HomeMy WebLinkAbout002-940-36-4107-LUP-2004-350 Application for Land Use Permit(*Non-shoreland*) o o `�
County of Sawyer �
PO Box 676 -Hayward WI 54843 �
715/634-8288 `*�
*Property that is not located within 300'of a creek,xiver ox stream or within 1000'of a '�;:. �
flowage,lake or pond or does not have any of the above waterbodies located within
the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. 1
PRINT-USE BLACK INK OR PENCIL
� �
�1 �
�-Q�.���ence �I r`ti��•Cc. ; i�✓rrY �-�-'� t'tUYv1C-�`...� � i��. �
Owner � Builder �� �
: i U.nr�3 - , �.
��� �, ;` � � , � ,� . ,, ; �7�_r �' �
Mailmg Address Mailing Addre s P:� �'�k 3 �� O
� - �
t r�.L:
i �� C{.� I) `1C� ..�' ��`� r�t
City,S ate,Zip � City,State,Zip �
- ' � � � ; I-9s�C3- �-„- .,�iNS S�
Daytime Phone Daytime Phone �
1
�
Additional Information: Zone District �A i2-)
Lot Dimensions: 3��( '� �a��
Date lot was created: ��30-43 Acres: ���L o
Is there wetland near the proposed structure?If yes,how faz vt o �
Building Land Use Floodptain:� )1�es (�No n
�
(�New ( )Filling
O Addition O Dredging Dxiveway access off of a(Check one): �
O Alteration O Grading O Private Rd �Town Rd. o =
( )Moving On ( ) ( )County Hwy ( )State Hwy ;
�
� ) � ) o �
r�
Primary Stnzcture Accessory Building Addition � °
�)Dwelling (�O Garage-attached/detached (�Deck W
(�O Year round (3)#of car stalls � O Porch =
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room �
(`9 Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom � �
O Other primazy structure O O Relocate/enlarge 9J
� � � � ( )#of new 'Q ,
AdditionalInformation: U A
�V �
� �
Type of Construction: =,
( )Frame ( )Log ( )Pole/metal ( )B1ock ( )Conerete G
�
� )Other ��*� '��` �Y��� ro '-�
Construction Cost:Primary Structure$ r' � �
Accessory Building:$ Addition:$ � �r
�! 32zZ99 `° v
Certified Soil Test# O�-!BO tl4
Deed:Vol Pg � Z
CSM:Vol 2�I _Pg Jr� Lot# Z Sanitary Permit# o v-zQ9 o, �
Plat Envelope d 655z Or: N `
Condo Vol Pg Yeaz Installed: �� �� � � �
Aff of ex septic Vol Pg Owner When Installed:
l/�
Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: �
. �I2lX\
�i I�'-1
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. No�y1 #2. R B #3. #4. ,
Size30: ft. wide �7 2 , ft. wide ft. wide ft. wide
(p�/' ft. long �_ft. long ft. long fr. long ,
Floor azea /�98 sq. ft. '�'l�i0 sq. fr. sq. fr. sq. ft.
Hgt.from giade 1$to peak_L�_ft. hgt. ft. hgt. fr. hgt.
Stories ONl° ONE stories stories stories �
# of bedrooms�_ ,
Rear Lot Line
r"r
���
cJep-�`�M'"e�' / /(o fi
' ' �— � --->
,a a b�
�. !.?a ---� �� � ' .
'; , / ,�i
l� ����RAt ',
� �
�-- �—`
i �� �:r g�i
,
r.� �
_ __
---
-- 4 � -- -- ,y. �a R .vc/ .
Fire Number and Name of Road
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction Y��.,z�� �,.,.�..
Sgnature
activities. /
Pnnt Name: �/�JU�.+7 � �r - �/+Cl/���
3. Also, indicate the location and distance to the well, The above certifes that the listed iniormation and intentions are
true and covect., that ail work shall be peAormed in compliance
septic tank and drainfield, wetland azeas, lot lines and to the w�m me ����eme�� or me sewye� co�nry zo���9 om�oa�ce
and the laws and regulations of the State of Wisconsin, and if
centerllne of the road. acting as ownel(s)agent has the permission ot the owner�s)to
perfortn ihe work requestetl on ihis appliration. The above
personsls hereby give permission for access to Ne property for
onsite inspection.
Oo
Permit fee: $ � a 5 �
Jul� 13 2004
Issue Date Signature of Is ing gent
July 13, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
�t+
�n
SAWYER COUNTY CERTIFIED SURVEY MAP r"'
A REDIVISION OF LOT 3 OF CSM N0. 5341, LOCATED IN THE I �.
NE 1/4 — SE 1/4 OF SECTION 36, T. 40 N., R. 9 W., IN THE q�g
TOWN OF HASS LAKE, SAWYER COUNTY, WISCONSIN. � �I� �
�
i �
��.o�• _ — �E 1/4 COR
CE 1/te COR. � eca•s�'w BI�JZ' PA8 x ae.z'sa'w �e�_m'
' '"' FASf - WESi 1/4 LPIE — SEC. 38
U.��-Vr r�c+rm w
161A1fF 118'/ARlI ��& .man I .
� R m'"` LOT 1 $ S
0
266,289 50. Ff. LOT i I $
� �� � � .9rtv6'Y�GO�' aAn.UR�C ; x ••,�•,•• 8.11 AC. I �
� p � '�+ 8 =� .��.. I
i � � �
f� a - � CSM No. 53a7 — � o
r�"J�' $ � U I. n s erse'zo•c eie..u• — I 30' ''
I-�J,� � �IHE BFARiNG O�SiAVLE ?
�,E �+I � p Lt 5 OIOB'S3 w 28.19 �$ '" I I .
8 N L IIIti �
� � � o � ° �I� � LOT2 $ �oi2
< � .:��::,:.,,,�,�� ,.,, � � I I�
m o"`I 1 `a� . .>,., ..250868 SQ. FL � _ �
P �Ca�t`a,f1Qi`�lii» �5.76 AC. / �
�� .. i�i X \ I ��
� � m �aa r v'"� �� � J o
'- / \ i CQ
,,� lAftA'!i '= � � �
NELSON ��� s arsrzs•[ aee.�a• / / �
; — ��.ar v
= 51278 ` a -
- ASHLWD. _ - J S al'J1'SJ'E y o � .
�� X9 �2:
TOTAL ARFA INDI.4N TRAILS SUB�IVISION W �
SURVEY ,��9 _.��� 517�1�5 SQ. FL �,ox �
` � Z
. NELSON -� RLS �l1276 ���87 � SCALE: 1 INCN = 200 FEf7 Z
� DATED TH15� DAY OF�, 2003. �
200 0 700 400 �
i� ceceNo �,r �p �S �
�ua ra�/v wsc�re�rx In r�r� �otu a am Ao�o
•rouw �•rrm�vwt, wuss rarzn � ��j''�/y7' Q�' y`�'' �R�r•` Y&
�" ^�'� awnm er:xr� nn in�s��H�atm �m.¢sw�
� O s[r r•r z�•won M°[wcaaw� i.�J//n. a�w�aws.wr�[ntt.�m ro rre[-. i/.v.r scue r•-mo' i+e.i-raa/x. w (��p�py���J /1LrnIy��p� �q� we na/w-r��z U
� ipM9 PA'LRWO 5£YNC C!4CM�v M MwMS N 6T�)3J�M. MR: 1/� i'•�I���RI V' Illl�/I/wu1 y�4 l•V:>�,IMM.RW O
�rj ,.. m� 9.a, i o�,
SAWYER COUNTY CERTIFIED SURVEY MAP
A REDIVISION OF LOT 3 OF CSM N0. 5341, LOCATED IN THE
NE 1/4 - SE 1/4 OF SECT[ON 36, T. 40 N., R. 9 W., IN THE
TOWN OF BASS LAKE, SAWYER COUNTY, WISCONSIN.
SURVEYOR'S CERTIPICATE
- I, W7R'! 7. NELSON. FECISTERED lANO SURVEYOF IN ME SUTE Oi WISCONSIN, MEREBY CERPFY:
THAi ON iHE OR�ER OF H1ROL0 R08ERT5, OWNER. 1 HAVE SURJEYEO, OMDEO,/ND MIPPED THE (OLLONiNG OESCPo8E0
PMCEL OF LWO. BEiNC A REDM40N OF l0i J OF LSY N0. 53�1. LOUTED W ME NE 1/4 - SE 1/4 OF SECiION 36,
i. t0 N., R. 9 W., IN THE 7DWN OF &SS W(E. SAMTER CWMv, WSCONSIN.
TO LOGiE THE POWi pf BEGINNING COMYENCE/.T iHE FAS1 �/t CORNEfl Of SVD SELTION J6; MENCE QONG iME
EAST - WESL 1/l 11NE OF SVp $ECTqN J6, N 96�Y5]'W, �8].Op FEET TO TME POINf �F OEGINNING.
iHENCE i{I011 $VD PoWT�p( BECINNMG BY MEIES I�N� BWNDS
CONTINUE ILONC SN� E/5T - WEST 1/� LINE. N 86Q'S3' W, BU]] �EET TO THE VSIERLY WGM OF WAY LME Of
MIGHLWO ORNE; MENGE ALONG SVD pl$iEFLY PW1R Of WAY I,INE, S 0718��4 W, 620.90 �EET: iNENCE LEAVINC SVO
EAStERIT FIGHi OF WAY UNE, 5 eT5]'25'E, 688.1] iEE7; 1HENCE 5 0709'SI' W, 18.19 FEET; iNENCE 5 BI'}�'SY E,
131.Zz FEET: THENCE N O70B�52' E. 674.90 fEEi TO iHE PoINi OF OEGINNMG.
SUD PMCE� CONTAINS 517,145 SOVARE FEE[ WHIGi IS II.W ACRES.
SVBIELI Tp µL FASEYENTS M'0 RESERVAMklS OP RECOHO.
i1NT iN15 MM 5 A iqUE REPRESENTAiION Of SYO SURVEY;
TIUT I MAVE NLIY CqIPtIEO N1TH SECi10N 2J6.N Cf iXE Yfi5CON9N SiANiES AND iHE SAWYFR CIXINIY S�IBOMSION
CONIROL ORDIWWC[ IN NN(MG SUD SURYEY AND M+P: •••..'.••^:illp•,rlry,%/
���•�� I` �.• /i
TH4T SVD SURJEY�NO NAP ME CORRECi ip ME BESH�af1MW �M'�'�E�EF.
__ /�� va Y '�i
a
- ------ - J- - -�--�-----� �� �Y'�
RT 7. NELSON A15 - 1276 dSEP 8�6 _
�
�i� � A`n
:�,9 �cc
:,
SAw1'ER COUNtt ZONWG PPPROYPL vi�L R �-L\`Co`�
'�y��i� s�.) v O
,.,
�<;...... ..;y��
nvaAovEo oH n�e �Q_ wr or�an„_n_rz.�, xoos. �� ..........
CIN�Y Y� `I o �
ZONINC AOMINIS7RATOfl
.�.���' �� �S N�.LLI � 'I,t9 �
CERTIFICATE �: ,°"°' "�"`°� .�" �����r"� �
qSi(: 76 k 176 i0.U9 N IX61Y MlN M 715/W-1u1
0.1IE: 1/1/0.7 fiC£.� NQ3195 tr 10J_07 ��. � �! fAc IIs
/6.H-6�I1 O
5/4El [k I f-Iw:Ap.SUM.mCOrNKV.GIW
�„ 24 p� Y55
a.a - � .� � I
I.9 � -
�� �o ' � 1 . 3 . I.10
i � .1 .6
y ' I . I
,.,� -�
�
•1 .8 .1.13 . 1 .7 .1.12
� 1 .5
JOHNSON :,.4 ,.fL .I . II
LAKE ,3z
�4.5 3 .3.5 4. 1
.3.1 4.2
0
.3.6 0
�
ILLES
a a
� - �
r.cr
.13.1 13.4
,
3 .3 .3.4 2 � 2
�iy
O .13.7
z
a
5. I 14.1 � ,;
= 13.6
S
?.YL
.13.3
�6.I ,l 13.2
�6.I .13.5 INDIAN TRAILS
` ' ' SUBDIVISION
3 �.e� ,s.i2
°;:6 �6.1 •6.13 2 .16.1
� 1.93 :6.22
:sz •6.15
�6.3
�
,
2 �6.16 •6.9 �6.10 �6.11
.
s �6. 7
:623
, ; :66 �6.8
SC/1LE: I INCH=400 FEET FOR ASSESSMENT USE ONLY NOT
DitAWN BY: DATE : INTENDED TO SHOW CONCLUSIVE
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY �OCATIONS