020-638-02-5403-LUP-2004-050 �
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 1000' of a
flowage, lake or pond or does not have any of the above waterbodies located within r � �, �
the property's boundaries. ._ 1
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder , c;
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Mailing Address Mailing Address � O
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City, tate, Zip City, State, Zip ;
i/��,-�-�.� - 3�3-0�' _ �- �= � �7 -r�' ( 7 �
Daytime Phone Daytime Phone _�
Additional Information: Zone District: �
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Lot Dimensions: �
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Date lot was created: Acres: � n
Is there wetland near the ro osed structure? If yes, how far /�->c:�' � �
P P �
Building Land Use Floadptain:-f j �es ( �'�To � �;
(c�,�ew ( ) Filling � �
( )Addition ( ) Dredging Driveway access off of a(Check one): � �
( )Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. o y
( ) Moving On ( ) (�-E'Z�unty Hwy ( ) State Hwy N �
O O o S
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Primary Structure Accessory Building Addition � °
( s�Dwelling ( ) Garage-attached/detached (�� Deck ,`�;
( ) Year round ( )#of car stalls ( ) Porch � �
( ) Seasonal ( ) Storage Building ( ) Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room � �,.
(�odular/manufactured ( ) Greenhouse ( ) Kitchen � ��
( ) Mobile/manufactured ( ) Other ( )Bedroom �.
( ) Other primary structure ( ) ( ) Relocate/enlarge o '
� � ( ) ( ) # of new � �-
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AdditionalInformation: � A
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Type of Construction: `f�
( ) Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete � �
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(�Other �f-�`� 4���'�T-
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Construction Cost: Primary Structure $ �Jr C►7�(� � �
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Accessory Building: $ Addition: $ � �}`j
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Deed: Vol�Pg� Certified Soil Test# �)y�-- �%/C% "" Z
CSM: Vol Pg Lot# Sanitary Permit#��— ��:�--�� f�d�T i1- ` o, 7�
Plat Envelope �r� N �.
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Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: `-' �
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Previous office approvals/actions: �
Variance: # LUP: # SP: # CUP: #
Inspection Report: # Change of Zone District: a (��
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an3ss
Describe the construction using these columns. List the dimensions of each structure in a separate
wlumn. ist each story, each addition, each alteration in a separate column.
#1. t,sc� #2. �Pt ,�; �� #3. #4.
Size�ft. wide �_�• wide �� ft. wide fr. wide
_�_ft. long �fr. long {��r�� ft. long ft. long '
Floor area /y D 6 sq. fr. �lol� sq. fr. �'` �� sq. ft. sq. ft.
Hgt.from gade�to peak fr. hgt. ft. hgt. ft. hgt.
Stories�_ stories stories stories
# of bedrooms G�
Re r Lot Line \
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Fire Number and Name of Road ��`�Q d ��
� 1. Enter lot dimensions and indicate north by arrow. gj9 r of Owner or Auth ri d Agent:
� 2. Indicate the location and size of the requested construction
� Si ure
activiries. ''� ,/ r
PnnlName: ?�/�i�/�'//� � �T����
3. Also, indicate the location and distance to the well, The above cerliLes that the listed intormatlon and intemions are
�.� true and correct., that all work shall be performed in compliance
w septic tank and drainfield, wetland azeas, lot lines and to the with the requiremenfs o(the Sawyer Counry Zoning Ordinance
At and the laws and regulations of the Shate of Wisconsin, and if
� CenteTllne Of tlle I'oaC�. acting as ownef(s)agent has the permission ot the owner(s)to
peAortn Ne work requested on ihis application. The above
personsls hereby give pertnission for access to the propeRy tor
� onsiteinspection.
� Permit fee: $ ��Lt� -f SC� �.SO'
� _
March 22, 2004 _
Issue Date Signature of ui Agent
March 22, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
PAWYER COUNTY
LAT OF SURVEY
PART OF
GOV'T LOT 4 Located in the
NW 1 /4 of the NW 1 /4 & part of the
SW 1 /4 of th e N W 1 /4 of SEC. 2,
T38N, R6W, TOWN of OJIBWA,
SAWYER COUNTY, WISCONSIN
NUM DELTA ARC RADIUS BEARING DISTANCE TOTAL
C1 12'04'38" 354.98' 1684.04' S49'30'27"W 354.32' 40.02 Acres.
C2 10'28'23" 307.83' 1684.04' S60'46'S8"W 307.40' 1 ,743,206 Sq.ft.
C3 10'13'26" 178.80' 1002.00' S64'26'S7"W 178.56'
C4 32'45'1 S" 324.13' S67.00' S80'08'OS"W 319.74'
N NW COR. NE COR m
SEC 2& GOV'T LOT 4� Z
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COV'T LO� 4 Na3�2a�40�E `_N LINE GOyT 4 c�
(SWAMP ROO) 1301.43� � o'
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BfAR/NCS ASSUMED, BASED Ow � LOT 2 S82'44'41 �W
1H£ N LIN£ OF GO✓T LOT < �' 35.02 Acres.
wHICH B£ARS, N8J78•4o-f 1 ,525,406 Sq.ft. 300.00'
(INCLUD/NG GRAV£L PlT) �
SCALf lN FffT NOODSHED❑ �
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0 60 300 600 GaRaGE� u+ o
I"�3pp• N � .P
�iELL� � r*�
Q S£T 1" (id) r 78� IRQN P/P£ SEP7/C• � O� •�
If�ICNING 1.68 LBS./ UN. FT. � � HOUSE 1 O N
� FOUND l 7/4" (id) IRQN PlP£ � � � � pRNE 1 O
.p (T N
O FOUNO 7 1/2" (id) IRON P/PE � � `O � LOT 1 N � ,
R p?�,,,,ps � � S49'30'27"W � 5.00 Acres. v,,.� .
' -„� � 354.32' 217,800 Sq.ft ,%��'
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� ; � v✓i�!�n�,� �v. '•e �' RAVEL PIT o7.4 ' �, •!'
�' � ° ' � � 6.33 Acres. ,�y'
� e ` NJTT R 275 919 Sq.ft. • -
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'�� -2 �r3 �/ _.._._. � / �.
� Gi���M .r � L, / � S64'26'S7" � .�.'•
' s 178.56' Gti �'
: WIS. . �. _ _ _ _ _ _ _ �oca icN
/ �`^� ,o� ' SHO�OS�OS�W �c-/= �_-APPROX. 40 LWt
i, ` > '�m�....�m°� � 319.74� DRNE _ ._ . � ��
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;` �• ��- � —S63'03't6;'W
`.,,_ �.4-_.------ �,i��.- 241.75
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l, �lliom W. Nutter, reg/ste�erJ lond surveycr, hereby certi,'y fhat l have surve�nsd ond mopped, by orde� of
Pat�icia He/sing, part of Government Lot 4 /ocoted in the No�thwesf 1/4 of the Northwest 1/4 and part of the
Soufhwest 1/4 of the No�thwest 1/4 of Section 2, TownshJp 38 North, Ronge 6 West, Town of 0/ibwo, Sawy�r
County, �sconsin, desc�ibed os follows;
Commencing ot the Northwest Come� of saTd Secfion 2, 'a/so being the Northwest Comer of soid Government
Lot 4 the point of beginning; thence N8378'40"E, 130�.43 feet; thence S879'S0"E, 1017.52 feet to the No�theNy
�ight-of-woy line of County Rood "G; thence a/ong sa/d Northe�/y �ight-of-way line of County Rood "G" with the
fol%win� courses: a/ong the curve of an arc concav�e to the norfh, whose radius is 1684.04 feet, and chord bea�s
S49'3027"W, 354.32 feet; thence a/ong the curve of an arc concave fo the north, whose radius is 1684.04 feet,
ond chord bears S60'46'S8"W, 307.40 feet; thnece S63'n3'16"W, 241.75 feet; thence a/ong the curve of an arc
concave to the north, whose radius is f002.00 feet, ond chord beors S6476'S7"W, 178.56 feet; thence o/ong fhe
curve of an arc concave to the norfh, whose rad/us Is 567.00 feet, and cho�d bears S80'n8'05"W, 319.74 feet;
thence /eoving soid Norther/y righf-of-woy line of Counfy Road "G" N8'06'S1"W, 1495.39 feet to fhe point of
beginning.
That such map is a correct representation of oll exterior boundories of the /and surweyed. Thot / hove fully
complied with the provisions of Section 236.34 of the �sconsin Statutes. Thot such survey is correct to the
best of my know/edge and belief. Subject to easements and roodwoys of record.
Prepared by. �
L/NCOLN LAND SURVFY �f� , ; ' \ �
�L�c�l Gcr �
1406 East 7th Street �lliom W. Nutte�, R.L.S
Merrill, �. 54452 S-2299
Inst�ument d�ofted by
John Mo�tho/er 12-24-2003
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