HomeMy WebLinkAbout008-938-33-5408-LUP-2004-530 . �
Applica�ion for Land Use Permit o o �
�;ounty of Sawyer � �
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PO Box 676 -Hayward WI 54843
715/634-8288 �
The undersigned hereby makes application for a Land Use Pe:mit and agrees that all work i �
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 PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK O PENCIL ���
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Owner Builder � �� �
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Mailing dress Mailin Address �
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City, State, Zip City, State, Zip �
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Daytime Phone ���g Daytime Phone �
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Additional Information: Zone District ��`'
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' Lot Size
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Date lot was created �`w Acres • �y �
Is the property in a Shoreland District? (within 1000' of a lake or pond, within 300' of a river,
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creek or stream) If yes,how far from the shoreline &water name: `�"'
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Is there wetland near the proposed structure? If yes, how far �� � '
Building Land Use �
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(�New ( ) Filling Floodplain: ( ) Yes �No # �
( ) Addition ( ) Dredging � �
�Alteration O Grading Chippewa Flowage: O Yes (.�l,No r� �
( ) Moving On ( ) r'
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Drivewa State Count Town Rd.
Primary Structure Accessory Building Addition
( ) Dwelling � Garage-attached/detached ( )Deck
�Year round (3}# of car stalls ( ) Porch
( ) Seasonal ( ) Storage Building ( ) Enclosed
1�Frame built on site ( ) Screenhouse ( ) Living room A
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen
( ) Mobile/manufactured ( ) Other ( ) Bedroom '
( ) Other primary structure ( ) ( ) Relocate/enlarge
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Additional Information:
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Type of Coristruction �
�Frame ( ) Log ( ) Pole/metal � ) Block ( ) Concrete �
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Construction Cost: Primary Structure $ '�i��� �
Accessory Building: $_��� Addition: $ � z
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Vol �f"�=• Pg � �. � of Deed Certified Soil Test# �Q" �t�����/- �
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CSM Vol I� Pg I �d� Lot# � Sanitary Permit#�`7'�T�-� 6y�hJZ ' �,�
Plat Envelope `-'�� Or: ^� �
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Condo Vol Pg Year Installed �- -" '
Aff of ex septic Vol Pg Owner When talled:
Gard Gazebo Vol Pg
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. LUP: Ins ection Date: I
Previous Vanance• p �
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Describe the construction using t.dese columns.List the dimensions of each structure in a separate �
column.List each story,each addition,each alteration in a separate column.
#1. #2. #3.Gg�a'�� #4.
Size�ft.wide Z.� ft.wide a'�fr•�vide ft.wide
�Q�_ft.long �_ft.long �3� ft.long ft.long
Floor area�D�/ sq.ft. D � sq.ft. 7 �sq.ft. sq.ft.
Hgk from gade�D/ to peak ft.hgt. �ft.hgt. ft.hgt.
Stories�,.,_ stories / stories stories
#of bedrooms�_
Lot Line or Lake/River name:
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' Fire Number and Name of Road �'' �
1.Fill in lot dimensions and indicate north by arrow. Signature of Own P or Authorized Agent:
2.Indicate location and size of existing and new structures. � . �'�
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3.Indicate location ofwell,septic tank,drai�eld. ��$���
4.Indicate distance to existing structures,lot lines,septic system. �
5.Indicate distance to the ordinary high-water mark of any lake,
pond,river,stream,creek,and name the body of water. armt Name:
The above ceNfes that the lisled information and intentions are
6.Indicate any grading or clearing in excess of the construction site. a cess rocme P operryfo�onsi rs�speaoneby 9��e Per��s5�o�ror
7.Indicate distance to any wetland. p0
Permit Fee: �p—'
,�pntPmhPr 9� �no4 ° �� ' �
Issue Date Signature of Is ng A ent
c r h r 23 �nns
Expir�ation Date
Permit application was submitted before new shoreland
Office Comments: regulations took affect. Impervious surface and shore
land buffer zones do not appl
Inspection Date: 50%Rule Applies: Avg.Setback: Vl�ithin Reservation boundaries:
Restrictions and other information:
Office of
Sawyer County Zoning Administration
P.O.Box 676
Hayward, Wisconsin 54843
(715)634-8288
URL: ���u�w.sawyercounty�ov.or�
E-mail permits@sawyercountygov.org
FAX: 715-638-3277
July 23,2004
James and Beverly Skar
15603 W Main
Birchwood,WI 54817
Dear Mr. and Mrs. Skar:
On October 1,2003 I accepted from you an application to build a 26'x 24' cabin with a 12' x 26' addition.
The existing cabin foundation had a back yard setback of 20 feet.
On March 16,2004 a Variance was approved allowing the 20'back lot line setback.
As of yet I have not received a sanitary pernut for either a new sepric system or a reconnect permit for the
existing system. This will be necessary before this pernut can be issued.
Please let me know if you intend to continue with the project. If so,please submit the required sanitary
permit and the$175.00 Land Use Permit fee. If not I will return the application to you.
If you have any questions please contact me at the above address or phone number. I will be happy to help.
Sincerely,
_�
Debra Hammerel
Pernuts Secretary
Sawyer County Zoning Admuiistration
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