HomeMy WebLinkAbout014-841-07-1419-LUP-2004-699 Application for Land Use.flermit(*Non-shoreland*) o 0
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 E� �� �
flowage,lake or pond or does not have any of the above waterbodies located within ��
the property's boundazies. "
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � �
_ PRINT-USE BLACK INK OR PENCIL t,
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Owner Builder ��
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Mailing Address Mailing Address O
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City,State,Zip City,State,Zip L,�
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Daytime Phone Daytime Phone
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Additional Information: Zone District: r I�-� S
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Lot Dimensions: �
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Date]ot was created: p,.� Acres f�r o
Is there wetland near the proposed structure?If yes,how far ��� � i�
Building Land Use Floodpkain:� j Yes O No =° �
� 0,
(�Q New ( )Filling ti
O Addition O Dredging Driveway access off of a(Check one): � �
O Alteration O Grading (�C)Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy r."', �
O O o S
r
Primary Structure Accessory Building Addition � °
( )Dwelling (r�Garage-attached/detached ( )Deck W
O Yeaz round ([�#of car stalls O Porch �
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room � L�
( )Modular/manufactured ( )Gceenhouse ( )Kitchen O ��
( )Mobile/manufactured ( )Other ( )Bedroom .� �
( )Other primazy structure ( ) ( )Relocate/enlazge '
� � � � ( )#of new �C1 �
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AdditionalInformation: � >
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Type of Construction: � ��
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other ,.y .�
Construction Cost:Primary Structure$ �" � �
Accessory Building:$ �_��,7�'> Addition:$ � �
� 3/d 90/ `D
Deed:Vol Pg Certified Soil Test# C;c� �- °O
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CSM:Vol_�__Pg�o _Lot# aa Sanitary Permit# � '"" o� %n
t��Go/ � �
Plat Envelope �r� N
Condo Vol Pg Year Installed: �n''�� �
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Aff of ex septic Vol Pg Owner When Installed:
�.�n_ v�,�/��c y
Previous office approvals/actions: `J�
Variance:# LUP:# (j��L•JC: SP:# CUP:# 1`y�
Inspection Report:# Change of Zone District: ��
I�n330
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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 .��5"�� #2. #3. #4. �
Size ?�1 ft. wide ft. wide ft. wide ft. wide
� �.� ft. long ft. long ft. long ft. long
Floor area �5:,`� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade Z� 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 /`�� �� �`�``J'' �- ����'��J
1 . Enter lot dimensions and indicate north by arrow. ' ature o�0 er or Authorized Agent:
2. Indicate the location and size of the requested construction % :_� �� �
,,� Signature
1Ct1Vlt1@S. � ,.,,. ..- —� � ,c.�.�,�;r,�yyaG
J PrintName: .l�w'Jc�':'h"'�'' ��.�.�
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��s 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 pertnission for access to the property for
onsite inspection.
Permit fee: $ �� �
December 30 , 2004
L� � , •
Issue Date Signature of Issuing Agent
December 30 , 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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Ra�ce"iv�ed lor recocd this a8�aey a
�AD 20�3 et830,a'clock
M and recaded In vol.oZy
CER T I FI ED SUR V E Y MA P �`��"S�,ayu�a��_��
r��w�
ALL OF LOT 4 CSM#6522 AND ALL OF
LOT 5 CSM#6534, LOCATED IN °e°""
A PART OF THE "NE/NE AND PART OF
THE SE/NE ' OF SECTION 7, TOWNSHIP
41 NORTH, RANGE 8 WEST, TOWN OF NE �oR 5E� �
BAASS CAP
L.ENR�OT, SAWYER COUNTY WISC�NS,IN . �
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BEARING REFERENCE �9 ti��6'6. I �a
BEARINGS REFERENCED N� `°. �l Po
TO THE EAST LINE OF �� / �,�°F ; In
THE NE1/4 OF SECTION 7 � -� \ j !lo
ASSUMED BEARIN6 OF `6�h \4 �
N00 '32 ' 24 "W y � �
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C, � �' z
,(r N86'29'07"M 3B6, 17• �'
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� 361.32' .
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SCALE 4' ''' LOT 20 W� ' ni
¢ y�yb� s� � A
1 " = 400 ' Qo LINE ` om Fi� v� .I� �
,
fiS' HIDE EASEMcNT �� ,�0 0 � �N,1 O
� ALONG LaT L1NE5 � � � � � '}�1
TO TOWN ROAD- �^ �'o� o-2� 1 �
� 4Q0 � � 0" . � .
SEE CSM1`6522 n '� `.
�a°Oi ats�c � r N82'46'39 � nNi w tN0
c,�wr £11 rnw 263.34� R1 n�m m
so� wme Enser+eNT—� . � LOT 21 �`��
SEE CSM16522 m1 N - �," ' -
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ROW COARSE TABLE � U�' �
E6n 57�
Ri = N18 '49 ' 02 "W 43 • 66 ' �� N34�6, m
R2 = N05 '16 ' 45"W 181 . 32 ' �,z2 `�� LOT 22 � �
R3 = N00 '32 ' 12 "E 206 . 50 ' �,+6 / � � N
E / VvV N m� Q]
LOT AREA TABLE CJ W ,,� "'
LO7 20 = 3 . 88 AC SB4•io•o>-� _
168940 SQ FT 352,�6 -'
L�T 21 = 2 . AO Ac EASEMENT COARSE TABLE Qoa o�
104635 Sa FT EXISTING—SEE CSM�6522 �a
LOT 22 = 4 . 08 AC C/L OF 66 ' WIDE ACCESS EASEMENT by22 oa
177620 SQ FT E11 = S82 '46 ' 39"W 232 . 46 ' �5�' '
C/L OF 50 ' WIDE ACCESS EASEMENT o Ei�a coa
LEGEND E3 = S 12 '00 ' 00 "E 292 . 45 � ppO sec �
9= GOVERNMENT C�RNER E4 = S43 '00 ' 00 "E 373 . 21 ' J��.r n uM cna
• = FOUND 3/4 " REBAR E5 = S16 '33 ' 56"E 260 . 90 '
FROM PREViOUS CSM E6 = N85 '48 ' 21 "E 180 . 16 '
G = FOUND 1 1/4 "OD IP ���
FROM PREVIOUS CSM ,, `'"�'"'"'�'�. � C�
• = COMPU�ED POINT ;,';::a�?�:�J;1'S/��',, \
� = SET 3/4 "X !8 " REBAR ' � ` ' � ''
WT 1 . 50 LBS/FT � '�' l�1:�HAELC���^ � � ��
e = FOUNO i 3/4 "OD IP = • G_��.I.^�R ; ,
FROM PREVIOUS CSM = • � ^�' _
_ . .r��-.5 •
C)= 80 ' DIAMETER CUL DE s . Spa�ner ; i
SAC ACCESS EASEMENT—
% ' Y1is. ���
EXCEPT AS NOTED �'�.,�-�; • • �:�;��� .
(PREVIOUS CSMS' BY MYSELF) q �SL:'���-`��•
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SAWYEA COUNTY ZONING APPRQVAL ����"""`����
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CINDY YAC< Y � � � SI��T� �F�2
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Cortified Survey No. 6 6 O 1 Y VL �=�+