HomeMy WebLinkAbout030-737-18-4201-LUP-2004-472 A lication for Land Use Permit(*Non-shareland*) o� �- �
PP
County of Sawyer �
PO Box 676 -Hayward WI 54843
715/634-8288 O
*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.
CONSTRUCTION SHALL N PRiBNT I USE BLACK INK OR PENCIL MITS HAVE BEEN ISSUED. �
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�o sz-ph C iCci��s�`:�'' �c�Y �r SC"/" ¢ �
Owner Builder S�
t� c� ��x z 5 � �.
Mailing Address Mailing Address � �
�/�C�C���C �.L ���� � — City,State,Zip � �
City,Stat ,Zip
Y//� - �"�C:`� - �S'l0�
Daytime Phone Daytime Phone
Add�tional Information: Zone District: �i'Z
Lot Dimensions: �"�
Acres: I� , 3 Z c; n
Date lot was created: °
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Is there wetland near the proposed structure?If yes,how far �
Floodptain:f j Yes ( )No �
Building Land Use �
( )New ( )Filling c
O Addition O Dredging Dxiveway access off of a(Check one): �
Gradin ( )Private Rd ( )Town Rd.
(Xt Alteration � � g ( )County Hwy ( )State Hwy � �
( )Moving On ( ) o �
O � > �, r
Addition ;o °
Primary Structure Accessory Building �
��Dwelling --h�'�'�� ( )Gazage-attached/detached ( )Deck w
Year round O#of cac stalls O Porch -- �
� � �u'�`' ��'��.� �
( )Seasonal ( )Storage Building ( )Enclosed � �
O Frame built on site O Screenhouse O Living room
( )Modular/manufactured ( )Gceenhouse ( )Kitchen C�
( )Mobile/manufactured ( )Other ( )Bedroom �J �
( )Other pximazy sYructure ( ) ( )Relocate/enlarge '
� � ( )#of new � �
� ) v �
AdditionalInformation: � `
J �
i �
Type of Construction: Concrete '��
Q�j Fxame ( )Log ( )Pole/metal ( )Block ( )
( )Other '� �
�
Construction Cost:Primary Structure$ ,S'G��-' � ,�
Addition:$ '� I. i
Accessory Building:$ �;
� 3zy3s�
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Deed:Vol � Pg Certified Soil Test# /' ` �
.. �
CSM:Vol Pg Lot# Sanitary Permit# i!-.-� �
Oc: �"x �;;� �, �'�I
Plat Envelope_� i �
Condo Vol Pg Year Installed: � �
Aff of ex septic Vol Pg Owner When Installed:
� , -.�;.�, ,.
, �� , �
Previous office approvalslactions: �
Variance:#
LUP:# SP:# CUP:#
Change of Zone District: '�c`;
Inspection Report:#__ ��''
31tiSa
! �
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 columa
#1. rcaa P #2. �o��� #3. —I,Vu !( —r�� -_�, , ,� #4.
Size�_ft. wide �ft. wide �� "�' It•�'ine ft. wide '
��ft. long �_ft. long d� I I' ,* �� ft. long ft. long
Floor azea�,sq. ft. _ ��_sq. ft. r � � sq. fr. sq. ft.
Hgt.from grade L�_to peak�ft. hgt. ft. hgt. ft. hgt.
stories stories stories
Stories�_ •
# of bedrooms_�
, ,
Rear Lot Lin '
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Fire Number and Name of Road �� �
1. Enter lot dimensions and indicate north by arrow. Sign ure of 0 ner r A th rized Agent:
2. Indicate the location and size of the requested construction G � si9 amre � �
acrivities. d�Y � C �r�=��
PnntName: �
The above certifes that the isted information and intenticns are
3. Also, indicate the location a11d dlstance to the well, true and correct., lhat all work shall be pedormetl in comoliance
with the requirements of the Sawyer County Zoning Ordinance
SeptiC tank and clTalnfleld, wetland ateas, lot lines and to the and the laws and regulafions ot the S�ate of Wisconsin, and It
acting as owner(s)agent has the permission o(the owner(s)to
centerline of the road. Peno�n me work requested on mis appllcatioa The above
personsls hereby give permission for access to the pmperty for
onsite inspeQion.
Pexmit fee: $ / � • ����� '
September 2, 2004 � 1 �0 �t X `��l ' �"� Di.t �'�� �
Issue Date Signature ofIssui e t
1 �
September 2, 2005 50%Rule: AverageRoadSetback: _
Expiration Date
Office Comments:
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030-737-18 1102 "
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-737-18 2101 030-737-18 1201
030-737-16 1101
39.52A6 1893AC.
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130-737-18 2401 030-737-78 1401 030-737-16 1402
1921AC. 17J5AC.
J8.46AC
__NW SW— NE SE NE
030-737-18 1307
30.70AC.
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'STP.1T HWY 48� �
WID1H VARlES i.nnc. 030-737-18 1403 '
i.3znc. 030-737-18 7302 _
__.- -—-—' - 030-737-18 4103 �.93^c.
—-—- -�-—- -—- 030-737-18 4203 z.s2nc.
030-737-18 4201
18.62AC.
NE SE
JE SW NW SE
030-737-18 4202
030-737-18 3101
030-737-18 4101
030-737-18 4102
1B.62AC.
18JBAC.
18.B6AC
18J7AC.
030-737-18 4401
030-737-18 3402
030-737-18 4307
3961AC
19.93AC
39.61 AC.
�E SW SW—SE SE—SE