HomeMy WebLinkAbout032-540-15-2302-LUP-2004-138 Application for Land Use Permit o o '
County of Sa;�vyer � �'
PO Box 676 -Haywazd WI 54843 .�
715/634-8288 �
The undersigned hereby makes application for a Land Use Permit and agrees that all work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance ^ �
and the laws and regulations of the State of Wisconsin. ,�f
NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. � �
PRINT—USE BLACK INK OR PENCIL
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Owner Builder °'
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'��ir4�i ���` �Li � o �
Mailing Address Mailing Address � �
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City, tate,Zip City,State,Zip �
�/_,-���-L91?-� � �
Daytime Phone Daytime Phone
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Additional Information: Zone District ��� �
Lot Size 9.75 �vz��
Date lot was created Acres�'„l.,.R[.' �t �G8�
Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river, �
creek or stream) If yes,how far from the shoreline&water name: %� �
Is there wetland neaz the proposed structure?If yes,how faz�1j; � �
Building Land Use �°
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J�'New ( )Filling Floodplain:( )Yes (�No # ;;
( )Addition ( )Dredging �� � o
( )Alteration ( )Grading Chippewa Flowage: ( )Yes (�No �
( )Moving On � ;*si�zn r
( � ( ) � Driveway:( )State ( )County �TownRd. ��
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P 'mary Structure Accessory Building Addition
Dwelling ( )Garage-attached/detached ( )Deck
Porch �
( )Year round ( )#of caz stalls ( ) �
( )Seasonal ( )Storage Building ( )Enclosed
�Frame built on site ( )Screenhouse ( )Living room p"'
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom c`
( )Other primary stnzcture ( ) ( )Relocate/enlarge
� � ( ) ( )#of new p
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Additional Information:
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, � �
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T e of Coqstruction �
Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
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( )Other c� •�
Construction Cost:Primary Structure$ //n�"� � �+
Accessory Building:$ Addition:$ � z
¢ 3i377� � �
Vol Pg of Deed Certified Soil Test# ��
CSM Vol a3 Pg �J(Q �� Sanitary Pemut#��Q � �
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Plat Envelope �r� c
Condo Vol Pg Year Installed �
Aff of ex septic Vol Pg Owner When Installed: ^�
Gard Gazebo Vol Pg -J �
Ins ection Date: � ��;,{J�
Previous Variance: L�� P u �
35°15�
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. o #2. #3. #4.
Size��ft.wide ft.wide ft.wide ft.wide
36 Q ft.long R.long ft.long ft.long
Floor azea /o o� sq.ft. sq.ft. sq.ft. sq.ft.
Hgt&om gade 17�- to peak ft.hgt. ft.hgt. ft.hgt.
Stories ONe stories stories stories
#of bedrooms�
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Lot Line or Lake/River name:
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Fire Number and Name of Road
I.Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2.Indicate location and size of existing and new structures. �' /) Q _a
3.Indicate location of well,septic tank,drainfield.
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4.Indicate distance to existing structures,lot lines,septic system.
5.Indicate distance to the ordinary high-water mazk of any lake, ,//� �
PrintName:��`r!"`� �����y��
pond,river,stream,creek,and name the body of Watel. 7he above certifies that the listed intormation and intentions are
6.Indicate any grading or clearing in excess of the construction site. �55 ome propertyfoonst rsnspection by give permission for
7.Indicate distance to any wetland.
Permit Fee:
May 5 2004 ' �
Issue Date Signature ofIss g gent
May 5, 2005
Expiration Date
Office Comments:
Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries:
Restrictions and other information:
TOW �V � � � . .
SEC. 15 TWP 40N. i�
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Sawyer County � �
Hyy�ce,,ivad for record IMs�_day of
�11 W� P.0 20Q� �� �i0'Clxk
�T.M and racOrded in vol� .
o�Cenified Surveys on paga � J�
�:. 9 � C�.,�"s�
3002�g6 R�5`e`
6A
Sawyer County Certified Survey Map No.
A Part of the South 1/2 of the Northwest 1/4 of Section 15,Township 40 North,Range 5 West,
Town of Winter,Sawyer County,Wisconsin. This Certified Survey is a Redivision of
Part of Lots 1,2,and 3 of Certified Survey#2336;and Part of Lot 4 of Certified Survcy#2337.
NW ComnScc[ion IS
Set 5/8"Rcbar wi�h I I/2'
Aluminum Cap From Tics
. $
- Unn(arred Lands
R+ N 99°25'OS"W 122816' 4Linc,SIR-NWI//
� 21 I. ..1 2R.ON'-- 6.9'
I I��'3J.02' �
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"I I Lot 8y I Lot 7 Lot 6 Lot 5
m� I 297,958 sq.R. N 424,754 sq.R. 424,766 sq.ft 424,802 sq.ft. C.S.M#6421
�I i 6.84 acres ° 9J5 acres 9J5 acrcs _ 9J5 acrcs
r. Eaclw4nY 0..O.W, y Euf.Nna 0..u.w. � L�ciaGiny 0.(1 W. FacMinY R.O.W.
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Old road bcd I � I
f � 10'widc I I I
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w ue Comcrsation�5 S88°38'S�"t; :_ 1261.R3'
Fourrd SB"Imn Bar /" '—"—"--'—"—"—..".—" � '—�056.7J'
SSA°SR'S8"E 5J18.56'
�t.....„...._................__..Crntcdinc Barkcr Lakc Road........,...........................'�
Legend
• Found t"Iron Rod
• Found 1 I/4"Iron Pipc
■ Found 5/8"Rcbar
o Found 1 V2"Irvn Pipc
o Sct I"X 24"Iron Pipc,1.13 Lbs/L.F.
O Sct 1 I/4"X 42"Iron Pipc,1.68 Lbs/L.F.
♦ Sct P.K.Nail Grid North
9 Comcr of Rccord as Indicatcd Say.�'e�COURty
�: Marsh � \��1llili/��'
--Dashcd lincs and tcxt indicatc previous C.S.M.'s ������y�-��N_Q��%�
. �
Scalc: !" = 250' � � DANItL • �
Bcarings bascd on
���� G-W 1/4 Linc S«tion IS ` K
0 ?50 500 �3 i'LEO E�}��
CURVE TABLE � •� E�+,`/�IS,�'�
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CURVE LEPGTH RADIUS DELTA CHORDBEARING CHOftDLENGTH j}'••••-�v�;��\�
CI I 13.J8' 574.99' 19'2775" N75"24'OG"[ 113.84' ,'��!/t 1 i�1}�`\\
C2 )6.a4' J7�199' 6'U'S8" N88°12'S2"E 76.42' �Y 16�Z�Z-
Sheet 1 of 2 e�i
Certified Survey No b 4 z 4 � � 3 �� 2. V