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HomeMy WebLinkAbout010-941-23-3108-LUP-2004-391 � Application for Land '(Jse Permit (�Non-shareland*) ^ � � ' County of Sawyer � � PO Box b7b -Hayward�VI 54343 715/C34-&288 � '"Properiy that is not located within 300'of a creek,river or stream or within 1Q00'of a flowage,lake or pand or does not have any of the above waterbodies located within � the property's boundaries. i i. CONSTRUCTION SHALL N P�T�US BL CK INK OR PENCIL MITS HAV�BEEN ISSUED. _ �c��� r�-�`'� C�t���� r' - �.�. ���� Builde�—^ � � Owner" r J-- _ ` N. „v `� e�;n�l � �` °� � �-5-���'� Mailing Address �~ � 1Vlailing Address �� L� � � .� �_�n � � Y�cti.C�� �l--�\ �� ��X.' � Ci y,Stat Zip ' City,State ip 1 - �715-lQ��t ' v�7C�� `7��- o S�I�lo��� i • Dayti�ne Phone Daytime Plzone i - Additionat Information: Zone District: � —� - I � _ - (�,, /J p - ` LotDimensions:17Q.�Y_�7 �I.O�� I107S� � -�J`'� �'' 3 i 9.G� Date lot was created: ���14 Acres: ���1� o � � Is there wedand near the proposed structure?If yes,how far Cl l� � �� Buiiding Land Use Floodptain:f )Yec (�No � '� �ew ( )Filling � �Addition O Dredging Driveway access off of a(Check one): oa O Alteration ('�Grading O Private Rd (�Town Rd. o ( )Moving On ( ) ( )Coun4y Hwy ( )State H�vy ? � � ^ ( ) � ) � Addition � � Primary Structure Accessory Building Deck "' ( )Garage-attached/detached ( ) `�' (�}Dwelling poxch " ' (�Year round ( )#of car stalls � ) r, O Seasonal O Storage BuiIding O Enclosed o Screenhouse �Q Living room " � (�{Prame built on site � ) Kitchen � � ( )Modular/manufactured ( )��e�ouse { )Bedroom ( )Mobile/manufactured � ) ( )Relocate/enlaige ( )Other primary strueture { � ( )#oP iie�� � � > r �- Additional Information: �n � � I Type of Construcuon: Block O Cancrete ;G � (`Kj,Frame ( )Log ( )Pole/metal ( ) � � � ( )Other � � Construction Cost:Primary Structure$ � ` � Addition:$�A.,j,n � _ � I-C Accessory Building:$ � -- dc Deed:Vol_��P�z 9��i7�3 Certifted Soil Test# "• z � N �_Lot#_�_ Sanitary Pernlit# I CSM:Vol__�.P� • � �' 7� OT: `•'' Plat Envelope =^ Condo Vol Pg Year Installed: � 'y�, Owner When Installed: 'i Aff of ex septic Vol Pg . i� i revious office approvalslactions: � LUP:# SP:#_________ CUP:# � Variance:#_�.__ ---- \ Inspection Report:#_____— ch��e of Zone District: �i}, ^ I _ ` �� s � ' . � Describe thc 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. #4. #1. �tf�:�1�?n ' ��ti�.0 #2. #3. Size� ft. wide �� ft. wide fi. wide ft. wide ��_ Z ft. long ft. tong ft. long Floor area ����i�q. ft. SQ- ft• sq. ft. sq. ft. 9� �.�—tO� ft. hgt. fi. hgt. ft. h�t. Hgt. from e Steries�,___ stories stories stories # af bedrootns ._�___ Rear Lot Line 1�0�. Sl�. D , F, � � /� 5,.� , �Eii ��� i�� 7 � � ---- �y� y 5 � ' ��11.0"�) zy �� ' i� �---- .3 Z � �5 Dw • t 3� � zy � Z y�e� �e�'��,� --�— i7�' �a , �53 � � ,���� �vA� . . �� , i���� c�a,�, Trc�-1 Fire Number and Name of Road � C?����N � 1. Enter lot dimensions and indicate north by arrow. ��e e� orize g, : 2. Indicate the location and size of the requested construction Sign 2C'CIViUeS. printName: e i � The above ceri �es that the listed inio tion and inten6o s re �. Also, indicate the location and distance to the well, �and correcL,that all work sha11 ba pedortned in compliance with ihe requirements ot tlre Sawyer County Zoni� Ordinance septic tank and drainfieid, wetland areas, loc Iines and to the a� the yy� �d �ulaGons of the State of Wlsconsin, and if acting as avnat`(s)agent has the pertniss�on of the owner(s) to centerline of the road. peeom, me �+rort� rern�ested o� mis appfica6an. The above personsts hereby give permission for access to the pmPertY for i onsite i�speef,on. / Permit fee: $ �`� — � � Jul��, �n nsF � Issue Date Signature of Issuia� - ger 50°l� Rule: Average Road Setback: _ xpir on tC Qffice Comrnents: -� � --._ - .o�ec. .^,�. "� MAPPINC PUft -"' -_�--_..... .. __._._..�� , /� S - -- - _ _ _�. O�p��,�0 ea`_' ' -" /� /~ .4�AC. 4, 9 CITY OF HAYWARD /� ' �' a.�a�c. /' 010-941-23 i�l3�C. 2104 � Oti �'t7' ao.u�c. .ti .�o q�, ,1'ry�7 � ,9.,��` NW— NW NE— NW o,o �' 010-941-23 010-941-23 2101 /' 2204 Jt.41AC. /� 16.SOAC. /' /' 010-941-23 2302 i.e� �c is�c 010-941-23 132 010-945�-�3 130 31iSAC. .99�C. O10-941-23 131: SW— NW SE— NW ,.zz,�. 410-941-23 131I 070-941-23 010-941-23 2301 2407 .ss�c. 010-941-23 1315 75.75AG .YOAC. 010-941-23 1373 �,� �x�,�� 1.76AC ,�, . aio—e�i-23 � isii r , .F � `F " . � 010-941-23 IJ72 ^ .92�C. S.OBAC. � � . 010-947-23 2402 a.n�c. 010-941-23 2303 � 010-94I-23 S.w�c. - 1310 m P�AT OF 010-941-23 3 02 11 12 oioaiii 23 13 oio�s4�sa 14 ,.x�c. 4 ij 2.7EAC. ROYNONA � n,� 3118 010-941-23 g{ 070-941-23 GREENS p p � 3119 '20, LOTS 1 THRU 11 NW—rjW 070-941-23 _ _ _ _ � 3113 M 0. L. 1.21AC. 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N7DTM FOR 8 .ey,�C. on � 2 B-1 � B-2 � MAPPWG 010-94t ' �.4�� a 10 ow g 010-941 t 010-941-23 - PURPOSES. �u�� -23 3402 t.t�. 010-94�-23 �� 070-941 �1 �-23.O M5 .o]�c. 3309 � 3 I _ 4310 , � -23 3310 2 010-941-23 2 .�"�' Otd-94t-2� 3401 010-941-23 3404tS�C. � ---- —�-----�- � �� � � �.���- Q ��� � 3 3 010 941 070-941 _ .. . ._._.____ .O��C. 3321 � -23 3420 � 1Q� �MI�EMAY EASENENi � t.es�c. 010-941-23 3405 Z� 010-941 -23 7422 i z3 a -23 3327 010-941-23 � t.�S�C. ±5 p� � 1 2 .a2�c. � .ouC. 7322 � ,p� �{g I 070-941 010-941 iG,7�C � � 010-941-23 3407 L74AG -23 3326 -23 3315 4 010-941-23 � i.tS�c. 010-941-23 � �.��. � � Q .�2�c. 3323 �c �� A� i 4302 �� �S � OIII3'9�E1-23 010-941-23 3410 �� 010-941 r- 3406 t.Is�C. -2T 3328 ' MAD7M FOR Y � _...___ '___ __.__�. \� �7A� ��� s x� 010-941�23 3409 �0' U G GAS EASEME�� 1��� 010-941 fe \ 010-941 0.� O�U-9ai � -2J 3415 SE—SW 3.95AC. 010-94/-23 3305 oto-5at -23 3J�9 N t-'� �.is�c. 0�0-941-23 43� `\ -23 3316 2} �79 �� ri �`'� 010-941-23 3408 1.27AC Q 4 . 216AC. � Nr � S W�S W 1 I.O6AC. �\ 010-941 2�3 J307 � I 33' OPoKNAY 010-941-23 �.apqC. -23 3320 .a�C. O EAYNpf �.tMC 3413 t.eO�C 010-941-23 • � OIO-9at � 4306 11�� `\ 010-941-23 3302 � 0�0-941 3 1 �m� -23 34t7 -?si c� �M� � i.ie�c. 0S7� S9AC. I `�J�� 3 ` 010-94� ��a�v 2010-941 Q .:� 3.Y3AC. 070-941-2J �DAVIS AVE� �y 010-941 .78AC. -2I 33I3 � � -23 3423 010-941-23 4307 �YiOWN AS 68'�- `� ' -23 3312 .��. 3412 MDTH FOR `�. '�_ � T '�� .5.7�c. S 6 � Oi0 9A-27 � . .�4A� 070-9�-23 , �IAPPING 010-941 � 10-941 3416 4308 °URPOSES. � -23 33oE -23 33t1 � .oa�c. .��. 01 � .1�. .7EAC. 941-23 3�25 :`^: 34 , 010-941-23 3304 �\ Ot0-9H- � � i `\ � 010-941-23 23 3�n ,. ': . ` " ``�_ O10-941-23 3414 t.,n_, ,... . . . . � � ^ .� u �i. N. S9' 47.3' E. 39,l./0' q /� .2� e �` o h C h v o � � ¢ o y ; � o p � h y � ^i ti p g�`' �m. h 2 5. 9 0.5 3 s 2.0 7' 3�. 3 � 0 ti y �o n 5 � � � � � ti � 9� 5 �6. `�9• w 3 N. 9• . . 39 . h h 4i ° , b 0 4 a �o y N � �] "I 4 Z � 6 K � . `� � h N. 8g•z • J 9� z� c .f E �B. �----- 3 5. 8 9• Z 6.S' W. 3 B9.9 6' i. CENTER pF P. D. B. 5. W QuARTEk SECT/oN 23- 4/-9 �"� O ��.C Ns�y !�ROBEAT E, % 6G' . . ' SW�SQN {r= . HAnoAEO. _ WL4. : ; l '_ p(Q �;°� Surie�l `' ���..,..,.. M. /�a&+`�. .Q �wao.m-^i N� ScALE /"" _ / oo FEET 4 -/0- 76 S�i�>G � O IRON P�PE /N PLACE n�� -o � / " x 3� " IRoN P/PE PLACED '�� 7�� �, "��."'`� P° A��=�=�;ou,�, l 15 5121 Saxyer County f Recelved lo� re<o�d tAa���day ot Page 1 of 2 pagee �� _ADt9�Gct 9 odoom �_m a4e r�o.cea N�d. ij- ��,�y:�wy+y on Daoe /74—/90 .-�n•T7u . hta.y�«.. S:¢:cla' :�:�-viy `:. 7'�, Pza,�r Drowr