002-940-23-4208-LUP-2004-285 ,�v� �c���� ' . `
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f�J ,��� � Application for Land se Permit (*Non-shorelan o o `—
� County of Sawyer � � : '
PO Box 676 - Hayward WI 54843 \
715/634-8288 J
*Property that is not located within 300' of a creek, river or stream or within 1000' of a
flowage, lake or pond or does not have any of the above waterbodies located within n
the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ,
rf r;�; ���� "r PRINT—USE BLACK INK OR PENCIL
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Owner Builder �.
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Mailing Address Mailing Address —� �
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City, State, Zip City, S ate, Zip
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Daytime Phone � -._��`. a ,���. / Daytime Phone
Additional Information: Zone District: �— • n�`�
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Lot Dimensions:3 ,�3
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Date lot rwas created: ��I'7-b`� Acres: ��� n
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Is there wetland near the proposed structure? If yes, how far �
Building Land Use Floadptain:( j �es �No ° •
(� New ( ) Filling � {
(�Addition O Dredging Driveway access off of a(Check one): �,
( ) Alteration �j Grading ( ) Private Rd (�C.Town Rd. o
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �,
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Primary Structure Accessory Building Addition � °
'�Q Dwelling ( ) Garage-attached/detached ( ) Deck W
(�Q Year round ( ) # of car stalls ( ) Porch �
( ) Seasonal ( ) Storage Building ( ) Enclosed �
(�) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen .�
( ) Mobile/manufactured ( ) Other ( ) Bedroom �M �
( ) Other primary structure ( ) ( ) Relocate/enlarge ,
� � ( � ( ) # ofnew
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AdditionalInformation: � A
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Type of Construction: �
�.Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete �,
( ) Other � y
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Construction Cost: Primary Structure $�7�, 0 U D �
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Accessory Building: $ Addition: $ �
,-.
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Deed: Vol � � , � Certified Soil Test#_ �� '� 3�' � z
�r,�s '� 7�
CSM: Vol ��v _P .. � Lot#�_ Sanitary Permit#��� ' (J� r--� � o,
Plat Envelope .� G�33 �r: N ,�
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Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: `�' �
Previous office approvals/actions: �
Variance: # LUP: # SP: # CUP: # � �
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Inspection Report: # Change of Zone District: �`� �J�,
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35'7�
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.
#1 . �fti�l L�v°�L #2. ✓'� f #3. #4.
Size� ft. wide �� ft. wide ft. wide ft. wide
�� ft. long a?� ft. long ft. long ft. long
Floor area � sq. ft. /o(� y sq. ft. sq. ft. sq. ft.
Hgt. from grade �`f� to peak � ft. hgt. ft. hgt. ft. hgt.
Stories �_ _� stories staries stories
# of bedrooms �
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Rear Lot Line -�-�- 9 � �' �
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Fire Number and Name of Road r�r�� � ,�v����n tisc- ��S � �t;e/�
1 . Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction �� �,� �' ` �
Signature .
activities. .
Print Name:��,,� � ,'� l ��+-� �'
3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are
true and correct., that all work shail be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road. act��9 as ow�er�s� a9enc, has the permission of the owner(s) to
perform the work requested on this application. The above
persons/s hereby give permission for access to the property for
onsite inspection.
Permit fee: $ ���� � `��
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June 22 , 2004 � �;` �
Issue Date 'gnature of Issuing Agent
June 22 , 2005 �
50% Rule: Average Road Setback:
Expiration Date
Office Comments:
TOwll Of �ss Lake
Connty of Sawyer ,
�; -- �4_���--
Date
SUBJECT: Town Board Consideration of a Special Use Application for the Construction of a Year-
round or Seasonal Dwelling in the Forestry One(F-1)Zone District
TO: Sawyer County Zoning Administration
P. O.Box 676
Hayward,Wisconsin 54843-0676
Owner: A-�,r 1 1� � l ��``
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Address: � YE',li t— �---�G �c,/`��i l l'r' �`� �'�Pr+� l
Approval is desired for the construction of the dwelling(s)indicated on the property owner's
Application for a Special Use Permit.(This application is to be presented to the Town Board for
review.)
By Action of the Town Board,use is: (�Approved ( )Denied ( )Tabled
COI1llriCRYS: The Tovn approved the application as it would not be contrary to the
public interest and would be in compliance with the spir�t and in n of hP
zoning ordinance and the Town of Bass Lake's Comprehensive Plan (Section 5.10).
'�'he tovn�c ap}�roval ic vith thr fnlln nnditinns nlarPd hv ++3=_r rh� deed
1) The lot cannot be further subdividedn£or additional dwellin�s.�V2) Thenplacement
of only one single family dwelling on the lot. Finding of Fact: 1) It would not be
damaginQ to the ri�hts of others or nronertv values 2) It wou7d not be detrimental tn
ecology, wildlife or wetlands. 3) It would not create traffic or highway access problems.
Chairmah G
Supervisor
Supervisor\
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SCALE: I INCH=400 FEET FOR ASSESSMENT USE ONLY NOl
DRAWN BY: DATE : INTENDED TO SHOW CONCLUSIVE
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR.
BOUNDARY �OCATIONS
� T
PAULA CNISSER
SAWYER COUNTY, WI
REG'.STER OF DEEDS
320143 �
03/22/2004 8:55 AM
APEX RECORDING FEE 13.00
SURVEYING
15614WindroseI.ane,Suite330 eaqes z
Haywerd,R'I 54843 �
7156343435 Fac 7I5-9342739
SAWYER COUNTY CERTIFIED SURVEY
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SURVEYOR'S CERTIFICATE:
I FREDERIC W.LER.OW,WISCONSIN REGISTERED LAND SURVEYOR,CERTIFY;1 HAVE
SURVEYED,DIVIDED AND MAPPED PART OF THE NW'/.-SE'/.OF SECTION 23,T40N-
R9W,TOWN OF BASS LAKE,SAWYER CAUNTY,WISCONSIN,80UNDED AND DESCRIBED
AS FOLLOWS:
COMMENCING AT THE WEST'/.CORNER OF SAID SECTION 23;
THENCE S89'-22'-19'E 3947.08 FEET;
THENCE S00°-52'-381N 229.38 FEET TO THE POINT OF BEGINNING;
THENCE S00°•52'-38'W 707628 FEET;
THENCE N89°•13'-48'W 859.22 FEET;
T}1ENCE N00'•55'-50'E 1175.11 FEET;
THENCE SSB°-d3'-18'E 93.77 FEET;
THENCE S88•-50'-59'E 419.54 FEET;
THENCE S77°-50'-40'E 181.14 TO THE POINT OF BEGINNING.
THAT 1 HAVE MADE SUCH SURVEYAND MAP UNDER THE DIRECTION OF ANDY
BURGESS.
TFiAT SUCH MAP IS CORRECT REPRESENTATION OF THE EXTERIOR BOUNDARIES OF
THEIANDSURVEYED.
THAT I HAVE FULLY COMPLIED WI1H THE PROVISIONS OF CHAPTER 238 OF WISCONSIN
STATUTES AND CHAPTER AE7 OF TME WISCONSIN ADMINISTRATNE CADE IN
SURVEYINCa,DIVIDING AND MAPPING THE SAME,TO THE BEST OF MY KNOWLEDGE
AND BELIEF.
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�ATE `,`�\,...�.NSj�,� FREDERICW.ZIEfLOW 5822
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DATE
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