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014-941-04-5215-LUP-2004-544
Application for Land Use Permit(*Shoreland*) o o ' \ County of Sawyer �, � PO Box 676 -Hayward WI 54843 � � 715/634-8288 # � *Property that is located within 300'of a creek,river or stream or within 1000'of a �' flowage,lake or pond or has any of the above waterbodies located within � � the property's boundaries. C CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRiNT-USE BLACK INK OR PENCIL � /�f� �—' �a L✓%'� �'� S C— C—T11� �,p --�-N� � � Owner Builder a �O �Ok y� 7 /�D l�oX �/�� N Mailing Address Mailing Address �. � O /�/4'/G�i�-D c5 ��y� /�/�s�l�i��/�' v�y���__ a � � City,State,Zip City,S'tate,Zip ���= �3 y- �y�� �rs- _ �3y-�-���r � Daytime Phone Daytime Phone N Additional Information: Zone District: �� � — l (� ,..;✓�,-- � Lot Dimensions: /,5 � �/O C� Date lot was created: �� //� ' O� Acres: �, ] �o f G iz�'- S � Is there wetland near the proposed structure?If yes,how far o \ Building Land Use Floodplain:O Yes ; No_`1Y59/ �a�5� G O�� �(New ( )Filling Chippewa Flowage:(�Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) �County Hwy ( )State Hwy °' � ) � ) � `,� � r Primary Structure Accessory Building Addition o 0 �Dwelling �Garage-attached/detached ( )Deck � �` �j�'1'ear round (�#of caz stalls �(Porch �, I �� ( )Seasonal ( )Storage Building ( )Enclosed � ( )Frame built on site ( )Screenhouse ( )Living room �n �� ( )Modular/manufactured ( )Greenhouse ( )Kitchen •" S ( )Mobile/manufactured ( )Other ;7 ( )Bedroom � -� O Other primary structure O SUl-E</�/ lU��/ O Relocate/enlazge � j, � � ( ) ( )#of new � � � AdditionalInformation: � � > i � O � Type of Construction: � � J�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete C,, ( )Other � � Construction Cost:Primazy Structure$ �,5, DD� ro� � ., � Accessory Building:$ �0�OC� Addition:$ � :? � Deed:Vol �S c�� Pg G 7/ Certified Soil Test# p�{-3� � z CSM:Vol�Pg/2� Lot#� Sanitary Permit# 'iF.������00 � Plat Envelope �-�' 3� Or: b, � Condo Vol Pg Yeaz Instailed: N "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: Variance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: � 9I��� I"1SS1 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. #i.�,a�v�� #2. /�/gi.�/ �p � #s. ,(afr �c�#4. s�2R.�„� vz�i,� Size o'Z 6 ft. wide ��ft. wide ��� �/�ft. wide � � �ft. wide �� ��D fr. long �4 fr. long ay 1� fr. long �(J �`� ft. long Floor area/O �� sq. fr. /o y6 sq. ft. —J '���� sq. ft. �`� �' �1`�G sq. fr. Hgt from gtade � to peak � fr. hgt. � ft. hgt. � ft. hgt. Stories stories �Sb"� stories stories # of bedrooms � Lake/Pond/Flowa e/River/Stream Name ��/Ty ���� �I l / �'6 C � �- a �.� � �`� �---. �D � � � � �� � �� ��� ' ��� �' � � ���.�� R (;D� �6� � i� � � �� �icG'-�'� q�E i -�z=- I y��� zizC � � Fire Number and Name ofRoad �h/va D��C- C �r/rt/j ,w� l 1. Enter lot dimensions and indicate north by arrow. S gnat re of ner or A orized Agent: 2. Indicate the location and size of the requested construction Signature activities. PrintNa . 3. l�Iso, 1ndlCate the loCatlon and dlstance to the Well, The above certifes that the listed information and intentions are irue antl cronect., that all work shall be peAortned in cnmpliance Septic tari1C anC�diaiRfleld, wetland aTeas, lot 11nes, with the requiremenGs ot the Sawyer County Zoning oN'.nance and lhe laws and regulations of the State of Wisconsin, and if CenteLllne Of 1.110 2oad 3I1C�wateTbodlOS. acting as ownel(s)agent,has ihe permission of the owner(s)to perfortn the work 2quested on this application. The above personsls hereby give permission for access to the property for onsite inspectian. Permit fee: $ Total land area within 300' of the waterbody: (A) '��� 7/5 Total impervious surface area [including this project] (B) �I 2� (B)/lA) x 100 =% Used y, '7°7r (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required7 O Yes �No September 29, 2004 - Issue Date Signature of Iss in A ent Septemger 29, 2005 50% Rule: AverageRoadSetback: _ Expiration Date Office Comments: / _ _ � � �2 l3 L4 0 � w �:� O �� � ° 014-941-04 � � o rl y� 5411 t2.29 AC 7.38�C. �.B�A�, � I.OUC. 9.lJ �C 014-941-04 5301 O 014-941-04 SJ01 •Q � �, ' � NE— NE � ��� � � G.L. 3 , ��, � �q��7 . 07 4-941-U 4 1 I 01 � .�� � w saa� �c a {' • .� 014-941-04 5302 , ^r 9w'�,y C r ' a. .yo ia.rt �c �hi- � � � I . 01 h ' �a.aa �c �� � i; � � � ... �� � Q\A�S� » ' 2 pa �� 0.6E AG� pA k �4'�30 { +5 ; 0.24 AC O �0�` � e- � � 0�4-941-04 . O.L 1 �i�`i � 530C � � �;;' �.��� 0�0-941-04 . ...., �.: �..�._.. . 5302 o`:� ' � ( y� � � O �, L. ! � � 014-941-04 5201 014-941-0}� 014-9N-04 521t ip.0 ec ! : � 3 57�02 l� QSS A ti �'�'" 014-941-04 ;,5�'�` � � .. .� 5203 014-941-04 5205 6.x �C lq��� ... � t.OG AC ����7'� � i ,;.'�; .. 014-941 � � � . � � � OL 5204�.0� �c 014-941-04 5206 s.i� �c 014-941 04 5207 p.yo �c . 014-941 G. L. 2 � 04 5208 a.u� ec � 014-941 04 5209 �.05 AC 014-941 04 5210 t.0 aC ; 014-941-04 5205 � p 28 90 AC c 1.62 AC 8 014-941 � O4 5212 .. � \ . �n� m ry v] < O� prb7 7.76 AC 1.07 AC � =(;.� � 4T: �. ��'O 014-941 iir:xa a }�����-� : , ' 045215 014-941 ��y� �.,;h` .n . ..-. ; 04 5216 a a -- EN PARGEL 014-I06-00 __.__... 02. AODIiIONAL ED, � 014-941-04 5604 U 9 G. L. 1 SUHUIVISION IS RO7AiE0 70 � PLAT OF LOiS � � 5 FOR � 014-941-04 5101 :S. �i ��i3��t�.�, 2J.B7AC. t .L� sy,' h�j� � �: ^ .'� � Ls.�S �r4.. .�t��� Q '';SF c>Jy f i 4 5�� oo � i � i / � �zAG NOTE� CSM 4/27t VAS ROTATED TO 7HE i .Q NORiH LINE OF G• L. 7 AS REFERENCED ON 1 �q.106��� CL�SURE ERRORSLON THEEPARLEL� ANOETHE i � Q$02 EASEMEN7, ADOIi[ONAL RESEARCH MAY BE d 3 0,4.10p2�� REOUIREO, �.s5ac. � O9 a��- NOTE� THE F[RST DESCRIPTION IN DEEO ` Q fA2�C. 9��-�� 406/22t FOR PARCEL M O14-941-04 7801 �A�sea6 Q HAS A l4' . CIOSURE ERROR, *HE LOi t 0 9��_�� 014-941-04 MAS PLACEO BY BES7 FI7 MEiHOD• 3 i707 5�0 5��� ���• �819 AODITIONAL RESEARCH MAY BE REOU[RED. , , . •\ ��7��. , .ep�.Q4' .seac. Np7E� GAPS ANO OVERLAPS E%IST BEi4EEN � PARCELS 01�-941-04 �BOI - 014-94t-04 014-941-04 �g�� a` • 5810� 7HIS MAY BE DEED ERR�RS ANO N0T 5702 � � � q�'' REFLECT 04NERSNIP. AD➢Rf�NAL ��bp� ? RESEARCH WILI BE REOUfRED. '� � O \, ��' Aa �4' , 57�� o,a' 1�p�` 6 NOiE� THE �EEDS OESCR[BING . ,y � *4 PARCELS IN GOV' T �pT 8 CONiAIN 0� 4� NUMEROUS ERRORS ANO OMISSIONS, h�� o~ �� F�,��� y. LOT LINE$ VERE PLACED BY BESi �17 METM00 FOR HAPPING PURPpSES ONLY. F����~ O -�- � M,� AOOIiIONAL RESEARCN MAY BE \ o. �o� _ I: ��o a 60��� REoutREo. �� � �� 014-941-04 5709 0� =�� � o o h, �y��' . 014-941-04 - ° ! 4 5817 _'� h � q� p h �4. � � 17 1 � a.61AC � p P ��� ��O p O G . 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