HomeMy WebLinkAbout010-941-22-4108-LUP-2004-025, D ;
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Application for Land Use Permit (*Non-shoreland*) o o '
County of Sawyer � � ��= � -
PO Box 676 -Hayward WI 54843
715/634-8288
*Property that is not located within 300' of a creek, river or stream or within lOtiO' of a
flowage, lake or pond or does not have any of the above waterbodies located within
the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL rj
I��oRrNwao/�s ,�/ome� �i✓� � �
/�,9yu���e,0 Ev�,e��2��M.s � . Pos r �,e�rn� ui�i�c� . �
Owner Builder �:
�.
/059D �V �ANcN �aA,o 1187Q`V /?'Co59ui� ,8roo� �� o
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Mailing Address Mailing Addres O
/�A w�,eo . i�. T 54 � �1�v�A,p,o l�/' ��8�� �
City, tate, Zip City, State, Zip �
�i5 -�3 � - 9� i1 �r� -�3y -�9oa �
Daytime Phone Daytime Phone
Additional Information: Zone District: � ,"�
C�1
Lot Dimensions:
�
Date lot was created: r � Acres: 3,_`��� �
c�
Is there wetland near the proposed structure? If yes, how far � �
Building Land Use Floadptain:� j �es ( j No � �
(�New ( ) Filling �
( ) Addition ( ) Dredging Driveway access off of a(Check one): �
( )Alteration ( ) Grading ( ) Private Rd (� Town Rd. o
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N
�
� ) � � o �
� r
Primary Structure Accessory Building Addition � °
( )Dwelling ( ) Garage-attached/detached ( ) Deck W
( ) Year round ( ) #of car stalls ( ) Porch �
( ) Seasonal (� Storage Building-SHv/� ( ) Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen p �
( ) Mobile/manufactured ( ) Other ( ) Bedroom 1 �
( ) Other primary structure ( ) ( ) Relocate/enlarge '
� � ( � ( ) # of new .�
►
Additional Information: A
� �
�
�
Type of Construction: �
( )Frame ( ) Log (�j Pole/metal ( ) Block ( ) Concrete
( ) Other ,b ,�
Construction Cost: Primary Structure $ � �
�
Accessory Building: $q 3, y�,�� Addition: $ ^
�
Deed: Vol�'�Pg�_ Certified Soil Test# �(il - `��� aQ z
CSM: Vol�_Pg�,�Lot# � Sanitary Permit# 9(� - '-%t'� o� �
Plat Envelope tt' /�n�Or: ���'`�� '�N � � ���� '-'
N
v,
Condo Vol Pg Year Installed: � �
Aff of ex septic Vol Pg Owner When Installed: `�
Previous office approvals/actions: �u� ^'�� �
`��1- .
Variance: # LUP: # `j '�� SP: # CUP: # '�,;, �A
e ort: # Chan e of Zone District: \
Inspection R p g
i,1n��l� - Ll�i S�'�d
������ ; �a�� �
Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each additions, each alteration in a separate column.
# 1. #2. /, eon l #3. #4�
Size 418ft. wide /8 ' ft. wide ft. wide ft. wide
I aO ft. long 9(0 ft. long ft. long 11. loll -
Floor area l sq. ft. sq. ft. sq. ft. sq. ft-
Hgt. from grade to peak - � "ft. hgt. ft. hgt. ft . h g l .
y
Stories _ stories k stories
# of bedroc.
- - r lam.
`A,
Z- Nr
b e0 J-e AN -76
� v
1�
I J
L Z
L
F'rP Dumber d 0hb AIAM
1. Enter lot 6imensions and indicate north by arrow.
2. Indicate the location and size of the requested construction
activities.
3. Also, indicate the location and distance to the well,
septic tank and drainfield, wetland areas, lot lines and to the
centerline of the road.
Permit fee: $ to r' 00
Sig tur er r orized Agent:
grature
Print Name, kc .- I d-
The above certifies that the listed information and intentions are
true and correct., that all work shall be performed in compliance
with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
acting as owner'(s) agent, has the permission of the owner(s) to
perform the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspection.
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� NOlE: THERE IS AN PROBLE►A INTH TAX I.D. NUMBERS � S
'' AND THE DEEDS REFERENCED BY 1HEM IN THE SW
� PORTION OF hiE SE-SE.
� EDW. E. GOBLER PERFORMED A DIVISION OF 70 LOTS IN ' �� �0��
JANUARY OF 1981, BUT SINCE 1HEN SURVEY DEEDS I� 6�Q0
�� �� � AND TAX INFORMAl10N HAVE ACQUIRED A -�y��
�. ONSIDERABLE QUANITY Of ERRORS AND OMISSIONS. �, r
MORE RESEARCH ANO/OR SURVEY WORK IS HIGHLY ?G
�,f: � . . . RECOMMENDm. ���Q
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GRAPHIC SCALE
TAX ASSESSMENT PURPOSES ONLY
a zoo aoo soo ieoo Information contained on this map is
advisory. Map accuracy is limited by the
quality of the public records from which it
was prepared. It is not intended as a
( IN FEET ) substitute for an accurate field survey.
1 inch = 400 ft.