HomeMy WebLinkAbout026-939-26-5212-LUP-2004-304 ��� ' �" . '
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Application for Land Use Permit (*Non-shoreland*) o 0
County of Sawyer � r�
PO Box 676 -Hayward WI 54843 f
715/634-8288 s�
*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. � 1
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
p�,,.- ,,-., • , ,. PRINT-USE BLACK INK Olt PENCIL
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Owner Builder c;
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Mailing Address Mailing Address �
I�'e u,IIP �',�'1 ��� �hell L.�� t,�i �l��l �
City, State, Zip City, State, Zip �,
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Daytime Phone Daytime Phone `
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Additional Information: Zone District: � `� �
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Lot Dimensions: �
Date lot was created: Acres:��•y`-> ���:> n j
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Is there wetland near the proposed structure? If yes, how faryP�, 7� ��. � �
Building Land Use Floodptain:( j �es (Xj No ° �
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�New ( ) Filling � � t
O Addition O Dredging D iveway access off of a(Check one): �
O Alteration O Grading /�,Private Rd O Town Rd. o
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy ,`; �
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Primary Structure Accessory Building Addition � °
� Dwelling ( ) Garage-attached/detached ( ) Deck W �1 ,
( ) Year round ( ) # of car stalls (�Porch '� ��
Enclosed "
� } Seasonal ( ) Storage Building ( ) � �
(�Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � (r
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge 'G A
� � ( � O # ofnew � �
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AdditionalInformation: S A
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T pe of Construction: 1
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�� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete
( ) Other ,.d �
Construction Cost: Primary Structure $��, C� � � �
Accessory�uiiciing: :�_ � _ : _ _ tidciition: $ �
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Certified Soil Test# �"
Deed: Vol��Pg .�9 � z
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CSM: Vol Pg Lot# Sanitary Permit# (���/ -�C,'� o,
Plat Envelope Or: '� '�
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Condo Vol Pg Year Installed: � �
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Aff of ex septic Vol Pg Owner When Installed: '-'
Previous office approvals/actions:
Variance: # LUP: # SP: # CUP: #
Inspection Report: # Change of Zone District: k `�
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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. /hA�� ��tr�3X.� #2. r�2cN #3. #4.
Size .30 ft.wide 30 ft.wide fr.wide ft.wide
�ft.long g ft.long ft.long ft.long �
Floor area �l0 sq.ft. �Fd sq.ft. sq.ft. sq.R.
Hgt.from grade 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 G� ��e �l"1P
1. Enter lot dimensions and indicate north by arrow. g�ture ner or Au hClrize A snt:
2. Indicate the location and size of the requested construction �-��� ������--��i'���_
SignaWre
&Ct1V1Y10S. CA �U7�Y./Iyh-�_ �l
PnntNam�U�� � ����)��Y
3. Also,1nd1C3te tlle IoCatlon and diSt3T1Ce to the wel], The above cedities thet the Ilsted inforrtmetion and intentlons are
true and cortect.that all work shall be performed In compllance
Sept1C taTI�C and CITalnfleld,wetland 3T'eas,lot 11nes 211d to tlle wlth the requiremeNs of fhe Savryer Counry Zoning Ordlnance
and the laws and regulations of the State of Wisconsin,and if
C8ri1CIlllle Of t110 I'02(�. acting as ownet(s)agent,has the permission of the owner(s)to
pedorm lhe work requestetl on this applicatloa The above
personsls hereby give pertnission for access to the property for
Q, onsite inspectian.
Permit fee:$�
June 28 2004 —
Issue Date S' nature ofIssuing ent
June 28, 2005 50%Rule: Average Road Setback: _
Expiration Date
Office Comments:
LEGAL DESCRIPTION
SITUATED IN SAWYER COUNTY,WISCONSIN:
Parcel No. 026-939-26 2101
The Northeast Quarter of the Northwest Quarter (NE'/a NW'/a) and all of Government
Lot Two (2), Section Twenty-six (26), Township Thirty-nine (39) North, Range Nine
(91 West, EXCEPT the following described parcels: Lots One (1), Three (3) and Four
(4) as recorded in Volume Six (6) of Certified Survey Maps, pages 18-19, Survey No.
1121; Lots Five (5), Six (6), Seven (7) and Eight (8) as recorded in Volume Ten (10) of
Certified Survey Maps, pages 132-133, Survey No. 2155 and Lots One (1), Two (2),
Three (3) and Four (4) as recorded in Volume Eleven (11) of Certified Survey Maps,
pages 355-356, Survey No. 2486. ALSO EXCEPTING that part described as follows:
Commencing at the meander corner between Sections 23 and 26 on the East shore of
Ham Lake; thence N89°15'33"E, 300.35 feet on the North line of Section 26 to the
point of beginning; thence N89°15'33"E, 524.00 feet on said North line; thence
leaving said North line S00°22'06"E, 500.00 feet; thence S89°15'33"W, 524.00 feet to
a point on the East line of a 66 foot wide access easement; thence N00°22'06"W,
500.00 feet on said East line, to the point of beginning.
TOWN OF ' � -
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