HomeMy WebLinkAbout014-106-00-0302-LUP-2004-337 f
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�Application for Land Use Permit r ,�
County of Sawyer ° �
PO Box 676 -Hayward WI 54843 � � � .
715/634-8288 � :
The undersigned hereby makes application for a Land Use Permit and agrees that all work �~ ^
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shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance _,_, �
and the laws and regulations of the State of Wisconsin. > � ^ �
NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. � � ,
PRINT—USE BLACK INK OR PENCIL � n"
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Owner � Builder �"'
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Mailing Address Mai?ing Add:ess � �
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City, State, Zip - City, State, Zip ��
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Daytime Phone Daytime Phone . �
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Additional Information: Zone District ►l. �
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� t�. � , ���j _ C� 3 }� � Lot Size .
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Date lot was created Acres � �'�-� �� lJ
Is the property in a Shoreland District? (within 1000' of a lake or pond, within 300' of a river, , .
creek or stream) If yes, how far from the shoreline &water name: ('��' ,�� "
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Is there wetland near the proposed structure? If yes, how far 1�' ;; � �
Building Land Use � .,
( ) New ( ) Filling Floodplain: ��Yes ( ) No # ?
� Addition ( ) Dredging I� �
�.Alteration O Grading Chippewa Flowage: O Yes �No °c
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( ) Moving On ( ) � � o
( ) ( ) Driveway:( ) State ( ) County ��Town Rd., I \ � '-'
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Prina ry StrucZ�� Accessory Building Addition �'� �
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?�C) D ell�ng O Garage-attached/detached (� Deck � N
O Y '�r round O # of car stalls �Porch C,� `�'�
�'Seas al ( ) Storage Building �-'�Enclosed ��� �
Livin room ' �
�(� ) Frame uilt on site O Screenhouse O g �� A
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ;fs
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge
( ) ( ) ( ) # ofnew A
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Additionallnformation: I `�
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Type of Construction �
(,k�Frame ( ) Log ( ) Pole/metal OC)'Block ( ) Concrete A �
( } Other ��, �
Construction Cost: Primary Structure $ °�
Accessory Building: $ Addition: $ � � , �' ��' �� z
7�
Vol � � `�� Pg�_of Deed Certified Soil Test# 83-o3z �
CSM Vol Pg Lot# Sanitary Permit#�-1 �.� 83-o3t� I
Plat Envelope Or: � �
Condo Vol Pg Year Installed t���:�- � ��'t �- '` �^�-��- ��f��
Aff of ex septic Vol Pg Owner When Installed:
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Gard Gazebo Vol Pg �_-��"��4i`�"1l�
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Ins ection Date: `� � � �' ���� �� �-�
Previous Variance: LUP: p
o3-�zo
I S�o�
Describe the construction using these columns.List the dimensions of each structure in a separate �
column.List each story,eacL addition,each alteration in a separate columu.
#1. �tu� {.Qu�l dEtlL #2. LS� �`�c�el �S'-Lr"�'6�{#3. #4.
Size�ft.wide f P ft.wide `�E�'�� ft.wide ft.wide
��ft.long �'�� ft.long ft.long ft.long �
Floor area -3�i � sq.ft. ��7'v sq.ft. sq.ft. sq.ft.
Hgt.from grade to peak�ft.hgt. ft.hgt. ft.hgY.
Stories � �stories stories stories
#of bedrooms
L,ot Line or Lake/River name:
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Fire Number and Name of Road (I!�7� � �=.f c>� ;{`�:(
1.Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2.Indicate location and size of existing and new structures.
3.Indicate location of well,septic tank,drainfield. j���� "
4.Indicate distance to existing structures,lot lines,septic system. ; �- ��c-��'�^ �?`'�`��'',����'�
5.Indicate distance to the ordinary high-water mark of any lake, "
pond,river,stream,creek,and name the body of water. P�mwame:
The above certifes ihat the listed information and intentions are
6.Indicate any grading ar clearing in excess of the construction site. t��e a�d�orre�c Tne abo�e Persoos�s nereby 9��e Perm�55 0o ror
access to the propedy for onsite inspection.
7.Indicate distance to any wetland.
Permit Fee: 7��
TLl� 7 2004 ��� "��
Issue Date Signature of Issuing Agent
July 7, 2005
Expiration Date
Office Comments:
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Inspection Date: 50%Rule Applies: Avg.Setback: ' Within Reservation boundaries:
Restrictions and other information: � I�.Q��TL��� ����v
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N07E� A GA EXIS7S BE7YEEN 3 01
NOTE+ SUPPL[ED COORDINATE DISTANCE SM I TH LAKE PARCEL pOl -941-�4 5203 L �s9��
FROM THE NV CORNER TO Y t/4 CORNER O14-94t-Oa 5202. ADDIiI�NAL .tinc.
IS 41. 21 FEET SHORiER THAN 1992 PLAT RESEARCH A D MAY BE
OF SURVEY BY R. L. PE7ERSON, REDU{RED. �
7HE SURVEYS US[NG PETERSON' S
POS[T[ON F[T THE CURRENT LAKESHORE
LOCA7[ON, CENTER�INE LOCAT[ONS, AND �
MAPPED DATA BETTER iHAN TME SUPPL[E➢
COORD[NAiE POS[TION FOR iFIE 4 L/q
CORNER, H[S P�S[T[�N WAS USE➢ FOR
MAPP[NG PURPOSES ONLY AND ADD[T[�NAL
RESEARCH. �
NOTE: LO7 4 CSM 5/778 APPEARS TO
FIAVE BEEN DIMDE� IN HALF N-S, BY
OEED, 6qSED UPON iHE TAX ROLL dt .
PREVIOUS PARCEL NAP. MORE �
RESEARCH ANp/pR SURVEY WpRK MAY
BE RE�UIRED.
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ao a� � �r� Yo�=l,; � 0 Q�0 NOTE� GAP EXCSiS BETWEEN PARCEL 01�-L06-00
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n � p1�'Oqp2 THE 1992 R. L.P. PLAT �F L�iS 4 i 5 FDIZ
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Op M9PPLNG PURPOSES.
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'� .o� v` 0,4_1�Z C�SURE ERRIX2S ON THE PARCEL M
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ss�s 3 ��4p9� ai4-� � NOTE� '
SOUhI LINE OF G.L 6 LOCATED BY CSN /ry9/231. 0 �_py��, 941-04 ' ' ��� 456/2f
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BEARING OEFINIiION.
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N�iE� SUPPLIEO DEEO FOR OOT R/4 OOES N07 MATCH ExISiING SECTION BREAKOOYN. THE
R/Y BOUNOARIES VERE ADJUSTEO SLIGHTLY TO MAiCH 7HE S�UTH LINE OF SECTION 4 BY
BEST fIi METH�D, FOR MAPPING PURPOSES ONLY.