HomeMy WebLinkAbout010-941-28-2303-LUP-2004-460 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 UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � �
PRINT-USE BLACK INK OR PENCIL
� , n - �+ v�
fj � Y
.��� l� e -��� � - �,'� �� e =c� r- s- �c,�" ��% ��s Lc.��r�s' � � �fi��f� � �� .�
Owner Builder ��� �c,.
t`� L-h � ' �
�G'�/'� ��f (;'�t'-��'/tcz�� ' � / ��� �f� f)l��r��� °'
�
Mailing Address Mailing Address O -
� J
�� �C- �% i. � !� GC1 / S ��`"�� ��I��c. �/�� ��� C�% � ��/c�' `/� �
�
City, St te, Zip City, tate, Zip
��, S�1 �-3�� � � �:-;�� ��, j� � ��� ��s�-
Daytime Phone Daytime Phone ,�
Additional Information: Zone District: 1�-1
Lot Dimensions: ���/� > >�•
� �
Date lot was created: Acres: ��' o
Is there wetland near the proposed structure? If yes,how far /v�% � �'
Building Land Use Floadptain:-( j �es �No ` �
( )New ( ) Filling �
�Addition O Dredging Driveway access off of a(Check one): �, -'
( ) Alteration ( ) Grading ( ) Private Rd j� Town Rd. o
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �, �
� ) � ) o �
� r
Primary Structure A�cessory Building Addition � °
�(Dwelling k ;,Garage-attached/detached ( ) Deck W
� Year round ) # of car stalls � Porch �
O Seasonal � a Storage Building O Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �',
( ) Mobile/manufactured ( ) Other ( ) Bedroom � .-
( ) Other primary structure ( ) ( ) Relocate/enlarge ' �
� � ( ) ( ) # ofnew h �.
� ��
�
AdditionalInformation: � �
�
�
;
�
Ty of Construction:
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete w
�.
( ) Other �
'� y
Construction Cost: Primary Structure $ � �
Accessory Building: $ ✓Addition: $ �� f✓ �'�' �
,-, '�
� �
Deed: Vol ' i C;g Pg � �'1� � Certified Soil Test# 9 7-y�2 � �z
CSM: Vol �_'� Pg:�?'1.'� Lot# / Sanitary Permit# 9� �y5z o, �
Plat Envelope �3Z�17 Or: �,
Condo Vol Pg Year Installed: � �
Aff of ex septic Vol Pg Owner When Installed: `� �
�f
Previous office approvals/actions: �
Variance: # LUP: # q�-.Z98 SP: # CUP: #
Inspection Report: # Change of Zone District:
S'�lr�'lC y
I �i 3'1 �
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.
#L /�✓�c� #2. #3. #4.
Size /� ft. wide ft. wide fr. wide ft. wide
/ '� ft. long ft. long ft. long ft. long �
Floor azea_�' sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from gade to peak ft. hgt. ft. hgt. fr. hgt.
Stories � stories stories stories
#of bedrooms
- 5
T f� � �
, � i � � �� �
N � � � .
�
.� � � ' � , �:
� � � • rao � ,, ,.�
�� � --I
�-
�� � -- ��� �� �
� �,
�' ' ���'� j A �
� —>— S
`� �
_ _ __ �
�; �
� �
�^
:,
� �� �
-+ �
0
�
� — ---- ---
�' __ - ---
� __
_
1 _ _ _ SSCo , ��,��
-- �J
Fire Number and Name of Road /O-5 / � N (7/� �i� ��'�'�-�t L /1
1. Enter lot dimensions and indicate north by arrow. Si natur of Owner or Autho�zed ent:
2. Indicate the location and size of the requested construction .,� �C,�c t-«-zi �� �-�
� Signature
activities. � r l( r�S
Pnnt Name: lA��� �'h'��/��
3. A15o, lndlc8te tlle LoCatlon and CI1StanCe to the Well, The above cedifies that the listed intormation and intentions are
true and correct., that all work shall be performetl In compllance
Sept1C t3T11C anCl dlalnf1e1C1, Wet1321d 2ieas, lot 11ne5 and to tlle with the requirements of the Sawyer County Zoning Ordinance
and the Iaws and regulations of the State of Wisconsin, and if
CCritel'llll0 O�tt10 TO&C�. ading as owneY(s)agenl,has the permission of the owner(s)to
pedortn the work requestetl on ihis application. The above
personsls hereby give permission for access to the property for
`,, : onsite inspection.
Permit fee: $ / 5
September 1 ,�004 —
Issue Date Signature of Iss ng ent
September 1, 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments:
� � �
SAWYER COUNTY CERTIFIED SURVEY MAP
SMt - NW}, Sec. 28, T. 41 N., R. 9 W.
SC4LE I"=Io0'
o ioo zoo
3
I
?
N88°20'll''W 556.14'
m Iw
� �
a
N ¢I
; I �
; 130,710sL �
3.00 ac. w
ry N
A oN
S O � Iu
O
O �
i<�39'
I ruesva�za��c N89°43�29'E 556.00' 33
V:.C„/ � E,9W. 1/O LINE
5� o B<$E OF BE4RING I
[.�Br.0
o-set 3/4" x 24" reroa, wt. 1.50 1De/rt.
SIIRVEYOR'S CER1'IFICATE
� I, LYLE L. ELLIOTP� regietered land surveyor hereby certify that by the dlrection of
ROBYft CAMERON, I have eurveyed and mapped the land pazcel which Se repxeeented by thie
Certlfied Survey Map:
The ezterior bovndaries of the land pazcel evrveyed and mapped ia described ae follows:
� A part of the Southwest Qvarter of the Northweet @uarter, Section 28, TovnehSp 1y1 Forth,
Range 9 Weet, Town of Haywazd, Coimty of Sawyer, State of Uieconein, and more
particularly described as follwe:
Co�encing at the West @�arter corner eaid Section 28, thence N 89°fy3'21y" E 71�t+.j9 feet
to the point oS beginning; thence x 89°4j'2(y" E 556.00 fect; thence N 0°15'24" E 225.68
£eet; thence x 88°20'11" W 556.t1� feet; thence S 0°15'24" W 21�1.�.52 feet to the point
of beginning, eaid pazcel containa j.00 acree more or lesa, and sub�ect to a�y eaae�ente
or reetrictiona of record.
I have 21II1y complied with the pmvielone of Section 2j6.34 of the Wieconeln reviaed
Statutes and the aubdivleion ordinance o£ Sawyer Coimty in eurveying end mapping eame.
Z hereby certiry that thie eiuvey ie correct to the best of �yy Imouledge and belief.
.a`�;ii���.tzrfS�y,� �
� S� ��}' �ELLI � lanOT�r
LY[FLE:!XR7 WieconeSn Ae
. �
2214gg � , aiac�tions_,3oo
srx_'
���N.'k� � g Dste: Deoember 3, �99�
:
��� °�.. � /;�.- �e Q U
�y� � ,. �
faWw CU�D' � �( '•.,�iir-._ .'1G �
, , _+...i''`!' „y�:
HqPel�ae kx rama ana��i a ' �. '�..-. � /v� �/ a,c�^--
�l��J 79.�m r �•dyod �X � L�rR-•—�
e�reacrtle'in�rol L3 " /
d�i���C._�a, 1�Oi+lr
3� y9 � p3
'COUNTY HILL RD" ( I
SHOWN AS 66' WIDTH fOR
MAPPINC PURPOSES. i '
---- - -- 1
iM(:. <0 ti o ci o ~ Ci �� 45AC.� �jY �Y
0���94� ��QI94� �� < I < I QI H�� 0kp1 yQj01N � <WN
-28 211� -2b 21�2 n� n� n� "' m ��p0'L� o cS
S �O �� �O O� 1, QN ^�N
92AC.
I H2�N�rr n°°rn°r� CITY OF HAYWAD ,
� w'rs i nirtu z�
I /2:f8-12�-00 lIX7IX /
.
MavwAROSADRrs / i
CEHTER I
� HAYNG9RD M/DOLE �
GREENWVp!'1 S��' / �
CEMETERY '_�„_�--'---- _�•
NW— NW �
NE— NW
� I
� � '
�
�
� �
3- a �
� � �� --�
I `
�
z
i o� �
: I ��� I
CITY OF HAYWAD � �
I
� �
I
�
I
�
� �
�
� ,o
SW— NW SE— NW
2.33AC.
010-941-28 2304
i
010-941-28 2305
2.21�C. HAYWARO MIGFI SGIOOL
4:
010-941
� -28 4208/
010-941-28 2303 010-9H-2a �
3.00AC. 131} C
i `
18AC.
�0 �jQ
i 010-941-28 3205 0 �'��
�� `����'�
4.03AC. � q� .83AC.
010-941-28 3202 010-941-28 3108
,a.sanc. ,,�SA�, CITY OF HAYWAD ,ys ''� ,•
t o`p�910n kryp /
070-941-28 3204 2 � 2.00AC. 9k��ry0
.auC. 0�• /�.
� p> 2.81AC. � ,1,
010-941-28 3702 k'�
2 010-941-28 3201 49��? 3 �ry�P�� � 0
♦� ���.� /9k1 � '/ k1�1.
N 'I ��J1' ,..6a��. NE__SW . ,�,a �Jf'/ 01�� JOO�k�,Q\
1
�� 1.24AC.
Q)12.41AC.CC�sS� 2.83AC. • `�/ � Y
010-941-28 3N0 � 9S '�'� ,,� ., :�
�„$. J����� y F'SFy .ccc���S ,p.9F,�o s
vs�yc � �e Gc�y l / O,ryO
6.22AC. �Fy�Ss p P�F,� /�/ � 1 1.OVAC. �� �
ti P�' _y / I
G�SS �' ,�,d' i O>
pG�2 � / .� 1.49AC. ��
� 070-941-28 3208 � '�°py�"�� , '�,� O� ��'�r/�
5.38AC. I T.10Ak,��,0 �'�r) � �e
010-941-28 3404 2.37 . 0 ,p�9 t.aSnC.,�O �2B t.sanc.
4.18AC. 1�ry � k1� J�O
• �9Aoy O�gry,�¢
�
� 010-941-28 3315 .�4�c. �' O,O }`69AC. �, k
�-� p �-� 1.90AC.
2 A-� \?BQ9 010-941-26 3310 / P,Q
`{i', � �P� �t. �
2.11AC. 2
,, 010-941-28 3315 � � �� / O �,05�
1-2 1.19AC. .� .� � y�+ I
,. o, 9 (�\ ' y ¢��Qv-
O� C-E 1.56AC.
�9 010-941-28 J JQ��GQJ i
%� �,� °P� A� \ 3308 � � �� � �� I
��5�y��' 9/- �� i.OtAC. � ��R 3a.49AC.
O �� PM F9 � 1
010-941-28 3301 2'^'M r°' '1�0 s � /' �4
71.19AG (��) �O}q►`6 F'�'�. 1J7AC. 9k1'�'L �/ 010-9�1-28 3401
' � (
O�� � 9�,,�p'� �
l�-o p��Y
SW—SW 'o��* '�/ 2.BIRc i
��')��d �/ .
0
d / SE—SW i SW—SE
i �sq .ae�c ' ry
�j,�R. �
IAl�bj 7�� 1
47A � �ti0 I
0 �k1
010-941-28 3306 � o\�� /� i
z.aznc. /