HomeMy WebLinkAbout024-541-18-2202-LUP-2004-562 ion^�
' ���� � �
Applicarion for Land Use Permit S � ,.j
County of Sawyer �, �
PO Box 676 -Hayward WI 54843
}�q,� �,@,Q(Q�' 715/634-8288 `
The undersigned hereby makes application for a Land Use Permit and agees that all work � Z �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT `\ (
BEGIN UNTIL THE PERMIT IS ISSUED. h
PRINT—USE BLACK INK OR PENCIL � �� �
J l�a a.+�
�^ c o N
J � p,r2TsfL9�✓� �i//c.0/���✓L a:
Owner Builder ° o �
��-�//� �i� �c .2F�9� S�Y�' � �
�.;T �
Mailiqg Address ' Mailing Address ~
���,�-�,� i,�s ���.� �q�, �-��,�e c, �/r =���� _ �
City,State,Zip City,State,Zip rn
yYy-�sa- .:�,�z_ i��-- ��� �'��=
M
Daytime Phone Daytime Phone <
Bui ding Land Use Flc�d P lat,. No I- a.v��SS�e- ��
( New ( j Filling Zone District R �—� �a
( )Addition ( )Dredging /,/ /
( )Alteration (�Grading Lot Size �S 3S X ��b� C (/¢�'�4g��;o ��
( )Moving On ( ) � '� �
� ) � ) Acres /�-�'3��/0� �<<,v.✓� � �
� o
Primary Structure Accessory Building Addition � ^
( )Dwellin� ( )Garage-attached/detached ( )Deck o
( )Year round ( )#of caz stalls ( )Porch �
( )Seasonal (vYStorage Building ( )Enclosed �
( )Frame built on site ( )Screenhouse ( )Living room
Modular/manufactured �
( ) ( )Greenhouse ( )Kitchen `
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlarge �
� ) ( ) ( )#ofnew �
Type of Construction :
( )Frame ( )Log (�Pole/metal ( )Block ( )Concrete �
( )Other -�
w �
� �
Construction Cost� 99>�, o� �` �
Vol 8!B Pg 23D ofDeed Certified Soil Test# 9!n'z59 80�/9�J � �
CSM Vol Pg Sanitary Permit# 9�-zy9 �<B/ z
PlatEnvelope ��� �.uP 9(0�3�`' I�
Condo Vol Pg Year Installed i'�
Aff of ex septic V P Owner When Installed: � 16�0��
9�wPs q�'65Z �l�ci �-oz7 �
o� -r�i8 a 38 3s
Application for Land Use Pernut — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size s2 ft. wide ft. wide ft. wide ft. wide
��
� ft. long ft. long ft. long ft. long
Floor area /s�s�o sq, g, sq. ft. sq. ft. sq. ft.
Hgt. from gade_,[�to peak ft. hgt. ft. hgt. ft. hgt.
Srories / stories stories stories
# of bedrooms O
reaz lot line or waterline of _ (,Jz,;,'� �. n e i4, C�!r ��:�lake/river
In the box sketch in:
Location and size of all �e - � n- �,,
existing and proposed structures. �OtA�+� rr�� J�t.ul�A��
U
Location of septic system.
Indicate distance to:
Waterline/We[lands
Road
Lot lines
Septic system/privy
Well
; �.
Distance between structures. � ����� `� �
� °��-�
Indicate North.
Fire Number. �
� �—�� c� �'�['(_:i
�/�G i a/ �)�r�'z- �� � �if� 1�t�= � 1 i Z�
n._a.o�- /(000
Ndfi�,.r� z/6
���� l5 3� _
y°° a�
Sign ture of Owner �GO �
The above certifies that the listed
� information and intentions are true and 3 ���.
correct The above person/s/hereby
give permission for access to the
property for onsi[e inspection. ------- centerline of road-------
IssueDate October 7, 2004 ExpireDate October 7, 2005
Office Comments: .� O-�J-� et_! - D� �
Signature of Z in, dministr r
.r__,.,_ _...._. ,. _,.�,..�.., __ ___ _ ._ .__�,. r . .,.. . ._ . _
_. . ....�. .._.. ._ . . .... _,. _ . . ,�
�
MAP 0 F S U R�EY �
A PARCEL OF LAND IN THE NW 1 /4 - NW 1 /4 OF
S E C T I O N 1 S , T. 41 N . , R . 5 W. , IN THE TOWN OF
ROUND LAKE, SAWYER COUNTY, WISCONSIN .
SECTION CORNER
SAWYER COUNTY OWNER - TIMBERG, INC.
MONUMENT
T. 41 N., R. 6 W. 1" IRON
SEC. 12 SEC. 7 N 8541'25� E 645 t S � PIPE \ �
SEC. 13 SEC. 18 636.56 SECTION 18 \\
T. 47 N., R. 5 W. � \ �
\
3 � �� \
� � I 1
� � I
= z I J
� � � � l �
� r /
� °D /
O o � r��'�
. � P��� �I ///
o N � _..-t� ��� �
r�
�
� �� `� � � � � �
w 406,495 SQ. FT. t '� �^�TM
� ^ 9.33 ACRES t � � �����
� 0O= M � �� ��E
� � ' __._p�''�� __�� / ( CHIPPE
W � 2.c� � i 1 RIVER
�
W
o � _ _ _ � o� \
s �{ Mf \
�\ , ' � ��1
���( Z � � � Z� > >
t-1/4' RtON PIPE ..L I / �
IiRUE6LINE� � � / �
�� W � �
,� I^ W / �
� 3 �� /
ANGLE I 30' t �
1' IRON PIPE 548.04' /
N 8T48 48 E 578' t
L��-.L�r,E.��1--�
p -�Y��i l,�-�-�� C L
�� OWNER - KAUTZ
�
w
� 33'
SURVEYOR'S CERTIFlCATE
I, Larry T. Nelson, registered Land Surveyor in the State of �sconsin, hereby certify; �qp� ��q�
That, on the order of Bemie Tworek, owner, I hove made a survey of a parcel of land
located in the NW 1/4 — NW 1/4 of Section 18, T. 41 N., R. 5 W., in the Town of
Round Lake, Sawyer County, �sconsin; �Ye}�pc� y,�yyq�g�
Thot this map is a true representation of said surve`\`\``r������1►fll/�����/'
That said survey and map are correct to the bes`\.�' mq1��d�d}�,. � belief.
LARRY� '
�-- ' �% � , � '� � e s y ir =
�—_� . — — 4CAI F• nNF INCH = 1(1(1 FFFT
TOWN OF ROUN� �L
SEC. 18 TWP 41
�� ��
6.2 � 1�
�, r � Z.�
J
6.3 i� f 6.1
���, \� �
6.4
/A � /
}.�) 1�� v.YY � /
.7.I I
S
,v ��, ,
r
,`
fA ti� � � 8.I
yr
WEST j 7.2
FORK
tt ,,.,f,,JJ�/ �.a
10.I 9•�
,��0%!' �
� _ _ \\
/ �?S�HND �� 1
, � ' � �
� � 1
i /
i �
i2.i �
n.i �
I
I
�
.
SHORELAND PRF,SERVATION AGREFMFNT �
(Non-Intact Shoreliue Veeetation Protection Area)
Land Use Permit No. _Oy-S�o 2 (To be entered by the Zoning Office) Index No. � - J'r_ !02
WHEREAS, (list all owners) (�/GS�ey 5�o �v��� SCv-tZ,r
owns real estate within Sawyet County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS, in order to secure a Land Use Permit.
• � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
� the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department.
� The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply
�with a(1 shoteland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
N that the Land Use Pernut is issued by the Zoning Office. The owner(s) further agrees to allow authorized
o> representatives of the Govemmental Unit to enter onto the owner's property at the following description to
3 inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
- VEGETATION PROTECTION AREA exists and tt�at it is being preserved. Violation of this Agreement will
� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
� injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all
,d structures approved by the issue of said Land Use Peanit and the revocation of any other uses approved by the
(� issue of said Land Use Petmit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
N
9 LegalDescriptionofProperty: Part of the NW NW of Section 18, T 41 N, R 5 W,
� Tnom nf Rnttnd T �k SawvOT COUIIty WI 024-541-18-2202
�
Q Datedthis 1 dayof October 2004
(O r) (Owner)
(Owner) (Owner)
(Owner) (Owner)
7'his inshvment was drafted b}':
Sawycr County Zoning Office