HomeMy WebLinkAbout032-538-03-3306-LUP-2004-433 Application for Land Use Permit(*Non-shoreland*) o o r - .
County of Sawyer a .
PO Box 676 -Hayward 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.
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PRINT-USE BLACK INK OR PENCIL
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Owner Builde� �'
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Mailing Addre s Mailing Address O
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City,State,Zip City,State,Zip � �( �
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Daytime Phone Daytime Phone >' �
Additional Information: Zone District: �—� �
LotDimensions:/5S'.9�X 7�/k, y�� �
/ido3'( S�(u -F�'• F
Date lot was created: �-Z�-�OOZ Acres:_ rz� c,j 7 n
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Is there wetland near the proposed structure?If yes,how far = �
Building Land Use Floodplain:� )Yes O No � �
(�New ( )Filling
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O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading Q�Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy i,"', �
� ) � ) o S
t'
Primary Structure Accessory Building Addition � °
�0)Dwelling ( )Garage-attached/detached ( )Deck w �
( j Year round ( j+�oi car siall� O Purcn =
( )Seasonal ( )Storage Building ( )Enclosed �
(Xj Frame built on site O Screenhouse O Living room (/)
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge
� � ( � ( )#of new ' �
AdditionalInformation: U" >
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Type of Construction: � �
(}Q Frame ( )Log ( )Pole/metal ( )Block ( )Concrete V"
( )Other ' y
Construction Cost:Primary Structure$ �o G�(JC�G � �
Accessory Building:$ Addition:$ � �
#3T.1(o5C7 �
Deed:Vol Pg Certified Soil Test# °O z
CSM:Vol_�_Pg��_Lot#�_ Sanitary Permit#__�.� —..� N•T �„ ?'
Plat Envelope Or: N �
Condo Vol Pg Year Installed: � �
Aff of ex septic Vol Pg Owner When Installed: '-'
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Previous office approvals/actions: `
Variance:# LUP:# SP:# CUP:# �'9�0�„
Inspection Report:# Change of Zone District:
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33��`I
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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. #2. #3. #4.
Size ft. wide ft. wide ft. wide ft. wide
�_ft. long ft. long ft. long ft. long
Floor area / ,� _7 sq. ft. sq. ft. sq. ft. sq. ft.
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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 � r J� ��.� /'��3 � fi '�''�-� 0.'�� ����
1. Enter lot dimensions and indicate north by arrow. � �nature��Owner or Authorized Agent:
2. Indicate the location and size of the requested construction arv....� _
t -� Signat
activities. i p ��
Print Name: �-V`� � �
3. Also, indicate the location and distance to the well, The above certifies that the ' d information and ' ntions are
true and correct.,that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road. a�t��s as ow�er�s>a9e�t,has the permission of the owner(s)to
perform the work requested on this application. The above
personsls hereby give permission for access to the property for
� onsite inspection.
/
Permit fee: $ f 7 U'
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August 16, 2004 � —
Issue Date Sigr�atare uf iss in geni
August 16, 2005 50%Rule: Average Road Setback: _
Expiration Date
Office Comments:
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Sawyer Counry � * .
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CERTIFIED SURVEY MAP
PART OF THE SW 114 OF 7HE SW I /4 OF SECTION 3 - T38N -
RSW - TOWN OF WINTER - SAWYER COUNTY - WISCONSIN.
SURYEYOR'S CER7IFICATE
I. RICHARD A, STOWE. REGISTERED LAND SURVEYOR. HEREBY CERTIFY THAT TO THE BEST OF
MY KNOWLEDOE AND BELIEF. THIS PLAT IS A TRUE AND CORRECT REPRESEN7ATION OF PART OF
THE SOETMYEST OUARTER OF 7HE SOUTHWEST QUAR7ER OF SECTION 3. TSEN. RSW, TOWN OF
WINTER. SAWYER COUNTY. WISCONSIN. DESCRIBED AS FOI.LOWS: BEGINNING AT THE SOU7H-
WEST CORNER OF SAID SECTION 3: THENCE N 03•JI'00'W 635.57 FEET: THENCE N 89• Ifl'S9'E
71E.41 FEET: THENCE S o2•30'04'w 628.38 FEET: THENCE 5 BB'41 'Il'W 652.12 FEET TO
THE POINT OF BEGINNING. SUBJECT TO ALL EXISTING EASEMENTS AND RESERVATIONS. I
FURTHER CERTIFY THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF SECTION 236.34
OF THE WISCONSIN STATUTES IN SURVEYING AND DIVIDINO THE SAME.
THIS SURVEY Wp5 MEDE AT THE REWEST OF ROBERT BILLER AND CURTI55 LEIN.
ate �� in y ac e�
Sawyer . Zoning�
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RICHARD A. STOWE DATE �
REGISTERED LAND SURVEYOR �
WISCONSIN REG. N0. 5-1775 �
LIME BFJRINB DI�TYICE
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B AIONUIIENT FOUND AS�NOTED.
N 89'19'S9'E 718.41'
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,� ��nl � ioe�ea ao. F7. h o BEARINGS REFERENCED TO
SOUTH LINE OF THE SW I/4
� o N BB•50'45'E 668.69' °' OF SECTION 3 - T3EN -
+� �i , RSW - ASSUMED TO BEAR
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IRqI PI�E AT i� CONNFR 69 I/{ s� 1/1
�� COtNEP OF iECTION ] OF tECIION J
I�8 I SCALE - I' - 200'
0 100 200 400
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