HomeMy WebLinkAbout010-275-00-0500-LUP-2004-158~ Application for Land Use Permit('�Non-shareland*) o 0
County of Sawyer � �
PO Box 676 -Hay�irard WI�4543 J �
715/C>34-8288
*Property that is not located within 300'of a creek,river or stream or within 1Q00'of a �- �_
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flowage,lake or pond or does not have any of the above��aterbodies located w-ithin � ;,
the ra erty's boundaries. °
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. n, �
pgII�T-USE BLACK INK OR PENCIL � ,-.�
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� ��i\�i � � Builder S '1
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O Lvner ` l � , _t 1� Ma 1'g Address� �l.l:yl�.� � �� 1 ° ��
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Mailing Address �
E� �' � �� `-�-�� t���L� C��P\ �V� �J�l��� ' � �
City,S e,Zip City,State, ip ' �
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lla}nime Phone Daytime Phone ,j
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Zone District: �Z� "
Additional Information: �
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Lot Dimensions:
��.
Acres: � ���j L�.�(l�(��L's"� n
Date lot was created:_'��,y'\ � "��____-- ° '
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Is there wetland near the proposed structure?If yes,how far I�il� - � �
Land Use Flooctplain:f j Yes (�No =' l
Bnilding '� -
(`!�New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): �,
Private Rd ( )Town Rd. o
( }Alteration (�c)Grading (`� w
( )A�1o�ring On ( ) ( }County Hwy ( )State H��y ti �
� �
{ ) � ) � .�
N Y
nccessory Buildin Addition ;° �
Primary Stnteture �Deck �,�
�D��elling (�c)C,araS -attache detached ( � i
#of car stalls (�Porch
(y,)Year round ��} Enclosed `D
( )Seasonal ( )Storage 13uilding f ) � 7
Livin room Ir•;
(kj Frame built on site O Screenliouse � � g n �j i�
( }Modular/manufactured ( )Greenhouse � �B d oom [�
( )Mobile/manufactured ( )Other �
( )Relocate/enlarge
( )Othe primary struetuxe � �— { )#of new � � ��
( > ✓� G� c s
AdditionalInformation: �� �� �
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,.; .
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Type of Construction: Block O Concrete � � ">
(�Frame ( )Log ( )Pole/metal ( ) � �_ �
( )Odier � � � , ,
�����a��� �
Construction Cost:Primary Structure$ c�l�� L � �, �
Additian:$ � �r
Accessory Building:$ c �
#- 3i�7 �� �
Deed:Vol Pg Certified Soil Test# G �-I -o�p b � ''z
Sanitary Pern�it# d� / �` ~
CSM:Vol Pg Lot# d t�� b4 9 6 '
Or. ��'�_�. N v7
Plat Envelope t^
Condo Vol � � 1 Pg t�I'� Year Installed: — � '�
Aff of ex septic Vol Pg Uwner When Installed: i
Frevious office approvalslactions: I
LUP:# SP:# CUP:#
�Tariance:#___ ---
Tnspection Report:#�_ Ch��e of Zone District:
����6�
�oa�s �
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Describe the construction using these columns.List the dimensions of each structure in a separ�te
column.List each story,each addition,each alteration in a separate column. #4.
#1. '���•� �� #2. L^;l. t ?�, #3.���, .
Size 3� yr fr.wide yL�ft.wide ;�`.1 ft.wide fr.�uide
��_ft.long I I � ft.long �_ft.tong ft.long
Floor area 1�[�i sq.ft. I�� i� sq.ft. �j 7� s9-fr• sq.ft.
H�.from gade ��} to Peak '_-L--ft-hgt. ' 7---ft.hgt. ft.hgt.
Stories I
i stories � stories stories
#of bedrooms ;�
Rear Lot Line
_ ��}_+ ��...��" �r_�.�
� •. r-�� � ' � .:' '
1�ire Number and Name of Road ` - i � � ` � -
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 Signamre
2Ct1VIt1CS. PriniName: �'
Ttre above ce�es 1 1 e listed information and .tenti�ns are
3. Also,indicate the loeation and distance to the well, �a��ct.,that all work shail be pedortned in compliance
vdth lhe requiremenis o(the Sawyer Couaty Zoniig Ordinance
septic tank and drainfield,wetland areas,lot iines and to the �me��d�ulaUons of the State of Wlsconsin,and if
actrc�g as awner'(s)agent,has She pertnisslon of the owner(s)to
centerline of the road. Peaorm me wor� r�rn,ested o� �n�s appfication. The aeo�
personsis hereby give permission for access to the p�oPerb'for
onsite i�rspecfmn• I
1
Permit fee:$
_ _ � �" Zj�-
May 10 , 2 0 0 4 �t �v `�-
Tssue Date Signature of Isse�n gei
May 1� , 2��5 50%,Rule: Average Road Setback:___ _
Expiration Date
Office Comments:
:'HEvTOWN~OF~HAYWARD, SAWYERrCOUNTY, WISCONSIN.
5" E 2649.68� N 1/4.COR.
LlNE SfC. 29 � LINE BEARING DISTANCE
Lt S 89'39 40' E 83.00
�,' l2 N 89'38 40 W 83.00
HD LENGTH CHD BEARING �p� �� L3 N 59'05 45 W 110.00
20.27 N 23'08 21' W 3 �9p66 � ��'D�5�,��QD L4 N 35'49 09 E 1 10.00
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5 00'09'48" W 970.14' „3�
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THENCE ALONG SAID � SS,—I
HAVINO A RAOIUS OP fr` .
;t r+ aroe'sY w, Bg'38'40" W � 470.02'
�pF WAY I.INE,AND
wtsr LINE ov sN0 gs U 235.01' ��'�' 235.01'
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S 89'38 40" E 470.02'
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STONEWOOD WEST 2 z o200 , z 3 � 010-947-291102
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010-941-29 2201 SUBDIVISION t.ssna STONEWOOD WEST COND MINIUMS I ��7ea,
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010-176-01 CITY OF HAYWARD
ON EACH LOT LINE IN STONEYOOD YEST SUB➢IVISIQN 0400 5 �?_ 12 5
EXCEPT FOR THE VEST AND SOUTH LINES OF THE og it
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POND ,o a,o-,�s _� ,� -� „� -� ,Zoo -� ,30o I �Z>
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