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HomeMy WebLinkAbout032-539-02-2203-LUP-2004-131 ;1 S�' � Application for Land Use Permit �-d✓ 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 work 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 � // � /�� lsnN+5�ie2vl J1'FN .� .C�rJ �i{ Gl i��F t�J1, eeCSbh1 a � Own ��� Builder � ' �p S � �, �0�( ��.� I -� .��/� �'1� o' � Mailing Address Mailing Address I� O � � (��IeS'vi II� 1.J; ��f� 3� -�l��esvi�le� I�% ,S�%n 3� � City,State,Zip City,State,Zip � _ 5 __� � ,� -�. Daytime Phone Daytime Phone � Additional Information: Zone District ��i`� ,r �,��f y pf NU�"� Sec �. `To�uNsV�.��S'J� �y` �. � � jy," � + E a� cv�n�-.� Lot Size 'l' ., a�� i�i�bw�y� a�s EI�-f��bti-Ia � � � Date lot w�s cretated I97(v Acres /, � � �L,C'6�`� Z 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: /�)C� Is there wetland near the proposed structure?If yes,how far /l��i� � Building Land Use �" c Qn New O Filling Floodplain:O Yes (j�No # ;; ( )Addition ( )Dredging � � ( )Alteration ( )Grading Chippewa Flowage: ( )Yes �No � � ( )Moving On �/�b r 0 ( ) � �r�� �q� Driveway:( )State ( )County �f Town Rd. � Primary Structure Accessory Building Addition W (X�Dwelling ( )Garage-attached/detached ( )Deck ; � ( )Year round ( )#of caz stalls ( )Porch � � (Xj Seasonal ( )Storage Building ( )Enclosed � (�Frame built on site ( )Screenhouse ( )Living room q� „'" ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom �' � ( )Other primary structure (��Q� ( )Relocate/enlazge � � ( ) ( )#of new � � � � Additional Information: � ro ' � 0 Type of Co�lstruction i� „� �}Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �. ( )Other i � � Construction Cost:Primary Structure$ SDOO �' Accessory Building:$ Addition:$ � U;, z 7y Vol � 3��'�35 ofDeed Certified Soil Test# !'��/-0(c�o k �, CSM Vol Pg Lot# SanitaryPerxnit# f.`y—l`�f2�? � � Plat Envelope Dr� � Condo Vol Pg Year Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo Vol Pg LUp: Inspection Date: �����0� Previous Variance: � � �3�-IS88 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. flw e I��n� #2. #3. #4. Size_��ft.wide ft.wide ft.wide ft.wide ,��o ft.long ft.long ft.long ft.long Floor area�O sq.ft. sq•ft• SQ•ft� Sq•�� Hgt from g�ade�to peak ft.hgt. ft.hgt. ft.hgt. Stories QNE, stories stories stories #ofbedrooms DT/E, Lot Line or Lake/River name: � flr�1.liN��-----� �� d "�,� � .��` � j 1 � � / ; .��� � � , , , f� , � , I � a�� ! � � �. a , �� � �o�. I I �� , c�,5 0� = o, � .�'� �� � k `� � � 3 z o0 C� � �o�r y + !� / D - - ' � �Q �l -- ' S9S on� fl"s�%�"� .cf+ ,PaF d Fire Number and Name of Road 1.Fill in lot dimensions and indicate north by arrow. Signature of Owner r Authorized Agent: 2.Indicate location and size of existing and new structures. /`� �r����--� 3.Indicate location of�vell,septic tank,drainfield. G G� 4.Indicate distance to existing structures,lot lines,septic system. 5.Indicate distance to the ordinary high-water mark of any lake, ����E �EN+�F l�SO ti ond,river,stream,creek,and name the body of water. a�nt Name. p The above certifes ihat Ne listed informa6on and intenGons are We and cortect The above persons/s hereby give permissi�n for 6.Indicate any grading or clearing in excess of the construction site. acce55to me Pmvemmronsue�ns�ea�on. 7.Ir.dicute distance to any wet�and. Permit Fee: May 5, 2004 - Issue Date Signature of I uin gent May 5, 2005 Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries: Restrictions and other information: TpWN OF WINTER G .Y No-r �s�-� s � c . z Tw P. 39 N . R . s w. - 3� b I 34 35 :i.'F t � ;1.5 3 .b.a .6.5 : i•7 '" , PERCH LAKE -'•b - � :�.g .�.z :IA 2 is M �.� .,�.�o ,, .b•2 � s .1 .1 1 �.c5 4,4s' I ��q YY .6.1 8 :1.3 � � 'z '� M _ : 1.1 :I.IZ . . : i.2 . � '�� •I.�1 1 v ��_i v �- `'' " .3.2 .3. � :4.3 _3.1 .3.1 .3.3 y ' 3 :3�13 .� :3.1 � `� " F s ,.v. ,Y1 ,�� w 2 � � � a 3. .,�e :32 ',j� �3.1 � z � l� :�1'.I 1 � .4. 1 ,'� '� .� �� � C•� = S L A N D ; ii� :4.2 .3.6 I� :3•�F :3.n :3•�O .3.7 ;a.9 a.iz .�.a ''�' L A K E I 3.9 3.io 2 .a.i .i;.s 4 :3.6 :3. ,�! �,� � . 14.2 i, V 4 %; j34 - 3