HomeMy WebLinkAbout002-940-35-2113-LUP-2003-769 M � lV���
ion for Land Use PermTt *Non-sfioT�I-an�� r .� �
Apphcat ( ) o 0
County of Sawyer �
PO Box 676 -Haywazd 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 �
f��a l/� �i;r� �. � 1/ �l � �n
c�Yri� � ti�Ci VklY� a �
Owner �_ Builder <'
��i'�1.� � � LCIVI��a�� �� ��' ��a�j Ll�h -� �� �
Mail'ng Address r Maili g Address O
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City,State,Zip City,State,Zip �
� � �IS ��S -
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Daytime Phone Daytime Phone
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Additional Information: Zone District: ��`� �
Lot Dimensions:
Date lot was created: I U—Z 1—C�3 Acres:�Q 1 �' n
Is there wetland near the proposed structure?If yes,how far �
�NBui mg Land Use Floodplain:( j Yes O No =°
ew ( )Filling �
O Addition O Dredging Driveway access off of a(Check one): CD
ao
O Alteration O Grading O Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy N �
� ) � ) o �
t�
Primary Structure Accessory Buildin Addition � °
O Dwelling �Garage-attach detache O Deck �W
( )Year round ('�)#of car stalls ( )Porch � �
( )Seasonal ( )Storage Building ( )Enclosed � �
O Frame built on site O Screenhouse O Living room � _
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � `� n
( )Mobile/manufachued ( )Other ( )Bedroom � i
O Other primary structure O O Relocate/enlarge N L �
� � ( � ( )#of new � � �
�
� p
AdditionalInformation: ' �
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Type of Construction: � W `jJ
( )Frame ( )Log �ole/metal ( )Block ( )Concrete �
( )Other ,.d .�
��j � n o �— � �
Construction Cost:Primary Structure$ � � o
Accessory Building:$ Addition:$ � �
�� I � �
Deed:Vol � �' �Y`g� � Certified Soil Test# - � � tlQ z
CSM:Vol�s Pg��Lot# `� Sanitary Permit#� � — ���' o� �
� L��S� �-- �
Plat Envelope Or: N �
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Condo Vol Pg Yeaz Installed: c�
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Aff of ex septic Vol Pg Owner When Installed:
S
Previous office approvals/actions: —
Variance:# LUP:# p3— 7b9 SP:# CUP:# �
Inspection Report:# Change of Zone District:
�-r�o,�/!
40 51 �y
� > N w y `
x ,
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='�� fr. wide ft. wide ft. wide ft. wide
�
� ft. long ft. long ft. long ft. long i
Floor area C t� sq. ft. sq. fr. sq. ft. sq. fr. `
Hgt from giade`� � 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 �(-4 7 N �At.JI� C�C-'r�F �!� 1��1 Y�Ud�� [U'T ��(3
1. Enter lot d'unensions and indicate north by arrow. $ign of 0 ner or uthorized Agent:
2. Indicate the location and size of the requested construction �
Sign N
activities.
Wf�nt Name: /�A1 Q�� �9. l-�� E,�Kr /7l1
3. Also, indicate the location and distance to the well, �fie above certifes ihat the listed information and intentions are
hue and covect., that all work shall be performed in compliance
septic tank and drainfield, wetland azeas, lot lines and to the with the requiremenfs of lhe Sawyer County Zoning Ordinance
and the taws and regulations of Ihe State of Wisconsin, and if
CCRtCTI1riC Of tl'1C IOad. acting as owner(s) agent, has the permission of the owner(s) to
peAorm the work requestetl on this application. The above
personsls hereby give permission for aaess to the properry for
onsite inspection.
Permit fee: $��D � O �
September 1 , 2004 C� �,_�� `FA e ��21Dc.1�__7�
Issue Date Signature of Issu n��c�ent �
December 9 2004
' S0% Rule: Average Road Setback: _
Expiration Date
Office Comments:
Y
PAULA CHI55l:R
SAWYER COUNTY� WI
REGISTER OF DEEDS '
316980
10/21/2003 B:00 AM �
APEX RECORDING FEE 13.00
.:, SURVEYING
15614 Windrose Lane,Sui[e 330
Haywerd,WI$4843 Pages 2
7156343435 Fax:715-9342739
SAWYER COUNTY CERTIFIED SURVEY
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SHEET 2 OF 2
SURVEYOR'S CERTIFICATE:
I FREDERIC W.ZIETLOW,WISCONSIN REGISTEREO LAND SURVEYOR,CERTIFY;I HAVE
SURVEYED,DIVIDED AND MAPPED PART Of THE NE'/. -MN%.,SECTION 35,T40N-R9W,
TOWN OF BASS L4KE,SAWYER CAUNTY,WISCONSIN,BOUNDEDAND DESCRIBED AS
FOLLOWS: �
�
COMMENCING AT THE NORTH'/.CORNER OF SAID SECTION 35;
THENCE S02°-36'-02'W 360.00 FEET TO THE POINT OF BEGINNING; `;
THENCE S02°-36'-02'W 140.00 FEEf;
THENCE N89°-20'-19VJ 588.51 FEET;
THENCE NO2°36'-02'E 140.00 FEET;
THENCE S89°-20'-19'E 588.51 FEET TO THE POINT OF BEGINNING.
THAT I HAVE MADE SUCH SURVEY AND MAP UNDER THE DIRECTION OF NICK STINCIC.
THAT SUCH MAP IS CORRECT REPRESENTATION OF THE EXTERIOR BOUNOARIES OF
THE LAND SURVEYED.
THAT I HAVE FULLY COMPLfED WITH THE PROVISIONS OF CHAPTER 236 OF WISCONSIN
STATUTES AND CHAPTER AE7 OF THE WISCANSIN ADMINISTRATIVE CODE IN
SURVEYING,DIVIDING AND MAPPING THE SAME,TO THE BEST OF MY KNOWLEDGE
AND BELIEF.
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DATE ,����"'���i„ FRE ERIC W.ZIEiLOW S•922
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: FREDERIC ��. �
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z<'•. Hay.vaN ,i�� SAWYERCOU NING ?
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