HomeMy WebLinkAbout032-539-27-4102-LUP-2004-688 Application for Land Use Permit /I�on -���� o o �'
County of Sawyer �
PO Box 676 -Haywazd WI 54843 �
715/634-8288 ` �
The undersigned hereby makes application for a Land Use Permit and agrees that all work 3
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 PEI2MITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL 1
7- /y'� � �
. ll! �/�y.,.+,- ��5;1�.Sdn //!<,�tis�Hf�.� -�c>i . �
Owner � Builder °'
�
/l�s��,,�3 L</� ltil,�.� f�/ /�'t y.l s �:
Mailing Address Mailing Address �
l,,�tik.. i.:.��1 S �rj6 iJ,hr4� l-%��' S Yr�� �
City,State, ip City,State,Zip
�if�-- ��"� - ���s�,� ��is'�.��1! ��s=� �
Daytime Phone Daytime Phone �
Additional Information: Zone District �/ �
Lot Size l 1,�L' f'C l�J,�U � �.�T
�
Date lot was created Acres 7 a &
Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a m•er G
creek or stream) If yes,how far from the shoreline&water name: gc.�v� ,�r���.,�f ��:.- �
Is there wetland near the proposed structure?If yes,how faz /v o n
0
�
Building Land Use �°
c
( )New ( )Filling Floodplain:( )Yes ( )No # �
( )Addition ( )Dredging � �
( )Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No (� ,°<_,
( )Moving On ( ) � o
( � ( ) Driveway:( )State ( )County ( )Town Rd.
i
Primary Structure Accessory Building Addition �
O Dwelling �Q Gazage-attached/detached O Deck �D
( )Year round (�#of caz stalls ( )Porch � �.
( )Seasonal ( )Storage Building ( )Enclosed � ��
O Frame built on site O Screenhouse O Living room i p"
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom � �•
( )Other primary structure ( ) ( )Relocate/enlarge � h
� � ( ) ( )#of new p
�
�
Additional Information: �
,ti �
i m
n
� �
i m
T e of Co�struction �
�Frame � ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other
� W
Conshuction Cost:Primary Structure$ �
Accessory Building:$��ODO, Addition:$ Z
Vol_� 585 �
Pg�8 of Deed Certified Soil Test#
J�
CSM Vol Pg Lot# Sanitary Permit# \
Plat Envelope Or: �
Condo Vol Pg Yeaz Installed P,fum, I»19�8
Aff of ex septic Vok Pg Owner When Installed:
Gard Gazebo Vol Pg
Previous Variance: LUP:O�-� Inspection Date:
i `
35418
Describe the construction using these colamns. List the dimensions of each structure in a separate
column. List each stary, each addition, each alteration in a separate column.
#1. #2. #3. #4.
Size �� ft. wide ft. wide ft. wide ft. wide
��7 ft. long ft. long ft. long ft. long
Floor azea,�U J sq. ft. sq. ft. sq. ft. sq� ��
Hgt.from grade�_to peak ft. hgt. ft. hgt ft. hgt.
Stories � stories stories stories
#ofbedrooms ��
Lot Line or Lake/River name:
� ^ -� �� �'/.
> �
, , -
� � � ,
a', � . , � /
� �t . �iu���Set� (Ji,. '� =, < :
` —� 1�„) ) --� `� �� •
: � ��
r. t,6 �.
7 �.
� ..__._._.__. �a' I����'s.i ��uL,f C
�
.. '`.;i ��'C /� ?Jd )
�p �i^,
D
.
/"� .1C�
�" �w{�,' I..r-�r�.. r� ?. f'��'q ..� �
Fire Number and Name ofRoad � v 5 �.� 3 `-��`� l' �h��
1. Fill in lot dimensions and indicate north by arrow. Signature o Owner or Authorized Agent:
2. Indicate location and size of existing and new structures.
3. Indicate location of well, septic tank, drainfield. L� ` -
4. Indicate distance to existing structures, lot lines, septic system.
5. Indicate distance to the ordinary high-water mazk of any lake, n
pond, river, stream, creek, and name the body of water. P���t Name: //<"`lf ��'�%i"S�-`
The above certifies that the listed info ation and intentions are
6. Indicate any grading ar clearing in excess of the consriuction site. tNe ana coRe�t.rne abo�e Perso�s�s ne�eby 9��e Perm�ss�o�ro�
access to the properry for onsite inspection.
7. Indicate distance to any wetland.
Permit Fee: �
December 21, 2004 -
Issue Date Signature of Is ing ent
December 21, 2005
Expiration Date
Office Comments
Inspection Date: 50% Rule Applies: Avg. Setback: Within Reservation boundaries:
Restrictions and other information:
_ � � _ .��li � -'� � l
�rf// �1I�L
� � �_L --� �� �� .I.I �1[lL -
1-.1��L � � _�L 2.I 1� -
_�1c _ �il.L� .1.2
1ll �!!L �il/L
� � -�'I�i. � .�(/i ,y.8
. � � � � � � �
� � � �L�.li ��f/i � .�.a
� a
JLL 11�LL �� 1UlL �l[[ �� �� .4.5
y.7 .4.4
�L ` �111 .4.3�.
- .3.1 ��G
U1 �\(// � .3.4 m
- - �ll/1
�L il�/i .3.5
� .4.2
�1�L� -� 'I p .4.6 �.�
.�.� - 1 �f.� - N��av���P��- �
4.1
.e.t - S.�p,'��`�(p,'(� .a.2 ���`�
8.3 �11L
.3.3
�1L1
�5 -
' �1f(i .9.3 _
L — I , I ,
A1 _/i
t �
- - .14.1 .13.1
� (� _ � �
_ �
- � -
_ �
- � -
_ �
y a = � r e a
;�� � f.�s �re a-!c i�re r.r. s.t
.16. ,��,
� �_ �� :15.1 15.7 16,13 .I6.I .16.1 IG.f. e•,r-
O � �
) � ��,�
. �\ � \ �\ .153 '°" .�Z � ,16.i �6 2
� \ l . , , �
\ � ^ v >. • ,�4 .16.1� .i�t2 .�6,9 ° '►G.s
� � � � �
,.; z .
. .I5.2 .IS.4 ..,y �
/ iri .16.3
/ .1 .2 �
LAKE WINTER % 2E
34 3�
SGALE: I INCH= 40o FEET FOR ASSESSMENT USE ONLY N
DRAWN BY : RMS DATE : e-7-�9 INTENDED TO SHOW CONCLU.`
COLON (:) INDIGATES GOVT. LOT ) EVIDENCE OF OWNERSHIP Oi
BOUNDARY LOCATIONS