HomeMy WebLinkAbout002-940-21-5209-LUP-2004-356 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,river or stream or within 1000'of a U; r
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. r
�/as �J{� PRINT-USE BLACK INK OR PENCIL rP �
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a<CUT f MflQ����a ,..�„��r�.�� �-�c� �
Owner Builder �'
�O�o� bo-i �. �
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Mailing Address Mailing Address O �
NA�w��2o ��, �_.;�y�s �
City,State,Zip City,State,Zip �
- <_I �4_�1:��� �,J�C 'lS- 1,�3y-`h7�6HM �
Daytime Phone - Daytime Phone ii
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Additional Information: Zone Distcict: ��-�
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A
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LotDimensions: <va�ey Er��c'�c�se�
Date lot was created: �`��"�'� Acres: ��g o i
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Is there wetland near the proposed structure?If yes,how far t�lo �
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Building Land Use Floodp}ain:� }Yes (�)No .,
� New ( )Filling �
�s) �o
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading (�Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy �,"', �
� ) � ) o S
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Primary Structure Accessory Building Addition � °
(yQ Dwelling �)Garage-attached/detached ( )Deck W
Porch �`\
(�Year round ( )#of car stalls ( ) =
O Seasonal O Storage Building O Enclosed �
(�Frame built on site O Screenhouse O Living room ��
( )Modular/manufaetured ( )Greenhouse ( )Kitchen fi
( )Mobile/manufactured ( )Other ( )Bedroom �j �
( )Other primary structure ( ) ( )Relocate/enlarge � '�
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�) �sT�1oc,¢-'� ( ) ( )#of new p �
AdditionalInformation: n� >
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Type of Construction: N
(j�Frame (�(Log ( )Pole/metal ( )Block (}(�Concrete Q �
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( )Other `C3p,�rnPv���'�a^te�F 15T t1ooR-1f� - 7�c ��-YQP�n'�t� ,�
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ConsYruction Cost:Primary Structure$ /�/D�G� � �
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AccessoryBuilding:$ l�Dov Addition:$ ' � �
5a4 z�`I �
Deed:Vol 7Z 9 Pg �1�6 Certified Soil Test# �, �i IE--� O�l�l�� . z
CSM:Vol i�j Pg �1c�� Lot#� Sanitary Permit# � ' O�!'z I'� � 7�
Plat Envelope�L i aal�9 �r: N A
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Condo Vol Pg Year Installed: co
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: �'1'b�
lX v
�tlqSb
Describe the construction using these wlumns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration in a sepa.r�ate column.
#1.��5�= #2. Coa;ls�e' {'�e��� #3. i U� C�" �,�d #4. ��L�
Size�ft. wide 2� fr. wide l� ft. wide F,�nr i C f[. kvide
��ft. long �J� ft. long � `.1_ �r� ft. long ��� ft. long
Floor area /5� sq. fr. 4'�`�� sq. ft. �`l`� �� sq. ft. /c�� `��� sq. ft.
Hgt.from grade .:.� to pealc I`�_ft. hgt. ft. hgt. fr. hgt.
� �. .
Stories � z V stories stories stories
# of bedrooms�_ < .
�`��5� � ��ci � Rear Lot Line
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Fire Number and Name of Road Qi��e e5 isz� Ter��'�_- F���:'����.�� `� ��: ���
1. Enter lot dimensions and indicate north by arrow. S' natu f 0��`or rized Agent:
2. Indicate the location and size of the requested constnzction � ���./�'��
�' Signffiure
activities.
Pnnt Name:
3. Also, indlCate the IoCatlon and d15tanCe to t}le well, The above certifes ihat the listed iniormation and intentions are
true and covect.,ihat all work shall be pedormetl in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning ONinance
and the laws and regulations of the State of Wiscnnsin, and if
CBRteYllriO Of Y.I1C T03d. actlng as owner(s)agent, has�he permission of the owner(s)to
peAorm the work requestetl on this application. The a6ove
personsls here6y give permission for aaess to the property for
onsite inspection.
Permit fee: $��J �� r
Jul�� 2004 ���..C�G��LL �����,!�"/l�/�
Issue Date ignature of Issuing Agent
July 13, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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SCALE : I INCH = 400 FEET FOR ASSESSMENT USE ONLY NOZ
DRAWN BY : DATE : INTENDED TO SHOW CONCLUSIVE
�nt �N l�� iNni� eTcc r,nvr i nT cvincu�c nr nuiucacuic na
PAULA CHISSER �
SAWYER COUNTY� WI
_ REGISTER OF DEEDS
322405
06/15/2009 17:50 AM
- RECORDING FEE 13.00
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CNtlINd Survey No. 8 7 7 6 � 2 5 P4` 2 6 7
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,
SAWYER COUNTY CERTIFIED SURVEY MAP
LOCATED !N OUTIAT 1 OF CSM N0. 6fi0, PART OF COV'T. LOTS 2 AND 3,
AND THE SE J/4 — NW 1/4, SECTION 2f, T. 40 N.. R. 9 W., IN THE
TOWN OF BASS LAKE, SAWYER COUNTY, lI1SCONSIN.
SURVEYOR'S CERTIFlCATE
I, Larry T. Nelsan, re9istered MM aurveyar in iha Stale af Wscanvn, hareby ceAi/y:
That on the arder of BHETT VPN VONDEREN, oMnx, I have surveyed, divided aM rtapped the folloMirq deacribed
parcel of land locatad in OuUot 1 0/ �$A1 No. 6110, part of Cov'L Lob 2 and 3, anE the SE 1/4 of tha NW 1/4
at Sxtian 21, T. 10 N., R. 9 W., in Ne TaMn of Bam Lake, Sawyer County, Wisconain.
To locale fhe Point o( Beginninq, commence at the West 1/4 comer of eaiA SxGan 21 and rvn
N 8753'33' E, 2099.31, ulong t}ie Eaat — Wwt 1/4 line of aoid Section 21, to the materly right—of—�ay line of
State Highruy �27, orM the Poinf ol Beyinniny.
TAence (rom aaid Pdnl of &ginning by me[n and boundf.
IMrg mid eesteAy right—of—May. 17022 teet. northeasteriy. Wang the am of a curve lo lhe le1t, having a cen4al
angle ot OS17'42', o �w of 2964.90 feet a chord MhiM bean N 00'S1'20' E arM meaaures, 170.20 feek
IDence N 06M'19' W, 76.39 fxk 1�ence �eaKn9 �aid matedy right—of—roy line, 5 8T41'15� E, 373.14 (xt,
Thence 5 0609'S2' W. 13817 feet; Thmce 5 3615'02' W, 4t.94 feel; Thenw 5 6522'48' E, 243.95 /eeF
Thenca 5 Oi'27'09' W, 55.97 feet ThaMa N BB'J2'J3' E, 119.44 feet; Tl�ence 5 Ol'27'09' W, 215.00 feel;
Tl�ence S 88'32'33' W, 152.84 (eet Thence N 34'42'30' W, 141.83 leet; Thence 5 BP76'04' W, 84.47 /eet;
Thenro S 15'1699' W, 161.M /eet to a meaM<r caner Ihal is 40 Ittt, more a ba, N 1516'19' E of Uw �atera
edge af Wndigo Lake; Thence along o meoMer line near said Ymlar'a eEqe, N 10'Ol'S7' W, 247.78 feet; Th<n<e
N 5442'41' W, 184J0 fttt to o meanEer cm�er on Ne eastery right—of—�wy line of Sta[e Mighway / 27. Said
meonder comer is 195 fee4 moro or less, N OG31'12' E of the veter'a edge of �nd'qo Lnke; Thence learing aaid
maander Grro and along mid easteAy right—ot—�oy Gne, 110.56 feet, naUeaeterly, abng Uro arc of a curve to the
le(4 ��9 o cenfrol angle of 0708'11', a radius of 2964.90 leet, u cAad rhich bean N 0334'07" E and
meawra 710.55 feet to fhe Pant of Beginni�q.
Parcel conlairo 2fi0,712 sQuaro fttt, more or kaa, vhich ia 5.99 o<rea, more or kaa, iricluding that bnA lyirig �
betyea� ihe meander firro aM the Mater'a edge o( Windpa Lake ond the eclensiona ol Na bt lines to said �atara
edge. Subject to easemenG arM reaervotions of rxard, if any.
Thal I Aays fWly complied rriN Section 236.34 0( Na Wis<onsin Slatutee aM Ne Sarysr Counly SubEiviaion Control
Ord'uwMe in aurveying, Ei�ny and mopping euid parc<I.
That Mia map b a Vue reprpmtatian of aaid aurvey; and
�iI
That aaid `` �� �� ;orrec! lo iha beat ot my knowled9a and bNief.
�4 L � !c`
Daled thia�sday o( u� 2004.
Larty T. 161 p��p76 �
7,f,oF'�n aR
��i BURVEy
SAWYER COU�Wilm3�EPARTMENT APPROVAI
1a��
/�pproved Nis�duy of ���p . 2004
G�dy Yackky — ni Depnrtment '
CUENT.� B. ✓MI WND£REN /�,y�T OF THE NORTH
CERTIFICATE '°" "°. 'p""" ,�i,�wr�, ��°f'"^'�''"�u °`�
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