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HomeMy WebLinkAbout026-939-20-5108-LUP-2001-064 `� ��. Application for Land Use Permit r � County of Sawyer ° °� �, < PO Bo�c 668 - Hay�vard WI 54843 � 715/634-8288 The undersi�ned 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.CO�iSTRUCTIO:V' NIAY NOT BEGIN UNTIL THE PER�IIT IS ISSUED. ,�A 1�,�, _►^ �� PRIrT — USE BLACK I�K OR PEtiCIL �' � ►"l U Ut�I.IL �; �i c_�nc�.r�.a. � �TZ.iC_k.5�1 �-+� � ��► Lc�-�fL.S �: Owner Builder � o t I �'� L'-] �P.�1 rL..�. Sl (VU� � Z.�-O ��]��` �N2. t�l V� ; Mailin� Address �lailin; Address � � An�ov�eR.� ►�(n►v �7 53��� C�farv,se.y , m� SS 303 City, State, Zip City, State, Zip �c. 3 � S"8 c� � Co u.�Co �C�3- �S3-�3�► C� Daytime Phone Dayrtime�Phone � I Bui in� Land Use (�Ne�v ( ) Filling Zone District ���,,, � �—� � ( ) Addition ( ) Dredgin� � � ( ) Alteration ( ) Gradin� Lot Size_ �pp � X (oOb � ^ �� ( ) Movin� On ( ) � 'i ( ) ( ) Acres � •S � '� � ^ Primacy Structure Accessory BuildinQ Addition �� ^ (V�D� �ellin� ( ) Gara�e-attached,'detached ( ) Deck � — (�"ear rotind ( ) � of car stalls ( ) Porch �, � ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed � ��"" O Frame built on site O Screenhoiise � j Livin� rco�n ` ( ) vlodular/manufactured ( ) Greenhotise ( ) Kitchen � � ( ) �lobile/mailufactured ( ) Other ( ) Bedrocm �' O Other primary structure O ( j Reiocate,"eniar�e � � � � ( ) ( j # of ne«� 3 ,O ,� Ty of Constniction �'� �� (�rame ( ) Lo� ( ) Pole!metal ( ) Block ( ) Concrete i � ( ) Other � � � p � Construction Cost S q Z 9 ZOC ���5� Sh�-�- ���y) � <' Vol (D�`7� Pg 'y7/"'���Jeed Certified Soil Test ;= �9-Q5�' '— I n I`"' CSM Vol Pg S�nitary Permit # � � � ��.�;� � �z Plat Envelope 4r: ~ Cocldo Vol Pg Year Installed `A Aff of ez septic �' P O���ner ��'11en Installed: � -- ��,� � I _���-31�( . � � , � 2�'2 � Application for Land Use Permit — Page 2 . Describe Construction: List dimensions of each structure, story, additi n, or alteration. • # 1 . #2. �.c. K #3. �-e-� #4. Size�_ ft. wide I �- ft. wide I � ft. wide ft. wide � � �,f� l,o�� � , _ ft. lon� �_ ft. long ft. long Floor area � sq. ft. � sq. ft. I `�la, sq. ft. sq. ft. H�t. from grade 2.8� to peak ft. hgt. ft. hgt. ft. hgt. v/ Stories ! �c,,�c�Jk��'� stories stories stories # of bedrooms �_ rear lot line or ���aterline of lake/river In the box sketch in: Location and size of all � �� e�cisting and proposed stnictures. �— Location of se tic s stem. . P Y ��Q.�_� ��rt� l �� Indicate distance to: ��'aterline!��"etlands , ` �� ��� �Q � � � Road � U� Lot lines Septic system/pri��y �j� �/`-' �`-J L �1.� C'� � ,� � ��'ell v � r� Distailce bet�veen stnictures. � • � �J��� ,J V\ �-,S S� �- • Indicate tiorth. Fire �umber: Co O S ol�lit�e�'.�•hox� 1,Lt,r�.- /�o� Signature of O���ner Tlle abo� e certifies that the listed informa[ion and intentions are tnie and correct. The abo�•e person's' hereby �_i�e permission for access ro the propercy for onsice inspeccion. ------- centerline of road------- Issue Date April 19 , 2001 E�cpire Date April 19 , 2002 �� � Ofticc Comments: � - , y — � SI`'tl�lllll��' Of OIIIII`� �C�I11111151C�1�0I� �" `,�."-.". '.�,;� ,s�]"'..z„k� o,e .a�s�.waRi6lK:., z,a,, 5� DRAWINCS OF PROPOSED �J,pcaOion Sketch �n�dica�caie Sho�r route�o: ` -�"°'�"�: ,,�. � # .�._�� , j�tc,mclude; ea e���—_ ACI'IVITY SHOUI.D BE PREPARED �aad:� `�� . "ad� � . F IIY ACCORDANCE VVITfi SAMPLE •�'.w.�"`.�.�.� � " '�` £ DRAWINC SE�ET. ` ; ` € '• - - F�re Numb _ . s € i : € ' er��� .n= 't�30L1S1��11CG.�.t — � . l Proposed Materials: �Ad�,p AN�.�c�a�i1. fSe_ , pv�°R$e,�p w�1-•"]� . �„7c�p�zon �' �'i!L/4Jl�..C,�, � '—'�"�—' --'—^—�— ; Np't"£,� 1�` : : �uTult�2 C��/9�LA6��p�1 � ��� �� ; �.:.�: : .�_..—: = : StLT v� - _ � ..�' V►'�'til� L.f�t�SCAfJ� �T�,ais € ,_,:_....� ; =�.:. : � .�.7 ; : : : : : € ` . : : ; a ��a�,,t wg �.x,.s�s _ : : : : : : : ° , � a.� u� -�--�- �,-� � � �a ; P�`cs`, — ._ 3 �: ���ys� ��9o���y �� ��t�'1,'.b�(ytx'�'.4fi�p"y.,�'�7..�-�r"'°d"��iSLYs.«:. .,.��'-�..'s"""'�'��'^�"`�`�k�"�9� h-s:�;_, -:wr a.wi!w.y y -..�u l7.1Ct�.�1�>i++�L'�12(i@ D Y74��HII��L�'?.:im'' ivK�°.'N.i�..� �!v^°.S�Y�:,,s� �i.. �"' r ,��y�9 �y� tn%s�''�"'tr`e°° %x/ry,1"./�'4'°'is'Y '� �':s�r�,�r 'c ^�"i �J'����o���� �,�r'�¢al71TCI15I0]Ij�ULfIIItl1CdC0.iC'd�'1,P�� %,,,..f�-�-�"„3�'�'',�,�"n"-s 5��'=-�. r,�V JG'� Ki�IQ ai�f��511��3$��� � 4� �� ���`.'b����9i �` �%`r�.�^ ¢E'�!` nx��� y}���'���� c, `.e-T..-.�,.' �'�.'9iG�+f,'a.S1/hia'�,'�'.R"/�.4oJ.�9.�",S r 6di,� �.'��.� ._.. ��'�� ���x` ����n.e. „2,�_�,Xr�"'�o?". i"/"��^�5.;26'-"`-'"`3 �', �: . ��.. , , s. , �n.<. . . . , . . .., ...,... . . . . „ . .^✓M." .. . . . . . . . . . , .,� . . . . . . - . . . . . . . : :.... .. . . f = 1»_: : � : : : : : :'Fo �V'�ie�v : ' : :ft€ot�l aquire= (� f� � . � : � � -�-�-?--� ' : ' �'n��` ' _ _ CC��ci'Y'�15 �� ��p�C4—_ ' �b��K S�n� 'I � _ _ _ � ; - - - -�-�-�-�--- - - _ � � � �� � . � � :� � � �� � � ° a � � � � : _ � ; . � � � � -� -� 3 � -�- � � ��.�: � � �d*�t'"�°'-�T`y<. : � __� } �� i.:. s+�#-�__7$�� �- �. � =��,r.r.- �t _ :_,�,.._,�: - .� _. �� � :a�:,: . g ' - .!= � se �` � �.�. : � -"� `*'`�^��"'.��uS��-. �-.:�� �.t.5'k -a i: � s: s'��. s � �.., ii� ,�,w� -- ?5`=�zn �w-• - e�. :i �' t:�:3�, a #�' `.sw„L- � `�,�i.��:� �f� '�'7 y�. : . -_. F � ��- 3:� �..4'�?"'Nc'v:�..,El _.X.,�.r_ —.'V : : : : � . ____�__ __�� ^' ::j,. � aBri'�t�:ti 7� � _�__�_��r. �' � C I i I � _ — ��flL�` �' � L aT" = 'O: �'� . . — . _ ; _ - - ��: = r. �rdss ection : i ; - .�-.;--- i F � _ __ �? �'��.'�'�,: — — ==-.:=.: �—�"�. — � - �-� -- - — --�—�'—'—'—� - -- ��f<',�V(�_<.—,_ -- _ �� - g' _ `--— ----����4�1i:��.�� � _ �: _ -_- - _ -- � - h - -- _-� -- _ -- - - w . , i . � '.�.�.r;.�T�$.1c��`.j(ohT s�` _ - — �'�:!� � l..n�" - ; ---..--�-�:.--.�-..:-�= € _ - � � ,ry'_ . . . . . . . tii._3+� N'$ .. 4�f y ~! � . . sL r-.��- .�.-� � -::>P-. � � . . � . . � . .. i�'� "� �� April 5 , 2001 ' :.�: � _x' r Richard and Michele Ericksen - 15017 Bluebird St. NW :.= ' ' � .�� x �s Aridover, MN 55304 , SUBJECT: Request for additional information j , `: ° Sawyer County Zoning Administration ". ` ' 4 ��>� ` P.O. Box 668 � � ' - � Hayward, Wisconsin 54843-0668 � 715/634-8288 , To enable this office to process your application for a Land Use Permi.t �, �,! or Conditional Use Permit, the following information is required: E 'k �: � -;�::� ' ( ) Complete legal property description �:��� . "; . O Mailing address of property owner ( ) Name and mailing address of builder, if other than owner ( ) Volume and page number of recorded deed or legal document showing proof of ownership : O Volume and page number of recorded Certified Survey ( ) List the size of �: O Size of property i.n footage ; ( ) Type of structure: dwelling, garage� storage building, etc ; Y�: ( ) Type of addition: livingroom. bedroom, utility room� kitchen� porch, deck, etc k ( ) Type of construction �' ' s O List estimated cost of construction ,:. a � The rectangle on the right of the application represents your prog- - } erty. Sketch in the location of the I�/ ; , giving all �stances to ot ines , roads � ; s ore ine an ot er ui ings on the premises: " xistin se tic s stem, giving all -� O Sketch in the location of the e g p 7 y distances to the dwelling, proposed addition, and accessory buildings �{:' O Attach the required fee of �,� you may make check payable to Sawyer County Zoning �,: ,�, O Retaining your check/cash Co cover the £ee � �„. �� O Signature required on bottom left line of application, use only { �. black ink �" x ,.. ;.. ( ) Certified Soil Test required ' r._ �) Sanitary Permit required � k r O Existing septic system a£fidavit required ` Please rint use onl black ink or pencil. AppJ.ications completed - � ( ) P , Y �� in blue ink wi.11 be returned. � � O What year was the existing septic system installed O If the septic was installed after 1968; who owned the property , � at that time O If the new dwelling wil.l have a loft or second story� list the � ' � size of the loft or 2nd story in the spaces provided } �`� � �) Return the original application; photocopies or facsimilies are � '�.., not accepted �) PLEASE NOTE: if you intend to build a deck or other structure on t:he '- ' � � lake side of your dwelling it must also be behind''thE: 75 foot setback from the ordinary high water mark of the � lake. �l . . . . . �.� .... . .. .� �.. .. . .� ,� , ,. . , . . . _ . . . ; ,;.. 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