HomeMy WebLinkAbout002-940-28-4409-LUP-2004-024 � '�`�� � �#j- � S � �� �
Application for Land Use Permit o o '
County of Sawyer � -
PO Box 676 -Haywazd WI 54843
715/634-8288 �� O
The undersigned hereby makes application for a Land Use Permit and agrees that all work
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance v` �
and the laws and regulations of the State of Wisconsin.
NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. '
PRINT—USE BLACK INK OR PENCIL � ,
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Owner Builder °'
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Mailing Address Mailing Address �
4?�t�� ws ,S�y,S�(o h �
City,State,Zip City,State,Zip
�:10 rlda-C`f`/.S �
Daytime Phone Daytime Phone �
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Additional Information: Zone District �' 1 �
�5 e�,�.�,�, a�- pp+-�a
.���v�ll�f�� S3,g/g Lot Size
Date lot was created Acres
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Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river,
creek or stream) If yes,how faz from the shoreline&water name: �
Is there wetland near the proposed structure?If yes,how far �� o
�
Building Land Use � �
(�f New ( )Filling � Floodplain:( )Yes (/)No # n
( )Addition ( )Dredging � G�
( )Alteration ( )Grading Chippewa Flowage: ( )Yes (.�No C> °
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( )Moving On ( ) y� o
( ) ( ) Driveway:( )State (�County ( )Town Rd.
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Primary Structure Accessory Building Addition
(/j Dwelling ( )Garage-attached/detached (l�Deck '
(/f Year round ( )#of car stalls ( )Porch `�-'
( )Seasonal ( )Storage Building ( )Enclosed K
O Frame built on site O Screenhouse O Living room \ �
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured (�j Other ( )Bedroom
O Other primazy structure (/f l�Co�l S�edl O Relocate/enlazge '
( ) ,( ) ( )#of new r >
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Y (y
AdditionalInformation: � "
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Type of Coqstruction �
(/�Frame � ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other �
Construction Cost:Primary Structure$_ �( �,"�C �,,; I�
Accessory Building:$ ���0 .��. Addition:$ ��{ '(��3 z
+ 7�
Vol ��"l Pg (n-S� of Deed Certified Soil Test# O �-� �5 9�
CSM Vol �'{ Pg ��0 Lot# � Sanitary Permit# ��
Plat Envelope ���°' Or: �,v PC��Q jS � � �
Condo Vol Pg Yeaz Installed �
Aff of ex septic Vol Pg Owner When Installed:
Gard Gazebo Vol Pg
Previous Variance: LUP: Inspection Date: ��I-�.,;1I"��
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3�� �✓
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 separate column.
#1. j�.�na,�r #2. �;Ysa- �lo:; #3. y�.�-�- #4. . �:S�e�1
Size "a,G� ft. wide �� ft. wide �_fr. wide �� ft. wide
� � � .
3!c•� ft. long 3�'-� ft. long 3���' �" fr. long �" ft. long
Floor area� sq. ft. y`�� sq. ft. �sq. ft. ���� sq. ft.
Hgt.from gade��a�O to peak `� ft. hgt. � ft. hgt. � ft. hgt.
Stories_� stories stories stories
# ofbedrooms 3
Lot Line or Lake/River name:
�'� ���c-���v
Fire Number and Name of Road � c, i� 15'�dG Cc��.����r�:
1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate location and size of existing and new structures.
3. Indicate location of well, septic tank, drainfield. �' n (
( In
4. Indicate distance to existing structures, lot lines, septic system , \/'�( V�
5. Indicate distance to the ordinary high-water mazk of any lake,
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pond, river, stream, creek, and name the body of water. P�nt Name:
The above ceNfies ihat the listed infortnation and intentions are
6. Indicate any grading or clearing in excess of the construction site. acressdro me propedy fo�onsilersnspeclhoneby give permission for
7. Indicate distance to any wetland.
Permit Fee: a��
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February 13, 2004 �� � '� � --
Issue Date Signature of ssuing gent
February 13, 2005 `
Expiration Date
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OfficeComments: �IX Y��GiA�-lL� �k���rl�l_,r� ;ir�� ���1 .�t�Z��.s.{ ��� �ii�� � � , � '
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Inspection Date: 50% Rule Applies: Avg. Setback:� Within Reservation boundaries: �
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Restrictions and other information:
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3457�� Area '
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3 240"
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E I /2 of the SE I /4 of the SE I /4 of Section 28 Township 40 �ange 9 West ',
' Fire# I 5720 W Bass Lake __ _ _
' (County f1wy. K) � � � � � _�� : �
A I 4 April 03 Naley Mike house 0
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SCALE : I INCH =400 FEET FOR ASSESSMENT USE ONLY NOT
DRAWN 8 Y : M K DATE : 8-8-$ 5 INTENDED TO SHOW CONCLUSIVE
COLON ( : ) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
80UNOARY LOCATIONS
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311679 �
SAWYER COUNTY CERTIFlED SURVEY MAP
LOCATED /N THE SE 1/4 OF THE SE 1/4, SECTION 28, T40N,
R9W, TOWN OF BASS LAKE, SAWYER COUNTY,
W/SCONS/N. BEARINGSAREREFERENCEDTOTHE SOUTH
IINE OF THE SE 1/4 OF SECiION 2&-00.g:
588'46'S9"W. SAWYER CWNT`/GRID
Foutl 3'NL CAP,E1N
CUI R�p-0
dtt/e'IP _�
NONiN lwE OF 71f SE7/4 Of lYE SEt/a Oi SECiNk126 ��
� S89'00'06'V - �}q
674.9^c' d
/ 1 / 1
m
tisC N �
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N TODD C.
N GOOLD
� � �.., 5-2489 a
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> 1 E12, SE1/4-SE1/4, n '�
m I ExdudngCrAyMvy'K" v'Oi �
' Acres = 19.14+- - :"
N Z o
w o Aree sqR=833795.99'w i
,� h I Penmefer=3826.70'
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Q' —�� .�-_—__ _ — �`9_ ss.iz
SA!'16'S9W NBB46'S9'E �- iuN3'AL -
683.76'
xsise� c�a.s�cca
� GLOf CNIYHVA'1C. 28-00-Y
fo-rd)'AL bP.Slp NOqIN P.0-WW1DM
CO'128�0-i SHVMI�SSV
r ol�/ No./h LEGEND suRvev er:�r l � /.�
♦-foPHi.y /.c. •fWM1llLf5011p1100
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+�•yq...v •snut.xrwairoo,xFort=iia�an TODDC. GOOLD-RLS2489
,,„�,�u'_�w�. •snr.vmnre[wuNr= i.uiyn DATEDTHIS:�fijAYOF�,Zpp3
P4GE 7 OF2
Certified Survey No. 6 6 O `3 �L 2 4 PG 2 6 0
DESCRIPTION
LOCATEDINTHESE'/.OFTHESE'/.OFSECTION 28, TOWNSH/P 40
NORTH, RANGE 9 WEST, TOWN OF BASS LAKE, SAWYER COUNTY,
WlSCONSIN, MORE ACCURATELY DESCR/BED AS FOLLOWS:
COMMENCING AT A 3'AL MONUMENT AT THE SOUTHEAST CORNER
OF SAID SECTION; THENCE ALONG THE EAST LINE OF SA/D SECTION N Ol°
56' S0'E, 32.12 FEET TO THE NORTHERLY RIGHT OF WAY OF CNTY HWY
'K'ALSO BEING THE POfNT OF BEC,INNING,- THENCE N 01° 56' S0'E,
1240.32 FEET TO A IRON R00; TNENCE 5 89° 00' O6' W, 674.42 FEET TO A
IRON PIPE; THENCE S 02°21' 36' W, 122B.93 FEET TO A IRON BAR AND
THE NORTHERLY RIGHT OF WAY OF CNTY HWY'K'; THENCE ALONG SAID
RIGHT OF WAY ON A CURVE TO THE RIC>HT HAVING A RADIUS OF 6439.49
FEET AND A CHORD BEAR/NG AND DISTANCE OF N 89° 59' S1'E, 682.78
. FEET TO THE POINT OF BEGINNING.
CONTAIN/NG 19.14 ACRES, MORE OR LESS. SUBJECT TO ACL EXISTING
EASEMENTS AND RESERVATfONS.
� SURVEYOR'S CERTIFICATE
l, TODD C. GOOLD,A REGISTERED LAND SURVEYOR/N THE STATE OF
WISCONSflJ,HEREBY CERTlFY THAT THlS MAP IS A CORRECT REPRESENTATION OF
THE LAND SURVEYED,AND THE DIVISlON THEREOF, IN COMPLIANCE W/TH SECTION
236.34 OF THE WISCONSIN STATUTES UNDER THE DIRECTION MIKE KERSHAW �
i'_!—_![ ,���`
TODDC. GOOLD
REGlSTERED LAND SURVEYOR
WISCONSIN REG#S-2489
27th May, 2003
Appr � ed this�tlay of��„ 2003
CindyYackley- awy rCo. Zoning dministretor
`SC
7Y1DD C, �
�OOLD
C" 5-2489
9 ��'waxD
'la wts.
SUR
Pa9e 2 0/2
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