The URL can be used to link to this page

Home My WebLink About024-841-12-3301-LUP-2004-467 � Application for Land Use Permit(*Non-shoreland*) o o e'� 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 j � flowage,lake or pond or does not have any of the above waterbodies located within C the property's boundaries. � � CONSTR��JCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � }/GS�K� PRINT-USE BLACK INK OR PENCIL � �y tb.Mr,�4. Q^d ,� � �L:%L 2S�a `� � ^`, �,1 dA��U ��T�G�s� �� ,v r 0. Owner Builder �' � /��s�1 iw,:� � y ,Q,� ia��f i�-.� �- � �v �: Mailing Address Mailing Address O /�/1�v�/�l� �,� s S'd'�/� f�A"w.qrcJ, w.' �'Y�y7 � � City,State,Zip City,State,Zip ��S- v6a- r�-�� S y�a- ysn3� � Daytime Phone Daytime Phone � v Additional Information: Zone District: � 'z 'v Lot Dimensions: �, a 9. 9/ '�� Date lot was created: Acres: n � Is there wetland near the proposed structure?If yes,how far /l/� �o 0 c Building Land Use Floodplain:( j Yes (x)No =° �. (�New ( )Filling � ( Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd O Town Rd. o ( )Moving On ( ) ( )Counry Hwy ( )State Hwy �,"', � � ) � ) o `,+ t� Primary Structure Accessory Building Addition � ° O Dwelling Q�Garage-attached/detached O Deck W O Year round (�)#of caz stalls O Porch = O Seasonal O Storage Building O Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primazy structure ( ) ( )Relocate/enlazge . � � ( ) ( )#of new � � i � AdditionalInformation: N A � W � 0 Type of Construction: � � Q6 Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other .ti ~� Construction Cost:Primary Structure$ �� fl�� Accessory Buiiding:$ Addition:$ sk t_ � � Deed:Vol 7Y5 Pg /98 Certified Soil Test# pl-155 `•"' z CSM:Vol Pg Lot# Sanitary Permit# pl -/`+�8 b. � Or: �;, � Plat Envelope � Condo Vol Pg Yeaz Installed: � � � Aff of ex septic Vol Pg Owner When Installed: � � � —i Previous office approvals/actions: :� � Variance:# LUP:# SP:# CUP:# � h Inspection Report:# Change of Zone District: �3-6z7 .,� N��h� � �� ac�� 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. 6�A�AGC� #2. #3. #4. Size��fr. wide ft. wide fr. wide fr. wide s'O ft. long ft. long fr. long ft. long Floor area�sq. ft. sq. ft. sq. ft. sq. ft. Hgt.firom gade% �E 7 to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms Rear Lot Line fi ,vo�� .j , �� , u��r O �� i�,-, � 3J. _ u �s� �� s�vr.� F �n;st;rt9 , '�Y � � � ,��se �-� 6� �--- �( y a�'le1� � SP f• C °� ,, �� /�� %J � � l3�� T� a�A . N ,=,e � � 4i � 0 �_ � Fire Number and Name of Road /o?sS�S %�✓-/� � % � �� 1. Enter lot dimensions and indicate north by arrow. Si n re of D ner or orized A ent: 2. Indicate the location and size of the requested construction 9/,��Cj�� g SignaNre activities. ��v�U �. ��-/G�f�' .0 PnntName: 3. Also, IndlCBte tlle IoC3tlon and d15tanC0 to the well, The above cerGfes that ihe listetl information antl intentions are true and coned.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines and to the with the requiremenis of the Sawyer County Zoning Ordinance and ihe laws and regulations of the Sfate of Wisconsin, and if CCRtCtllriO Of t}1C T'Oad. ading as ownet(s)agenL has the permission of the owner(s)to peAortn the work requested on this applicalion. The above persons/s hereby give permission for access to Ne property for c onsite inspecfion. Permit fee: $ /L�C� � September 1, 2004 C _ � ��_ `�,p��,.,�_7� Issue Date Signature ofIssu' A e t � September 1 , 2005 0 50% Rule: Average Road Setback: _ Expiration Date Office Comments: / z.o, � - zzaz =:a, NW—NW �% NE—NW / � / zsoi / <��. � + zwi j �tr .� •� z�m SW NW � SE—NW / / zbz / 3:OJ /� 3.13 3108 . . . /( 3109 3101 3105 310] � .. . .... ._ ... . • �4 9� 1� 311] }110 311) 3i� / • 3•01 • • • • , 3101 / � � 31.5 � —�� 3.1Z 1305 NW— W 3„e / 3t02 }.�5 � . 31]0 / 3206 »03 320] 3»� 3111 3119 � nan yaie �aos xza 3301 3t19 3�1� 3�21 7b3 • • • � 3�15 31R0 }{p5 . 3433 SW—SW x�8 �� 3410 3111 3112 3109 � � SE SW ' . }", �� .�� o� 3/1] �2 340� 3�08 3103 x� m�,� � 410: � � �I� �TMN L I SHONN NAPflN( �f No�ff-� � GRA]