HomeMy WebLinkAbout024-841-01-1104-LUP-2004-537 Application for Land Use Permit(*Non-shoreland*) o o�
�,-.
County of Sawyer � �
PO Box 676 -Haywazd WI 54843
,c�S f�(y- 715/634-8288 _ 00 �
*Property that is not located within 300'of a creek,river or stream or within 1000'of a 6-- S
flowage,lake or pond or does not have any of the above waterbodies located within 1
the property's boundaries. �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN[SSUED. a �
PRINT-USE BLACK INK OR PENCIL 7�
�1 C ` �" �
y�o141 Y� J jo5 j"ro rv� S V'�awv� J\O$'�'�^4 y`�+ n' �IIF�
Owner / Builder J / <'
�3��� N La�SYn �d ��0 Z 7 /V �u rScs� �d �.
Mailing Address Mailing Address O �
�la4w�.�1 t�,- .���y� f���,Y� W; s��y 3 �
City, tate,Zip City, tate,Zip
7�s -��y— �o�� 7�- c�Y-Go�� �
� Daytime Phone Daytime Phone
Additional Information: �Zone District: ���
Lot Dimensions: �I� � X �6`{.3�O/ Q
Qa/� U
Date lot was created: U""�5'�� Acres: 2+�.1 dl n
0
Is there wetland near the proposed structure?If yes,how faz N 0 G �
Building Land Use Floodptain:� )Yes (X)No �
�
QD)New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading j�)Private Rd O Town Rd. o
O Moving On O O County Hwy O State Hwy ti
� ) � ) o S
r
Primary Structure Accessory Building Addition � °
(jC)Dwelling (�O Garage-attached/detacbed ( )Deck w -0 �
(�Year round (2)#of car stalls O Porch �= T �
( )Seasonal ( )Storage Building - ( )Enclosed � �-• �
(X)Frame built on site O Screenhouse O Living room � � �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen Q �
( )Mobile/manufactured ( )Other ( )Bedroom a �
( )Other primary structure ( ) ( )Relocate/enlarge �.
� � ( ) ( )#ofnew Z �
� ��r
�
AdditionalInformation: � < �
O �,
� �
i o
Type of Construction: �
0
('�.Frame ( )Log ( )Pole/metal ( )Block ( )Concrete {,�
( )Other
ro �Construction Cost:Primary Structure$ �y�j�00 �
�
Accessory Building:$ Addition:$ � --C fL'
rl 3Zy yv/ �u �
Deed:Vol Pg Certified Soil Test# 0�- �3�j °Q z
CSM:Vol a�P Pg c��o Lot#�� Sanitary Permit# ��-�--3��"I � �
Plat Envelope Or. ^, 00 ,�
Condo Vol Pg Yeaz Installed: �
Aff of ex septic Vol Pg Owner When Installed: � �
%
Previous office approvals/actions: %�
Vaziance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: C� ����2`� ��
�\r\\��
\}
a����
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.
#L L #2. %;��_,�r,� #3. #4.
Size ft. wide � I ft. wide fr. wide fr. wide
_�_ft. long 3� ft. long ft. long ft. long
Floor azea /e� sq. ft. ��a sq. ft. sq. ft. sq. fr.
Hgt.from gcade �� to peak ft. hgt. ft. hgt. ft. hgt.
Stories r stories stories stories
# of bedrooms ?
Rear Lot Line
�23 � 1.2
T
N
�
�
� �
= 1�r ��
� �
S
�
� ��
4�
��o' �
r� g"��e �
�c�( �
�° \�
Qr��qi�
�� 3y5 � v3
Fire Number and Name of Road
1. Enter lot dimensions and indicate north by azrow. Signa f er o Authorized Agent:
2. Indicate the location and size of the requested construction
--� Signature
activities.
PnntName: �hAW✓� �o � c rn
3. Also, indlCate the IoCatlon and d15tanCe to the Well, The above ceNfies that Ne listed i rmation and inten�lons are
Vue and correct., ihat all work shall be peAormetl in compliance
septic tank and drainfield, wetland areas, lot lines and to the w�m me req��reme�r� or me sawyer co�ory zo�m9 ord'�oa�ce
and Ne laws and regulations of the Sfate of Wiscronsin, and if
COriYCI'11riE Of 1�18 I03d. ading as owner�s)agent,has�he permission of ihe owner(s)to
pedorm the work requestetl on this application. The above
personsls hereby give permission for axess to lhe property for
onsite inspection.
Permit fee: $ � � S`��
September 28, 2004 �,( �P�/A `� `P.�,1= � � .l.c-� Z�-
Issue Date Signature ofIss g nt �
September 28, 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments:
/�
aza-au.oi imi /,
/�
�
02�-841-01 1201 d�
o`�
. �'
od .
f OIa-BLt-01 1103
�`
NW—NE �� NE—NE
��Q�
•i�' 1G IB �> 1
ax�-eai w�-au ozr-au ou-ea
o� i�a� ai nos m iws oi naa
o``
d. 'a
ox�-eu.a� uai /.
/
/ OP{-BQ-a1 1401
/ •
/
/'
02�-861.01 1�0� / OY�-B41.01 1]W
/� SE—NE
��.-eu-�i �.�2
/ •
�� SW—NE
IL i�UN6L�I1 P ME F1Mt LCG�rP�
GESi�PL�4ElNm M�iP1�SW 5�
NRAf ME N-O-Y.
02�-841�&�I�0]
/ . \ 'TMT ND'
�� 4qIR1 AS i6� MO7M IOR
111PPu/G PIIMOgS
1-8�1 01 RO
0
0
i
/ +
o w�-ea-m aaaa
� / . • oza-en-m nm
H �
� / . .
i
a NE—SE
z._a., o, ��o + � NW SE Y
.
a � � �
o a
o ; ry �
� o m
m • 1
: g
o •
� •
. .
0]�-Bn-01 J�0] �
i
ON-Bu-Ot S40J /
. • R �
r
� �i g 020-BQ-Oi 6a01 ��• �
n `/
o . m . • P
m - o ` - �'
o , � _ SE—SE ��`�
a.,-a, 3<0 . o a " G�P /:
s ` �'
' • - w— E • - � ('
_ ,
� � �
� o , �
a _ ; �
; SAWYER COUNTY�ERIIFIED SURVEY ;'� N ,._,�, � �' ¢1, '�i' �„ ,. �
, wcw�Nn�rwi�s�w�M,sEcnorraranx�wan� ; D d cR�rr+icsc�� 1 1& � �,� •� m,
i NEI/NEI/4.SBCI.T4INRBW.ALLMiNEIOWNOFIqIRIDl/11�. � �1 ; i �
S1IPYERCOl11Vfl;WlSC0/�611�1 � w �g 1 � �
I / , D � BEMINC$ ME REFEHENCED TO ��
� / j' TME WEST LINE Of ME HN 1/� I I 1 � �
I / '�� SEC. 8. UIN. R]W �� ' I
� IFCEND 45�.' tiSwuco N BFxt w.ww�csy 1 `�
� y. ' sav i z•zzw
I O = SF7 5/8YI8' WCN BM / �+�'� SB9'S0'44"E 732.59' qy �< � i�
11G 1 e • RM1Wr 0.5.Y
I MIN. Mf. 1.77JNN. R / lu.b' iMaO' ieeoo' in33' `i 1 si� �
i A = cuc. vosna r+o wawcnr j r�
� p� _ �o. 3/t a�,w ,R 1 i? G\
� p o r x�w awe / � _ � �
� . _ � 5�•�� a,� � ,� '�� �1 ��
� PECOIm�(Y[YY%YJ /. � '�Q 11
� � N V1 VI N t � _
I ' q g o `�
� 0' � � N 1 I
� / 4ib` N tn U tP � I �V
I .� 'J� W N 4 N 1 � 1 ILf 10
ti m icr �e m im n "' �m is � • R.o.w cs�
neeo..�. '1i�
� / . O w. ia a^, emw.�. 'm e�.ao..�. m zot ic: 1 ,
i r^^ '�o.• .�' xina..e. u �o��� � �oi� P ma rwsrMart F.
�.w rc: \
1 5 m u �o c ' \
I G j •
/ SS,�
i+ �``q�,4 � � Ot. �,
j I . I f)0�. �
• I ) � ___'_' xanwv_1c .n_owv_tv_rac�socxr__ xer�a'wt �.�a' "_-!___'_ •, f-\ ,
/ _'____'__' I
1 / 6b10' 8 1!!00' 1l0.00' T1651' vDa 1]0.b' . .
` - � � �
� � oow rEwcnrc 589'4J 04 W 1230.64 � �� oow rvrciMc � � 58Y45'04'W - .
� i i/:' ic. mo. r �Xj 130.50' �. \
1 �J tl I.� \
1 r�xn m" �I� �
j ���`;SQONS�'o � CURVE DATA C2 �R �mm � M
I oa�0,w Cv�
� `�.`� .... ... ..!V�'�� L=90 95' I �
I ' JEFF D�39'70'S0' I
j A��Y� ` �' MULOCK �:*' R=133.00' � �
15614 W WOR06E W.1330 _*'s &2719 . - '""O5 T=a7.3J' ��
� b ' LC=531'2B'37"E r
. i HAYWNtD W 5�9�3 �
� 71583�F3435 7�.,� '�0�.: 8919' � T
7ISA3�2739FN( ;� O•..••.•.�;i'i�•� 2
! q�ySUC��y;�r 1
� 41EET 1 OF2 �onu�a�� � p
i ��14�y 1� m
i �
' ���;�� �w�
� A#18EN,LLC
I � o8 � iqlo� t�