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HomeMy WebLinkAbout032-539-27-4405-LUP-2004-525 Application for Land Use Pertnit(*Non-shoreland*) o 'O County of Sawyer � PO Box 676 -Haywazd WI 54843 715/634-8288 *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 boundazies. �, � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � �c'i%�� C/C�c'S�' i' �r.C'-!G C/C(/��/� ��l �Sd�s`1x''� �a�. Owner Builder ~ �' � � '- L- S�/�5. � �%'/ /s ck���'/� °� Mailing Address / / Mailing Address O � II/ l��C�7 � � . , - .. �/,-f -- — �� � City,State,Zip City,State,Zip ��� � i. � _�7_ � ?5�.��/�_ Daytime Phone ya i ln 1�� Daytime Phone p� ' �` _ � Additional Information: Zone District:�si � q �C"�,C���l'a�Q�G � Lot Dimensions: ��'1'r3��"Y���"3�6� ' ' R` � � i� , �, Date lot was created:�%C'%/ �' "�V �X% Acres: �{ �5 n ^F'- / Is there wetland near the proposed structure?If yes,how faz N� � (`�,l Building Land Use Floodplain:� j Yes (�'j No � � QO New ( )Filling O Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd (.{�Town Rd. o ( )Moving On ( ) ( )County Hwy ( )State Hwy i."', � � ) � ) o � Primary Structure Accessory Building Addition � ° �Dwelling Q�)Gazage-attached/detached O Deck w ( )Year round ( )#of caz stalls '��� ( )Porch '� (�Seasonal ( )Storage Building ( )Enclosed � (�)Frame built on site O Screenhouse O Living room J, ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � �1l ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlarge � � � � � � ( )#of new � �r, ��� � AdditionalInformation: 1 p �, �, � � Type of Construction: � +� �j Frame ( )Log ( )Pole/metal ( )Block (�)Concrete � ^�1 ,, ( )Other .ti .� Construction Cest:Primary Structure$��,��l��- � � AccessoryBuilding:$ fs��% Addition:$ � '� �aaiov � s Deed:Vol � Pg _ Certified Soil Test# °Q z CSM:Vol �' Pg��Lot# � Sanitary Permit# (��/- y�� �•T b� � PlatEnvelope ��� Or: y"^""�""'- N � �7 i7Y� "� Condo Vol Pg Year Installed: � o � Aff of ex septic Vol Pg Owner When Installed: '-'� � Previous office approvals/actions: W � �� Variance:# LUP:# SP:# CUP:# �� q\�10 Inspection Report:# Change of Zone District: V � 35�131 i�: Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each additio�p e c lteration in a separate column. #1. _ , #2. �`/���� #3. #4. Size =/ � ft. wide ft. wide ft. wide fr. wide ' _ 7i ft. long ��ft. long fr. long ft. long Floor azea� sq. fr. ��L sq. ft, sq. fr. S4• fr� � Hgt.from gcade��to peak /�� fr. hgt. ft. hgt. fr. hgt. Stories_�_ � stories stories stories # of bedrooms_�_ i� Rear Lot Line — � � / 1� ' —, � ` ✓� �-� V a��� .� � �4�� ! ��;v , �an� 3� ' 0 � �'� ,- ,, J �--- �� ,; a� , � p C a. � � s� �_ � �� , , � ,°, �_ � ��� � I � '� � �� � _ __ - T � � �� ��t �� � � � � � �Z I� __-____----—_ _ _ _ _ � ,� S N �° ��1 u `�e -_ � ' j r � ^ � � - � �� % � � • � U ��.� . . --_ __._.. _-__ _. _ _..�_ .� � � /i{ �1 �, ,�i' �j �� [;1G G �� .. _. . _ . _ __ . ..... qF � . • . -.__._—.— _..___--_. f Fire Number and Name of Road 1. Enter lot dimensions and indicate north by arrow. Sig 4f Owne�oF AUtho�lzed Agent: 2. Indicate the location and size of the requested construction ��'�/�f / � : � � � Sign�alure�._ � . 2CL1V1Y10S. PnntNeme: ����`� �" � �����,�,�', `, 3. A�So, indicate the location and distance to the well, The above certifes ihat the listed information and intenlions are We and correct.,ihat aIi work shall be pedormed in compliance septic tank and drainfield, wetland azeas, lot lines and to the with lhe requirements of lhe Sawyer County Zoning Ordinance and the laws and regulations of ihe State of Wisconsin, and if COritCIllriO Of YI1C IOaCI. acting as owner(s)agent, has the permission of the owner(s)to peAorm the work requested on this appiication. The above � personsls hereby give pertnission for access to the property for ,f� � � onsite Inspedion. Permit fee: $ �� .�i�r�J �—� " September 21 2004 ' — Issue Date Signature of Iss 'ng ent Crr`���y✓ 1� ,1�'�° S S , 5 50% Rule: Average Road Setback: Expiration Date Office Comments: ��. /� / n �� iVI1NK CAPITAL Su,ti v �`I�NG.ING. EOM. SURVEYING SERVICES � � � 523 E.OGDEN ST. TELEPNONE 715-748•5597 s„eD,,,,,,o„: MEDFORD�WISy54451 � � eenneieosuavcm VHOYEFTY9UPVET9 TOPOORpVNIL MpPVIM4 �TIIE[TIYpqOV[Y[NTS � a C'�'�]I'rID S`��ai`Y �P N0� ROYi:IOTIIAM� � ro R � � dO �I� I � F z 'yC " f�il S 4°32'S7"E 468.65'1� r I �y. �IxE_t_S_M_�6 � y� m VOL.1�P4.Y1 \I 1 � �3�.�5' Q� !).i0� I - U N q "' m • = pqRCEL �° ` a m ,°� ugm ,t� aN�,o 70�325t50.v7. N .' a � K : wS - p 'N � ^' , V m, o � 8 po u � A �� 'i yO o M1132"l1'W 1P1.)P� 4 y ' � . � . �' : i 190.lt� _ •O � � 2 i� 1 m ' . ]S.VO' � V A_ � ,° , �y - _�. PARGEL �° N � � m . '3 � I � ',,� w 'H� � 69,99�3 S0.FT . o. }' 'i G�i N \ - � -�� 1 a _ N� 32 »�w 3�6.90 � ' 1N - � � 33�/��"�� TOWN N0o E E � 7J Ifi J�� � IiH P32'!1"W�oSB_O6' � L S.M..V��N • • __��—T E LINE� I � �SOUTHEAT?39 N �-mi SEG. 27� • ,I BE4PiN�5 PEfEXENCED TO TMF E.UN� 0�TNE SE �11. SEC.31. PSSUMEO BEAFIN6 M 1^]3 !� N I� David E, Tlusty� Land Surveyor oP the State of Wisconsin� do hereby certif� Lhat 7 hava made the £ollowinP, survey located in the SF� of the SF� of Section 27� T. 39 N,� R, 5 W,� Saxyer County� Wisconsi.n, being part of tha Carti£ied Survey i recoxded in Voluma 7 of Certified Surveys on Page 27� more particular�y described as tollows: Coimreneing at the Swtheast corner of said Section 27� thance N 1�°32�57�� W� along the east line of the SF3a of said Section 27� 958,0.5� to the polnt of real beginning; thence continuing N 1�°32�$7" W� along said east line� being also the centerline of att existing toirn road� 373,16�; thence 5 85°15'28" W� along the north line oS said SE-SE� 412,$0�� thence S !t°32'$7" E� 1�68,6$�� thence N 72o11i�03" E� along the centerline o4 an existing tam road� 423.72� to the point of real beginning. Said parcel being evb�ect to highxay, utility or other easemente in uee or ot record. NOTE: AREAS SHOWN DO NOT INCLUDE TOWIC ROAD RIGHT-OF-�IAYS 179714 s.asi�.as� j, sa..v�co��.ry f L Received fo�reco�d ifie � d°Y°� . „�\�IIIIIiry// �,�� AD19 I m/�',_aS��i«k ``,���`SC�N 4�� r , :�:��a�n��n.o�. 8 ' ,` � �„�...+..,$/A_i ��_o�o�ae 3%1� �` `� { Y. �__-- � DAVID E � • L —SZ-^- s..��,..�,� riusn ��c s-iaso �r MEDFORq, ��. n�v�c� . :9. wis. 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