HomeMy WebLinkAbout010-841-35-5207-LUP-2004-563 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. �c
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. D
PRINT-USE BLACK INK OR PENCIL ,
tZv� and � �
C�IARLP� �: I��tAF�El2 �
Owner Builder �:
�
IZ75� '�V. CO, 2�. C� �
Mailing Address Mailing Address �
�i/��w A R� I.0� S�i d�l3 �
City, State, Zip City, State, Zip � �
�,3y - 78�� _
Daytime Phone Daytime Phone a
�
Additional Information: Zone District: le��� �
C` /' �r�A ��' � ! L �c.� : , Lot Dimensions:
�
��� ✓ , �. _ ,�. /`
Date lot was created: Acres: �� 3 q o
�
Is there wetland near the proposed structure? If yes, how far � m
Building Land Use Floodplain:� j I'es (�'No ° m
(7cJ New ( ) Filling � a
( ) Addition ( )Dredging Driveway access off of a(Check one): �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. o
( ) Moving On ( ) (�County Hwy ( ) State Hwy N �
� ) � ) o �
� r
Primary Structure Accessory Building Addition � °
( ) Dwelling ( ) Garage-attached/detached ( ) Deck W �
( ) Year round ( ) # of car stalls ( )Porch � )1,)
( ) Seasonal f� Storage Building ( )Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( )Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom ^
( ) Other primary structure ( ) ( ) Relocate/enlarge �'
� � O O # ofnew __
AdditionalInformation: `" .�
. �
4r' �
-.,,
Type of Construction: ' �.,�
� Frame (�.Log ( ) Pole/metal ( ) Block ( ) Concrete ��j �
( ) Other ,�
b
Construction Cost: Primary Structure $_ . � �
Accessory Building: $ (� U 10 r `- Addition: $ � --C
,-. —
c�
Deed: Vol �?_ (t- Pg �`�. � Certified Soil Test#�Z- �SIl�S �`''
z
CSM: Vol �`' Pg 30( Lot# -� Sanitary Permit# 9z-309 / 98-Z�3r7 o, �
Plat Envelope �5�� Or: �, �i
Condo Vol Pg Year Installed: �
Aff of ex septic Vol Pg Owner When Installed: � �
�..
Previous office approvals/actions: r-'
,J
Variance: # LUP: # 9g_y�{p SP: # CUP: #
Inspection Report: # Change of Zone District: ''J
`' !30 �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.
#1. #2. #3. #4. •
Size �9. fr. wide ft. wide ft. wide ft. wide
�_ft, laongC, ft. long ft. long ft. long
Floor area�_Ysq. fr. sq. ft. sq. ft. sq. ft.
Hgt from gade /! � to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms�_
Rear Lot Line yDU �
�
T
- -- �_.r.
/1 C G�SS u R y � �1 1O' .
[3Lpy
, T .fi._ A N�
� 12k 20 �z 'Y. s N SEPiG '(
o `� �
t`d 5' - �q
� �,:�: n��.�o . , i
h t� �� O
V ENT � h>
Tt
. w �- �
�
�, J r �U '_._---..
L = �' �
�
W�- � q
M > Q Z O
�3 0 �, r
�V� ' � 4- v
Fire Number and Name of Road I ? 7 S8 �/ll Cv uN T Y R GA D L3
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction �,cv�-Qz� 0. � �-q �
Signalure
activities.
PrinWame: G NARLPS P• [dQqEGc°%
3. A1S0, InCIlCate ttle lOCatlon and d1StanCe to the well, The above certifies that ihe listed informatlon and intentions are
We and corted.,Ihat all work shall be pedortned in compliance
septic tank and drainfield, wetland azeas, lot lines and to the wiih the requiremenis of ihe Sawyer County Zoning Ordinance
and Ne laws and regulations of the Shate of Wisconsin, and if
Centerllne of the road. acting as ovmet(s)agent,has the permission ot the owner(s)to
perfortn the work requested on this application. The above
persons/s hereby give permission for aaess to the property for
onsite inspecGon.
Permit fee: $ -7S
October 7, 2004 _
Issue Date Signature of Iss �ng ent
October 7 , 2005
50%Rule: _ Average Road Setback:
Expiration Date
Office Comments:
3�ra e 9 P✓
�
SAWYER COUNTY CERTIFIED SURVEY MAP
A DIVISION OF LOT 2 OF CSM #2422 LOCATED IN GOV'T. LOT 2 OF SECTION 35,
T. 41 N., R. 8 W., IN THE TOWN OF HAYWARD, SAWYER COUNTY, WISCONSIN.
N 1/4 COR
TOTAL PRFA s 145,489 SF. �'� UNE BEARING DIS(PNCE
3.34 AC. u �u�
rn o_ Lt N 0553'34' E 16.99 (S OS57'9"�
'f. e �+ LAT 1 CSN �2422 � N 8530'02' W 10.46 (S &SJ2'PB' E 1031�
+� l3 S 89'06'IS' E 16.29
Z F �8. (N 89'O6'15' W� 88398')
ty 4• � S 89'O6'15� E, 664.00'
z y Z 264.00 400.00' .
d Y o $ m
" � LOT 1 s a'°'°° �a'"°°e
1� � A ry
"'- g ' 41.435 SF. �; O s�nc m... _
� J£ R � 0.95 AC. n LOT 2 �g y�7Rtff WJ7AN9AC
N
m ^
Yap '" ioa,osa sF. W s
� N �,BZ� � 2.39 RC. xouse �� �
. \Sria����� �S����• w 4j � o S v/
� � '%y C f ��e B.)g• o�
\ �� T.N � '��9j. N
.�- unarT ,
:)-. ���1 �= "Zt,. R � DPoVEWAY a
I � 1J
vi��: - N 8702'TS" W.
SURVEY BY: ��-� � ' (S e'co177.� 267.03' �
L.4R ',�� r� ELSON - 1276 SCALE: 1 INCH = 100 FEEf �
�W�a��Q S `pv
�ATE� 7HISLDAY"' °� ` 1999. ( ) � REcoRom win �
100' 0 100' 200' '£
m
� �r. ar�p� ��� .�,�,i.. ,�n f�',qRT OF THE NORTH ��..a.�.� o
p ra r-r/Y'cwm mx ca aw�m ec uu nc woa� n�r.�.ec aua-a.n
m r wov vrt ecwc Ra n-s rp u<sxe n sYe r. �oe �suv+�m ,QjRYEY1NG OF HAYIVARQ INC "`m�X+�-�
m i/Y wa xoo ,��m mr s ao�5i•c ove WreM un�u•x ru maKw-�« O
4T 1-1 1'�N'MW K � I.II
5105
.- 5.�� __.._. ...._. .. 5118/
�.��'., 5.�] 51.Q 51�9
35' Affi 5.09
E' ���' _ . -„"� /
/ b uaiu *.Z. � 5�08
au
i sot �`0
sn a
I 5�02 � Si15
O10-B11-]5
2104 10-B41-]
I GL 1 `""
010-941-05 -�
� 5�]0
�
�� � 5:� ROUND LAKE
��
��� 511]
St03
� AIIXED PINES
sim CONDO
0zpp a�ao
5108 0�00 ��---
�� _�y� inr i -csx
•Hl 0/NO
/ 5�11
/'' S00 0]00
\��_—__-----" �� 1 ��
�� ( .
5�„ s3o�
� � � 5]01,� ' �
S109
f i 5�:z
O10-BQ-05
zw, GL 2 5,oz s.o3 — ` I 5;�
� —1 � n+ixEo
PINES • o s3ae
'� i � I CON
5;� _ � 'GLI3 5J05
sso� �a I _
`\szaa I I .
i
5206 l f
•`1`-
I __�_ —��__ 41 _�
310Y i
Cd1N7Y Hfi1WAY B i
I \ I
4202 4]QI
• l �IDS
4:06 � 1Y05 V.01
I 410]
„o, 'I NE—SE
1106
� €�N NW—SE � a
€ ,�az
�I � � -�
��� � _�
'� ��� ��
i ���
I 4b� I
j � swi ��'�—_
�'`O0� /y� sao�
N i� / 5102
� Q0� � :k3�y, �
{bl SP�:Fyqa/ 5405
• ? .
I
430� �
• � GL 4 /
5,�
I � i ; I ITTI C Dl11 IA111