HomeMy WebLinkAbout010-941-30-1206-LUP-2001-392 . �a=�
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Application for Land Use Permit o o , O
County of Sawyer �
PO Box 676 -Hayward 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.CONSTRUCTION NiAY NOT � �
BEGIN UNTIL THE PERMIT IS ISSUED. �
d�/AS A7'�C7 PRINT—USE BLACK INK OR PENCIL �
���'�.�t(?l � �1�`(,1�.� `��I�1,4�1 b bl� �C�.l� �C� � a �
Owner Bui der ° o
I OF���I `h C�!.�.�.�-e. � 0 Q�u.��tc `�.�� l�C��i �I l0 0 � �
Mailing Address a'ling Addres� �
�1(�,��u�Gh��, 1�.� 5�4�4� ` � `� U,�� ry`6'�'3
City,. ate,Zip C�ty,S te,Zip �
�`11`>> �0�3�{ ��l�r7i �e�vk�- I 3�I-�C�� — ��
Daytime Phone �— Daytime Phone
Building Land Use ��} f�{�
�)Ne�v O Filling Zone District��Vl,(,�� I'(,K,� C
( )Addition ( )Dredging b
( )Alteration ( )Grading Lot Size o
( )Moving On ( ) /, �
( ) ( ) Acres '"T-� � o
A
Primary Structure Accessory Building Addition �
�Dwellin� ( )Garage-attached/detached ( )Deck o
( )Year round ( )#of car stalls ( )Porch
( )Seasonal ( )Storage Building ( )Enclosed �
( )Frame built on site ( )Screenhouse ( )Living room ^0
( 1 Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom '
( )Other primary structure ( ) ( )Relocate/enlarge ^ �
� 1 l ) l )�ofnew � �
� �
Type of Construction O '
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete 6� `�
�
( )Other ; �i
y I�.,
/ 1 � a
Construction Cost$ �(� ��� E
'
Vol �� Pg�of Deed Certified Soil Test# (�O— ��1�5 ' �'�L'
CSM Vol i a. Pg I So /#A4�Y Sanitary Permit# �� —o�,�J 4' Iz
Plat Envelope �r: s �'
Condo Vol Pg Year Installed I�
Aff of ex septic V P Owner When Installed: � ���(
Application for Land Use Permit — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. .�"l�`1�U1.C- #2. (;�L•�� #3.��.C�k. #4. � ��`tfZ(�JL
Size ft. wide �� ft. wide I l; R. wide c�. ft. wide
�� ft. long o�, ft. long ��ft. long ��� ft. long "
Floor area �� sq. ft. ��/y sq. ft. _�_sq. ft. r�-- sq. ft.
Hgt.from gade to peak ft. hgt. ft. hgt. ft. hgt... �
Stories � ��_ �,�stories �� stories � stories .
# of bedrooms ,�
rear lot line or waterline of lake/river
In tne box sketch in: " - -
Location and size of all � ' . �,r `.� �
existin� and proposed structures. � ' ���
�
Location of septic system. — � � �,� ,� '
1 u�c!' � 'c
Indicate distance to: i �
Waterline/Wetlands � �
Road t �ar�' l� C�i-'
Lot lines � � � J
Septic systen�/privy �
Well � � " Z �
Distance between structures. a'
� �
Indicate North. '
' �50` -� '
FireNumber:r �f � � ,n, , � �
l� l�U� � 1
i'1 ' : /' �ry� �I
��LLVL��� /'� c�.`�-�-'h-'^- � �.
1 I 1 'V < /l � `
Signature of Owner � �
The above certifies that the listed
infoanatioa and intentions are hue and
correct.The above person/s/hereby
give permission for access ro the
properry for onsice iaspeccion. ------- centerline of road-------
IssueDate August ?_0 , 2001 ExpireDate August 20 , 2002
Office Comments: • c � 1
Signature of oning Administrator
1/N 0 F HAYWARD .
=C. 30 T. 41 N. R. 9 W.
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SAWYER CODNTY CERTIFIED SIIRVEY MAP:
Fa. z• s ec Fe z��s e c
. NW cor. Sac.30 352T.J0' Gov'1. Olat. NE cor. Sec.30
� 34q0.09'meo. S 89•28'28"W
, No. Iine Sec. 30, baae ot Oearinqs � 1299.66'maa.
1299.12 pro0. 6ov't
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- N 3��'N Roqo W � SIIRVE7COR'S CERTIFICATE
o y . � m ,°Q I, LYLE L. ELLIOTT, regietered land aurveyor,hereby
Z o \ m\ certify that by the direction of Carey Gidley, I
4 '1�F m ; have surveyed and mapped the land parcel which ie
o I �o wp N repreaented by thie Certified Survey Map:
• f � �°oo N m m O
� ; ,, �� That the exterior boimdariee of the land parcel
� � f 3 O �''" n eurveyed and mapped aae described as followe:
; � �= zie,z9zsr � A part of the Northweet Qvarter of the Northeaet
w � m s.oioc. Querter of Section 30� Townahip 41 North, Range 9
� a g West, Town of Haywaad, County of Sawyer, State of
� 4Fem° w Wieconein, and more particularly deecribed as followe;
I p".� 88°32 �
I �0,�0'�0 123'� m Co�encing at the Northeaet corner of Section 30,
6 • *-., thence S 89°28'26"W 1299.66 feet, thence S p°13'09"E
`"r ,y N��2�, w 197.68 feet to an iron rod being the Point of
N88° B'28"E I J2e 3 —
J-- .'so $ BeginninBr
n�o2ssT N �qsz"'F
� � ° thence S 0°13'O9"E 1131 .66 feet to an iron ehaft,
� � thenae N 89°56'28"W ly31 .16 feet to an iron pipe,
`;o N � thenoe N 0�25'22"E 660.95 feet to an iron pipe,
� °ou $ £ thence N 89°28'26"E 98.83 feet to an iron rod,
N ^
a L V
�n qN �a�amenl a � thenoe N 0�13��9�� 579•�{j f99t t0 an iron TGd�
3 mm " N thence S 74°�8' ��"E �95•32 feet to an iron rod,
N o�, I $ � thence S 6��2ly'00"E 148.'/2 feet to the Point of
v po I589'28'26'•W Beginning, said parcel containe �o.yY ��s moze or
m� ise.ea� leee, and ia sub�ect to ar�y easementa or reetsictions
. � - � zoy,osz sf. of reoord.
' � a.6s a�.
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� 'I That I hane fully complied with the provieione of
�segse�xa��e Section 236-34 of the Revised Wisconain Statutee and
zoo.ao� a the subdivieion ordinance of Sawyer Coimty in
� � 4 eurveying and mapping eame.
W O w u
� 3z,�s� st. � � I hereby certify that thie suxvey ie correct to the
�soc. E beet of imowle and belief.
200.00' 2i1.18' � �
� N 89•38' 28"W 431.18'
,� ��
, � _; � � 1
L . EL�ar , i�a a,�yor
. Wi onein Re tration S 1300
i
LEGEND
•��e��G�.�ra �r�'
6 FWND I��X I�� SWARE IRON SHAFT ����\�� S,iy`"�
• FOUND I-I/4�� IRON PIPE O ;'1 p � � n ��•,�(, .+���•"� trG�';;
• � FOUND 5/8� IRON ROD ��� �j � '� �� ��'';(! ��
, O SET 3/4�5(24'�IRON R00 WT. I.�¢feTOfHca ) [ La�l ��
Sawyet Counry �� c 5�13:FJ
7 ' POOhf:rt. ��i
Received lor record the � doY �
A D !9_at�I `�o'olock ��. `�
�p/����yand recorded In vd. / -r , �
y o((�v�.c'�foo Dar'9ne�._ � . . . � .
w3' J.,-.�yv..,�+
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Z Q-(,i.�— � ��; �--
°z SCALE I��= 200' ��-
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• A F F I D A Y I T
�
STATE OF WISCONSIN>
)` SS
CODNTY OF SAWYER /
I, LYLE L. ELLIOTT, regietered land eurveyor N�ber 5-1300 hereby depose and eay
that I am a �and surveyor regietered in the State of Wiaconsin, and that I have surveyed
and mapped Sawyer County Certified Survey MaP 243� 8e recorded in Volume 11 , Page 252
of Certified Survey Mape in the Register of Deede office Sawyer County Wieconein.
On such map I ahow the Raymond Veille direction to survey to be done when in fact 1t
was Mike Aubart directed the surveY to be done.
I have made thie affidavit for the prupose of correcting se.1d eurvey map and for no
other purpoee• �
L. EL IOTT
Subsarlbed and eworn to before me
�/'h JVl 0.�'• �.a-^"'�
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mhis ��day of vno.. ,i 988 2� 8 � 9 9
U
Notary Public, Wsahburn County , Wie.
Reqfetei s o�ce �
tyr Co�iesion Expiree ih���P 9 Sawyer Counry /� �d
qeceived Ea tecord fl+e�--�o alock
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