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HomeMy WebLinkAbout010-841-27-5318-LUP-2004-010 � - - �, Application for Land Use Permit r o o • County of Sawyer �ln ";, �,',�,:-�+� � . PO Box 676 -Haywazd WI 54843 • 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 PERMITS HAVE BEEN ISSUED. �' � PRINT—USE BLACK INK OR PENCIL -�- `I ` � J � �F„tiV-Ir:t-t `I.i�N�S ���J�' ���tL �DYLS�ru[ilcr� a 1 Owner Builder �' 1?v� �„x 1ci'� 1S3z� w l�,p�eWe 7r/ o� M 'ing Address Mailing Address � � ��1 �3arC� w l �-f��-13 ��c�yt„�R,rI r �1 •S`F�/u3 ,CD, City,S te,Zip Cit�e,Zip � � �r,- ����f-�'i3� ��s(3`f,C 3i� z� Daytime Phone Daytime Phone � O Additional Information: Zone District ��F'� ^ � Lot Size � . , Date lot was created Acres �t%� �. 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 faz from the shoreline&water name: Is there wetland near the proposed shucture?If yes,how far � Building Land Use � c. ( )New ( )Filling Floodplain:( )Yes ( )No # ;; (.�ddition ( )Dredging 't � ( )Alteration (�'Grading Chippewa Flowage: ( )Yes ('�No � ( )Moving On ( ) � r � � ( � Driveway:( )State ( )County (�own Rd. � ` Ua Primary Structure Accessory Building Addition �� (�Dwelling (�'Uarage-atta detached (•)Deck -L (�'�Yeaz round (�,#of car stalls ( )Porch � ( )Seasonal ( )Storage Building (:)Enclosed � (�Frame built on site O Screenhouse (�1,iving room ,� „' ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen \ ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary struchue ( ) ( )Relocate/enlarge � � ( � ( )#ofnew > � � � Additional Information: ' � k� Type of Co�struction � (�rame ( )Log ( )Pole/metal (�lock (�Concrete � ( )Other Construction Cost:Primary Structure$ L, Accessory Building:$ Addition:$ca����-�J�oCJU �,\ z 7y Vol �I,,�� Pg '' , ofDeed Certified Soil Test# 7�-a��7 � CSM Vol�_Pg�_Lot#�_ Sanitary Permit# �@-aH� Plat Envelope � ��'� Or: q � Condo Vol Pg Yeaz Installed � I��b Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg �(.�� �J ��J��'��� PreviousVariance: LUP: InspectionDate: 1�(�I� � 11���- / \ _ • .�. 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. I�C���1-10� #2. CdLfCL� #3. #4. Size `Z� ft.wide Z� ft. de ft.wide ft.wide `2 ft.long Z�" ft.long ft.long ft.lon� Floor area 5 7 L sq.ft. �7�- sq.ft. sq.ft. sq.ft. Hgt.from grade I 5 to peak I i ft.hgt. ft.hgt. ft.hgt. ., , Stories I 1 stories stories stories #of bedrooms�_ Lot Line or LakelRiver name: ��' I t a� °-' ,^r !,: r. � `,� ` .�� ��__ � ,� � � � i fi 7V��" 'h Z �t I� �� .` '� �...�51Z , {I -, , EV °_�,; �: � e t, O .K � }" r► ci�' �' s�� — o� �� _ _..�� � � �� ��_,�.,�' Q ; i, I _ c � �, �, � � � i �S -� � .T � �,�1 � �" l:� 4; � " : v i o d ' � ,9z -'d ��� H b d � , � � r �ha.f v ,,,� 1 Fire Number and Name of Road /G7 Z 7� '�J S v -i s.Y <��.C'I 1.Fill in lot dimensions and indicate north by arrow. Signature of Owne�or�Aut�iorized Agent: 2.Indicate location and size of existing and new structures. � �(r���t /--� �' 3.Indicate location of well,septic tank,drainfield. � 4.Indicate distance to existing shuctures,lot lines,septic system. 5.Indicate distance to the ordinary high-water mark of any lake, , ond,river,stream,creek,and name the body of water. P��c Name:!r r�'7 ��`%S P The above certifes Natlhe listed informaUon and intentions are O.IT1d1C3t0 8I1 3(L1II OI C10217ll lri CXCCSS Of 211C COriStrilChOri S1Y0. we and correct.The a6ove persqnsls.hereby give permission for y gi g g access ro Ne properry toronsite inspedion. 7.Indicate distance to any wetland. Permit Fee: � ( .]anuary 15 2004 Issue Date Signature of Is �ng nt January 15, 2005 Expiration Date Office Comments Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: �\ \ �� � W � D Z � � Z � � m � � � D �� mom � c � z o � w Z � � � �V , / � jy, a "X D I . X � m r � �`� � Q� � � m ` ��- 1 C D� � ��� � � o Z S 153542 � Z c� �"' �j m �"\ �\ 1� � � p Reqiefer'n 0[6oa ) � O� � � � � Sawyer County �' � _ _ O Received[or record the �7'��day o[ � ��r. A D 19Zat 9:,5a o'clock �_1d and recorded in vol. G of ��t.�. �w,�o-w_�.a,Po�' /nl-�a "L� . ,�Z/Lrtc..c.�._�_� �/'h n �,., EXISTING C.S.M.s --�Ey's�` Deputy N I°02�50��W,1332.71� �_ � WEST LINE 60VT. LOT 3,SEC.27,T41N,RBW. � E a F p x a x' c� �. a m � � g Z �' $ ,��- $ � g . o � $ � X m o o � � p fTl � � �i m n X 66� � � J � � v '"'{ � � � a + O z 1 Z � D A � O i mfe a E C� y m D � rn N I°02�50��-W,752.47� ,= 6 m eDo 6�8 Z e. yo' "� `'d. �" O N W � m n (n � cc �O � .a o � N cn Z _ � w - t+ w w o w � � S I°02�50"E,755.46� o A n � N \ � � m � � A J_ p� \\ � � m 1 - cn O � � O�' �J S290 66� A `O° � � / m 2 a• n a � ^' D ` \� � o � � ` N \ N J �533 0 �+ a t� O B - 9oa O� S/3 0 0 �2 Zq�. N 3�s„w 320 = �8� S 2°14'54��E,316 07� m D —�_ ROAD __ — � m � ^el"�hec!�ti7S+e�T� `�_ - 7ENINAILA RD' - -- - � 5110NN AS 88'M1DM ipt • YAPPINC PURP05E5. � 5t0� 5i02 Sti� 220t 5t02 i101 5t0> . 2t01 5tt0 5�19 � � 5106 NW—NW NE NW 5i0a i"�� GL-1 5;,6 / R( 5102 5109 � .5105 �� 5�18 5t03 s,p, s,p• � s.o� ,mr a...no o,00p s a� i YMITE ��z.o'��. o2aaG7 CON� 03000 2 9 e 3 szo3 oaoop �'� osoop REFEI 0600� i PLAT a�oo� DIME� 2301 z+0 08000 BUILC � • 5206 I\ S:Ot `� �\ 1 5205 SW—NW SE—NW GL-2 - �a �1 . 2302 5.�� 0�00� � 2.oz s.o. o�o0 1 • • osoo� osoo� oaoo 0 11 az�o � o„�oo 5302 • I 5303 I.Ot }.Og • 3.09 5.18 s.�o � Cl • Sb� 5304 5321 RC • 45 66'VA� FOR PUftPOSE S105 __-_ _____ 5�06 �\ S:OJ �i, '` 5308/ NW SW � ---- 53,� ,_ 3.05 �.�3 �°' GL-3 - � 53i� 53ta S�t2 S�t6 • 5315 � � . 5.� \ I5}�3 ' \ 310 .1301 \ ' S602 5103 " 1,IOt . \ LOWER BE I s;a� uoo � SUBDIVISP 54� �� LOTS 1 T 5108 �100 330t \ • 1000 3403 i " • 09(10 ``� 09 �o �� SE SW �°����. ° o�� W—SW ':°' 3;°' � �€" f +� ':°2 �� GL-4 °� 3.�5 J304 � �<� N�� Sa01 i � �Rbz��