HomeMy WebLinkAbout028-642-30-4304-LUP-2013-071 _ - �
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Application for Grading in Excess ot 10,000 Square Feet �
County of Sawyer County � ` �
10610 Main St.Suite 49-Hayward WI 54843 ��
715/634-8288
CONSTRUCTION SHALL NOT BEGIN UNT1L ALL REpUIRED PERMITS HAVE BEEN ISSUED. �
'�.,- SIGNATURE OF PROPERTY OWNER IS RE�UIRED.USE BLACK INK OR PENCIL
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Owner Contrsetor --�
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Mailing Apdress Mailing Address ' ll.
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Ciry.State,Zip -.� City,State,Z1p �
5'c;7— 33�- OH -�� --�is �-i9�- �795 � �
Daytime Phone Daytime Phone �
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Email ��5���r Email , �
SRe address: �xLJ G•/E ,�a.�<-�. K�d (Fire number 8 name of road) ,�� .
Govt.Lot_OR�%.,�[;-%.,ot Section J o Tovmship�North,Ranga�(n West - �
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Cal�ulate gndiny aroa:(Total aroa diaturbad Including exeavatlon,flll,gnding,Iandaeapinp, ��
equlpment nrttlng,andlor other areaa vegetation wtli be removed roaultlng in axpos�d soll)
Detertnine xddth�disturted area in feet ft.x by depth af d(sturbed are in feet: tt.
Total aq ft
Date acUvity will hagin'rf pertnit in issued: 5�'..�-S'I.� ;be comp�atad: ��..".�S' � j.
Attaeh engineedng deslgn or complete che tolloxring(Use additlonal sheetn H neceasaryg T'
Describa how you intend to earty out tt�e project,induding methods,materials,end equlpment. _
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Describe your pmptosed/c�onstrudion schedule and sequence of work y
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Describe what temporory and permanent arosion eoMrol measures wili be usad,and the location of any
disposal area for exeavated materiats.(Excavated material shall not be placetl in wetlantls or shoreline �
� buffer area).
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Appiication for Grading in Excess of 10,000 Square Feet
County of Sawyer CouMy
10610 Mafn St Suite 49—Hayward Wt 54843
715/634-8288
List seeding rate per acre and type of cover crop and pertnanerrt seeding.Fertilizer type and application
rate ff appfied.Mulch type and app(icatfon rate. � „
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Attaah Photographs which illustrate the entiro project aite In pre-constructton eondition and the
relaUonship to nearby water resourcea(if appllcable).
Plan view sketch of project area including loc�tion of any wetlands or watervvay(indicata area between
grading project and water body to be left un�aturbed),flood plain boundary,location of ali stormwater
��'';` and erosion control prad(ces,benchmerk(include location,description,and elevation)drawing scale,
north arrow.
�ross sectional view of projed area induding the existing and proposed slope oi the bank,water level of
any existing waterway,elevation of the'lOQyear floodplain,horizontal and vertical scale.
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The undersigned cert�fies that the listed informatio�and iMeMions are tn�e and correct,that all worlt shall
i be pertormed in com,�liance with the requ(rements of the Sawyer County Zoning Ordinance and the laws
and regulaticns of the State of Wisconsin.The undersigned person(s)hereby give pertnission for access
I to the prbperty for onsite inspection.
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I Original Signature of p`roperty aMrher(or agent with Power of Attomey).
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Permft Fee:-�%�'•�-�:
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SCALE: I INCH=400 FEET � FOR ASSESSMENT USE ONLY NC
DRAWN BY: DATE: INTENDED TO SHOW CONCLUSI�
COLON (:y IRlDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
Real Estate Sawyer County Property Listing Property Status: Current
Today's Date: 5/9/2013 Created On: 2/6/2007 7:55:51 AM
��%' Descri tion U dated: 7 11/2012 "� Ownershio Updated: 7/11/2012
Tax ID: 30491 MATT W &SANDRA A AMMENTORP FAIRBULT MN
PIN: 57-028-2-42-06-30-4 03-000-000040
Le a PIN: 028642304304 Billina Address: Mailinq Address:
Ma ID: .15.4 MATT W &SANDRA A MATT W &SANDRA A
Munitipality: (028) TOWN OF SPIDER LAKE AMMENTORP AMMENTORP
S7R: $30 T42N R06W 716 LEGACY CT 716 LEGACY CT
Descrip[ion: PRT SWSE FAIRBULT MN 55021 FAIRBULT MN 55021
Recorded Acres: 1.890
Caltulated Acres: 0.000 � Site Address * indicates Private Road
Lottery Claims: 0 12519N OLE LAKE RD HAYWARD 54843
First Dollar: Yes
Waterbody: Ole Lake � propertv Assessment Updated: 2/6/2007
Zoning: (N/A) No Zoning 2013 Assessment Detail
ESN: 401
Code Acres Land Imp.
G1-RESIDENTIAL 1.890 123,500 7,100
�� Tax Districts Updated: 2/6/2007
1 SWte of Wisconsin 2-Year Compariwn 2012 2013 Change
57 Sawyer County Land: 123,500 123,500 0.0%
028 Town of Spider Lake Improved: 7,100 7,100 0.0%
572478 Hayward Community School District Total: 130,600 130,600 0.0%
001700 Technical College
�+ Recorded Documents Updated: 7/11/2012 s� property History
� WARRANTY DEED N/p
Date Recorded: 6/27/2012 379343