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Home My WebLink About030-737-18-3201-LUP-2004-002 - � Application�for Land Use Permit � �,�'�,� � o 0 County of Sawyer }° AUG 1 4 2003 " � � PO Box 676 -Hayward WI 54843 ��i.�. _ � 3 � ( 715/634-8288 `-,�yY+F"r ri�tXi�f�y ':-- — � The undersigned hereby makes application for a Land Use Permit a�'�fFL17QIQrk shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �'� . � and the laws and regulations of the State of Wisconsin. ' NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMIT5 HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL , �me�s , , � ( �� zct�rn�c ��.� �i»er�ca��, �� ,� ��, a Owner - Builder N' ' N �o� � "N� l �<<<, r f-v{ '�:<;,,` � �� -�«��' � ' �� Mailin Address � Mailing Address g � .. � � � . ._-. . _. . . _ ._ . _ . . _ co . . 1 �i.l��f -: , . _ • - City,State,Zip City,State,Zip �� z!��% ;,y�; �,�,�:�- : � � � Daytime Phone Daytime Phone Additional Information: Zone District ��'� c , � ,. � � - Lot Size '>>. Acres /�� - � a� Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river, � creek or stream) If yes,how faz from the shoreline&water name: �1� � Is there wetland near the proposed structure?If yes,how faz �N , � ; Building Land Use � _- r, �New ( )Filling Floodplain:( ) es (�No # � ( )Addition ( )Dredging �` � 0 ( )Alteration �Grading Chippewa Flowage: ( )Yes (�)No � ( )Moving On ( )_ o � � O Drivewav:(kS State ( 1 County O Town Rd. �� Primary Structure Accessory Buiiding Addition �\ ('�Dwelling�8'�(po� ( )Gazage-attached/detached ( )Deck � �Yeaz round ( )#of car stalls ( )Porch ' ( )Seasonal �Storage Building yp�x%� ( )Enclosed ( )Frame built on site ( )Screenhouse ( )Living room ,� ' �T� �Modular/manufactured ( )Greenhouse ( )Kitchen i, Z � ( )Mobile/manufactured ( )Other ( )Bedroom O E � ( )Other primary structure ( ) ( )Relocate/enlazge � � � � ( ) ( )#ofnew \ � �\` AdditionalInformation: " �� ro � � � Type of Construction x� � ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � (xl Other <�'�,��1�,n t � - � � � - c , I� Construction Cost:Primary Structure$ '�=' "''�`', , � Accessory Building:$ — Addition:� - � Z � Vol Flo2 Pg��ofDeed CertifiedSoilTest# [)a- c�8(o I � CSM Vol Pg Lot# Sanitary Permit# O� -OQ� �� ' Plat Envelope Or: � Condo Vol Pg Yeaz Installed Aff of ex septic Vol Pg Owner When Installed: Gazd Gazebo Vol Pg ��r��r�� . ��, ��1 rn�Lf�l Previous Variance: LUP: Inspection Date: ��3 8'��`7 31�I NK ; 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. � #2. � #3. #4. Size�_ft• wide ��ft. wide ft. wide ft. wide ' y0 � ft. long ft. long ft. long �_ft. long � // � , s ft. Floor area,��OD sq. ft. ��sq. ft. sq. ft. q• Hgt.from grade��I to peak a� ' �. h�. ft. hgt. ft. hgt. Stories� �_.stories stories stories # of bedrooms�_ �J � Lot 'ne or Lake/River narr�e � �� ' P IC l-.��`r , u � �. 4'_ /8 �B ./� r yidr�E �� , I i � � , � � � ��d � � � � � -a , � � ____ ��_-______ ___ _ � 5S0 � � � g � � �P� � '� � �:� ` D _ ��'� � � � . 1 � � �OJ�✓,q �iv�= /�''o,�i°�'- ��, � ��, � o —� , �� . ��,�o, �'F'� � -,oya�� Fire Number and Name of Road � � � ' � 1. Fill in lot dimensions and indicate north by arrow. Signat e of ne or Authorized Agent: 2. Indicate location and size of existing and new structures.-NpN� .,,_, � I 3. Indicate location of well, septic tank, drainfield. J A.K F.S �. �Zf+oe��c.k�� 4. Indicate distance to existing structures, lot lines, septic system. ��,� � . �� 5. Indicate distance to the ordinary high=�� -�tnark of an �_ � lakez � 't 1'�"�-�' .. . '.Cl.� i �,�` �!, pond,river, stream, creek, and name the bod �,` PnntName'�� The above ceRifies that the listed information and intentions are 6. �d'icate an adin or clearin iri 0XC8SS Of tYle COriStri1Ct10ri Slte. true and correct The above personsls hereby give permission for }'� g g access to the property for onsite inspection. 7. Indicate distance to any wetland. �oe✓E o N PI�+vP�`.e� Permit Fee: � ��f�oa y - Issue Date Signature of Iss n nt /3 aoa�' ' Expiration ate , I Office Comments: �, Inspection Date: 50%Rule Applies: Avg. Setback: Restrictions and other information: ', i � � � _ 37� 3 - � cf�' ' ��' c�' -� _ v �— '�.1 'S,1.! � I � I � I i 'I i i I 37 ' :�7, . !� �' � � v '� �y t `�'•1 � � ,,� .7.2 82 �"�_, � � -- '3.� � - --- --- - -------- 48 � � --- ---- —_- — - — — .10.2 .q.� �`� �� _ _ � � � ' I �, ' _ �'\ �I �--7 ' :�� :�., � � ,• � �. ;, _ r�s �, �. ��,- •�� , � � -� ,��.a,, - __ \�,2 __" --,,��.!.% '� .i,�,n _ I , � I � I � , , 1=�l � � , � i � 3 3� 37, /� 7 co• .�, �— i i�' 'v °4' '� \ •//, � '/�.� '�? 2 ; ; ii II � ; li i � I �Y� 9-��-�M I 9 i �� ' [`� scf ��/" r .�=��;"�/,4 L. F`'/��'�..:i T'::i �d�r' i j' (r 6 —�..ra.,� .., .,, ,