HomeMy WebLinkAbout002-940-08-1207-LUP-2004-641 Application for Land Use Permit(*Non-shoreland*)
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County of Sawyer �� � �
PO Box 676 -Hayward WI 54843 � V
71`i/634-8285 �
*Property that is not located within 300'of a creek,rive:or stream or within 1000'of a W ,
flowage,lake or pond or does not hav�any of the above waterbadies located within ;,�, �
the property's boL:;�dacies. �'1
CONSTRUCTION SHALL NOT BEGIN UnTIL ALL R[;QU3'Ct�P P�RbIITS HAVE B�EN ISSU�L�.
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Mailing Address Mailing Address �
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City, tate,Zip City,State,Zip
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Daytime Phone Daytime Phone a
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Additional Information: Zone District: ���, �
Lot Dimensions:��.87 S��/.� �7�•bo 1/e6.b
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Date lot�vas created: ,2-�l�-az _ Acres: S• �4 --h 1JtT �
Is there wetland near the proposed structure?If yes,how far_f10 �
Building Land Use Floodp}ain:( j I'es (��No _ �ti
j�j New ( )Filling �
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O Addition O Dredging Dxiveway ar,cess off of a(Check cne): �;a I
O Alteration O Grading �Xj Pri�;ate Rd { j T'own Rd. o
O Moving On O_ O Cout7ty Hwy ( j State Hwy �� �
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Primary Strucrare Accessory Buildiizg Addition �
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( )Dwelling ( }Garage-attached/detached ( )Deck W
( )Year round ( )#cf car stals ( )Porch �
O Seasonal �Storage Building O Enclosed � �
O Frame built on site O Screenhouse O Living room �� �Y
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( )_ ( )Relocate/enlarge
� � ( � ( )#ofnew �
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0
Additional Information: >
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Type of Construction:
( )Frame ( )Log LSCj Pole/metal ( )Block ( )Concrete � �
( )Other ___ __ _—_— _�
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Construction Cost:Primary Structure$ )�v�'���__ _ _ �
n bi .�-�
Accessory Building:$ 1 di OC^c�_____ Addition:�_ _, � i�',_
Deed:Vol z.3� Pg 555 (::e�titied Seil Tcst n___ N��_ ° I��y
CSM:Vol�Pg /�7Q� Lot# � 5�su�'�xy i'e.rrii:r __�� � �
Plat Envelope � ��` �f� " �t�
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Condo Vol Pg _ Year Tnstalicd:_ �
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Aff of ex septic Vol Pg Owner Whcn Installed:
Previous office approvals/actions:
Vaziance:# LUP:# SP:# CUP:# �
Inspection Report:# Change of Zone District: '�`�1�i�
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Describe the construction using these columns. L'zst the dimensions of each structure in 1 separate
column. List each story, each addition, each alteration in a separate column.
#1. #2. #3. #4.
Size 3o ft. wide ft. wide ft. wide fr. wide
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� O ft. long ft. long ft. long ft. long
Floor azea �,�00 sq. fr. sq. ft. sq. ft. sq. ft. ,
Hgt.from giade f��to peak ft. hgt ft. hgt. fr. hgt.
-� Stories / stories stories stories
f-' # of bedrooms —
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Fire Number and Name of Road ��.53►.1 A,, �Ik.��u> r?\
1. Enter lot dimensions and indicate north by arrow. Si e of 0 �r thori d Agent:
2. Indicate the location and size of the requested construction
Signature
activities. _- ,/
PnntName:��iti/is- !. iElu 3A.t T
3. Also, 1nd1C3te the loCatlon and Cllstance to tlle Well, The above ce�tifies that the listed intormatlon and intenticns aie
true and conecL,that all work shall be peAortned in compliance
sep$C tarlk and dralnfield, Wetland �tteas, lot lines 3t1d to the wim me requirements of ine Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
CenteIllne of t}1C IOad. ading as owner(s)agent, has ihe permission of the owner(s)to
perform the work rea,uested on this applica6on. The above
personsls hereby give permission for aaess to �he property for
onsiteinspecGan.
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Permit fee: $ ���L�
November 8, 2004 - _�
Issue Date Signature of Is ing gent
November 8, 2005
50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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Certiried Survey No. fi 38 5 �2 � � 17 s
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SURJEYORS CQZfIFlGTE �
I. JEFF W. YUIDpf, WISCONSIN RECISiERED UWO SUArLI'OR, HEREBI �
CEFf1F'/TNAT I IMVE SUqVEIFD, OMDEl7 AN� IIAPPEO A CF.Hf)FlFA
SURVEY LOGIED IN 7F1E NW 1/4-NE t/4 OF SECfION 8, T�WI, R9W, �
TOWN OF 8�55 VJ(E, S1W}p1 (:pUMy, W�SCONS�N. �
YOfiE PM71CUfAqLY DESCPoBEO AS FOLLOWS;
COMMENCING AT THE N i/� CORNER Of SEC710N & 7HFNCE
569'19'YS'E 25J.1E' ALONG THE NOfl7H LINE OF THE NE 1/4 OF
SECIION � 7p A PWNT pN n1E CL OF A TOWN R6N SVD PoINT �
ALSO BEING AT TNE POIM OF BEGINMNG; THENCE 58P77'25'E
10t1.88' ALdJC THE NONIH L1NE OF 7HE NW 7/4-NE 7/4 TO AN �
BtON PIPE; THENCE Sp70Y48� 7]71,gy' kONC iNE EASi 11NE OF �
THE NW 1/4-NE //1 7[1 A SqKE AT iTfE C 1/18 NE; iNENCE
NBY22'0.51Y 787.0.5' NDryO 7}yE SOUry1 LWE OF 7HE NW 1/�-NE
1/4 TO AN If10N BAR; 7ryE1KE N01'S9'401Y B3B.B7' TO A4 IRON BN;
1HENCE NEP40'3l1Y 2!{.BB' TO AN IRON flW; 1HENCE NOl'SS'7B1Y
872.77 TO THE POINT OF BEGINNINC.
TNE ABOVE pESCPoBED PN2CEL C01(tNNS 47.23 ACR6 OF UND MORE
OR I,E$5 AND IS SUfiJECf TO ALL FASpAQ175 µ0 RESERWTIONS OF
RECORD.
W���T'FY�WAS MADE IN CONPLLWCE W�7M CWMQt yJ8.3� OF �
ANO T}iE $UBDMNSES�ION EGUlAT10N5 OF�1WE'R COUMY ANO TWV�
IUYF SURVEYEO, �MDED AND MAPPEO 7HE LW� NEREIN DESCRI9m,
NID 7HE Wp IS A CORNECT REPR6IXTATqN OF iHE SURJEY NADE
TO THE BESf OF W KNOWLEDGE Ml0 BFLEF. THIS SUHJEY WAS A4D[ "`����i���ii����
UNDER TNE OIRECfION D� CHUCN AUqy(f, OWNER.
`'�1�\SG�NSi'y��';
JEFF
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� � MULOCK �.*':
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APEX SUINEYING
,�Fr . tceK vnscons�N uNo waveron I�ro onrz: ��"�����",�"``\
15618W HWY 63 Y330
HAYWARD WI 54843
7156343435
7IS9342739 FA7(
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CHUCKAUBART SAWYER CWNTY 20NING DEPARiMENT APPROVAL
SHEET 2 OF 2
APDC 2001AU8 01/30/01 �.l .�^,�
CSM 2 OF 4 oevusn�eHr PP p AL o��: 4.[<sa
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