HomeMy WebLinkAbout026-939-12-5725-LUP-2008-108 /V on _ !/'.
Application for Land Use Permit ('�i-shoreland*)
r -�
County of Sawyer � � �
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 above waterbodies located within G
the property's bounda.ries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIItED PERMITS HAVE BEEN ISSUED. r' '
PRINT-USE BLACK INK OR PENCIL Tj'
���si��rzr�� _ �
���l� l�J r �.��y�'-t_�F � �41 �
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Owner Builder �'
� ��E��CsJ � T�� ,•� :, o: �
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Mailing Address Mailing Address �
S i t��U�= I„o-�,�� (s�; S�ff376 �
City,State,Zip City,State,Zip �
�f�- ��-�(� �
Daytime Phone Daytime Phone �
Additional Information: Zone District: fZ R � �
Lot Dimensions: ���= 17:z�w;�,
Date lot was created: �-/L-�Y Acres: . ��1 0 �
Is there wetland near the proposed structure?If yes,how far G c
Building Land Use Floodplain:O Yes (�,No :;
(X)New ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): j `°
ao
O Alteration O Grading O Private Rd O Town Rd. p o
( )Moving On ( ) ( )Cuunty Hwy ( )State Hwy � i,"', �
� ) � ) N o �
t"
Primazy Structure Accessory Building Addition � � °
( )Dwelling ( )Garage-attached/detached ( )Deck o � ,�
( )Year round ( )#of car stalls ( )Porch • 'J
� �
O Seasonal (jQ Storage Building O Enclosed i �
O Frame built on site O Screenhouse O Living room N �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactwed ( )Other ( )Bedroom �` �
( )Other primazy structure ( ) ( )Relocate/enlarge ,o ►
� � � � ( )#of new � �
g ,
AdditionalInformation: i� � >�
g � �
o �
Type of Construction: �' �; �
( )Frame ( )Log �j Pole/metal ( )Block ( )Concrete � �
( )Other � �
Construction Cost:Primary Structure$ � � �
Accessory Building:$ ���� A3dition:$ �
� �.
Deed:Vol �,$2 Pg 44b Certified Soil Test# �I-;Y> "Q z
CSM:Vol�_Pg 3�7 Lot#_� Sanitary Permit# f5 j-2�=� o, %°
Plat Envelope Or: n.> �
Condo Vol Pg Yeaz Installed: � �
�
Aff of ex septic Vol Pg Owner When Installed:
v
Previous office approvals/actions: `
Vaziance:# LUP:# t%� (i"�5 SP:# CUP:#
Inspection Report:# Change of Zone District: Z�'ps
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yi4,13-
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 separatc column.
#1. �C'KZ<o #2. #3. #4.
Size�L ft. wide ft. wide ft. wide fr. wide
_`�(�fr. long fr. long ft. long ft. long
Floor azea Zo sq. ft. sq. fr. sq. ft. sq. ft.
Hgt from grade �r-I L to peak ft. hgt. fr. hgt. fr. hgt.
Stories ( stories stories stories
# of bedrooms O
Rear Lot Line
�E�9-SL �`�'�'
Fire Number and Name of Road ,��l�J Cr �.�.�__
1. Enter lot dimensions and indicate north by arrow. Si ure of C)wner or Authorize Agent:
2. Indicate the location and size of the requested construction ��'� f ��: -
Sig ature
activities. '�
PnntName: Il 5a �l� � .l :i�:�
3. A1So, 1nc11Cate the lOcatlon and diStanCe to the well, The above ceNfes that ihe listed informafion and intenlions are
true and conecl.that ali work shall be peAortned in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of lhe Sawyer County Zoning Ordinance
and lhe laws and regulations of ihe State of Wisconsin, and if
CeRtCTIlI1C Of 111C T'O&C�. acGng as owner�s) a9eM,has ihe permission of ihe owner�s)to
pedortn the work requested on ihis applicalion. The above
personsls hereby give permission for access to the property for
onsite inspection.
Permitfee: $ /VU`�
�'J ,, a'7 aoo �.-- _
Issue Da� � Signature of Issui g t
�� 01�/ aq�q _ 50% Rule: AverageRoadSetback:
Expirati— on Dat�
Office Comments:
PAT : THESE ARE THE LOCATION OF THE BUILDINGS ON
THE LOTS . THIS IS FOR YOUR USE ONLY . . .
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GRAPHIC SCALE
TAX ASSESSMENT PURPOSES
400 0
zoo +ao aoo 1600 Information contained on this m<
advisory. Map accuracy is limited
quality of the public records fror
was prepared. It is not intended
( IN FEET ) substitute for an accurate field �
1 inch = 400 ft.
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SAWYER COUNTY CERTIFIED SURVEY MAP
PART OF G.L. 7. SEC. 12. T. 39 N.. R. 9 W,
u
. ... .. . -� N(1RTH IINE_SEI/4. SEC �2 w
.. ==�.3q'19 W�_26/9.f� �
c�� H�'Y "E'a — � .....`.+..
o-- s��•3;p.19'W 160.`SO' . ..� FD. 3/9' O.D. I.P.
� p�� 5�1'• 101.�0' E. 1/4 COR. SEC. 12
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— LOT I BEARING REFERENCED TO THE NORTH LINE
— '[6.514 SF. SEI/4. SEi:. 12. IASSUMEU SSI'34�19"W)
N }� �: .61 AC. _ '
SCALE I' 100' R.A. RECORDED AS
z fXX) RECORDED AS 6Y R.L.S. F303 PLAT oF �URVEY
Y.o o FOUND 3/4" I.P. � FOUND 11/9" I.P.
p � � SET 3/4' x 24- REROD. WT. I.50 LBS/FT.
I V 100.8p' gg
583'07'35'E
SURVEYOR'S CERTIFICATE
I. LYLE L. ELLIOTT. egi � ad land syo�
� her•by o r�Iy rho� 6Y rhe�d�ro�i' „ �IY
MAKIVN TURKILUSUN. I ho urveyed� nd a ped
�he Iand parcei .hlch i. repre:en+ed bymr�i s
Q Corr�fi�d Survey Map:
7h. exteric boundori•c of the lond p cel
—' � s rroycd a d aPped i: deccri6¢d : Tollo�c:
Auparr of G.Lp 7. Sac. 12. T. 39 N.. R. 9 W..
— " 7n.n �i Sand Lak.. Sa•yer Cnunry. W;:can:�
� ond �ore por�'iculorly de•cr;b.d o. follo..�
o Comm.ncing oi tho Eait Ouar�or orn said
" Soc. I'l. hanca J81`39'I�J"W 2B79.97 (eet:
e� P rheoc• 500'22'48"E 33.33 (ee�:
rhenc. N81'J4"19"E 49.79 fecr ro the point o(
»w b<glo�log
thence 500'22'45'E 87].95 faet to nc� :hore of
SP-V Whiie(ish Loka�
"'$ o — ih�nce N55'SA'00"E o a n�and�r line �(
— o�d Lake 190.65 feet:
— thsnce NOO'21'48"W 794.77 fsei:
L O T 2 �hanco 581'34'19'W 160.50 (o.r rha p ni
o( beg�inning, id porcel �o� 3.i3�a as
109.888 SF. a�der less. n'heding all�aondafr�om 6aidr
2.52 AC. iora eo�ement� or reatriclio�c c( record�
ny
I hava (ully c li d .I�h ihe prori s o(
sa z36.sa���i �ha w�� ..d"
Sio�� od rhe „bdt �d� o!
Sa�y.r�Couniy in .urv.yiny�and mopping .am..
i hereby o �(y iha� h�: orreci
o he bes�rof Ay k�o•ladge�aod��el�et.
LYI�L. ��EJqLL I�s R�O�
6'� DATE � ��/995�
\90;. 2�� :r'Y 1(� .�i
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