HomeMy WebLinkAbout010-941-33-1102-LUP-2004-334 � Applicat:cr.for Land Use Permit(*Non-shoreland*) o o �
County of Sawyer � !
PO Box 676 -Hayward WI 54843 � � �'�
715/634-8288
*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 �
the property's boundaries. �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. Z ,
��Sp,�� PRINT-USEBLACKINKORPENCIL �
� ��'���as Ray/� a CUn�-h�a i�)n��/� RG�/� ¢
Owner Builder �' �
/1/a�g)3 F/�s� C�«� IZd. /�8�'73 �'/.yt C�e�� r��l �:
Mailing Address Mailing Address O �
NA��'✓9�c1 GtJ� 5S`�b�Y� �'4��1A.'rl C.�J,� 5`'/.�`1� _ iu
City,State,Zip City,State,Zip �
�.� �3v-�y�i3 ��� c.�v-�ys.� �
Daytime Phone Daytime Phone ?
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Additional Information: Zone District: � � �
Lot Dimensions: !�,,S)( � �z x 2�''�x �
ii0
Date lot was created:_ /G� O ' Acres: � $�',��� Sc-��f o�,5`7 0 �
C�e u�L�
Is there wetland near the proposed structure?If yes,how far �
Building Land Use Floodptain:� j Yes O�No � `;
(jO New ( )Filling �
Addition Dred in Drivewa access off of a Check one CD
� ) � ) g g Y � )� fro
O Altecation O Grading O Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy N �
� ) � ) o �
r
Primary Struct `� Accessory Building Addition � °
(�1 Dwelling �����r (�C)Garage-attached/detached ( )Deck W
OO Year round (`)#of car stalls O Porch �
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room ' �
( )Modular/manufactured ( )Greenhouse ( )Kitchen G �
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge
( ) ( ) ( )#of new � �
AdditionalInformation: � p
w cn
�
0
Type of Construction: � �
(�Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete q
( )Other
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Construction Cost:Primazy Structure$ n�a�F-e��/ /�o�G'�c�G � �
:? �
Accessory Building:$ Addition:$ �
c" )
rn �
Deed:Vol 3��Pg '� Cert�ed Soil Test# �SLf-J�L� °4 z
c 1�s�-,�- ..
CSM:Vol Pg Lot# Sanitary Permit# Q�f��%¢5 �, �
��t ��rrus�t'�- " �
Plat Envelope Or: �;, �
Condo Vol Pg Year Installed: o
Aff of ex septic Vol Pg Owner When Installed: � �
Previous office approvals/actions: r
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: ��'�1t?`�
!�1(\
l,{„ .
131'���
Describe the construction using these wlumns. List the dimensions of each structure in a separate ,
column. List each story, each addition, each alteration in a separate column.
#1. /Jvp/eu. #2. '�ar�a #3. I=CtC�L� l�'tli� #4. L-R� �� ��'���cte
Size�_ft. wide �O, ft. wide 3C- fr. wide �_ft. wide
f�O� ft. long �O� ft. long -�' fr. long a�C� ft. long
Floor area �O S sq. ft. fi� D sq. fr. sq. ft. -_�'�> sq. fr.
Hgt.from gade �S, to peak %y � ft. hgt. ft. hgt. fr. hgt.
Stories / �_stories stories stories
# of bedrooms_�_ ' -
Rear Lot Line `
S `� � f}-h'�+cti Shee-fs
Fire Number and Name of Road � �O �/O ✓� 5 fi9 f� /-1c�.v � 7
1. Enter lot dimensions and indicate north by arrow. Signat e9fi Oyrt�� ori Agent:
2. Indicate the location and size of the requested construction � l�S
� Si na
activities. ,
Pnnt Name: / � - /
3. Also, 1ndiCate tlle IoCation 2Tld d15tanCe to t}le well, The above cedifies ihat the Ilsted Intorm tion and Intantions are
irue and cnrrect., ihat all work shall be peAormed In compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer Counry Zoning Ordinance
and the laws and regulations of the State of Wiscronsin, and if
CEri1.0tl1ri8 Of t}1C f03d. acting as owner(s)agent, has the permission of ihe owner(s)to
peAortn the work requested on this application. The above
� personsls hereby give permission for access to ihe properry for
onsite inspection.
Permit fee: $ o�s�' SC� �C�'
July 7. 2004 ������ �����j
Issue Date Signature of Issuing Agent
July 7, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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OTE: GAPS AND OVERUPS EXIST hIROUCHWT NOST OF SECTION 3J. THE7tE � '
RE NUMEROUS CLOSURE ERRORS ANO OEEDS THAT HAVE VACUE PdNT OF - ppp'�
EGINNINGS. R/W CALLS ARE OFTEN MADE i0 R/WS hiAT HAVE BEEN � �
LTERE�NHICH AFFECT HOW TFIE PARCEL IS PUCED. IT IS POSSIBLE TMAT �
ANY OF THESE PROBLEMS DO N0T EXISTIN THE FIELD, BUT RA7HER IN 7HE h I
ESCRIPTIONS THEMSELVES. A BEST-FIT MEh10D WAS USED BUttDING UPON Z,� �
iE MOS!RECENT CSM�S FOR MAPPING PURPOSES. MORE REgARCM AND/OR . ,�_� I
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