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Home My WebLink About032-540-35-5312-LUP-2004-034 Application for Land Use Permit o � ' County of Sawyer � � PO Box 676 -Hayward WI 54843 715/634-8288 .. The undersigned hereby makes application for a Land Use Permit and agrees that all wor � � 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 PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL O I�G�Li r5 /�IiSSe�,i v� �J� l�caT�� 'Yl�lTc -� �c�� sSc= ' — a wner Builder N' � �� ;� f,y� ��v v �ry GG a: � o Mailing Address Mailing Address � � � 11�1�{r�r�L��-� �`/�%�-- C�/�/� ��✓a�7`l� Gt-'! ��/�'�'�v � City,State,Zip City,State,Zip �i5-��-�'�"�/ Daytime Phone Daytime Phone � 0 •�1 I � � Additional Information: Zone District � Lot Size ,�S�°x �5� '� � ,- Acres �•�l�c� 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 far from the shoreline&water name: Is there wetland neaz the proposed structure?If yes,how far � o �" � ' � Building Land Use G ., � Q�New O Filling Floodplain:O es (�)No # � ( )Addirion ( )Dredging � � 0 ( )Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No + � r" � �Moving On � � Driveway:( )State ( )County ( )Town Rd. u,, � I � Primary Structure Accessory Building Addition `f Dwellin ( )Gazage-attached/detached �O�eekL�,�c::�c��G-" �- g #of caz stalls O Porch �' U � ( )Year round ( ) � ..�1 �,,, � (p(1 Seasonal O Storage Building O Enclosed �n' y��C er"�, (�Frame built on site O Screenhouse O Living room v _ � � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen A p .�r_ \ �/' , �;�!' O ( )Mobile/manufactured ( )Other ( )Bedroom �� ( )Other primazy stmcture ( ) ( )Relocate/enlarge �� . \ w vt o � � � ( ) ( )#ofnew >� G v� � ... � � Additionallnformation: � �'' � � � c � � � � � Type of Construction � y,, � (�Q Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � \ ( )Other � �� '�' � � Construction Cost:Primary Structure$ /�E�t�� • � � Accessory Building:$ •-� Addition:$ -� � z " U � G Vol��Pg I E��-� of Deed Certified Soil Test# ��/��a%� Q � CSM Vol Pg Lot# Sanitary Permit# O�l-L�o1 `�'t N� ta. Plat Envelope �r� � c' Condo Vol Pg Year Installed �� Aff of ex septic Vol Pg Owner When Installed: Gazd Gazebo Vol Pg \\� Previous Variance: LUP: Inspection Date: .�� .. yo�� 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 �_ ft. long ft. long ft. long ft. long* Floor area —�-��— sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade�_ to peak ft. hgt. ft. hgt. ft. hgt. Stories __�____ stories stories stories � # of bedrooms �_ Lot Line or Lake/River name: � ��" o � , � � �K�'��'� , , _ �� C �� ' �v f � ,� � � � � � ,�� 5��` �� T 1` � _ , _ _ -- - - � � � _ _ + _ -- - � +� __ _ _ _ _ ° , .� ', ,�lC� � 'd �. : j� ��--__ -_..__. -.__._ _ _ 1 ?,� - - ; - — - - - - — _ �q�d�4�Y� , 30 ' .� ; � ; �' i � �� - � .� , ,,Se�- � � -`��.<,t=%l i � ; , ��t v i Q: I.c>�-� �.x� �,n,,�� ?� i3A�F�c-r►��N�. � � � , Fire Number and Name of Road _ :i� � l'�✓� iS ^ 1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate location and size of existing and new structures. 3. Indicate location of well, septic tank, drainfield. 4. Indicate distance to existing structures, lot lines, septic system. �� a � , � �r"- 5. Indicate distance to the ordinary high-water mark of any lake, < < � �.�.u,�� 3.�.�,.��-,, pond, river, stream, creek, and name the body of water. P�nt Na�r,e: The above ceRifies that the listed information and intentions are 6. Indicate any grading or clearing in excess of the construction site. true and correct The above personsls hereby give permission for access to the propeRy for onsite inspection. 7. Indicate distance to any wetland. Permit Fee: March 2 , 2004 Issue Date Signature of Is in gent March 2 , 2005 ', Expiration Date Drainfield is on lot 1 CSM 25 / 148 . I Maintain 30 foot setback to the driveway easement . as st'iown Office Comments: on C SM vo 1 2 5 / 14 8 . Inspection Date: 50% Rule Applies: Avg. Setback: Restrictions and other information: � �' OWIV 0 � 1NIIVTER � � N � � SEC . 35 TWp 40N . R . 5 W. � rt ^ J I� • �(� . : � � � : � � �I� � � J . . — — . . o w ' _ _ � � � � � i�i 6 �' N . � � W � -•/ . • . _ �. „ �' w w _ � w w w . iU ' m , � � �, ,� N ` n, � . r W M 6 w . r 'i y.. • • i♦ •• •� •V H i� tU N N a` �- N � � � c u� � W ti . . o '� � v N 0 -0 N; N ' � dp P . . .. - iV � � � �� PAULA CHISSER SAWYER COUNTY� WI AEGISTER OF DEEDS � 319109 02/03/2004 8:30 AM RECORDING FEE 13.00 Pages z � � ��'3� � � � � �� zY' J w V � 8 3��5 � � � �`___ � A�.��O\'Hi" `Yi/�i� __—— .� � �F V i ��` M ;� 'I�`q`'' *��eC0.B0.fip N � � .- V'c. .�Y'ZSZ �— 7 - �M Or\ � ;.'� t+ "L_: � 7 �: '�< @ � '�, �� ; �,`sg_ � e - r� s Q.'� �� . ?�� . 1��.;. h � g' .• � � � � 8 � � � .OL'6hZ �� .� 3.ZI SC.CO N .9B'9Ll .�B�LZI � �aRy Cr� Y4�- O� if �� r � �� ly �t�� 2�' �� '� I ��$a �O1 �N< n� � \ a'�v O��'f V� N t�i�� I ✓V Q O q� 2 2 V� � . o�P � I � °�� I � I � ' �♦,,. � .09'lSl I = �l[a � ,Zf'B6 n 3.8.fY.rO S pti P� �ln� .ZO'OSL —"—'_'_�__ " `i1 � I m �, a-----�—F�sriTac�aona " W � v�2 on = �, O _� � �I ti � � a�� ry a w n � r ` ti f m 255.13' !J Q W�j N i Q ..�1 � �Q �m 4121.9]' 2680.70' �� (n � � � o S�5'07'15 E ry _ J' S W � o ti z �,�� \o W g� h� � ��p N� � �� V�� W b b ��^ � 7 a�� a ��e�� = �o . Cert�ed Survey No. 6 7 2 1 V!L 2 5 P�14 8