The URL can be used to link to this page

Home My WebLink About026-938-10-4301-LUP-2008-270 � Application for Land Use Permit: (*Non-shoreland*) r ,� . County of Saw��er ° � � CJAL PO Box 676 - Hayward �VI 54843 `J � � 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 � the property's bounda.ries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REi�UIRED PERMITS HAVE BEEN ISSUED. �, PRINT-USE BLACK INK OR PENCIL n � ��.�� T�/ � 1��s s �e�t �Ti.� ��s��iC� � � Owner Build��r �� 1�/;z5� .�l�� vy /��o�� ry �? • �— �� . Mailing Address Maili� Address p �� A �2 r`-L�+-�1�D �: :5_� �� q .� �( .R�2;,�� - 5�� City, State, Zip City, State, Zip � �Q �� -�� -� 90� ��S - -��;�---�/�� Daytime Phone Dayti�ne Phone '1 Additional Information: Zone District: �/ Lot Dimensions: � ��,�p� 1,�� Date lot was created: Acres: '�(7 0 Is there wetland near the proposed structure? If yes, how far .� � � Building Land Use Floodplain: ( ) Yes (�) No � �)New ( ) Filling *� ,-. O Addition O Dredging Driveway access off of a(Check onf,): � O Alteration O Grading O Pi•ivate Rd O Town Rd. ln o ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � N O O � o � Primary Structure Accessory Building Addition N � � ( ) Dwelling (� Garage-attaciicdhietached ( ) Deck �;,� W ( ) Year round (� # of car stalls ( ) Porch � � ( ) Seasonal ( ) Storage Building ( ) Enclosed � � ( ) Frame built on site ( ) Screenhouse ( ) Living room , � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen C � ( ) Mobile/manufactured ( ) Other ( ) Bedroom ' � � O Other primary structure O O Relocate/en�arge � I A ( ) ( ) ( ) # of new � �Q � � � AdditionalInformation: a � „ 0 � � ' O � � Type of Construction: p � (�Frame ( ) Log ( ) Pole/metal ( ) Block (�,Concrete o � ( ) Other o � � � Construction Cost: Primary Structure $ � � Accessory Building: $ �� G DC Addition: $ � � ,-. � Deed: Vo1,S3S Pg 3� Certified Soil Test# U" z CSM: Vol Pg Lot# Sanitary Permit# � 7� Plat Envelope Or: �; Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: � � , Previous office approvals/actions: � � Variance: # LUP: # SP: � CUP: # —` Inspection Report: # _ _ Change of Zone l�istrict: �� \ � z��z Describe the construction using these columns. Lis1:the dimensions of each structure in a separate . column. List each story, each addition, each alteration in a separate column. #1.`��-Y,4c�tc� C�.��#2. #3. #4. Size��ft. wide ft. wide ft. wide ft. wide c�i � ft. long ft. long ft. long ft. long Floor area�sq. ft. sq. ft. sq. ft. si�. ft. Hgt.from grade�to peak ft. hgt. ft. hgt. ft. hgt. Stories b !�C stories stories •stories # of bedrooms J� ��/� Rear Lot Line ^�. D r/ ,c�-t -!/� G t�t� �: �t� � � "'� � . . �:��,..` '� � Y �'�f1 Fire Number and Name of Road �� i s'S.�f��.�i�f. 1. Enter lot dimensions and indicate north by arrow. S natu of C)w u orize Agent: 2. Indicate the location and size of the requested construction si Vtu�e activities. � Print Name: c�S.s EL� '� 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 shall 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 requlations of the State of Wisconsin, and if centerline of the road. act��9 as oW�er�s�a�,ent,has the permission of the owner(s)to perform the work requested on this application. The above personsls hereby give permission for access to the property for � � onsite inspection. Permit fee: $ o� C�O tt�R l,�r,� - 2 , �'r'c. c. Issue Date Signature of Issuing Agent q� st Z � _�c,� �' S0% Rule: Average Road Setback: Expiration ate Office Comments: � � f y �� '�V , � � � � 7 . � . . . i � ��^. ' `,_`1��^'"` .. .. , `!� "\\ O� .. . � / _. .. � _ .. _ . ., � � �� , �\` �� __-._. 8S' r r. ; ` . _ � � _ ; , � I� ; � ; _ , _ _ � � _ � � , _ �� _ �. _. , � v �'\ , ` ��` �°_� , ,_, _, _ , � _ t� � _ ,, __ _ ; !� !�t -� , _ . , _ � -��'',Q � � -. ._ , � i � _ _.� _ \ , r �� _ � 8 r� � � S - �� _ � ��--. � � ,� � � �`�``�._ \ , � -, _ f �� -�. _ __ ; � . . . __ � . . �'•``'� � t � � . __ , � � W _ � � �`� � � '� _ _ _ � ��_..__, ._�y_�_.___ ._.�--- ----.-�------ - f rz� ..� � s� (n _ . � - � - � ' _ � �� {- � 3 . � , ; u� �, � � �' _ _ � ! _. ___�_ � � . ,� z _ { �. � �r� : ' , , 6� S�Pri� Gq�K� . � �^ � � .� � �^ _, _ �- _ A f x � � � � , ; � �_.0 �, ; _ _ , _ _ � � t r � _ - - ` lf� t -- ..._ _.. __--- - ,. � �.t � � 3 ' �'�'�,�' {, �� , _ �.� � � - � _ � . _ �__ _ . � _ �d,2',t _ _ � , -� - - �;,�._- ,5'7 � �__ � �j > � � _ --- � _ _ l ; � �,� � � .� � � � � � � � � , ., � � �, , � - ;� ' � _._ _ ; . � ; : b ; � _ ; �� ,�` � _ � ' " ; � � -� � �o � � � % I \ , o � � � � :` ; e,0 i � ��' � �, � .b �. " �� '. � .b � � � i� � �� 3�, '`3�, �g.O,� .� �� R � •. t - -- -- '°� � � . �_ P ` �� D � � � , , =+ , , . � _. __.._ ---�—� � � � ' � � � �, � � _� . •� � " � � � ; °� � � � � � � ! � � i � � �� POWER OF ATTORNEY Know all Men by these presents, that I, l� - L , property owner, Town of S,r�N,p � , Sawyer County, Part of Gove ient Lot , ' 1/4, 1/4, S , T �, R�, State of Wisconsin, have made, constituted and appointed vs 5 E��Ms1��f f�vs s SrN rsf��c��,��. in the County of� ,q- 1�� , State of Wisconsin, my true and lawful agent for me and in my name,place and stead to do any and all things necessary for the application , for,negotiation of,or obtaining of state, county and local permits with the County of Sawyer, Wisconsin, giving and granting hereby unto said agent full power and authorize to do so and perform all and every act and things whatsoever required and necessary to be done in about said premises,as fully to all intents and purposes as I might and could do if personally present,reserving full power of substitution and revocation, hereby ratifying all that my said agent of his substitute shall lawfully do or cause to be done by virtue thereof, In witness whereof, I have hereunto set my hand and seal this ! � �'^ Da _, y of � i.�.�<,�.�.-.1� ,�� ar��;' ,� �, j �� .��-- ,��,,�� {��?�--� ; / � �� Owner � � ;' � , �Not�y: �,�'�' �� /�:�i°�"�� State of: �(��U �' ;). � �� ,� � County of: �� y t�� ' , � � , � Personally came before m��his�,' ��day of � � ,�_� � �i � � , 20Q �,`/��1(� The above named v / � � �/,� -- ) to e to be the person wh � � execu t e d t he foregoing instrume t and�acknowledg e same. / / � � � � . . � � � . �,� � ,� . �-L(./' � > > ;��G �, � No P blic ��unty,� Sta�e �, '��,�,-��i ) �/ �� , � �\ � ° �r�. My Commission expires: G'` 1 � t�� +� cy y 3 �t� �k ' •� . . r.. - �. . G ` - R ♦..�... � . � � �.._ '.` � •' ��'�iY�bY:+n . �'1. .. . ,i ,. Page 1 of 1 Real Estate Property Listing Changed C�rrent Year R�a1 esfate recor�updated o��1;7/2006. Property Description Billing Address PIN: 57-026-2-38-09-10-4 03-000-000010 DALE MARTIN W259 N8598 HIGHWAY 164 Legacy PIN: 026938104301 HARTLAND WI 53029 Record ID: 27832 Map ID: .15.1 Ownership (lastupdated.�2/6i2(1077:59:ISArti9) County: SAWYER DALE MARTIN Municipality: (026)TOWN OF SAND LAKE HARTLAND WI Public Land W259 N8598 HIGHWAY 164 53029 Survey: SECTION 10 T38N R9W Quarter. SE Site Address (last updated.�5!23,;ZOOb 1:>9.�311 Ph1) Quarter- SW Quarter/Trad: 15452W SISSABAGAMA RD Piat/Entity Name: STONE LAKE WI 54876 Description: SWSE Current Assessment Valuations (last updated:2,/6,.2007 Recorded Acres: 40.000 7.�5�.�35Ah1) Calculated Acres: 0.000 Lottery Credit Assessment Tvpe Acres Land Imorove Total Claims: � G1 - RESIDENTIAL 2.000 10,000 61,600 71,600 Waterbody(s): G6- PRODUCTIVE FOREST 38.000 57,000 0 57,000 Zoning: (F-1) Forestry One Totals: 40.000 67,000 61,600 128,600 Farmland No Districts (lastupdated:Zi6,20C17T.57;36Ahf) Preservation: District Name Tvpe Code Documents State of Wisconsin STATE 1 SawyerCounty COUNTY 57 CONVERSION 2/6/2007 Doc#: /Vol- Town of Sand Lake MUNICIPALITY 026 Page: 535/378 Birchwood School District SCHOOL 0441 Technical College TECH 17 Parent Property(s) Child Property(s) (where the propeity came (p�operties this propeity from) created) N/A N/A http://sawyerfs6/System/REAL_PROPERTY/listing.asp?pid=27832 8/6/2008 . i 2.� .Z 2 .�. � � .3.2 4. I 4.3 � J .3.1 4.2 .13. .13.I .14.1 .13.3 .12.1 .15.1 .16.1 SCALE: I INCH= 400 FEET FOR ASSESSMENT USE ONLY NaT DRAWN BY:RH �nTE :6-23-87 INTENDE� TO SHOW GONCLUSIVE COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOVNDARY LOGATIONS