HomeMy WebLinkAbout010-941-20-1406-LUP-2004-175 Application for Land Use Permit(*Non-shoreland*) o o �
County of Sawyer V � 4
PO Box 676 -Hayward WI 54843 �
715/634-8288
*Property that is not located within 300'of a creek,river or stream or wrthm 1000'of a �
flowage,lake or pond or does not have any of the above waterbodies located within -
the property's boundaries. 1
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL �
�
�r il�i 'E lixra,�'. ,�rnlxx _ ��ntx�u� Vc�I1P� irK.tY�/-kun a
Owner Builder <' �
IOII�I� 1=il�u ��� IZa� ua���-�i) '�i1itctzul I,anz o� �
Mailing Address Mailing Address O
�t���„ni;j� W1 c�417f1-3 �rJyr'3�� IJ-�� ���3 �
City,State,Zip City,State,Zip
�l(S� 41�2 -3525 11�_r G:3+�-�18� F,
Daytime Phone Daytime Phone
Additional Information: Zone District: �-l '
Lot Dimensions: 14�� �zrPs �`"
C"
Date lot was created: Acres: 14.5 f��res o �
Is there wetland neaz the proposed structure?If yes,how faz �;o � �
Building Land Use Floodptain:� j Yes (x}No �
(�New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): �
(x)Alteratione�d�'�' O Grading O Private Rd �Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy N �
� ) � ) o S
t"
Primary Structure Accessory Building Addition � °
Q�Dwelling �� O Garage-attached/detached O lleck W
( )Yeaz round ( )#of caz stalls ( )Porch �
( )Seasonal ()Q Storage Building dZ ( )Enclosed �
�3 Livin room `�
O Frame built on site (�Screenhouse O S �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primazy structure ( ) ( )Relocate/enlazge `V
� � ( ) ( )#of new ?�
C
AdditionalInformation: � „
i �
� �
Type of Construction: �8) ' �
(?�Frame ( )Log (X)Pole/metal ( )Block ( )Concrete �
( )Other
ro �
Construction Cost:Primary Structure$ �i=F;-`�c-�'. a$a�5'�0 � �
�
Accessory Building:$ a5•�av_. Addition:$ � !`
�i9 «H �
Deed:Vol 115 Pg 1� Certified Soi1 Test# ,,,_ ,,,_T�$p °Q z
CSM:Vol Pg Lot# Sanitary Permit# O - / � �
�++d� wko+�►�- dley . �
Plat Envelope Or: N
Condo Vol Pg Yeaz Instailed: �
Aff of ex septic Vol Pg Owner When Installed: � �
-F
�
Previous office approvals/actions:
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: �
5��
�a�.�9
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. #2. � #3.�Qirean Irws C #4. "A' Eai�n��
Size ��3'�'Iz" ft• wide �% ft. ide i z ft. wide 4 ftD iw de
�'i'D'z" ft. long 4D ft. long IZ ft. long LD ft. long
Floor azea ��q4 sq. fr. �?�x> sq. ft. l/a4 sq. ft. sq. ft.
Hgt.from giade�to peak i I� ft. hgt. I D ft. hgt. fr. hgt.
Stories i +(�a�„�nT I stories I stories stories
# ofbedrooms 3 �v,�l �t �a������ e���,+���y
�xcipY fw #3
Rear Lot Line
�7C'
. ,
'� �
� �` Z° �__— o-
O��ui✓fi
� �
� �� � � -� j �� � � �
I �
I Zo� �,�o,
, �
�� ,� �,�� s,+�,�
�s' �p� �t� Z
-� � 3 `� a —
o � �, Z�
yoo� 7fi�
" `� � , � , s ��
� ��
. Y. .
Fire Number and Name of Road I U l��� �i r "
1. Enter lot dimensions and indicate north by arrow. Si na of r or thorized Agent:
2. Indicate the location and size of the requested construction
Signature
activities. / //
PrintNam (7�/2��� �,1. �qw �P/Z
3. Also, 1nd'lcate the locatlon and distance to the well, rhe a e certifies that me listed information and imentions are
We and correct., Mat all work shall be peAortned in compliance
septic tank and drainfield, wetland azeas, lot lines and to the with the requiremenfs of the Sawyer County Zoning Ordinance
antl ihe laws and regulatlons of the S�ate of Wiscronsin, and if
centei11n0 Of the ioad. actlng as ovmer(s)agent has the permission of the ovmer(s)to
peAorm Ne work 2quested on ihis application. The above
persons/s hereby give pertnission for access to ihe properry for
onsRe inspection.
Permit fee: $ 3z5 [(�
Ma� � i , �nn4 �
Issue Date Signature of Issuing Agent
May 11 , 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
�
I
I •vnT,v� Ro• �
SHOWN AS 86' N1DTH FOR I
MAPPING PURPOSES.
i
I
i
i 2 3 4 I
i
� ` `�' 010-941-20 010-947-20 010-941-20 1204 010-941-20 1205 I
.:a::..�-. 1202 1203
tOAC. I
4.50AG S.00AC.
S.00AC. 5.02AC. I
sn,, �
�= NE - NE `
1 1.09AC.
010-941-20 010-941-20 1101 `
2103 \
---------- ----- _..
. . _..__._ -
. . ._ _ __._ . ._ _ '..___.. -.__. _. .. ._.__. 39.41AC. `
._ .._ ._ _ _. _ . ' � _� \
NW - NE ,
010-941-20 7201 010-941-20 1207 010-941-20 1206
9.19AC.
4.84AC. �.BbAC.
�MYER RD�
SHOWN AS 68' NAD1N FOR
MAPPING PURPOSES.
. A3AC
070-9�1-20 1406 �
R
�n
ta.a2nc. 010-941-20 14D2 o g oai�wa.
S .SPAC. Enscwcnr
/� uc cr.s c•sr
S W - N E 3 67AC. O�O—J4�
2a 1401
010-947-20 1301 .�3n�;.
C/i. PaNEF�INE
S E - N E `"�°`"`
3B.SSAC.
010-941-20 /403
19.84AC. \
'RADIO
SHOWN
MAPPIN
eanc. ry0
i
010-941-20 3102 o�AkryO'S .
� O�` 010-941-20 4202
010-941-20 4102
4.99AC.
6.84AC.
5.03AC.
NW- SE NE - SE
070-941-20 �201 010-941-20 4101
31.07AC.
34.83AC.
ERENCE DEED 566/417. �
'CTION 20', ETC. o�
SMALLER PARCELS �}�
b
��
� �a
� �z
a
� oa
:� �S i
� SW- SE SE- SE
�� 010-941-20 4.301 070-941-20 4401
57.95AC. 38.85AC.