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Home My WebLink About014-941-06-4102-LUP-2004-116 Application far Land Use Permit(*Non-shoreland*) o 0 County of Sawyer � PO Box 676 -Haywazd WI 54843 � 715/634-8288 *Property that is not located within 300'of a creek,river or stream or within 1000'of a 1 flowage,lake or pond or does not have any of the above waterbodies located within z-- � the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. t 1 1 PRINT—USE BLACK INK OR PENCIL � I � � J��n�� 2 s ��=,z,2v� _ o�Z��I c�,..i�I-� � Owner Builder �; � I � I� � � (�R�L�- 121� ��8�_- � � � Mailing Address Mailing Address � �1AV'i A� 1y.11 �4£�� ; City, tate,Zip City,State,Zip � �7, �� - l0'��1 - �2� i SA�n,� Daytime Phone Daytime Phone } Addirional Information: Zone District: A- 2 i , ��. Lot Dimensions: (�Lo o X (v(.�c� �� Date lot was created: �1,�.J C;� Acres: I � o i1 Is there wetland near the proposed structure?If yes,how far f�O � Building Land Use Floodptain.(-j iEs (�Q No `; �New ( )Filling � O Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd �Town Rd. o ( )Moving On ( ) ( )County Hwy ( )State Hwy ti, � � ) � ) o S Primary Structure Accessory Building Addition � � J�Q Dwelling f�Garage-attached/detached O Deck W � �1 Yeaz round (�)#of car stalls ( )Porch � � O Seasonal O Storage Building O Enclosed � O Frame built on site O Screenhouse O Living room � � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � \ ( )Mobile/manufactared ( )Other ( )Bedroom � ( )Other primazy structure ( ) ( )Relocate/enlazge � `� � � ( � ( )#of new � �� zf1 Additional Information: p � � o " Type of Construction: �l QQ Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other ro � Construction Cost:Primary Structure$ I (v ��G tJ� � � Accessory Building:$ �i�o r—��— Addition:$ � -� �c — Deed:Vol ' � Pg Certified Soil Test# U�/� °O z CSM:Vol Pg Lot# Sanitary Permit# O�/'��d o, '� Plat Envelope �I� N � Condo Vol Pg Yeaz Installed: o � � Aff of ex septic Vol Pg Owner When Installed: �. � Previous office approvals/actions: Variance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: ��Sy3 . 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. #L P�R�a t-�V�t— #2. �'� #3. G��1�-'A�� #4. Size 2�ft. wide I '� ft. wide 1 l> ft. wide ft. wide ^-��7_ ft. long 12 ft. long �7_� ft. long ft. long Floor azea � (UC i sq. ft. I �i- Cv Sq. �. 38y Sq• �• sq. ft. Hgt.from grade ��_��to pealc ft. hgt. ft. hgt. ft. hgt. Stories I stories stories stories # of bedrooms rL Rear Lot Line , C.� C�:O' �� r %, �o��a _h� '' �` Q , , � n� ,� ;I _ r > "� �! , , qo�� _ —__ __ _ __ . -- � �1 24' NF��Y D�J�I.i_�,.IC. `9 �J --�- �'_ _I C � � l - I � ( �� l �_ , � ,- �. 1 ca�Zc.��ac.,� _ _ � �� 3�6` �._ �4 � Fire Number and Name of Road i�i�= � AP�Lf c i� rc�iZ. �-�Y�Z�� -(� 1. Enter lot dimensions and indicate north by arrow. Sig ure of 0 ne�or uth9r'¢ed Agent: 2. Indicate the location and size of the requested construcrion � ' �� - _ j' SignaNre j activities. �PnntName: . �� IZ- Of�-TC.� ��iZ 3. Also, 1ndlCate tI1C lOC3tlon and d15tanCe to the Well, The above ceRifies that the listed information and intentions are We and correct., that all work shall be pertormed in compliance Sept1C ta1llC anCl dTainf eld, wetlanC�azeas, lot lines 3lld to the with the requirements of the Sawyer County Zoning ordinance and the laws and regulations of the Shate of Wisconsin, and if CeRt0111riE Of t}1C T'03C�. ading as owner(s)agenL has the permission of the owner(s)to peAorm the work requested on this application. The above persons/s hereby give permission for access to ihe property for onsiteinspection. Permit fee: $ �� ,� + �� May 3, 2004 Issue Date Signature ofIss 'n A ent May 3, 2005 50% Rule: Average Road Setback: _ Expirarion Date Office Comments: E-NW NW-NE NE-NE 011-941—OB 1201 011-941—OB 1101 9at—O6 2101 O1h941508 R102 10'ACCE55 EASEMENi __ ____ PER DEED 5]9/309 014-9�1-06 PMI Ot1-9a1-06 1301 I Iis as+c. =_NW 1 SW-NE h SE-NE �a-oe swi � ma-sa-a i�ai �e.x�ac. I 014-9�1-06 1�02 �e.�o�c. I I I I � � :-SW � NW-SE _ _ _ NE-� i41—OB 3101 I 011-9tt—OB 1201 014-9I1—OB 1101 Je.65nc. I �s.taAc. sa.aznc. I � � <� � �j �� I �� I � -SW _ � � SE-SE N i SW-SE � <,� —OB 3101 �a � 01{-941—OB 4301 OtF-941—OB 4401 p� ssnc. �� s.zanc. �bseac. • ✓� _ I �� I �� I iF-941-08 3102 O1L-9�1-06 4J02 014-941-06 4402 --�------------ •srn1E Nwv rr N1D1H VMIES. � o�a w�� I 4:°u