the construction using these columns. List the dimensions of each structure in a separatc
column. List each story, each addition, each alteration in a separate column.
#1. coo �Hfl�L#2. AbE q �"i�.���—#3. #4. _
Size o ft. wide ���fr. wide ft. wid fr. �de
�O fr. long �fr. long . long . long
Floor area (o o� sq. ft. �,�o�_sq. ft. sq. ft. sq. ft.
Hgt.from gade to peak ft. hgt. fr. hgt. ft. hgt.
Stories�_ .Z stories stories stories
# of bedrooms
Lake/Pond/Flowa e/River/Stream (Name)
(�I (� ,S�SSA (3A�PMA
� l� loo' �be�
� I
�,, �-er�'
�
�^-! , �
� � � �s��
�38 � Ex��T�N9 .�-�
�j' y.bm� av e� 'c. 5 9z
�� _ a4' �N '',� e B s o
v;iT ;_. r�'` � ��6
� 3�����pRQb� ; 35� � y�,8
,� � � � Ap��r,---� a
/� � �--3�' ,
oL � � �\� 5
� � �� �
S s[�
M Exi3T �
c�
�b �A� 5
�y
otfE�.- �r�
- - - - (���JaT 'L ac�ess ra�, - - - - -
�
Fire Number and Name of Road�p�� /l� (��� �/J
1. Enter lot dimensions and indicate north by arrow.
S na re wn r t Aut o ' Agent:
2. Indicate the location and size of the requested cons:ruction �J
SignaNr
activities.
Pnnt me: u �T O -✓
3. Also, indicate the location and distance to the well, rne aeo�e cert�res mac me rsied �oro n and intentions are
We and correcL, ihat all work shall be peAormed in compliance
Sept1C tffi11C and dTalnfleld, Wetland azeas, lot 11nes, with the requiremenLs ot ihe Savryer County Zoning ONinance
antl ihe laws antl regula�ons of the State of Wisconsin, and if
Centerllne of the road and waterbodles. . acting as owner(s)agen4 has me permission ot the owner(s)ro
,�,� ��l 3 a��� -�-� S iT� �N�p��I� perfortn the work requested on this application. The above
a personsls hereby give pertnission for aaess to the properry for
onsiteinspec6on.
Permit fee: $ � � �� �O �(.l�9�
Total land area within 300' of the waterbody: (A)� ,�:�=� �>�e�
� . �
Total impervious surface area [includin this project] (B) �__� �v _�
{. , p
(B) / (A) x 100=%Used /Q t9 (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Reqixired? O Yes �C)No
, � ll� za� ` -
Issue� Signature ofIssu g t
���/, 2�1p 50% Riile: Average Road Setback:
Ex�on Date
Office Comments:
T01NN OF SAND ��
SOUTH PART SEC. 6 TWP 38 N.
�
�
�
I �9.1
�lo.l � :9.12
� E ROONEy
� =9 �� UU CONDO '�
�10.2 °, �
:9.8
.
,+
� � � � _ _ tMi
:4.3 i 2 a 5 8
:I1.12 �
:11.5 �9.9 �9.2
:9.5
:11.8 �9,4
�I1.6
:II.II � �11.9 :11.7
:11.1 / �11.3
�11.14
:I 1.4
�11.2
:��.�0 1 :��.�3
`� SISSABAGAM ,
:�2.� J���
� -13.1 /
� �
���
�/ �
�
����� ����� ��
��, �? ' �'; �.�� �•��.. ' . .
� y
�' i K�
� - `..
, -
, " '� ' y` .
� .,,., `:�
t ��� �r'�r.. ' , • "'
, ,
� i `' : '� ,- '
�� g {,:
�;'s' '� � ���x
�� � Q �'. ,
_ ��: � , .
� ; ,�'�,�:'. ..�..
� ; . _
� -� � .� _
� f�, ��' w
f�� 3��.:�'�'��
, � .
yyy ...� �. f'--�""!
� �� r � .
� y � ��
M 'v�d' '• �_ e�
��G M "'��T• �tl� » � ]_ Rc'$ . �, }
t„�"r izir`�'` .
�� _ tM.�twa„ t=��i.e
i
'�•� ' � ��'L9h, .�"d`� ��.��Y s � S.
' � � ��'� . '.aa° �. :,,� � p ��.ty � . ., �
,g� � ��r�)i�• .,a�r��.�..� a��►.•� "� � S:.�T� .
��. � i�� �YJ. dw.� ..
i �
� � i . . _.......+'�r-Na o- �� .. ~ ..
�F:��� � �. t ���', , �..�� }� i:�' #
� c=`B" �:. t '„�^'..`,��..��„`:,:.��i�A: � , .::g v.
_ -'-- �C��'a..�. i,�� �.
.. y •.�F—�����
+���,
.�, �ty, _.. � ... � . .�,�: .
y�d�:: -�.. _ � �
� �:,
� .,r'` � ._`�
,:., �.. _�. .
�
- . � . i-;.:.�„ -
�`-'' ., ... � r
r.
_ � .:
'.-�
� � -
Y
+
f �j,� '
'tY��:. r3"�' � �.�
I�t:.
�:�� � _ �
F 'lL^: _
r 6 � �
� � � � t. �
fi ��
ds. .•3A 'v. .
'' � iV4 '.i
I
• =�i`(.� e'�d �r^ �� �"i
��� T� *
�:���
;� .°� �•.�;�,c _
.�,. u�adv� ,� � =�� .. �
•�� �,�'°"''�����;�
w'�'�3 . -� . ,� . �: , �-. .
F" . , .R � h`, J,^ .
y, :t . ���� , � F ^ �.
. `
i, ]
s���"l 'x� . ` ��
�