HomeMy WebLinkAbout002-940-36-4106-LUP-2004-389 �.� � -
Application for Land Use Permit(*Non-shoreland*) o o • •
County of Sawyer �
PO Box 676 -Hayward WI 54843 1
715/634-8288 J �
*Property that is not located within 300'of a creek,xiver or stream or within 1000'of a �
flowage,la or ond or does not have any of the above waterbodies located within �
j-�QS��� the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
J �,��X, �n PRINT-USE BLACK INK OR PENCIL 1
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Owner Builder <
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iling Address Mailing Address � '1�
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� City,'State,Zip � City,State,Zip
63��%��
Daytime Phone Daytime Phone
Additional Information: Zone District: (L fi��l
Lot Dimensions:
Date lot was created: Acres: � �O o �
Is there wetland near the proposed structure?If yes,how far � �
Building Land Use Floodptain:(� j�I�es O No � `; �
(�New ( )Filling �
O Addition O Dredging Dxiveway access off of a(Check one): �
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. o -
O Moving On O O County Hwy O State Hwy N �'
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Primary Structure Accessory Building Addition � °
( )Dwelling (�Garage-attach d�Jdetached���, ( )Deck W
O Year round (z)-t#of car stalls - O Porch �
( )Seasonal ( )Storage Building ( )Enclosed `=
O Frame built on site O Screenhouse O Living xoom �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge , '
� � ( ) ( )#of new l/>
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AdditionalInformation: �� �
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Type of Construcrion: ��
(�Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete �
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( )Other
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Construction Cost:Prim�ry Structure$ � �
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�Accessory Building:$ �2-O O a o �' Addition:$ � ..�
� 3�l/78 � ��
Deed:Vol Pg Certified Soil Test# rj 9' ���3 tlQ z
CSM:Vol�Pg��'3 9 Lot# � Sanitary Permit# � '�0 � 7�
Plat Envelope ���y`�'Or: i;,
Condo Vol Pg Year Installed: � �
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Aff of ex septic Vol Pg Owner When Installed:
Previous office approvals/actions: ' �"
Variance:# LUP:# �1'S`� 7 SP:# CUP:# �
Inspection Report:# Change of Zone District:
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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. �`-�Cz�n cj,'- #2. #3. #4.
Size��, ft. wide ft. wide ft. wide ft. wide
2-� ft. long ft. long ft. long ft. long
Floor azea�3� sq. ft. sq. ft. Sq� ft• S4� fr•
Hgt.from grade�_to peak ft. hgt. ft. hgt. ft. hgt.
Stories�_ stories stories stories
# of bedrooms_�_
Rear Lot Line
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Fire Number and Name of Road �3�
1. Enter lot dimensions and indicate north by arrow. tur f Owner or orize Age t:
2. Indicate the location and size of the requested construction ��
Si aturj
activities. ��� ����,��
PnntName:
3. Also, InCllcate the loCatlon 211d d15t8IICe to t}le well, The above ceNfes that the Ilsted Intormation and intentions are
true and wrrect., that all work shall 6e peAormed in compliance
septic tank and drainfield, wetland areas, lot lines and to the w�m me �eq���emeo� or me sawye�co�oty zo���9 o�a�oaoce
and the laws and regulations of the State of Wisconsin, and it
centerline of the road. actinq as owner(s)agent, has the permission ot the owner(s)to
pedorm ihe work requestetl on this application. The above
personsls hereby give pertnission for access to the property for
4 onsite inspection.
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Permit fee: $ ,�v Z�
July 29, 2004 _ �-
Issue Date Signature of u Agent
July 29, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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INDIAN TRAILS
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SCALE: I INCH=400 FEET FQR ASSESSMENT USE ONLV NOT
DRAWN BY: DATE : INTENDED TO SHOW CONCLUSIVE
COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
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SAWYER COUNTY CERTIFIED SUR�EY MAP
LOCATED IN Tl�NE 1/4 - SE 1/4 Of SECTIQV.� T. 40 N., R. 9 N.,
IN Tl� TOMN �BASS LAK� SANYEA COlAVTY, MISCONSIN.
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CE f/!6 CnZ — .0 �-ne i --x�' 's'K ��7.n-- £1/4 YXI?. SEC. .A5
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�B NA757'25'M (�9B.p' '� NELSON
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LEGEND CLIENT: HAAOLO ROBER75
OO fOUND 3' BFASS CAPPED NON. "�' �3v�' DISK' 26 HEART OF THE NORTH
� FOUNO RAILFOAO SPIKE XAGf 1 INpI�200 FEE� FILB 3295CSY1
� FOUNO l' AE9Afl OATE: OCTOBEN 20, 1995 SURVEYING � HAYMARO INC.
0 SET 5/B' RfBAF ��INGS ME AEFEAEALEO 70 �ME E-M
• SfT 1' x 2d' IRON PIPE, ����n+f[�SeC. 3E N BB'�2'S3' M. FWTE 10, BOX 251-A pS5) 631-2U2
MEIGH7 � },�3 L9/FT �iEBOQK: SfU-S23 91EEI I OF 2 SNEEIS /IqYMAqq NISCCN5IN 516I3 F.W.� 63�-b��a
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SAWYER COUNTY CERTIFIED SURVEY MAP
Located in the NE 1/4- SE 1�4 of Seclion 36, T. 40 N., R. 9 W., in the Town of Bass Lake,
Sawyer County, Wisconsin.
SURVEYOR'S CERTIFICATE
I, Larty T. Nelsoq registered land survayor in lhe state of Wisconsin, hereby certrfy:
That on�he order o�HAROLD ROBERTS, I have surveyed, divided and mapped the following described parcel ot
Wnd located in ihe NE 1/4-SE 7/4 of Section 36,T.40 N., R.9 W., in the Town of Bass Lake, Sawyer Counry,
Wisconsin.
To locate ihe Point of Beginning,commence at the E 7/4 corner ot Section 36; Thence, along the E-W 1/4 line of
said Section N 88" 42'S3"W, 1297J2 feet to ihe easterly right ot way line of Highland Road; Thence, leaving said
E-W 1/4 line and along said nght of way line, S 02° 48'44'W,620.90 feet to�he Point o�Beginning.
Thence trom said Point of Beginning by metes and bounds.
Continue S 02° 48'44'W,683.00 feet; Thence,leaving said nght of way line,S 87° ST 25' E, 433.35 feet;Thence
N 15° 18'48'E, 183.50�cet; Thence N 17° 59'03'E,66.12 teet; Thence N 77' S9' 44'E,209.03 faet; Thence ,
N 80" 23'08'E,44.92 feet; Thence N 28° 52'S0' E,226.96 feeF, Thence N 02' 08'S2' E,28.19 feat; Thence
N 87° 57'25'W,688.42 feet to the Point o� Beginning.
Entire parcel contains 369,568 square feet,which is 8.49 acres.
Subject to ail exisfing easements and reserva�ions of record.
That I have tully complied wrth Chapter 236.34 of the Wisconsin Statutes and ihe Sawyer County Subdivisbn
Control Ordinance;
That Ihis map is a irue representation of the survey made;and
That said survey and map are correct to ihe best of my knowledge and belief.
(��'��Ucf�� Dated this��day of�C� � 199�
Larry T. Nels6n
WI. Reg. No.S-1276 .�q�v
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-`� �LARRY T. \ �`..
� XELSON 1
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SAWYER COUNTY ZONING APPROVAL � w1s,
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Approvedthis � dayof �CT��199 '�2 . `�+P���$,U�v�O°.
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David Hea h-Zoning Adminisiralor �'�0 9 O:�
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