HomeMy WebLinkAbout002-940-15-2401-LUP-2004-282 �� �G � � � �� � ..
Application for Land Use Permit(*Non-shoreland*) o o ��
County of Sawyer �
PO Box 676 -Hayward WI 54843
715/634-8288 O
*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 oFthe above waterbodies located within �
the property's boundaries. v
CONSTRUCTION SHALL OT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BaEN ISSUED. 1
�^.`�I�SP PRINT-USE BLACK INK OR PENCIL
N,c,c:�� 4X`ELtiUa- v� � �
L/Q,ii �,P,i.._ r1 � G C'/�q'L �L �O :'I"l�C�tr ii �
p��` Builder <' �
i i y� ��"` Sf. I .9s� c�n�.-�f H�.• , M �:
Mailing Address Mailing Address ' � �
i.��s�- ��5 Mo- �es :T�' , SaaCs G�.�,i:� � " ��X�r �
City,State,Zip City,State,Zip
��/S"- 4flC — ��S7Y C7�3") '79fT- `/'i'L.r �
Daytime Phone Daytime Phone ,�4
AdditionalInformation: ZoneDistrict: �a.sti La/Ce
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1�cr �.� i �'�� �` ,�'�`' ` � LotDimensions: 3;2y � x� �ay
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�,�;� :_ ,..,�... r` r�,,,ir-r,y��r,j��
Acres: S 9 7 �
Date lot was created: Z I;S%o t o
Is there wetland neaz the proposed structure?If yes,how faz /1/0 �
Building Land Use Floodplain:� j Yes (�No =R
(xjNew ( )Filling �
Addition Dred m Drivewa access off of a Check one `D
� ) � ) g� S Y � )� uo
O Alteration O Grading Q(}Private Rd O Town Rd. o
( )Moving On ( ) ( )Counry Hwy ( )State Hwy ; �
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r
Primary Structure Accessory Building Addition � °
(Xj Dwelling (�Garage-attached/detached �r)Deck W
(�Year round (3)#of caz stalls O Porch � �
( )Seasonal ( )Storage Building ( )Enclosed �
(�Frame built on site O Screenhouse O Living room � ,r
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen 11\
( )Mobile/manufactured ( )Other ( )Bedroom 4� �
( )Other primary structure ( ) ( )Relocate/enlarge � �
� � O O#ofnew o �
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AdditionalInformation: V` �
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rn
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Type of Construction: �
QO Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other ,�
b �
Construction Cost:Primary Structure$ �9 71 7 00 �
:? �
Accessory Building:$ u Addition:$ t� �
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Deed:�31 3�C9�C Pg Certified Soil Test#_(�� `�- (.'ts � _ °4 z
CSM:Vol a�Pg Zi::��Lot# S- Sanitary Permit# � � - I -��-' o, �
Plat Envelope ��O� Or: " �
N
Condo Vol Pg Yeaz Installed: c�'o �
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Aff of ex septic Vol Pg Owner When Installed:
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Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: � �
a�`
3 a�a
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 �eparate column. r
#1^N �� � s L #2. #3. �c-�-l< #4. !—p��
Size 3 G ft. wide 3 U � . wide l�� ft. wide ft. wide
�ft. long �ft. long 3.� ft. long � fr. long
Floor area � a �� s ft. y " s ft. 3�c sq. ft. r7S- �sq. fr.
4� �S� 9�
Hgt.from gade�to peak i Z ft. hgt. ft. hgt. ft. hgt.
Stories � �_stories stories stories
# of bedrooms �
} l �7�l7 Rear Lot Line
�C `5 �
I1�%'
�c'
la;r 3p• y2X3v
i.9ec F: G'o.ry� � 3C�7 x Z.b'
/F
G��4�,e�,
32y•
3Zz'
S�iU�
Fire Number and Name of Road �
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1. Enter lot dimensions and indicate north by arrow. SignaturP�of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction �y L` _.� —
`— ✓ SignaNre
activities. �
PnntName: J�� �r � �� G��'�, � i+
3. E�.ISo, 1ndlCate tlle lOCatlon and d1StanCe to the Wel�, The above cediLes that the listed information and intentions are
trve and correct.,that all work shall be pedormed in compliance
septic tank and drainfield, wetland azeas, lot lines and to the wrtn me �eq��remeor� or me sawye�co��ry zoom9 ommaoce
and the laws and regulations of the Shate of Wisconsin, and if
C0TIt0Lllri0 Of thC iO3d. ading as owner(s)agenL has the peimission of Ne owner(s)lo
pedortn the work requested on this application. The above
persons/s hereby give permission for access to ihe property for
� ����� onsite inspection.
Permit fee: $ �)v � �J '
n �
June 22. 2004 j�� � ������
Issue Date Si a ure of Issuing Agent
June 22, 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments:
Town of Bass Lake
County of Sawyer
� -i 4- -o�-
Date
SUBJECT: Town Board Consideration of a Special Use Flpplication for the Construction of a Year-
round or Seasonal Dwelling in the Forestry One(F-1)Zone District
TO: Sawyer County Zoning Adminisuation
P. O.Box 676
Hayward,Wisconsin 54843-0676
Owner: _�;��.11 G C'�s—�,G'� L�yJ
Address: 1.�.� ��'T �i� .�J G'!.�-d G-� �
Approval is desired for the construction of the dweliing(s)indicated on the property owner's
Application for a Special Use Permit. (This application is to be presented to the Town Board for
review.)
By Action of the Town Board,use is: (�CZApproved ( )Denied ( )Tabled
COmmCnts: T�e Town approved the application as it would not be contrary to the
public interest and would be in comuliance G*ith the�pirit and intent of the
zoning ordinance and the Tovn of Bass Lake's Comprehensive Plan (Section 8.10).
The tovn�c ap�roval iG vith thn Fnllnving nrlitinnc nla a�l h,� n�-0n � dPed
1) The lot cannot be further subdivided fornadditional dwellinQs.�V2)aThe placement
of only one single family dvelling on the lot. Finding of Fact: 1) It would not be
dama�inQ to the riQhts of others or prouertv values. 2) It vould not be detrimental tn
ecology, vildlife or wetlands. 3) It would not create traffic or highvay access problems.
� �
Chauman � ; � _.;��
Supervisor��
Supervisoc ''�•�`� �� f �
TOWN OF BA��
SEC. 15 TWP 40 N .
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