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HomeMy WebLinkAbout010-941-25-2209-LUP-2004-493 1 • . `,:\. Application for Land Use Permit (*Non-shoreland*) o o . County of Sawyer � � PO Box 676 - Hayward WI 54843 ,U 715/634-8288 fi � *Property that is not located within 300' of a creek, river or stream or within 1000' of a � f flowage, lake or pond or does not have any of the above waterbodies located within �y � the property's boundaries. �� � , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL � � Steven J . & Janet R . Boss Owner ' a I Owner Builder c' � �' 10480N Red Pine Lane ° � Mailing Address Mailing Address O � Ha�ward WI 54843 � City, State, Zip City, State, Zip � � 715-634-7161 � Daytime Phone Daytime Phone � Additional Information: Zone District: R-1 • � Lot Dimensions: Irregular (230 ' x353 ' ) � � Date lot was created: 10/17/0 3 Acres: 1 • �5 ° I� Is there wetland near the proposed structure? If yes, how far N o � ! Building Land Use Floodptain:( j 1'es ( x) No ° i� �� (� New ( ) Filling � � O Addition O Dredging Driveway access off of a(Check one): � i (� Alteration ( ) Grading ( ) Private Rd (X) Town Rd. o ( ) Moving Or_ ( ) ( ) County Hwy ( ) State Hwy N � � ) � ) o � � r Primary Structure Accessory Building Addition � � ( ) Dwelling ( ) Garage-attached/detached ( ) Deck W ( ) Year round ( ) # of car stalls ( ) Porch � ( ) Seasonal ( ) Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room �-- �� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen V �;, ( ) Mobile/manufactured (x) Other ( ) Bedroom _ ( ) Other primary structure (x) 0 f f i c e ( ) Relocate/enlarge '� "� ( � (X�Convert Attac�d gar�g�# ofnew � �-' � to habitable living space � G� AdditionalInformation: � „� � � � � k� � Type of Construction: p �S� (X) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � '� ( ) Other Construction Cost: Primary Structure $_ � � Accessory Building: $ � 4 . p�� Addition: $ 4 ,0 0 0 (c o n v e r t i n g � -� attached garage) � Deed: Vol 6 3 8 Pg 6 2 Certified Soil Test # aQ z CSM: Vol 3 Pg 5 Lot#�,3 Sanita.ry Permit# 4-302 �, ,,,z � Plat Envelope Or: �, � Condo Vol Pg Year Installed: � � � � Aff of ex septic Vol Pg Owner When Installed: � . Previous office approvals/actions: -� Variance: # LUP: # 03-324 SP: # CUP: # 00-010 Inspection Report: # Change of Zone District: c ��> (�'; r.�' � �� � � Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each addition, each alt�ration in a separate column. �xtk�_� �d #4. #1 . Of f ice #2. ('� nvPrt (�ara e int�c�• Size 2 0 ft. wide 2 4 ft. wide h a � i t a b 1 e ft. wide ft. wide ;� living space 2 0 ft. long � ft. long ft. long ft. long ' C�;`1 � Floor area 4 p 0 sq• �• �� sq. ft. sq. ft. sq. ft. Hgt. from grade 14 ' to peak 12 ft. hgt. ft. hgt. ft. hgt. Stories 1 1 stories stories , stories # of bedrooms � Rea��Obt Line --�_ � ' c1 ' I , 45' ', ' � �` � �� Shed i � � ' WeII � �, Exsiting 24' X 29' , 23_ _Garage I�� � �` 10' attached garage 97 converting to #2 Dwelling / . _---- __ habitable livmg space ,� _�. 10' , ' � � vi , v o , Drain Field �: � \ �---, ' aNi ,�' 65 '�,#"1 '- 37� �' N � � �- - 145' - / ' � � � � � Proposed 20' X 20' , M � � Home Office ��� 83�� � ' C!L 7)899 Fire Number and Name of Road 10 4 8 0 N R e d P i n e L a 1 . Enter lot dimensions and indicate north by arrow. Si e of Owner,�r Authorized Agent: 2. Indicate the location and size of the requested construction �� � � y Signature activities. Print Name: �J C��i�-✓�, �. � C% .� 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road. a�;�s aS ow�er�s� a9e�c, has the permission of the owner(s) to perform the worlc requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee: $ September 13 , 2004 � -- Issue Date Signature of Iss g nt September 13 , 2005 50% Rule: Average Road Setback: _ Expiration Date Office Comments: _��.a9�' ��' T'H..�'_s1om.R7'./� �°lf.��.���J° �'/l�� / / "r�'f- ie m 4 � ��1 v �8'�.'8 g�e N 0��� µ3 � 3 ,, � . S�9 V � � N n / o s. O 90 50 3�, m 2 a. �J'33� "b.' �a. 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