HomeMy WebLinkAbout026-939-27-5306-LUP-2004-113 Application for Land Use Permit(*Non-shoreland*) 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 U,
flowage,lake or pond or does not have any of the above waterbodies located within � �
the property's boundaries. �y
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. r.
PRINT-USE BLACK INK OR PENCIL p 4
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J��n k 1<e.�-h�exi. FZe�r�ho�i �ob tti 1�ca•.l��t a C
Owner Builder �' �
�9b� S,�r.rc\u��cc' �c-.e. 1-3 b`� 5.,�.-4-1�v.�c �^ o' �
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Mailing Address Mailing Address O� �
�,J-.k-c-�o�. W � 'S3�3� ��.fc�o��,���i 55�31 c�o
City,State,Zip City,State,Zip '
2�z- 85S- 4��3 � ,-' 3`1� " 41'l3
Daytime Phone Daytime Phone
4\t} 2 L I -51 1 z CJo�r�S �✓�"`��
Additional Information: Zone District: (�!Z- � q�
LotDimensions: � cacrti> �
9
Date lot was created: Acres: � n
o �O
Is there wetland neaz the proposed structure?If yes,how faz t�A. �
Building Land Use Floodptain:( j Yes (Xj No `; �
( )New ( )Filling �
�
O Addition O Dredging Driveway access off of a(Check one): ti,
( )Alteration ( )Grading ( )Private Rd I,�Q Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy �,"', r�
� ) � ) � `�
t�
Primary Structure Accessory Building Addition � i � °
( )Dwelling ( )Gazage-attached/detached �Deck 1 ox�� .". W � \
O Year round O#of caz stalls O Porch � N
O Seasonal O Storage Building �}Q Enclosed 1`X lb !� �
O Frame built on site O Screenhouse O Living room �
O Modulaz/manufactured O Greenhouse O Kitchen y N
( )Mobile/manufactured ( )Other ( )Bedroom � �, �
( )Other primary structure ( ) ( )Relocate/enlarge '
� � ( � ( )#of new
i
Additional Information: i ha ��c.\os��� w`�� ��'e- �bx�b �^� `�"��� �sc _ p
t��- lle��c\(o� �cC� C��Skcve,le.i'�h 2rn.1 45 -F'h�- r��'��••4��". t �
'Th�- Ivx\� w;\\ Ve.. e.ade�. +o }b.c lJ���-•s;de of 2-.c�os.+r-� � I c�i
Type of Construction: ;' c �
{�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ��
( )Other �� ,.ti y
Construction Cost:Primary Structure$ �i � �
�
Accessory Building:$ - Addition:$ �(D��.o� x� �+
rn
Deed:Vol 5�9 Pg (.Z Certified Soil Test# q Z- 2,�b °O z
CSM:Vol 4 Pg 23s Lot#� Sanitary Permit# `� � - 24 I o. %°
Plat Envelope Or: i;, .�D
Condo Vol Pg Yeaz Installed: c�o I
Aff of ex septic Vol Pg Owner When Installed: " �
� > r:�, u.+
Previous office approvals/actions: ;�.�
Variance:# LUP:#'i:q �;�C SP:# CUP:#
Inspection Report:# Change of Zone District: ul�IIO�f
� ( I
1`l 0"1 D
Describe the constructio� 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. t N�1a s'y_rs__ #2. �� E�K #3. #4.
Size�_(Q_ ft. wide �fl� . wide ft. wide fr. wide
�
���ft. long 1�f[. long ft. long ft. long
Floor azea J�Sb sq. ft. 1 �00 sq. fr. sq. ft. sq. fr.
Hgt.from gcade���to pealc "'c` ft. hgt. fr. hgt. ft. hgt.
Stories � — stories stories stories
#of bedrooms -- E� �ECK�
tN �\os�t��. � N
Rear Lot Line
F.NC\o5.�.tEs
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Fire Number and Name of Road �-so r N H� 1-��\\., tZ�
1. Enter lot dimensions and indicate north by arrow. Signa ure of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction
Sgnat
activities.
PnntName: Jo�� iZe.� ,..ho �t
3. Also, 1nC1iC8te the IoCatlOn and d15tanCe to the We��, The above cerlifes that Ne listed informatlon and intentions are
true and cortect., that all work shall be peAortned in compliance
SeptiC t2ri1C anCl dI'81Ilf1eld, Wetland 2ieas, lot Ilnes and to tlle with Ne requiremenb of the Sawyer County Zoning Ordinance
and Ne laws and regulations of Ne State of Wisconsin, and if
CCRtCtllriO Of i]1C i08d. acting as owner�s)agent,has the permission of the owner(s)to
peAortn ihe work requested on this application. The above
personsls hereby give permission for access to the properry for
onsiteinspection.
Permit fee: $ -l5 ,C��
April 29 , 2004 —
Issue Date Signature of I s i ig gent
April 29 , 2005 50% Rule: AverageRoadSetback:
Expiration Date
Office Comments:
� SAI�� D L.AKE .
-W P 39 N. R. 9 W. '
AKESIDE ADDN Z 18 . '� ,e
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SA�-JYER COUNTY CERTIFI�D SURVLY i4AP NUMBER �� �
SCAI,E
I
� 0 200 r l.�pp�
5 � s9�o S 680 7��tD
' �'4e�,
�cA., 66.3�5� ' E \ � = 1�� x 21�" iron pipe ,
� 1.13 lbs per ft.
Q; 101°Op� g� � � = 2" x 30" iron pipe ,
� o S 100 � , W I ��3 •65 lbs per ft.
. �•20 6 � � 2 iron pipe , found
Lot 1 � � " • = 2" iron pipe , with brass
� � 231,�� �, � plac � found
� - 5 ac . �o \ 1
_ � t'sJ, � � $� Bearings are true
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= 02 E ,,�� �6-�� �o
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27 39-'9w
S g9°31' E � I+ Keith R. Vreeland� registered land rveyor, do hereby
� � certify, that at the direction of Campfire Land Company Inc . ,
-� I surveyed and mapped the described parcel and that the map
252• 5' � is true and correct and that I have complied with the existing
Chapter 236.3k of the Wisconsin Stat tes to the best f
}mowled�e and belief. ��/� � / ?" 7�
�
Keith R. Vreeland 5-0931
V & M Inc . , Wis . Rapids� Wis.
DESCRIPTION � .- . , -
Part of the NF.,�S�+�, SE4NW4, Government Lot 3 and Government Lot 5, all in Section
27� T 39 N, R 9 Fi'� Town of Sand Lake , Sawyer County, Wisconsin, described as follows :
Commencing at the South quarter corner of said Section 27, thence S g9°31 ' � 252•45
feet ; N 8°39' w 2�214•74 feet along the east line of CTH "F" and to the point of
beginning; N 8�39' w 858.66 feet ; s 68�09 �k8" E 663.54 feet ; s l0°49 'l,l�." W
8LF.20 feet ; S L�.O°16 ' 16" E 1�21�.09 £eet ; S 28°33 'LH4" W 20fi.25 feet ; S 61°2Ja.'L�7" W
89.70 feet ; N 87°09 ' w 568.1+3 feet to the point of beginning.
:: 156r� � �I /, N
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. ,,,�� \G,(,,�f�/ � �o�j Aegistei s O(Noe �i '� % � \
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��,v � f.�,..,. • ..,,v/^ - �i� Sawyer County ' .. ` r
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N ��' �l- CCC � [ �, ��_( �CC �
R r}v�F�E L^l��r� �� :A Received for rec�Dt19 7G at �/ day oI -' C l.' c ("" , ` `. c/
� � . � I�,
�, j s , . � ./D o clock `- �� , < <. y i �. .
� •�i 4 S-�.t 1 � f�,' ': _� 1 and recorded in vol. �{- � �
!,', �.� � WIS. ft,'1f 1U`�, :" ' /
,N � ��" -> °f on page�8 �,
.a ` . 6�l'<� �• „ ' *: � J
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♦ ,• � �•
r+, �"!�� ••........••^' �^ Aegistet
��'�'�„� • �� �•�q,
('�e1�RR����•`�t..� DcDUry
this instrument was drafted by Keith R. Vreeland
�ed S1� !� �_ z.,�„�