HomeMy WebLinkAbout002-940-33-1202-LUP-2004-672 .' :
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 �
flowage, lake or pond or does not have any of the above waterbodies located within vy
the property's boundaries. �-
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL �
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`��U.�NB�.I S K �L L �E �
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Owner Builder �.
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Mailing Address Mailing Address � �
��i�n► � �. 1�� Vv.� S�/�7(� �
City, State, Zip City, State, Zip �
�7/5- �'G� 5-- L/;3/Z �
Daytime Phone Daytime Phone �
Additional Information: Zone District: �y � 2 Z
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�/3(� x �o e�
Lot Dimensions: '
Date lot was created: Z Z 7-89 Acres: -S C� S o �
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Is there wetland near the proposed structure? If yes, how far^/�/� ^ � �
Building Land Use Floadp�ain:-f j Yes (�'j No ° f
( )New ( ) Filling � r
(�Addition O Dredging Driveway access off of a(Check one): �,, I 11
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. o
( ) Moving On ( ) � County Hwy ( ) State Hwy ,;
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Primary Structure Accessory Building Addition � °
( ) Dwelling ( ) Garage-attached/detached ( ) Deck W
( ) Year round ( ) # of car stalls � Porch �
( ) Seasonal ( ) Storage Building � Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �;
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �.-
( ) Other primary structure ( ) ( ) Relocate/enlarge , \
� � ( � ( ) # ofnew � ��
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AdditionalInformation: � A
W �
Ty e of Construction: Q, W
(�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete 4 (f.1
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( ) Other ,�
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Construction Cost: Primary Structure $ � �
Addition: $ (� ��(J`�i G'� �
Accessory Building: $ �
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Deed: Vol s�C Pg�.�f� Certified Soil Test# 78-�q�7 °°
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CSM: Vol�•�Pg C'� Lot#�_ Sanitary Permit# �7q —OZ9 0, �
Plat Envelope �r� N
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Condo Vol Pg Year Installed: �
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Aff of ex septic Vol Pg Owner When Installed: ��"�'
Previous office approvals/actions:
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Variance: # LUP: # Za-zy� SP: # CUP: # �
Inspection Report: # Change of Zone District: � - '� . ��I
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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 . _� l.� � ��r�.C:.� #2. #3. #4.
Size IZ ft. wide ft. wide ft. wide ft. wide
J � ft. long ft. long ft. long ft. long
Floor area / 5 ' sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade to peak ft. hgt. ft. hgt. ft. hgt.
Stories 1 stories stories stories
# of bedrooms ,
Rear Lot Line
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Fire Number and Name of Road ! 5 �a' 7 � C � u,v ��- �l� r k
1 . Enter lot dimensions and indicate north by arrow. Signature f Own r or r' " Agent:
2. Indicate the location and size of the requested construction � -
Signature
activities. ° �/ ` �
Pnnt Name: U�fu G-N A/V �i lL L�
3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are
true and correct., that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road. a�t��9 as ow�er�s> a9e�t, has the permission of the owner(s) to
perform the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspection.
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Permit fee: $ �-5
November 29 , 2004 � — �
Issue Date Signature of Is u g ent
November 29 , 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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NLV�CiH"K••
---�—�-- NE COR.SEG.33.
N��COR.SEC.33, 7qON,1 fY9W.7
T40N,fl9W. /
-.N 88'30'02"E.2735.14'-- � -"' �
o .1�
N'08'30'42'E - —�I W
t_� ._ -- __
66�.55' �LS 3'10'32�E
aa.ia' / ._�5 06'49'20�M_436.00'-�__�_ ---�--E-T-�—�-
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��---'"� � SLY POM LINE C�M"K"
'x!�_� r � �, 5 B6�9'2B�Y �3fi.00'
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�£ E � � LOT 1
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SCALE: 3' � S00'
N B6'49'29' E 436.00' '-'
���SC�Nsf�
SOLAR OBSERVATIONS OETERHINE THE NORTH � � ��AONALD 1.
IINE OF THE NE 1/4 TO BEAR N BB'30'42' E. i PEI'ERSON
�/� SdW
� FIAYWAIO
R4NA O L. P EPSON � ��' p�g
5-0803
JULY 25, 1989 q�D S��
CERTIFIED SURVEY MAP LEGEN� HEART OF THE NORTH
. .. .. ...�PART OF THE NYS/1-NE1/l SEC 33. -. • SET f'%24'SP.XT.1.13�/FT SUfiVEYS INC. .ur 2a. �ees
o SET 3/<'Y%'IiLUM.M/3'CIP pT �0, 80%ni 5100-69
T�0 N. R 9 N, TOIM OF BA55 LN(E q OENOTES SEPTSC YENT N4YIfAfl0. XISC.5480.3
SAWFA COUNTY Xi5CAN5IN. o OENOTES MELL CASIN6 ���fi314142 PA6E]OF 2
-o-OENOTES P011EF LINE
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I, Ronald L. Peterson, Wisconsin Reaistered Land Surveyor hereby
certify that in compliance with Chapter 236.34 of the Wisconsin
Statutes. I have surveyed, and mapped the land herein described, and
that in my opinion this map is a correct repz�esentation of the survey
made, to the best of my knowledqe and ability, and that this survey
has beetl made undei the diieCtion oF NORMAN L. YACKEL, AttOZ'ney foZ-
the Estate. -
This land is located in the NW1/9-NE1/9, Section 33, T 90 N,
R 9 W, described as follows:
Commencing at the North 1/4 corner of said Section 33, Thence
N 88°30'42" E, alona the North line of the NW1/9-NE1/4, 667.55 feet,
Thence S 3°30'32" E, 43.14 feet to the actual point of beginning, said
point being in the center line of C.T.H. "K", Thence S 3°10'32" E,
500.00 feet, Thence N 86°99'28" E, 436.00 feet, Thence N 3°10'32" W,
500.00 feet to the center line of C.T.H. "K", Thence S 86°99'28" W,
alon9 the center line of C.T.H. "K", 936.00 feet to the point oF
be9inning.
Subject to a 300 foot wide highway right of way easement along the
North line of this parcel and suh�ect to all existing easements and
reservations.
This divlsion as per Sawyer County Circuit Court order in reference
to Estate proceedings. �+
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This instrument drafted by � P�RSON �i
Bunald L. Peterson �
July 25, 1989 xA��D
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Approved this �7`*day oT �, 1989, by �-�.ceJ� /� �
SaWyei County Zonino Admin.
Page 2 of 2 pa9es
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OF BASS LAKE � �
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