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HomeMy WebLinkAbout024-841-01-4309-LUP-2004-082 Application for Land Use Permit o 0 County of Sawyer � � PO Box 676 -Hayward WI 54843 T` 715/634-8288 N � n The undersigned hereby makes application for a Land Use Permit and agrees that all work - shall be done in compliance with the requirements of the Sav✓yer County Zoning Ordinance =� and the laws and regulations of the State of Wisconsin. �%1 / NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMTTS HAVE BEEN ISSUED. /�l¢S PKt PRINT-USE BLACK INK OR PENCIL i I � � Nlu�'lL � �im�c� DSc��►�u� ���tc�`►-� ����C1��� �x.���t����e�a � Owner Builder � S, o • � (���7L'�ll����� �- �' ���I`��W C'IaU���u �Ui.� C�C`�� o. Mailing Address Mailing Address � � /� c, ('� � �.�i_`��C��:'� �� l'J✓�'�O � ilfll�(a 1"f� 1'�,�� �c��.� =° City,State,Zip City,St te,Zip ,/ C����)-�`»� ll�� �����-��%�: � Daytime Phone (n�� ��1�'S35') Daytime Phone � Additional Information: Zone District }�n � `, �iJ Lot Size //o�G�X/;�/�,id X/<>�/,'�X/;�% 1 � _ '! Date lot was created %����i yU.S Acres � �S�GZ.C�iP� � Is the property in a Shoreland District?(within 1000'of a lake ar pond,within 300'of a river, creek or stream) If yes,how far from the shoreline&water name: h/(.,' � Is there wetland near the proposed structure?If yes,how far /�/Gy o � � � � Building Land Use '� fl Q�New O Filling � Floodplain:O Yes (�No # � i ( )Addition ( )Dredging � G� �( )Alteration ( )Grading Chippewa Flowage: ( )Yes OO No ,�°_, ( )Moving On ( ) o ( ) ( ) Driveway:( )State ( )County �Town Rd. � � Primary Structure Accessory Building Addition `�- {X)Dwelling ( )Garage-attached/detached Q4 Deck � � ( l Yeaz round O#of car stalls O Porch � � (�Seasonal ( )Storage Building ( )Enclosed -C Q(Frame built on site O Screenhouse O Livmg room p" �Modular/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlarge � ( ) ( ) ( )#of new � � � Additional Information: " ' ro � Type of Coqstruction � OO Frame � ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � � Construction Cost:Primary Structure$_�G�1�?C'� � �' Accessory Building:$ Addition:$ '7,G���� 'Z � Vol (�J�, Pg �l�o ofDeed Certified Soil Test# hy-0�0 CSM Vol Pg Lot# Sanitary Permit# C��-�, � I Plat Envelope Or: � Condo Vol Pg Year Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg Previous Variance: LUP: Inspection Date: � � �I���� �fv'1'�3 Describe the construction using these columns.List the dimensions of each structure in a separate column.List each story,each addition,eych al eration in a separate column. #1. 1t�uSC. #2.A�Gk-(U1�.1P� #3.�Ck�u.'�ciP)5�c.� #4. Size vl`� ft.wide I� ft.wide �_ft.wide ft.wide �� ft.long �_ft.long a�_ft.long ft.long Floor area 9��o sq.fr. ��sq.ft. 1�� sq.ft. sq.ft. Hgt.from gade v�{��to peak � ft.hgt. CJ ft.hgt. ft.hgt. Stories�_ �J stories � stories stories #of bedrooms�_ /�y-7� Lot Line or Lake/River name: � � ►ol� u � I � _ _ _-- � �P�t�C SyS�'1� ��-Lf� # I � � � � i � / Na�� �_—i--'-� a yxag � ��-� , � �Q� � ��s��'� ,i I� "ry`, �^ \ 1 , �'� 1 w �: ��%�;� �' , ,- � � � . �� T � , � � �\\ � a�° 1 ��� ,.:. s!y a�\� � ,�', Fire Number and Name of Road , 'C 7 Y- � Ye� � 1.Fill in lot dimensions and indicate north by anow. ignature of Owner r Authorized Agent: 2.Indicate location and size of existing and new structures. 3.Indicate location of well,septic tank,drainfield. //��l- � � 4.Indicate distance to existing structures,lot lines,septic system. " ``�/���� 5.Indicate distance to the ordinary high-water mazk of any lake, m pond,river,stream,creek,and name the body of water. P��wame:l' iO``K ��SLn�w The above ceNfes ihat the listed infortnaUon and intentions are 6.111d1C2te 3T1}'$I'3dlrig Ot C103Rrig lri CXCOSS Of Yt10 COriStNChOri Slte. �Ne and correcl The above personsls hereby give permission for access to ihe property foronsite inspection. 7.Indicate distance to any wetland. CK t� I 1,9� Permit Fee:� ����OCi Apri1 22, 2004 - Issue Date Signature ofIss' g nt April 22, 2005 Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: �f�.a {- . . .. t W.�f YL. �iEl /'� � � . �' ��F`��y Y y . � 2 � ;a,. �t �.r,.y�'� �: ; , ` f 4" .,r� ,. : ' �.,�� : � �Y - � 1- �e I � � � , A � Tq� �4 �, � .� 4 ��'��,� y� �\i6 ,},.F'. Y S � � � !S� ..�s�' r� .� r si� n .'� t r^' �'i. ' '. ;+€,,�ty. f r � '�" '� �k 4 � �� ��. � ( .�` �� .�:�`�jef.4y��x �q�'� g '�i� . �� �'��fy�i��.� a � ��+.,�'�T� �e� �t-.�K� ��* F2��:^� � ��s� ��`�� - 'i s � � 4 - 1 � ��yy ,� iY� � � . , •� r' i j. 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