HomeMy WebLinkAbout010-941-21-2107-LUP-2004-142 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 �
the property's boundaries. -
CONSTRUCTION SHALL NOT BEGIN UNTTL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � ,..
PRINT-USE BLACK INK OR PENCIL
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Owner Builder �;
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Mailing Address Mailing Addre�s,.,fr O
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City, State, Zip Y� P
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Daytime Phone Daytime Phone -
Additional Information: Zone District: �1 �
Lot Dimensions: l.1 I � Z
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Date lot was created: /—/D `9y Acres: � 7 U n �
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Is there wetland near the proposed structure? If yes, how far�� � �
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Building Land Use Floadptain:� j �es O No � �
( )New ( ) Filling � ��,`�
O Addition O Dredging Driveway access off of a(Check one): � `�
( ) 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 �
O Seasonal (� Starage Building O Enclosed �
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom
( ) Other primary structure ( ) ( ) Relocate/enlarge „ '"
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Additional Information: A
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Type of Construction: N
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete
( ) Other ,.d ,..�
Construction Cost: Primary Structure $ � �
Accessory Building: �� , C1U�J ``� Addition: $ � �
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Deed: Vol `���� Pg �l _ Certified Soil Test# r7�•-:��� �" z
CSM: Vol l� Pg Z Z Lot# Z. Sanitary Pertnit# �/-C ��' o, �
PlatEnvelope ����y Or� N
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Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: `�' �
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Previous office approvals/actions: `
Variance: # LUP: # f�7� SP: # CUP: # �
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Inspection Report: # Change of Zone District:
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� a333
Describe the construction using these columns. List the dimensions of each structure in a separate •
column. List each s, ory, each addition, each alteration in a separate column.
#1 .��,S� #2. #3. #4.
Size� ft. wide ft. wide ft. wide ft. wide
Z O ft. long ft. long ft. long ft. long
Floor area Z �� 0 sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade 11 , 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 � S W F� 1�
1 . Enter lot dimensions and indicate north by arrow. Signature of Owner or /�uthorized Agent:
2. Indicate the location and size of the requested construction `�'� � ��` �
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activities. /�
Print Name: .�, >>r�� Y�. � /�c�1 � 4 :1
3. Also, indicate the location and distance to the well, The above certifies that the listed information and intenti s 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. aot��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: $ ��
May 5 , 2004 �
Issue Date Signature of Iss � e t
May 5 , 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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Strvvyer Couu� -
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SAWYER COUNTY CERTIFIED SURVEY MAP
PART OF THE NEI/4-NWI/4. SEC. 21, T. 41 N.. R. 9 W.
F�. 1" SkiC:
NW. COR. SEC. 21 NI/4 COR.
FU. 31/2- ALUM. MON. SEC. 21
�� ^ N 88'S5'22'E 2719 75'
� v— �n^' ! ����"�NORTH LINE .Vi�. 21
�- C\L TOWN ROAD
�\7 I TH I S CERT I F I ED SURVEY MAP C:ANl:ELS W
� 33'I33' - AND SUPERCEDES CERTIFEID SURVEY MAPS �
No. 1171 �
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66' ^ 'n
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� _J�o N 89°40'OS'E
148.73'
c�� Town aono�
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N 89'02'23'E N 88'S5'22'E •
iz9.so iso.00� � L O T 4 � �
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r� N ry �N 89'S0'S7'E 179.4q'
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�a n LOT I � LOT 2 ;3 LOT 3 P
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p 30.407 SF. • 30.474 SF. ' oo ,-
W�; o .70 AC. o .70 AC, 0 36.793 SF, a, o
LL_ .S4 AC. N O
r O (7 O ^� N
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130.00' 130.00' 232.25'
S 89'0o'37'W 492.25'
SCALE I' - 100' CURVE OATA
BEARINGS REFERENCED TO THE � 3 C 4
NORTH LINE NWI/4 SEC. 21 CH. BRG. N33°42'46'E CH. BRG. S76°56'00'E
lASSUAIED N88'S5'22"eI CH. 57.06' CH. 56.72'
RAD. 50.00' RAD. 50.00'
• Fp. 3/4" REROD ARC. 60.72' ARC. 60.31 '
TAN 34.74' TAN. 34 4;i'
� FD. 3/4' I.P. DELTA 69'35'OS" DE�TA 69'O6' Il'
TAN. IN N68'30'04'E TAN IN S42•22'S8-E
o SET 3/4" X 24" REROD. TAN. OUT N01'04'10'W TAN. OUT N68'30'04'E
SURVE'i0R'S CERTIFICATE
I , LYLE L. ELLIOTT� I-@y15LCYCt� lalicl �u� veyor fieieby cc�tify
tliat by tilc ulrec::L'iiin uf JOSEPH KRAMER, I have sui'veycu aiid
rric�NecJ ti�e larld par�el wi�ii;'r� i5 repi e5eiiteil k�y ti�i5 Ceert,ificd
Survay t•ldp. Thc extel-lur buunuaT'le5 uf ti-i6 LariiJ percel
surveyed ai�� riiappbc.f i� dr.5�i-iued ds i'uliow�: A par[, VI LI1C
NE1i4 of LhC NW1i4, Sec. 21 , T. 41 N. , R. 9 W. , Tuw�-t o'f
Ha'ywa�-d, Sawyer CUw�ty W1scUr��ii�, d1-�d ri�ore partiCulally
UCSC1�1�,/CCJ as f�llows=
CVfO(IICIIC;1 Ily dt t,}1C ��UI��.,}1 QLLdY-tEil� CfJ7�I16Y 5clll� �JCC. 21 , t.IlC11C;�
Jl7��lb�4'���E Zb�J,90 'Feet tU �.f16 �Ulll�. U-� �/Cyll�llllll�j�- s t-�1CIlt:C
500"16'44"E 265.96 fCCLi t.I'1bI1GC S89�OG'37"W 4�IG.GS TCCt,;
t.IlClll'C NO1�01 'S7"W 234.38 -feet; theriCe N89"02'23"E 129.5"v
fevtr t.I1CIll:C N38"55'22"E 130.00 feet. LIl61�lU@ OT1 a cliol d uf a
c;ui-ve to thc lef� S7o"56'00"E S0.7G FtiCL; then�e un a uh�icJ uf
a uurve tu t�ic left N33"42'46"E 57.Oo 'fect. t.I1611CJC N89"40'05"E
148.73 'fcat to tl�c point uf �eyiru-�l�ly, seiu pai"ccl cur�tairis
2.7o ai:re5 iiic» e ur' less, end 5uujei:t tci diiy ea�ernent5 Ur
i esLricLiuns uf rccoi u. I i�avc fully ri:uoiplid� ��wi the
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pi'uvi5iuri5 u'f Sectiuri 236.34 i�f tile WlsCOii�iti ir�v`�•��(f�.Sta�'W.teS
arid the subuivi5iu'ii ur ulrittiic:c of Sawyer Cuw-it�c` ru••"SUYyeyi4��
arid oiappirig Sa�iie. Z hCl cL�y cei tify ti-�at ti115 y�t�vey i �u�
t� t;f1e bCsL uf nty k�loWlciiye3 <irii:l LJCI1@�. i !
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NOTE� GAPS EXISTS BETNEEN iE"s�"E"r I -27 2716
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NOTE� OVEPLM EXISTS � v� p o W p p 115T 1HE SAIAE 0�.
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REOUIPEA o� i 27 O �p> 2 RESEAFtCH YAY BE REW�RFD.
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SHON?J AS 66� WIDTH FOR��I W PURPOSES.
MAPPING PURPOSES. �W
010-941-21
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