HomeMy WebLinkAbout032-338-17-4103-LUP-2004-289 �
Application for Land Use Permit (*Non-shoreland*) o
County of Sawyer � � .
PO Box 676 -Hayward WI 54843��� ,�{ '�4�`�-,� i�, ���':_���.-=� � �
715/634-8288 �
*Property that is not located within 300' of a creek, river or stream or within 1000' of a w
flowage, lake or pond or does not have any of the above waterbodies located within �'
the property's boundaries. � ,
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. .y
PRINT-USE BLACK INK OR PENCIL �Ti
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��A�2 E�-s�s �i✓� . � 1�•�4,v� G. �S�F�,E'G �4 �*-i d �
Owner Builder �'
a s�� � o:
/.� �77 C�ou a�fY l`�wy �
Mailing Address Mailing Address � �
� D��sr G'� L�J, S� 7�� �
City, State, Zip City, State, Zip
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7�,�� - �� S - � 34' 7 0
Daytime Phone Daytime Phone �
Additional Information: Zone District: I�� ' j �r-
c a. = �t�. �3 "
Lot Dimensions:°� e = �f b. �g
C = 9`f�. , �Z ,
r
Date lot was created: t� ,f 4� �Q 7� Acres: S t �C��s o �
Is there wetland near the proposed structure? If yes, how far �v � �
Building Land Use Floaclptain:-f j I'es �No � �
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( )New ( ) Filling �
Q�Addition ( ) Dredging Driveway access off of a(Check one): �, �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. o
( ) Moving On ( ) Q(� County Hwy ( ) State Hwy ti,
G�
� ) � ) o �
� r
Primary Structure Accessory Buildan� - A1 Eti i� Acidition � °
( ) Dwelling ( ) Garage-attached/detached ( ) Deck W
( ) Year round ( ) # of car stalls ( ) Porch �
QQ Seasonal ( ) Storage Building ( ) Enclosed �
(xj Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other �Bedroom � --
( ) Other primary structure ( ) ( ) Relocate/enlarge S �
� � � � (/) # of new c,,, ,�,�
��� � 3 � fl
AdditionalInformation: d A
� r. �,�Nb�u�s� �� �� 4� -z8� ��`xa� ' ` �
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� d, p�f�N T'a �DD �3�Di2o�v►� 5P�£t� s � 1 �
T y p e o o n s t r u c i : 3• S.r� /1i�s ioov G�-� SEP��� Ti'E�K ..�
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete Q `
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(� Other i�u.�✓D�-1[ o� 15 C�x� �EivT 9L/�B ��c.� �k'1�D� ,� ,�
Construction Cost: Primary Structure $ // ��o � �
Accessory Building: $ c� Addition: $ 3_5 6 v �
� os �j 9a�
Deed: Vol ��6 7_Pg ' !lo Certified Soil Test# ���1 �f a� ll "� Z
CSM: Vol P Lot# Sanitary Permit# �l 02 - J jo� o, �
_�_ g_�L_ �
Plat Envelope pr: ���� �"�s �p^'sT ��T� 1��'��:�
�N� N
Condo Vol Pg Year Installed: l 4� a2- �
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Aff of ex septic Vol Pg Owner When Installed: '-'
�' L/k �Ci� -r- D• 5 i D�`fEL (,�
Previous office approvals/actions: �'"
Variance: # LUP: # -a SP: # Q�--1 b S CUP: # �
\�`
Inspection Report: # Change of Zone District: �J�
,� �
3��' S��
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. �xisti�(s #2. A-DvcrrvnJ #3. #4.
Size�fr. wide o"�`f ft. wide ft. wide ft. wide
.3a ft. long �ft. long fr. long ft. long
Floor area %G P� sq. ft. 334, sq. ft. sq. fr. sq. ft.
Hgt.from gade /,3 ; to peak /3, ft. hgt ft. hgt. ft. hgt. � �:,
Stories ! _� stories stories stories
# of bedrooms /
Rear Lot Line
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f � _ ADDt'7 tD� �yX�r
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La-r S,z� = s.l ��c.
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$o -�� � �GEPR6E
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Fire Number and Name of Road I�V !� �I C T� W i �� ��E R; � (
1. Enter lot dimensions and indicate north by arrow. Si na re of Owner or uthorized A ent:
2. Indicate the location and size of the requested constnzction ��Al.s�..�o ��� g
ignature
activities.
FnntName:�L�.e�A/�?P' S'1 4�r'�L-
3. Also, indicate the location and dlstance to the well, The above certiAes that the listad Infortnation and intentions are
true antl conecL,that all work shall 6e performed in compfance
septic tank and drainfield, wetland areas, lot lines and to the w�m me �eq���eme�m or me sawye� co�ocy zo���9 oroi�a�ce
and the laws and regulations of the Sta�e of Wiscronsin, antl if
C0rit0Illri0 Of il1C I03d. acting as owner�s) agent, has the permisslon o(the ownar;s)to
perform the work requestetl on this application. The above
personsls hereby give permission for axess to the property for
onsite inspection.
Permit fee: $ 7�� 4 0
�?� � s'�33
June 22, 2004 -
Issue Date Signature of Iss �ng ent
June 22, 2005 50% Rule: Average Road Setback: _
Expiration Date
NOTE: Existing System consists of a 1,000 gallon septic tank
Office Comments:
(3 bedroom size) and drain field of approximately 520 square
feet. (2� bedroom size) Seasonal usage should be OK.
No loads-n-flows document required. OR to go to a 3rd bedroom.
Mert Maki
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SCALE : I INCH - 400 FEET FOR ASSESSMENT USE ONLY N0�7
DRAWN BY : CK DATE : I / 8/ 82 INTENDED TO SHOW CONCLUSIVE
COLON ( : ) INDICATES GOVT. LOT BO��N�ARY�LOCATION5IP OR
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Repister's Of(ice , ,
� Sawyer County ��
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Aeceived!o+[record ihe �1-J day of
��c.c' ,1,/ A D l9�ry at I oblock
� ��and recordad in vol.�
of i_i?�?,f� C�,cvi,} on poge�,3 --
t_. ��-u<� .�c�,-c_,G..1'r-(C..
Register
Deputg
C:.:t:i FIcD ��R`/EY FOR CLF.TUS 5IER�J+P:
. , .,.� :.'e 1%4� Sa 1�4� ��CTICN 17� T38�, R3rr,
-"iCd�\ Oe liI::T:.k, �'n'.W:;R COLRJTY� ��fl�CON�IN.
FRn:'tnR�D 9Y �Cii�iGID::R E:�GIhF:ERING
ttiii.LIY�� 'i.ISCGN�I� 54555
�ft,i:�;< Z'f i c::a }i.uit� AiF:,U�T lo, 1978 O TpuE
i rtC:.... .�v. 437 FI.� i�0. F-4j'] N SOLAR
F:�.1.D 6�CK NO. le BEARINGS
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E I/4 COR SCALE I��=300�
SECTION 17
0�� S89°20�17��W 1219.61� ----�'��
` yb � E—W V4 LINE 0 ISO 300 600
W �
�A
oa~o ' �=1 �/4'� X 30� SOLID ROUND IRON BAR
^+'� � SET BY THIS SURVEY.
; �m s�s
� •y� �' p= fDUND 2'� BRASS CAPPED IRON PIPE.
! 9
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= LOT 3 �� z!�^r�Rzo� :ua:L�.s
� -� r_ S.I AGRES r'y.;. 1 = 129°41'41"
1 �•� Q � o• 74 = ��6•58'll"
� — � 0 85 = 53°13'S6"
' K� z2z9� '�'�s� 61 = 89°53'35"
; ,,e� ,�9 s�,� 55 = 9o�i2'37"
0'1 6� 6`
� 236 � ��
40
� � yo9 q��� � co NOT�� FCRTY LINe,S hRE BASED Ov
�� �� �h LOT 4 G.��� EXI�TI?:G :ROIJ PIF�� ';fI'I}: `:,TSCO'��IV
3 7.0 ACRES � C01d3�9VATI0iJ DaFART7.�i"C BP.ASS CAPS.
� iO y'� ��J lR::VIOUS SI�RVEY •IOT�S OR 1.SAFS
� N 9�6�'� JJy�y` AR� kV�ILnBLE I;I COL'IJTY S��RVc,Y��
$ g v. � FiI.ca� Bi1T CARI. KI�;LQ-Ia�KI e�hD
z o �,t;E a' \ 7lESLF.Y JON.N30t� Fi:�V'c; SnID ':�:.:: i.�
a o0a LOT �J �TA12: c.}�FLOYEES T'F�Y SU�DIVIDED
� �150 6.3 ACRES � \ T4iI$ �ECTIGP�. ��.�ytl3i�eiB7P/���
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