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HomeMy WebLinkAbout012-740-06-5216-LUP-2004-591 :a Application for Land Use Permit (*Shoreland*) ' . �' r y County of Sawyer ° � �v' PO Box 676 - Hayward WI 54843 � � 715/634-8288 � � *Property that is located within 300' of a creek, river or stream or within 1000' of a � flowage, lake or pond or has 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 I `� � , �!�" � ,�a�' /�� �-(a�'J� / � `::TCuc- ���-,�%�'��;�"%� � � Owner onS�'�-• Builder �a°r. 1�0 � ,% ✓ �/� .S� N� � Mailin Address T� Mailing Addre ��` l�, p � ;.;� / � ,;' ��. ��'�� �1 :;� � �— City, State, Zip City, State, Zip �'� L� � � !� r /� 1.� � l� � � `J��" �`; ,�`�� � Il`j f Daytime Phone Daytime Phone '`� � Additional Information: /Lone District: �� -� ��� a � Lot Dimensions: 3 �� ,�'�J =%� r � ., ,r _ "�. , � �r Date lot was created: �� �/ ; Acres: , �� ��� Is there wetland near the proposed structure? If yes, how far �C� o �� Building Land Use Floodplain: O Yes �No S�9/ D/�S,(3 � �` � �New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � �,; O Addition O Dredging Driveway access off of a(Check one): � ''� ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � �'-., ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � ' � ) � ) � � � r Primary Structure Accessory Building Addition o 0 (�'Dwelling ( ) Garage-attached/detached � Deck � , 1 ��Year round ( ) # of car stalls �Porch W ( ) Seasonal ( ) 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 r Additional Information: �� A i. � `` c�i � Type of Construction: � s �Frame ( ) Log ( ) Pole/metal Block ( ) Concrete ,�� ' ,, a (`) Other Q�;_ ,..� Construction Cost: Primary Structure $ �,5�� � ,.b � Accessory Building: $ Addition: $ � � � 3zy��9 f ; � - Deed: Vol Pg Certified Soil Test# (�' `�'�� � � z CSM: Vol ;,� � P�. / r-�. Lot# , ��� Sanitary Permit# ��'{ - `-�-I � �' %� Plat Envelope �'�`� �r� �`�'r'°'"~ � � J Condo Vol Pg Year Installed: N � "Loads and Flows": Vol Pg Owner When Installed: � � . � Previous office approvals/actions: 9� __.. Variance: # LUP:# SP: # CUP: # Inspection Report: # Change of Zone District: /D/PJ�D� ��(�'35 ,� Describe the construction using these columns.List the dimensions of each structure in a separate column.List each story,each additjon,each alteration in a se arate wlumn. #1. ,y�U��� #2. �C�i� #3. `��.,_ -� #4.� Size�ft.wide �_fr.wide /% ft.wide �-�ft.wide ��ft.long /� fr.long /� ft.long �/v ft.long � Floor area /0�- sq.fr. y/b sq.ft. �-�.,�" "sq.fr. «%� sq.ft. HgC from giade��to peak �� ft.hgt. _�fr.hgt. ft.hgt. � Stories � � stories 9 stories j stories T #of bedroo� �S � g Lake/Pond/Flowa e/River/Stream Name G�vk�� , 80� 96� I _ ___-- __ _ ___ -� ���� - -- �c���� --- '� ` aR�� � � �g l�� 5 i a� �:; � l - , , , , , � � I � � � ,�„ _ �, , _ - , � r � _._ - �1� � fi _ � - � - -- < -� -, .:. �.--� i �-,-.�, � �`� � �R/U� j,: � G�'-�'✓ �, , ' �',�, � Fire Number and Name of Road � ='/' �'- � . 1. Enter lot dimensions and indicate north by arrow. Sign�ture of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction / �j �„--•1/i T1r Si nature activities. G��� Prin�Name: 3. Also,indicate the location and distance to the well, The above certifes that lhe listed information and intentions are true and correcl.,ihal all work shall be peAortned in crompliance Septic tank and drainfield,wetland areas,lot llnes, with Ne requirements ot ihe Savryer County Zoning O�dinance and ihe laws and regulations of ihe State of Wisconsin,and if Centerllne of the T'oad 211d Waterbodles. acting as owner(s)agent,has ihe permission ot ihe owner(s)to peAortn Ne work requested on thls application. The above personsls hereby give permission for access to the property for onsile inspection. O� Permit fee:$ 2� '� ���� Total land area within 300'of the waterbody:(A) z5,2(os Z8o Total impervious surface azea[including this project](B) /Y5� 1456 (B)/(A)x 100=%Used S.`7% (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes �No October 15. 2004 ��A -�� h� �-�J�L�' � Issue Date Signature ofIss i g ent U )ctober 15, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: �:� �. �3� -- F� PEX , � - S U R V E Y 1 H G � ! _ ,' , �e'� ,x. � U x ' �� l�i� 15621 R'U��re�d Street, S�uite 202 ` � 1 � f115) 634 3435n•in 54843 - opexs.rvey�ngC�cheqnEf.net , �7,g �� � (800) 599-9181 FAX (715) 934-273Y 1 # , .� - - 2G � �� . � � � . . . . . .. . . . . _........ . . . . .Ilr.i --�...�.�,..... �r.r.�- � � � � ��,�� � ���►,,,, J�' - `���\c�C 0/uS/ �'. � 3� c� "� � 1\' .... ti�= ,� � I� �. � ; � FRFnFRIC . � ` ( � �" - � � ' '•� l_ � \� a�.«.-�r, . , �� !.�,:. 2I F T' O W C-�[ _ (`��, - }� h� — S�!22 � J 1 �t �� '. Hayward �„ _ � � ' e � �f � r�� � Wis, '�Q � •� : '� �/O'•.... •' �. � i' � 1 � � \ � � ZG �� � "'',,,,S�UR�!���`' � 7� � o � � N- _ � `� -� � r ' .0 ��o s C� Lc � - Za�- v ��/C q � �l � BJ��� �n� � ' " � � '� F ' g -- _ � S— � b� , � . r .�`p � ` �.��� �' � �i 3J �' � �o�ec.� �o, So6s� �'' ' 4' � �3; e5 . � , � l � 2(� �� �}v �X So$_ ���K � � � .� o ,�j " C Lr E,..�(,'�pt j1/�A h��"'r� 'r �.� �� r y�{�� \`�?' . � -� ��35 � �vi �� ti � � T� o � �- r��� - - a �0 2. S � i�E v� � � `� T l �-�.c� � �, � y � , � c��'� � �� � �� `�7 � � � � - _ � ^ -g,�`T �.b a D K� � �� � � � 1 �� ��� ;- „ I 3 S✓ F �� _ , t TC�WN O � H � �1 SEC. 6 TWP 40 N . 31 4 ;-_ : '�.� �3...� S �• �' ; 2.� ��� '�. 1 � �� f� ;�.�- . �. �`' , ' � �:/6� ;?,) _ 'l :z.i�' _ �r �ra _�'�•I_�._______f_:t � � :2.�� '� :2 .� , ':-.)�'a �D 6 �r' _ __.,_......_ti.. ��� �� � . �2•}6 4� :�?,17'�� � ,� _.._._._...__._ /t �, � �2�`� �� ,�r� ` . � � � �A K E ::.�4� � �z .2c� '`Y / % `�7� -- —. �- rz / � ��_z �� ' ,i y__� '� 2.d �P� .�-� ',2.,r '.�,� 40 �-''�� . � � � : �. . �7..�_ � :,3 g i � 4 . c9� � �_- � � ;��� � �, , 4 'r . �' ���� � �� � � s�" 1 ' � ___---- . , 4, 4 - _ _ . �' � tSt .9 � '!q 1 , 1 � � 4 � . . �3,'� � 4 40 4' , , . � . 4 , � � � v � �' �� 3 Z '�2.� •/S � •;�,� ! . � � � � i l .•,�,� PAULA CHISSER - �— SAWYER COUNTY, WI REGISTER OF DEEDS 315902 . 09/17/2003 1:20 PM RECORDING FEE 13.00 Pages 2 SAWYER COUNlY CERTIFIEO SURVEY MAP LOT 3 OF CSM1M 8643,LOCATED/N GOVERNMEM LOi 4,SECT/ON 6, TION, R7W, 70WN OF HUNiER,AND INCLUpNG AN EASfMENT LOCATED/N THE SW7/1OF SEC7/ON]7, TI1N,RIW, TOWN OF ROIM�D LAKF SAWYER GOUNTY, N1SLdV5/N. FauW 2.S FourM T AL. CAP. BMSSCAP, St/4COR.3141-] SET3'Al. MC 31iB CAP,N1/4 COR.&4P] ��� � NBB'35'26YJ A NBB•35'M'W 872.Z6' � 2���' NORTH LINE OF SECTION 84(N ��a L0T2 P.O.B. ,� � LSMN BBd3 \ � � 58B'35'26'E \ �` 4G�- 0 218.73' � � \� �I8 LOTY1 � ' 58RC. `� � I4,3P750FT � '�� N89'3538'N �' T 194.65' i N 'm � "' SOl AC. � � O OSPREY LAI(E � �Ig 41.010 SQF7 0 � m j ' N89'35'28'W $ '� � IT« 7]8.41' h �2 � y� G1 � _p . LOTP3 a m i �/" .33 AC. � � I m l Q � 22.583 SQFT o N 'T � Y � I � NB9•35'2GW � � �r. s000r ' � i /� � n.% LOT IO � ' V �� .�y .39AC. �P�� P5.509 SQFT o . / y ' i NeB'35'28'N � ar.- zao.so� �ort CSMk 86/3 ALREAGE CALCULATED TO THE BEARINGSAREREFERENCEDTO7HE NORTH aRDINARYMGN LINE OF THE NORTH WEST 1/4 OF SECTION WATERVI� 84D-7: N 88'-35'-26"W. SAWYER COUNTY GRID, HPGN 'HARN" NAD 83/91 t TODD C. COOLD 1 inch = �QO tt. ( [N FEET ) $—yy$9 iao a m �oa xoo HAYWARD � �SUR a ,� Yo�I�rf Nar/ir �r�.vII'nw-im LEGEND a,� ,o,� ,.4.......:�...�.....,. .,�,�•.z.��A�.,��_�„� ;.1_l L C.._L »�+����Fy�^.• ■wuxoiv��.xruo.Yrve,wmn-il�ian �sFi1V1'.NumMVCwFIlII�IN16M11 ra[e.w SI/iVEYBY: w�vww.-w�awww �po C.O00.D-RLS 1�8Y ;�.m...v....-r+ww.. oareoms:3'�o�ror �.M =.Zam PAGE 7 OF2 '"'� ' Certified Survey No. 6 6 5 7 �� 2 5 � 21 ' � B ;i; J�— :�: �I '�:<� BURNS�:;:•. � . \,,.'�:;:':'��"�"':::;"�'�.`�'� .`::;::::::::':'�'.•�:•: :�::; � :�...LAKE_.;, PLACID...._.:.:;.;.; .:..•.•,• • ':�:>.LAKE:::'. :g::;.:'?:.:::.:.:... .:....:. ....:�:�:;.:.;:.:•.,: ... �;_ �: .�:�<:�: ZONE A ::>.��.�. �ZONE � A. :..::�;.��:�::.:.,.:.:��. '_�:.�:�..:� ZONE X :. 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