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HomeMy WebLinkAbout014-942-25-4103-LUP-2004-338 Application for Land Use Permit (*Non-shoreland*) o � . . County of Sawyer � � PO Box 676 - Hayward WI 54843 l�, � � 715/634-8288 � tiv *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 � the property's boundaries. �� CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ' -T�_ 1�� � PRINT-USE BLACK INK OR PENCIL -��GLU � � �'�.�vc.b �-�s',ti ' �-� 6r� rr% �S�f� � � Owner Builder �: �� ��� y� ��� ,���� �6 � �� � � Mailing Address Mailing Address (� � . .� �/t, �y�l'� ��l'i �/�'' �f'd� � � � � � City, State, Zip City, tate, Zip �71 J._— ��s--- y�.�, ���-- ��yF ��� Da ime Phone �" � Daytime Phone Yt� �.: C' Additional Information: Zone District: /�— �f-� —� f �. Lot Dimensions: `t yc9x � 7%— 1� ��' � Date lot was created: Acres: c n 0 Is there wetland near the proposed structure? If yes, how far y.S� ��C�` � �` Building Land Use Floodptain:-(- j I�es ('pcj No ° `� (�z)New ( ) Filling � � ( ) Addition ( ) Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. o ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy ,; � � ) � � o � � r Primary Structure Accessory Building Addition � ° � Dwelling ( ) Garage-attached/detached ( ) Deck � (�c�Year round O # of car stalls O Porch •-� O Seasonal (� Storage Building O Enclosed � � ( ) Frame built on site ( ) Screenhouse ( ) Living room � � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom ( ) Other primary structure ( ) ( ) Relocate/enlarge � ��, � � ( � ( ) # of new � ��' `�' � AdditionalInformation: � A �� �n � r n Type of Construction: � c.�} �Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ( ) Other y �d � Construction Cost: Primary Structure $ ���� �'�� _ � � Accessory Building: $ ���rJ Addition: $ � �" t�3��d�'7 � Deed: Vol Pg Certified Soil Test# D 3�yC`1� °Q z CSM: Vol �� Pg .3�- Lot# �' Sanitary Permit# (� `�— /a�— o, � Plat Envelope Or: N � Condo Vol Pg Year Installed: � � � Aff of ex septic Vol Pg Owner When Installed: `�' � � � Previous office approvals/actions: C..� Variance: # LUP: # SP: # CUP: # Inspection Report: # Change of Zone District: 7�IlbN � g3�c3 aG� 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. Ilw� #2.5/5����r./ .�:zf: #3. l�hk�d (�;,c�„ #4.Sf.o.U.s;� .�c,aJ Size_��,ft. wide /Y ft. wide LZ ft. wide /YJ ft. wide _�_ fr. long �� ft. long ZcP' ft. long /1� ft. long Floor azea ,(SGc� sq. ft. ZL`/ sq. ft. �1G� sq. fr. / Yti sq. ft. Hgt.from grade /3 to peak /3 ft. hgt. /� fr. hgt. �' ft. hgt. Stories I ! stories �_ stories / stories # of bedrooms 3 Rear Lot Line � 7� � � b� �S/�.o yc \�df- l J` � Z`�CJ zyu �; � l�t ,� �v � --� � fb.:s� ca.- c' � S'' J �/'�i� '� (c� G —z� 5'pr +,a �?Z— Fire Number and Name of Road 1. Enter lot dimensions and indicate north by arrow. Signature 9f Owner or AuthorizBd Agent: 2. Indicate the location and size of the requested construction ,7 �,,�� S �/�.�� �.rY�i ignature 2Ct1V1t1eS. ,� � PnntNeme: /�A/c O L(� J' ���St�N�� 3. Also, indicate the location and distance to the well, rne ato�e cen�ees mac me iiscee mro�nacio� e�a �me�soo9 e�e We and correQ., Nat all work shall 6e peAormed In compliance SephC t3RIC and dTalnfleld, Wetland 2leas, lot Llnes 311d to the with ihe requiremenGs ot the Sawyer Counry Zoning Ordinance and the laws and regulations of the St2le of Wiscnnsin, and if Centerllne of the 7oad. acting as owner(s)agent has the permission oi the owner(s)to perform the work requested on this application. The above personsls hereby give permission for aceess to lhe property for onsite inspection. Permit fee: $ Jul� 7 2004 �������'����t�'�� Issue Date Signature of Issuing Agent July 7, 2005 50%Rule: AverageRoadSetback: _ Expiration Date Office Comments: 2 S . .I . I .2.3 .2.I � , — 3 .2.4 I , f e r� ��e r� 3.7 .71 . /IL �,yt o � y � . .3.8 �- ,'. r , ' ,o — .3. � �� �� � •3. 6 � 1e �b . 2 •�'h�� .a.z - DOUG- MARtt �, 9 ADDITION � 4z � 0 � .4.3 5 .i.ss � 3 _ .13.3 �l�� � 1.53 /, .13.4 � ��� �.62 I � � _- � .l�,5 .� e 1.54 . .I3.7 � .13.6 �, �2 .13.i SKEETER� .13.8 ;, POINT � � SUBD. 13 � � . _ f ' � ✓ .16.5 � '? 14 � .16.6 _, 15 w • ry r ' .�C..I .16.7 ;; � . .q ��� �s �� _ '� � ,.� �Z.io •�2-3 ' � " .16.8 , _ � �— _ — _ _„ _` ' ./Z. - S 1 `� � ':15. I �' 36 ,�s3 �� .12. ' SCALE : I INCH - 400 FEET FOR ASSESSMENT USE ONLY N�'t;; DRAWN 8Y : KM DATE � g- 23-78 INTENDED TO SHOW CONCLUSIVE':. COLON ( : � INDIGATES GOVT. LOT . EVIDENCE OF �WTIONS 'P OR BOUNDARY LOCA �. �� _��R�(t�t�p SURV��( MRP �tirk b� kk� 4E�1�(-�l��l� m� a��� e�fttc �1��(4-�EY�a� hc�taK 25���2h�-Q9w �awn �F �vno�, ha�u�,i�is_ � /�� c'� a . o r �y�'� °a : ry,�p. sY.� � � � 9. i.5s Ao.s �'",> �� cis���4Fr, � � �o � �\sf� " '04 es. �S. 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