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HomeMy WebLinkAbout012-640-06-2110-LUP-2004-012 Application for Land Use Permit(*Non-shoreland*) 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 (b the property's boundazies. �' CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. , PRINT-USE BLACK INK OR PENCIL O �,�'1Q1� Q��d C'N2�S A. �cN�1s-re�C �,u:�;cR � Owner Builder � < � 10'��a.w �,`����,� sraw.t o� � Mailing Address Mailing Address a O l-1A�ltiARQ�u:i, rJ`l�`�3 _ sA�^'•t '�` � City,State,Zip City,State,Zip �'11S) �1b1-ql'l� '-1b �-g�'1y Z Daytime Phone Daytime Phone � � Additional Information: Zone District: iZlZ-\ � Lot Dimensions: l�.b`l 5� r 5 16."I 1 � � Date lot was created: 1 y�.� Acres: l 5• O O � Is there wetland neaz the proposed structure?If yes,how faz /O o t �e e..� % �r Build'ng Land Use Floodplain:O Yes (�fNo n ^1 (�j'�1ew ( )Filling � �' O Addition O Dredging Driveway access off of a(Check one): � � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. m � ( )Moving On ( ) (�County Hwy ( )State Hwy � � � ) � ) � 5 r Pnm Structure Accessory Building Addition ° (�lling ( )Garage-attached/detached ( )Deck (�az round O#of caz stalls O Porch ( )Seasonal ( )Storage Building ( )Enclosed (.�'F`rame built on site O Screenhouse O Living room � �" ( )Modular/manufactured ( )Greenhouse ( )Kitchen 3'� ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primazy structure ( ) ( )Relocate/enlazge '~ � � ( ) ( )#of new � z � � Additional Information: C}-LC.�e C,: ��/���p y-u.` � < q� �r} u�it.�`.i.2 � �i -I�"I- � � � �1'I1.(L�L(ti e,yC'� Ci:'l,Q 24, � 0 Typ of Construction: 'ti � (e�rame ( )Log ( )Pole/metal ( )Block ( )Conerete � ( )Other � Construction Cost:Primary Structure$ i�, U G C� �o�.,� o;E o M R Fer ic�1 � Accessory Building:$ Addition:$ � v O Deed:Vol �`� Pg �w�`� Certified Soil Test#�'.1�, �; `r z CSM:Vol Pg Lot# Sanitary Permit#�y-�� � s�'/S� p 7� Plat Envelope Or: � Condo Vol Pg Yeaz Installed: /9 S� ,�,Q�.e� Aff of ex septic Vol Pg Owner When Installed: � 1?��.��vr t T HNs-T,^�/c Previous office approvals/actions: Variance:# LUP:#��SP:# CUP:# 1 1 Inspection Report:# Change of Zone District: L� \f� �3�as Describe the construction using these columns. List the dimensions of each structure i a separate ' column. List each story, each addition, each alteration in a separate column. .��� � .. #1. /l'I Rinl #2. h'��f� .-r #3. �7�c� c�.�v�•e����� #4. �` . ' � Size a o� ft. wide ��_ft. wide � :� � ft. wide ft. wide � � d C� fr. long i� ft. long d U ft. long ft. long ' „ Floor azea '{o i� sq. fr. �sq. fr. a K C sq. fr. s9� �• Hgt.from grade�_to peak /3 � ft. hgt. � d � ft. hgt. ft. hgt. -v4 Stories a i stories i stories stories � #of bedrooms 1 f�. :, � � .. Rear Lot Line " � , ��, c a�•, a.n}�u��_ S.uvaQ. �j7'✓��/ ''/ (�'1 �•. , 'j�9ii�3ry!t�p�,t.nTc'�_c �r�c�Cpo Fq .�c,h � � S�p�xO�{'�c.. I •-- ,� �.{ � S.+<'+9� ��:-.aan�z r�ln�^ .s 7v��� �S3m _.�-� -�. Sj�b`}a;'n /� ���-' �, .. `ry� . ��.�--..�._-.�/"• � _.��1�.�.-__..�L" � ___—�YT '__----• F�. •S�o��b��5a.n t" a�5t�. J7C. S}j Q?�'-]W'a��� ii Xna1. �•arc�TS �nv 1�bb� ppxor a.;�,H eaa�ao,d — y,� �a(x�r.SdV w'a}s�5 -�8b� r..p11+�t>�ti wa,{.aF.; ��1�2c uo�,�vrn^�� 4,o�{s�x3 �oC— \ 0!. st, �d�aw ��.ns xnH{ �o n 59 � ,OEs F _ _ �FE -_ - � �—fiy - �,�.?�,�,:eP+OJ�'- - - ' ' _ — � i _� � �e�x01 :�— L4 � - I —.� 5�� ��. .,t, y��ac ea�or_�a _�L -'i r\ oE C -,5�,,,�,� 65 OW,�S�Y 7 T , . ,�..-. CiN�IS�Y? I , OL 9£ w � q, �,an,_�+, � �o£' w Q3SOC���c��� W � 'V O � Q � Mh �i�7 �'J�1� � � _ �_ _ _ _ _ � � .� _ _ ' Fire Number and Name of Road y�S� uf �-t`/ tZ l� 1. Enter lot dimensions and indicate north by arrow. Sign u�,of Own�'orAu rized Agent: 2. Indicate the location and size of the requested consriuction iy-, ,f +�1 -r= SignaNre activities. PrintName:C:%1�/5 � �c1r1N57��a^r 3. Also, indicate the location and distance to the well, The above ceRifes Nat the listed informalion and intentions are true and cortect.,that ail work shall be pedortned in compliance Sept1C tank and dralTlfleld, wetland azeas, lot 11nes and to the wiN the 2qui2menls of the Sawyer Counry Zoning Ordinance and the Iaws and regulations of the State of Wisconsin, and if Centerllne of the road. acting as owner(s)agenL has the permission of the owner(s)to perform the work requested on this application. The above persons/s he2by give permission for access to the property for onsite inspection. �., Permit fee: �75 = � 7 oa January 19 , 2004 - � Issue Date Signature of Iss g ent January 19 , 2005 0 �b/o Rule: Average Road Setback: Expiration Date Office Comments: �il �l/200s� 5��� m�.�;rl, c-R�����.c> ct5 �/�s/�70G�C��c- ; � . .- � � �, C.T.H. 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