HomeMy WebLinkAbout032-540-31-5206-LUP-2004-611 Application for Land Use Permit S hor e la.nd o o =f
County of Sawyer v �
PO Box 676 -Hayward WI 54843 r �
715/634-8288 ° `�
The undersigned hereby makes application for a Land Use Permit and agrees that all work d _
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 P�N�USE BLACK NK OR PENCIL
SuSan 3�'-/ � �
/�..,o� �RY y KGAOm.�Rt./ � C Ce�sTR�er�e.� _ a �
Owner � Builder N'
oZ3S G,r�.2tTH ��.�E- C.J SSODS KD�PPc%2 /e0 �.
Mailing Adciress
Mailing Address �
Sc�,��,m����. /� (�oi9� �si�� w�s ��Sc�� � � ��
City,State,Zip City,State,Zip � �I `
��� -�67-s_�0o 7/s al ( -3��� " �
Da ime Phone D
Daytime Phone � x
'rc.� 7c'r_<k 7 � ;-,�� ,,.
Additional Information: Zone District �`� T
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Lot Size /S'' � � 3�` ti �
y C
Acres
a,3 �� ,z�s � �'
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 faz from the shoreline&water name: /O`> � ✓3�'�'k".� C''
Is there wetland near the proposed structure?If yes,how faz — �
�
Building Land Use ' G
�New ( )Filling Floodplain:( )Yes (�No # �
a �
( )Addition ( )Dredging o
(�P.ltera?ien ( 1 Grading Chippewa Flowage: O Yes (�No O �
( )Moving On ( ) w °
� � � � Driveway:( )State ( )County ( )Town Rd. N �'
N
Primary Structure Accessory Building Addition �
( )Dwelling ( )Gazage-attached/detached ( )Deck �I
( )Year round ( )#of car stalls ( )Porch o
Stora e Buildin ( )Enclosed
O Seasonal 1�1 g g w
O Frame built on site O Screenhouse O Living room � p�
( )Modular/manufactured ( )Greenhouse ( )Kitchen w
( )Mobile/manufactured ( )Other ( )Bedroom o
( )Other primary structure ( ) ( )Relocate/enlazge � A
� � � � O#ofnew �
�
0
AdditionalInformation: .�y �
�
�
Type of Construction �
�
( )Frame ( )Log (�Pole/metal ( )Block ( )Concrete �
( )Other � -C
Construction Cost:Primary Structure$ - C
Accessory Building:$ Z(r p o°° Addition:$
� z
7y
Vol J�I 7 Pg q!(o of Deed Certified Soil Test# a,,
CSM Vol Pg Lot# Sanitazy Permit#
Plat Envelope Or: �
Condo Vol Pg Yeaz Installed
Aff of ex septic Vol Pg Owner When Installed:
Gazd Gazebo Vol Pg JIOJ
l
Previous Variance:
LUp: Inspection Date: �"'I
3(c3�s`�
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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. #4.
#1. #2. #3.
Size�_ft• wide ft. wide ft. wide ft. wide
�_ft. long ft. long ft. long ft. long
Floar area�_sq• �� sq. ft. sq. ft. sq. ft.
H from e ` to eak ft. hgt. ft. hgt. ft. hgt.
gt• g� _1__`�___ P
Stories / stories stories stories
# of bedrooms
Lot Line or Lake/River name: �KE R L+o K�
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a
, _ _ ��;
r�� ,��_-� ��.;.�,
�� �� ��._ �
Fire Number and Name of Road 7/�z � S�"'�i�"� (��•
1. Fill in lot dimensions and indicate north by anow. 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. _
5. Indicate distance to the ordinary high-water mark of any lake,
Pnnt Name:
pond, river, stream, creek, and I1an1e the body of water. The above cer�fies that the listed information and intentions are
6. Indicate any grading or clearing in excess of the construction site. tr�e a�a oorre�t Tne a�o�e pe�o�s�s nereby 9��e pe�m�ss�o�ro�
access to the propeRy for onsite inspection.
7. Indicate distance to any wetland.
Permit Fee:
7�
October 26 2004 i
Issue Date Signature of Issu' g nt I
tober 2
Oc 6 09 05
Expiration Date I,
Office Comments: '
Inspection Date: 50%Rule Applies: Avg. Setback: ',
Restrictions and other information: �
(,f.�,� �� !�t�� `'. �,,�C.� � _.. �� �'t�r�L., '
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NOTEi Deed gaps and �
-overlaps in this area, S A R K E R
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�t�QY.��.'YD ��'���Rl��'�'!C)N t4.�F�EN1��'�I�'I'
�.rT�a�Pi?ili�iti Ft'��E�3i�tt3t3 ����£CQe�3s� rA-.i ZS j
�.�nd �I�� ?erm�� �s'+�. - �o h� �,-a��.red �y t,`�e Zvr+ir� ^�rff ce) In�e� Nn. ��-.��Q�
�,�JI-IEP�E�"�S, �liss ��� o�a�;ers) Thomas Ba9 Raren Ba an
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� ���s �� ests*e �rzthin �� ,��r Cot�t� Lhat es subjcct t� the ��wy�r �auni.y Shor�►�� I:c��iati���, �:�u
� �`�IER�:�S, i►� :,���t to s€�t�-;- � Ls�a:' i?se Pe�^=:3it,
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� ��W, ��R.�F��, tls� ��ner(s) h�r�by ce�#'ies ��; � a con����� of i�sue cf ss,id �nd tJsp �'ern�t, t�t
� t� S:-I�?�LLINE �'� .C,ET�i iC3N �I�C}TEC i i�� 1�RE� t�� said r�a► eseai� �� ir�tr�cE t� a �ini.��3=r� d�g1�� of
� 35' lan�v�°ard from th: ar��.� high-�ter mar� �f the �r�*�aody,
� The Dr���r�s) hc-re�y ag�� i� cotnpt� witt� �� shoretar� ve��ts�t��G pra�ec�;Q�a are� �qe�re�nts of �ectivn
� !�,410 ���RELH�U VECs'::TATI4t�' P3�4T��l19N A_`�P►, Sawycr County Zonin� C`irdir�nc�, ::, effect ac
� tlte d�te �riai the la[gcf us� perBut is isst�d E�y t�i� zoning ��ic�. T�ie �wner�sj ��rtG�r �grecs to �1t�� �c�thoriz.�d
representatives o� �he Gc�v�rnx�aenial Unit tc� enter or�t� the ov��r's prop�:ty at tYae fotlowi�s� des�cri�+i��.
� betwe� tiu �aurs of 8:04 e�..M. aud 6:00 P.M. fSection 9.13(1} PO�'ERS, Sawyer County Zoning O�in���
to in��t the srlueturGf,�} 4r t�ses authorized by said I,and Use Permit and tv determi�€ if tbe ��iflREL�i.'�
��IEGETATIO'!`I P�t�(�TECTTi�?�3 AA�A ���� and that i1 is being �ar��rved. "I�is authos�izauott s�iail tern�i�t€
a ct� tA� c��tc af e��f�tior� �E '�e land exs.- percni+. �€owev:�g �e ow*ie�'� obli�r±nn to maint$in the SI�C3REL,INE
�( VEG�TA'I`tON ��tO1'�G"I'Ii3�i � " in �:,cord�;� �7�.h Se�o� �l.4 !� S!?OREL.b?�1L,1 `JEGETAT�(��i
PR4��4N l�t.EA, S�wyer Ca�� Zonist� Q�rditt�c� rema.ins ��-� ef��ct� Viotatio� �f tt•+4s ��.aemeEaE �it
, a�thoc��, in ��i�ion t� cst$�er per�ities $nd �elief re��.�i� ��Ys �ne S�wy�r C��� 7.G�,ii-�� L?rds�-i�.-�:a,
� injuncti�!e [�lief, c�tarati�n oi ��id real estat�, �c revoc��n of s� Laitd Use P`errai� �nd the removat af aI�
�' structurts appraved by the issue of said Land Ilsc Pennit �nd th� i�va;.atior� �f any ott►er uses �:��raved by �:��
� ia�ue of said Land Use Fermit. All t�arties �ree that this A�gree��cnt shail ibe fil� with the ��wyer Cc��ty
t Zonir�� �ffice.
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QI.e�� �}escripu��r of Pro��; ��a�� S r�-. � r �► R n_ �'_ ,� r�-rz W } S c ,
Part of Gov ' t Lot 2 Lot �i of Barker L.ake F.states 1
T 4 0 N z RS W . Town o f Winter , Sawver__ o�m v ,�_32- - - b-------
�ate� �'::s � � ��y of � C "i r._�3 C-�'� _, �.� C�
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