HomeMy WebLinkAbout026-182-04-0301-LUP-2004-071 Application for Land Use Permit(*Non-shoreland*) o o � _
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
flowage,lake or pond or does not have any of the above waterbodies located within �
the property's boundaries. �.
CONSTRIJCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
,G��r�� Q y�i PRINT-USE BLACK INK OR PENCIL � }� 1
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Owner _ Builder —T < �
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Mailing Address Mailing Address C O
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Daytime Phone Daytime Phone
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Additional Information: ✓Zone District: �
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Lot Dimensions: �C/�� >C d�,O_�. �
Date lot was created: Acres: �• a� � �
Is there wetland near the proposed structure?If yes,how faz /v0 G �
Building Land Use Floadptain:� j�es �No `+ Q
�New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): � �
O Alteration O Grading O Private Rd Town Rd. o
�Cf Moving On O O County Hwy )State Hwy i."', �
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Primary Structure Accessory Building Addition � °
�Dwelling i�Garage-n4ls�kedldetached �Deck W .�
�Year round (�#of caz stalls ( )Porch .= �
( )Seasonal ( )Storage Building ( )Enclosed � �
( Frazne built on site O Screenhouse O Living room �
Modular/manufactwed ( )Greenhouse ( )Kitchen ��
Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlazge � '
� � ( � ( )#of new 1 �
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Additional Information: 9�p
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Type of Construction: ��
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �,��
( )Other �
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Construction Cost:Primary Structure$_��Q�. �� � �
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Accessory Building:$ 3���, O d•`'' J Addition:$ �, ������ � �1.1
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Deed:Vol Pg ' Certified Soil Test# (�(�y� � z
CSM:Vol Pg Lot# =�Sanitary Permit# �'y-�C4 o, 7�
Plat Envelope 1;Or: �, �
Condo Vol Pg Yeaz Installed: c�'o
Aff of ex septic Vol Pg Owner When Installed: " �
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Previous office approvals/actions: -C
Variance:# LUP:# SP:# CUP:#
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Inspection Report:# Change of Zone DistricT. (�� �
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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 sep rate col mn.
#1. O(,� E #2. AR E #_31,��� #4.
Size�l,8_ft. wide ft. wi e ft. wide ft. wide
�(�ft. long _�� ft. long . 3� ft. long ft. long
Floor area��'(�sq. ft. ?Q7 sq. ft. �"�' sq. ft. sq. ft.
Hgt fmm giade�to peak��fr. hgt. ..� fr. hgt. fr. hgt.
Stories�_ _�_stories stories stories
# of bedrooms�_
Rear Lot Line
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Fire Number and Name of Road_���o �f G'��t1/ ��1��,'"j ��- � �"�-��� •
1. Enter lot dimensions and indicate north by arrow. r��' J � ` •`% �
Si �ure of Own r o Autl ed t:
2. Indicate the location and size of the requested construction �
ignaNre
activities. �'a A �i� p� �fE,ad
Pdnt Name:
3. Also, iriCllCate the IoCatlOn and CI1StanCe to the well, The above cert�es ihat t listed information and intentions are
irue and cortect., ihat all work shall be pedortned in compliance
septic tank and drainfield, wetland areas, lot lines and to the wiN the requirements of the Sawyer County Zoning ONinance
and Ihe laws and regulations of the Sfate of Wiscronsin, and if
CCnteI'lln0 Of t}le road. acting as owner(s)agent,has the permission of the owner(s)to
perform the work requested on this application. The above
personsls hereby give permission for access to Ne property for
onsiteinspection.
Permit fee: $ c3 �'�. i . ( �.
April 17 , 2004 � - —
Issue Date Signature of Iss i gent
April 17, 2005
50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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t �{� CURRENT TAX YEAR ACREAGE : 0 . 797
PRINT THIS STATEMENT ( Y or N ) , PRINT WITHOUT DISPLAY ( P ) , OR QUIT ( Q ) ?
I
INTEREST DATE November 30 , 2003 REBR03 * Parcel ID Number *
BRUCE J & CATHLEEN A * 026 - 939 - 11 5117 *
RESELL * * * * * * * * * * * * * * * * * * * * *
1823 VICTORIA ROAD
MENDOTA HEIGHTS MN 55118 Property Address
TAX CERT . TAXES , CHARGES ,
YEAR NO . TYPE OF TAX OR , ASSESSMENTS INTEREST TOTAL DUE
THERE ARE NO DELQ . TAXES .
* Legal Description of Property * PLEASE RETURN THIS STATEMENT WITH YOTJR
SECTION 11 TWP . 39 R . 9W PAYMENT . P : : 1 . 18 RE : 026939115117
PRT GOVT LOT 1 HISTORY : WD840 /421
2002 VALUES L : 5400 I : E : 8100
NET CURRENT YEAR TAXES : 93 . 00
SPEC . ASSESS , CHGS , UTIL : . 00
CURRENT TAX YEAR ACREAGE : 0 . 220
PRINT THIS STATEMENT ( Y or N ) , PRINT WITHOUT DISPLAY ( P ) , OR QUIT ( Q ) ?
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