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HomeMy WebLinkAbout012-740-10-1104-LUP-2004-605 Application for Land Use Permit(*Non-shoreland*) o o , • County of Sawyer � i 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 C- flowage,lake or pond or does not have any of the above waterbodies located within � the property's boundaries. ,t CONSTRUCTION SHALL NOT BEGIN UNTTL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT-USE BLACK INK OR PENCIL �i��f✓w�� �. L--�P�y ° � Owner Builder <� ,d 7o rw�� b^�� �{ °� '� � Mailing Addres , 1 � Mailing Address O �-��-�Uv�� � V_ ���3 � . � City,State,Zip City,State,Zip � 7�� - �� � - `�G �� � Daytime Phone Daytime Phone � Additional Information: Zone District: �R`� � Lot Dimensions: � � Date lot was created: 8-Z-7G Acres: ,2 U/ n � 0 Is there wetland near the proposed structure?If yes,how far � ,�^ Building Land Use Floodplain:� �)Yes� O�No �� � ( )New ( )Filling '� ]� (�Cl Addition O Dredging Driveway access off of a(Check one): `D a ao C )Alteration O Grading O Private Rd O Town Rd. o 'r ( )Moving On ( ) ( )County Hwy ( )State Hwy N �` � ) � ) o `� t� Primary Structure Accessory Building Addition � ° �Dwelling ( )Garage-attached/detached ( )Deck "' ( )Yeaz round ( )#of car stalls ( )Porch � O Seasonal O Storage Building O Enclosed � O Frame built on site O Screenhouse O Living room � O Modular/manufactured O Greenhouse O Kitchen � �i ( )Mobile/manufactured ( )Other ( )Bedroom �, � ( )OYher primary structure ( ) ( )Relocate/enlarge � ' ( ) ( ) ( )#ofnew � � n�," � o Additional Information: �c��,� c���:�-N��P.� �a-�-Q �'✓`� a" " (.� A \l�X �Y}"✓l.�\ I CJ Type of Construction: L ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete C ( )Other ro � Construction Cost:Primary Structure$ �' � � �/� 8a :° Accessory Building:$ ,(Addition:$ '�,���C_i ..-- � � :� 3zy�o 3�9 ' � o Deed:Vol j Pg Certified Soil Test# 7(0- �3 5 °Q z CSM:Vol_�Pg �3i Lot#__� Sanitary Permit# �(�-� /���' � 7� Plat Envelope Or: N � Condo Vol Pg Year Installed: � � � Aff of ex septic Vol Pg Owner When Installed: Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: Q'o`'' �p�� �. 1SO�lq � 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. #4. - Size � D ft. wide ft. wide ft. wide fr. wide c? ��. ft. long ft long ft. long ft. long Floor area '/�� sq. ft. sq. ft. sq• ft• S4� fr• Hgt.from grade to peak ft. hgt. fr. hgt. ft. hgt. Stories � stories stories stories # of bedrooms U Rear Lot Line / � D \ � �"`��� -�e��� � � .s � ,� � �� ���,�t� ,� ,� `����, ' �� � D G.�� � � F Fire Number and Name of Road q r (� /� 7�' t 1. Enter lot dimensions and indicate north by arrow. i urB wner or Au Fized ent: 2. Indicate the location and size of the requested construction ; Signature activities. PnntName: 3. Also, 1ndlCate tlle IoCatlon and d15t3nCC to t�le Well, The above cedifies that the listed in(ormation and iNentlons are We and correct., that all work shall be performed in compllance Sept1C t3I11C fllld dTalnfleld, wetlanC�azeas, lot 11nes and YO tlle with ihe reqWrements ot the Sawyer County Zoning Ordinance and the laws and regulations o(the St2te of Wisconsin, antl if CBriYCLllllO Of t110 I08d. acting as ownel�s)agenf, has ihe permission of lhe ownar(s)to perform ihe work requested on this application. The above personsls hereby give permission for access to ihe pmperty for onsite inspection. Permit fee: $ �J � October 21, 2004 � L � � �� 'Z1� 7j4- Issue Date Signature ofIssu g�� � October 21, 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: ,. _ _ _. __ . _ e r � � 31 � FALLSp IN FLOWAOE�'R�7'W�/y � � � ��� NORTM LINE SEC. 10�T40N�A7W. � N89°40�2� �E�279.26 U/9�IMn PI !`: / a Q f `�. CO ►�` N00°H�39°W 33.00� 90> ioz't ti (L 3 + cb• ►e 562�\ v. �J O T�WIV , ROAD N89°40�21��E,3gP.91� �^ o�;, S32�� „ � J (06 �,�, ?'oo�, ,ero F g 4 -��,— U tL �o•. �b,• 42S' s': � ,�� M.c. o� 3/4�IrOn Plp� ( � .� 3 �``' nr � � � `r�. 3.19 Acres± � Z � S89°40�21"W,651.52� _ _ 2� `flo O� � �: � ,�� � c�- 2 � " 0 � � - g � �� g., 3.69 Acres Q � � � 0 0 SCALE 1��=100� v� MONUMENTS � SET I I/4�� X 30�� O.D. IRON PIPE � FOUND � BEARINGS BASED ON SOLAR OBSERVATIONS. se9°4o'21"W,479.15' � � JULY 27, 1976 sg �'� :�� �- �} � _��—` „z•ai sa, t�'r�l � c� f��� x //.vV��i^`��f.t. �. �� m °; '�„' . •y „ � RONAID L`� ` � I N �, � ��N � I,l � 2.01 Acres s�l�D! i. \ �w AAri►AAp � o � f WB. -� N. ,�e" '� . `� �•O�' ,/ Q6°� AJ•. �� SUR�4'�/ 66 \ S89°40 21"w, 403.43' : � � 1 PA�E I OF 2 PAGES � � F � U �J T E R �r � �5� ��LY . � � NOT�f�i'!'ENDED TO S�tAv� Cc�N- T W P. �O I v . I \ . / V V . 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