HomeMy WebLinkAbout022-738-14-1103-LUP-2008-040 _ •� �
Application for Land Use Permit; (*Non-shoreland*) r y v
County of Saw�,�er N �
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PO Box 676 - Hayward �%VI 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 ,�bove waterbodies located within '
the property's bounda.ries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE��UIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL �
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1 �,l>i�� L) i,(r�1� � S � � .L_=��� �
Owner Build�.r ¢'
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9� l� 3�/ L.�S l��-`/ ;,����c_� �'
Mailing Address Mailing Address O
c�,�/ �3 u�� , c � l �`��S��Z �� — l, t�/C �— .��� � �
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City, State, Zip City, State, Zip
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Daytime Phone Daytime Phone
Additional Information: Zone District: � N
Lot Dimensions:
Date lot was created: (� •,30�7$ Acres: � . 3 n
0
Is there wetland near the proposed structure? If yes, how far � t�
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Building Land Use Floodplain: ( ) Yes �No �
( )New ( ) Filling �
O Addition O Dredging Driveway access off of a(Check onf;): �
( ) Alteration ( ) Grading ( ) Pr•ivate Rd ( ) Town R.d. �r o
( ) Moving On ( ) ( ) C��unty Hwy ( ) State H�vy � �, �
a=� 7' � ) o� � �
�`' o r
Primary Structure Accessory Building Addition N � �
O Dwelling O Garage-attached/detached O Deck N W
( ) Year round ( ) # of car stalls ( ) Porch , �
O Seasonal � Storage Building O Enclosed C►� �
O Frame built on site O Screenhouse O Living room � �
c �,
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen q �
( ) Mobile/manufactured ( ) Other ( ) Bedroom J
( ) Other primary structure ( ) ( ) Relocate/enl�arge � ' A
( ) ( ) ( ) # ofnew � �
� R�
AdditionalInformation: o � A
— • v,
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Type of Construction: o {�a
( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other c � �
Construction Cost: Primary Structure $ � �
W c�
Accessory Building: $����� � A��dition: $ �' � �
.-,
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Deed: Vol 332g$�Pg Certified Soil Test# °Q Z
CSM: Vol 5 Pg 31�( Lot#�_ Sanitary Permit# � 7�
Plat Envelope � ��b Or: �,
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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: # �/�1
Inspection Report: # Change of Zone District: I �p8
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Describe the construction using thcse columns. List:the dimensions of elch structure in a separate
column. List each story, each addition, each alteration in a separate column.
#1. #2. #3. #4.
Size_�ft. wide fr. wide ft. wide ft. wide
4.1 � ft. long ft. long ft. long ft. long
Floor area I G7 sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from grade_�to peak ft. hgt. fr. hgt. fr. hgt.
Stories stories stories stories
#of bedrooms
Rear Lot Line
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Fire Number and Name of Road ��13yCt� �t��< �oad 2 7�r10
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1. Enter lot dimensions and indicate north by arrow. iga ure of Owrfer 4C�thorized Agent:
2. Indicate the location and size of the requested construction � � `�
( Sig ture
activities.
Print Name:
3. Also, 1ndlCate tlle lOcatlon and alstance to YZle well, The above ceRifes ihat the listed iniormation and intentions are
irue and cortecL,thal all work shall be performed in compliance
� Sept1C tffi1�C and dlalnf eld, wetland aTeas, lot lines and to the wi�h the requirements ot the Sawyer County Zoning oNinance
antl lhe laws and regulations of the State of Wiswnsin, and if
centerline of tlle Ioad. acting as owner(s)agent has the pertnission of the owner(s)to
peAortn the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspeclion.
Permit fee: $ /00�
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Issue Date Signature ofIs uin gent
/�p11� � , ��9 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
)F RADISSON �
TWP 38 N . R. 7 W
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KING �
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� MINK CAPITAL SURVEYING, INC. $URVEVING SERVICES �
�---E=o"'._--� MEDFORD, WISCONSIN 54451
Subdivisions -
� � � Cerfi/ied Survayz .
Property $urvays
TopograpFiic Mappiny
� Strea} Improvamenfs
Roufe LocaMions
---^------,-- _ Plo1 Plans
� CERTIFIED STJ3VEY MAP
. ��ASSUNEO-TNE E.LINE NE �/4� I � CHARLES OF�'ERMAN LJ�Ty`D
ASSUMED BEARIN6 30�0043 �E .Z9� SUF�VEYOR OF THI'. STATE OF
� WIS�O?7SIN � DO f�'EREBy
CERTIFY THAT I HAVT MADE
�y T�IE FOLLOWING STJ?�VEY _
' tr666� TIVT �'�Fi �V�i4 QT_�' TT�' �'4
ti,M 4�3A� v�`'� OF SECTION 1�,
ozdz 2 T. 38 N. , ??. 7 W. ,
.� �iPP` . . . N3� \ ��, SAWYER COLT2dTY ,
yo oy �;, WIS�ONSIN . MORE
�N,�,�- �\ `'�:. PARTICULA?LY
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.t'�'�� ..�"' S/+'l'y �''��.'o• �-� a � THE NE CO??NER
� �r �4 ��� ia �, o D OF SAID SEC-
� CHARLES � � 9'i � a � TION 14;
OFFERMAN �-� � " �" Tfr�:nTCE
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� MEDFORD, . # 45n E ,
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o � ,� SAID SECTION 14 �
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� � ' 4z'' 917.72 ' ; TF?ENCE
cz� �° a �~ 2e � S 56°3�'35" W . ALONG "
y r., � 029 TH; CF.N2�� LINE OF S . T.H.
� �' d yaa,s e ao`6 `'��27-70° . 270 . 16 � ; TFTFi:'CE
z � y p`_ a9s, a� Z �T 33�29 ��5�� w , 70.00, To T�
�'-'n H �o�p,`� •E � d' �NORTFiWESTERZ,Y RIGFiT Or `rlAY OF
'� u' �4•z4'�� ,. / AS ID S . T.H. " 27-70" AI�'D THE POZNT OF
� �� �o.ys o� '.3EAI, BEiIT'NING; TH�I��C;r^, •,ONTZNtJING N 33�
o� • fo� N�io° 29 � 25u yy � 424.47 � ; TF�N�E S 56°3� ' 35" w ,
� �+98 .4� � ; T�r�cE S 33°29 ' 25" E . �38 .86 � ;
'� T.TI�:NJE N 60°19 ' 25" E . ALONG TfIE SAID
� � �'�g,o 10 NORTH4IESTE�I,Y �IGAT OF WAY . 9 .25 ' :
� �o TFrF.2��E N 56°30 '35" E . COT'TIlv`U7NG
o�o "'� ALONG TT� SAID NORTS?WESTE�LY �IG?�T
� 4', OF WAY , 400.00' ; Tf?�2iCE N 45�12 � E �
o \';ONTINlJING AL02IG THE SAID NORTH-
�°� WESTERLY RIGHT OF 1dAY ( CON ' T ON REVERSF.)
E �/4 CORNER NE CORNER I
i / 5 EG�-14,L 3!N�R.7 W, SEC.14,i 38 N�R_7 W.
SO�00�43'_E �7 1.18' � �.�-- 50�00�45"E 9�7.72' '�\ �
E UN@� NE �/4� S C.14�T.36N., R_T W. �
o �b ao' LEGEND i
$cele of Map: I inCh — i0o' — � Iron Pipes Found VI�RL- VARI�BLE
—o-- 1 " z24" Iron Pipes Set, 1 ,13 Ib./f�.
STATE OF WISCONSiN t ❑ StonoMon. Found
COUNTY OF TAYLOR S SS —Q— Iron Pins Set
—�— 2" x 30' Iron Pipes Set, 3.G5 Ib./ft.
1, CNARLE$ OFFER�IpN , Lend $urv�yo� of }h• Stat• of Wiuonsin, do I+�r�by c�r4ify 1ha} on �UNE 23 1976 �Y�d fh�
•bor� d�scrib�d prop�rty •ccordinq tc oifici�l r�cords and fhe} }h• •ccomp�nyinq m�p is • iru• •nd co�r�c} •tion of 16� �d�ri oun � of fb• I�nd
surv�y�d, th�f •11 buildiny� •+d Impror�m�rt}s li� wholly wit6in }h• bound�ry lirws, end fh�} no �ncroachme by j• •n} prop• w •pp• om uid aurv�y
�:wpf �a i�rdic�t�d.
14-36-7W BERNARD BELISLE
�� pi�}�r�d lond S�rv�ver
' .ZI'IltlAd S1.Q'VII'y
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