HomeMy WebLinkAbout010-941-22-1112-LUP-2000-494 . /7S°O
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Application for Land Use Permit ,',,,� o c �
County of Sawyer � < ,%"
PO Box 668 - Hayward WI 54843
715/634-8288
The undersiJned hereby makes application for a Land Use Permit and agrees that all work ���
shall be done in compliance �vith the requirements of the Sawyer County Zoning Ordinance _
and the laws and regulations of the State of Wisconsin.CONSTRUCTION N1AY NOT
BEGI�I UNTIL THE PERi�IIT IS ISSUED. <"
�,��� �� PRINT — USE BLACK ItiK OR PENCIL � _ %
�
��, ,,�; ,� ,� � �- r� ,., , �� � �.� ; � �� ,t ��
s � � � ,�
O�vner Builder � o
�-i C ��� �?� �.�C L' � -1� � �
M ' ' g Address Mailing Address s C `
�' 61�--��( ,�� ��-��� � ,�
� ;�r� r�*�[ ui �t.- u� , , �� 1 ;��,�< � \.�.� �
City, State, Zip City, State, Zip � _
� � �^ � -- � ' _'"�' �- � -, � � �
Daytime Phone Daytime Phone t '=�
�._
Building Land Use ��'
(� New ( ) Fillin� Zone District �
( ) Addition ( ) Dred�in� I�� (�-
O Alteration � Gradin� Lot Size S - ��1 4 c ►'�S � '�;
( ) Moving On ( ) - r'
( ) ( ) Acres '�, �� = �--;
_ �
�
Primary Structure Accessory Building Addition j� �
�) D�velling ( ) Gara�e-attached/detached ( ) Deck �
��'ear round O n of car stalls O Porch � ��
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed
� Frame built on site O Screenhouse O Li��in� room I
( ) 1�lodular,�manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom ��
( ) Other primary structure . ( ) ( ) Relocate/enlarge �
O O O # ofnew
�Ty e of Constniction �>t
Frame ( ) Lo� ( ) Pole/metal ( ) Bloc� ( ) Concrete �
�
( ) Other � ,�
� +
� �
Construction Cost 5 �j�6 ��,� �v
7/� �'�!d �-
Vol 58/ Pg � 8 of Deed Certified Soil Test # 9fc� �.3/ �
�
CSM Vol �Pg l<3b Sanitary Permit # (�C'i ._�G J N �
z
Plat Envelape Or: ^'
Condo Vol Pg Year Installed �`
Aff of e� septic �' P O���ner `Vhen Installed: C b
���I�'��
�1 u ���Z'.�� � - _�,���.� lt '',_i � � a�I�t O
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. .-�hc-�J #4.
Size�_ fr. wide Z y ft. wide �a ft. wide ft. wide
��l _ ft. long_ - Z kj ft. lon� 2-g ft. lon� ft. long
I YU'l•
Floor area � �` sq. ft. �� sq. ft �,-J��.(t�. Sq. g.
Ha. hom gade �S, to peak ft. h�t. ft. hgt. ft. hgt.
Srories /�h� 4�;r,,r`. stories stories stories
# of bedrooms �__ �'
� rear lot line or �vaterline of �;;� � lake/river
[n the box sketch in: ��
Location and size of all -
existin� and proposed stn�ctures.
Location of septic system.
1
Indicate distance to: � ����
� /
Waterline/�VeHands , .� _ r;���: ,�' .
Road ; __ . '
Z � � f�
Lot lines � ' � � �
� �_
Septic system/pri�y � ` 3 . ���
�,�"eli _ i
� .;5�i��' � � � "'`' d� �
Distance behveen structures. __
Indicate \orth. ��j�� , �'�
Fire �umber: ,`� � � �� _
�l UG7l(v�ft� O� k� -�+�Q / .
�17�d/ o C/ r,
',�ll ud� ���o � ✓ �
�Tc �
c�n,.��1�-
' `+I
Signature of Or�ner 'l�
Tlie aboce certifies that the listed � �
infomt�tion and inrentions arz hue and
correct. The abo�e pzrson's'hzrzby
��ive pzrmission for access ro the �
propzrty for onsite inspzction. ------- C0t7teCli�le OF road-------
[ssue Date September 12 , 2000 Expire Date September 12, 2001
� � � n i , _ /
/
Officc Comments �j�f�,,�-�� J�fjfj� y�
Si�maturc of Zonin�, Administrator
. \
� Application for Land Use Permit — Page 2 \\
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size ���"�', ft. wide 2 y ft. wide ft. wide ft. wide
�
�_ ft. lon� Z� ft. lon� ft. long ft. long
IY
Floor area � 2 q. ft. �� sq. ft. sq. ft. sq. ft.
H�t. &om gade )s, to peak ft. hgt. ft. hgt. ft. hgt.
Stories dh�_ �stories stories stories
# ofbedrooms _� ��•�``-�"Q`� ,
��`� �`iear lot line or�vaterline of )�[}a lake/river
In the box sketch in: ���� ��
Location and size of all �t�� �f`��
existing and proposed stnictures. � L�''� q
. C���
Location of septic system.
��_-_
�
Indicate distance to: � ,y��j � �q ���
Waterline/WeNands , ���� � �
Road �ti �� � �J� �� �!
Lot lines ���-��5��y0 � �'i 3�
Septic systen�/pri�y � r�
��'ell �� ' �c-� "����� 5�l ���_ ��� �
Distance bzt�ceen stnutures. 12x��-� _�O 'J'_ ',�
� ` ���
Indicate Korth. ��� Ir��`�
i %
Fire \umber: oo �r J�p/
`� � I
�4 v ;
�
. �-- �_ i
�i
r / // I
SignatureotO�r�ner j� � � �
The abo�e certifies that the listed '� J���`�r I
inforniation and inrentions are true and /_���/ �
correct.The aboce person�s/hzreby �
ei��e permission for access ro the
properry for onsire inspection. ------- centerline of road-------
Issue Date Expire Date
Officc Comments:
Si;nature of Zonin�, Administrator
, /75°O
, y��� �
Application for Land Use Permit �� � c
County of Sawyer �, =
PO Box 668 - Ha}nvard WI 54843
715/634-8283
The undersi�ned 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 MAY NOT
BEGI�I UNTIL THE PERi�IIT IS ISSUED.
PRINT —USE BLACK I�K OR PENCIL �
�
I��'n�V'� cQ V �L �ti t�l I�a u i � V n�- S e iJ �
Owner Builder � o
�l C �� � ���i� �
M � Address Mailing Address
�����d w� .�y'��� H��,��a �a „� ,
City, State, Zip City, State, Zip
����> � (� 3- d i3 � � � �� , � 5C�3- 0 �3S
Daytime Phone Daytime Phone �
N
Building Land Use N
� New ( ) Filiing Zone District _ �
( ) Addition ( ) Dredging �v
O Alteration �Q Grading Lot Size 5 - �� 4 �YES � �
( ) Movin� On ( ) � I�
( ) ( ) Acres �, �y ; �i�
Primary Structure Accessory Building Addition ! �
� D�vefling ( ) Garage-attached/detached ( ) Deck �
�Cf�'ear round O +: of car stalls O Porch � �
O Seasonal O Stora�z Building O Enclosed I
j� Frame buil[ on site O Screenhouse O Living room
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �Z
( ) Mobile/maiiufactured ( ) Other ( ) Bedroom ��
( ) Other primary structure ( ) ( ) Relocate'enlarge >
O O O # ofnew �
t
�Ty e of Construction =
Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other " �
�
� ^ �
= ��
Construction Cost S Q'�� ��� � f
Vol Pg of Deed Certified Soil Test # � �
CSM Vol Pg Sanitary Permit � �S z
Plat Envelope Or: �
Condo Vol Pg Year Installed
Affofex septic �' P O��ner �Vhen Installed: � 6
a�Slad��.l
---. -
�1�J��,�.'�,:z_r - ���� �r ,.��_�.�_'-
$40.00 New Number & Sign INSTALLER USE ONLY
$30.00 Replacement Sign NUMBER ASSIGNED
SAWYER COUNTY FIRE NUMBER APPLICATION
COUNTY-WIDE ADDRESS FOR 911
Name and address of property owner (PRINT)
_. � , � �_ �; ;, -, Daytime Phone Number
,�� 3 — c�� 3S
^ ; ,, � ..
('��� ��--
�i a �
� , � � , , ,.,.. .- r;,K'"' `� _
Will this fire number represent your permanent mailing address (\J�es ( ) No
Legal Description:LTo�w�7 /CitylVillage of = � �
Govt Lot _ i ; ::. '�< _J_L._-'�^ Sec ��= =-- Township _�..�N, Ranger''� Z
LOUS '., Blk _i_ Subdivision C I� - `r�! ' :- � � !
-�r-----
PIN # (12 digits ) ��� ���/l• a�� ��f� Map parcel number /. � �
In the space below, sketch in the location of your driveway in relation to the nearest reference
point. Show all distances from your driveway to the closest existing flre numbers on both
sides of your driveway. Measure distances in feet. Indicate which way is North. Signs will be
placed on the right hand side of the driveway facing the property from the road. Mark your
driveway with a stake with your last name on it.
Full exact spelling of road name � I �� 1 I r f t � ���' �'
Existing Fire Number Existing Fire Number
�
� �`'�cr �� Your Driveway
,; ���r .
distance in feet distance in feet
�:. ` _ — �
'.�'�jTAxE
The road name Sm j-�� ���R �."'
Continued on back
Sawyer County Property Address Policies
1. The Fire Number Application must be completed before receiving a County Land Use
Permit for new construction.
2. The County Wide 911 Emergency System requires that each parcel with a principle building
improvement must have a fire number/property address.
3. It may take up to 8 weeks to receive the property address. The contractor picks up the
applications every 2 weeks and then assigns numbers. The signs are ordered and it takes 4
weeks for delivery. Diggers hotline must be called 1 week before installing the post. Once
utilities locate underground cables, the sign is installed.
4. The property owner is responsible for maintenance of the sign & post. Replacement signs
are available by filing a replacement sign application and remitting a fee. Sawyer County will
not re-install or move signs for the convenience of the property owner.
5. Sawyer County is not responsible to assign and install any numbers on parcels that may be
missing a property address. Upon discovery that the property has no number, the property
owner shall file an application for a New Number and Sign and remit the fee.
6. There is a moratorium on changing road names. To avoid duplication of road names within
the County, please check the County Road Index in the Mapping Department of the County
Courthouse before changing existing road names or naming new roads.
7. Each single unit dwelling shall be assigned a number. Each duplex dwelling shall be
assigned one number for the building with uniUapartment numbers for each unit. A multiple
unit dwelling that encompasses three or more separate units shall have one number for the
building and uniUsuite/apartment numbers for each unit.
I understand the policies. �r��v% �'�"'�' � S ��
Applicant signature Date
Return application & remrt check to: Direct questions on existrng numbers and
Sawyer County Zoning Admin sign problems to:
10610 Main Street — Courthouse Sawyer County Mapping
P.O. Box 668 10610 Main Street - Courthouse
Hayward WI 54843 — 0668 P.O. Box 248
715(634-8288 Hayward WI 54843-0248
715/634-3564
REV 06/00 2
� u � � � v vr h � Y W� F� �
SEC . 2 2 TWP 41 N. R, g �/
HOSPITAL ROAD
;� .r�
.2.� 2.6 8 2 .13 9 2.14 M 1.148 .1.93 2 i
G � 2 .1.13 7 I.104 i.l
� .I.B
2.4 2 . 7 � 2.12 �O 2. 16 —
6 5
b
2 3 3 2 .8 2.11 �� 2.13 �
6-6 5• � .1.12 .I.I I
2. 2 4 2.9 s 2.10 � 2 . 17 �
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a�� V'V' 1! lC�� 1�.�(Vl V �J! l��ll b /l �ll'�LCa� n�(V� U'�1l ��Il"
LOC'ATED IIV Th(�IYE' 1/4 —hYE 1/4 OF,�ECTIORY2� T. 41 N�., R. 9 B�'.,
IIYYTHE TOT�'IyOFh(AY�'ARD, SAi�'YER COlItY7'Y WLSCOTY511�V.
NORIH UNf SECIION 22
-S 88'S '15" E, 2618.82'— HOSP/TAL ROAD
N 1/4 COR. 1309.30' 1/16 CO !00 6P � —�� - - 600 r—�92085' �
� NE COR SEC 22
�s I � 8.1.t'� r ���I
S 8831 J4' E� ' �I
pJ760� l LOl ARfA SUMd14RY
- - - - - -�— _ � ' .�,� L075 = 1,52,12JSf.
I� f � ��•�'�a ��'� l J49AC
rr LOT 6 = 149,8J5 SF.
� "' z �� C,`�' �, LS 574 AC.
l5 �I\ R +� LOT 7=27,616 Sf.
� i i o � 0.6J AC
� z 2 � � LOT 8 = 10,780 SF.
— m � � 10' WIDf Ull(l11' fMEh7 0 0.7/ AC
� �� � �------ , �• �'� � 70TAL AREA = 460,J64 .Sf.
o � "• � � 1057 AC
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v LARRY i. k� � '� "` �� � �q��
%' NELSON �� � � 5� �
� '� S-1276 � o � ' i,5�°� c,�
�r �S��,No, �� w i �. �� , — SCaCf 1 /NCN = 1a7 fFET
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sumEr er� � `7�
IARRY T. N N - NCS /276 g � 16 COR. UNE �ARINC GM57ANC£
DA1F0 IHIS,�bqY OF f 1996 (I S 0%08'16'W 1151
LZ S Ol'OB76'W /52,x7
�� � OfZTA Rqp!//� �0�C�y ��/NC LJ S 4T19'45'£ 99.71
Cl T/i4 8814'Ol" (4 S 54793I'E 91.50
�� 6971 S OS,H75' W (5 S 883/'N'f /,5p.�p
C2 4J89 50/J59' SpGb IZ50 S G741:u'f
CJ ig,55 �.Jy� C6 S 8857'l5 f 9892
SO.Gb 4667 N QT79'll"£ U S 8Y5734'f 1,5p.p9
C4_ 169.54 19470'1Y SO.pV7 --— —
- . 99.1? S 4719'45 f C8 N 5I7675 f 75.07
CECEPdO CLlEN7:• SWANSON HOFF /NC.
� FOUND Y AC. G1P. A/0/✓. JOB.� H035/96 O15K: JS �����d �,�/�����11'll7l
0 FOUND ?-I�Y BC SC4LE l INCH = 200 fEF( FlLE 3596B.OWC u�Juu f(f(](
FOUNO i-1�2� lRONPIPE LW7F.' JU(Y3. ]996 ���I'����'VA �n)�py���
FOUND 3 9 /RON R00 BEAAINGS Rf£ERfNCfO TO Dlf NORIH LWE SEC 7T ���i l W�9a1L[J
FOUND /8' RE&W ASSUMfO TO BEW 5 8851'!5 E ROU7E I0, BOX 251-q (7/5J6J4-14f1
� SE7 1-1 4�x74� lP WJ = 1.6B FT NOiEB00K.� 514I-96 SNEfT ! OF P SHEE7S �n✓N70, N2 54B4J
FAX: 6J4-6II1
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SAWYER COUNTY CERTIFIED SURVEY MAP
Located in the NE 1/4 - NE 1/4 of Section 22, T. 41 N., R. 9 W., in the Town of Hayward,
Sawyer County, Wisconsin.
SURVEYOR'S CERTIFICATE
I, Larry T. Nelson, registered land surveyor in the state of Wisconsin, hereby certify:
That on the order of SWANSON/HOFF INC., I have surveyed, divided and mapped the following described parcel of
land located in the NE 1!4 - NE 1/4 of Section 22, T. 41 N., R. 9 W., in the Town of Hayward, Sawyer County,
Wisconsin.
To locale the Point of Beginning, commence at the N 1l4 corner of said Section 22; Thence, along the north line of
said Section, S 88° 51' 15" E, 1309.30 feet to the east 1/16 corner; Thence continue S 88° 51' 15" E, 100.67 feet to the
Point of Beginning.
Thence from said Point of Beginning by metes and bounds.
Continue S 86° 51' 15" E, 222.00 feet; Thence, leaving said north line, S 01° 08' 26"W, 162.53 feet; Thence,
southeasterly, along lhe arc of a curve to the left, having a radius of 50.00 feet, a central angle of 194° 20' 22", a chord
bearing S 47° 19'45" E, and measuring 9922 feet, 169.58 feet; Thence S 54° 29' 57" E, 91.50 feet; Thence
S 88° 51' 34" E, 150.00 feet; Thence S 00° 39' 44" E, 424.87 feet; Thence S 44° 51' 30" W, 855.70 feet to the N!_ t/16
corner; Thence, along the west line of the NE 1/4 - NE 1/4, N 00° 47' 03"W, 503.79 feet to the south line of CSM #753;
Thence, along said soulh line, S 88° 51' 15" E, 98.92 feet; Thence, leaving said south line, N 00° 39'44"W, 820 00
feet along the east line of said CSM to the Point of Beginning.
Entire parcel contains 460,364 square feet, which is 10.57 acres.
Subject to all existing easements and reservations of record.
That I have fully compiied with Chapter 236.34 of the Wisconsin Statutes and the Sawyer County Subdivision Control
Ordinance;
That this map is a true representation of the survey made; and
That said survey and map are correct to the best of my knowiedge and belief.
�- / t�'Y� ' " �-^ Dated this -�� day of ��� , �gg�.
Larry T. Nelson�
WI. Reg. No. S-1276 ```ti�adti���wy��..Y
*.'��$a��Jr r�`�j�,s•a
Y �/r f,
SAWYER COUNTY ZONING APPROVAL 'R LARRY 1. `
�� NELSON 1
s-iz�e ; , `
Approved this - 1� day of J�_ , 199 �. � w sNo ��r`
� �� }
�' S5� 9 '7 � �-
���, (�Z.� .,pas`U f2`�,;,:•'
David Heath -Zoning Administrator ��°� �
6ew�'a Cowriy
��reoo b
da�'d
A019�s1 :•'� ,
Sheet 2 of 2 sheets B"d��wded in vd.
of Ceru6ed Survey�on p4
�ecn�a�.oscee�c� �
�.� 1
. �,:.
286315 STATE BAR OF WISCONSIN TORM 1-1998
Document Number WARRANTY D$ED
This Deed, made between SWANSON & HOFF, INC., a Wisconsin
wr ration,Grantor,and DAVID V.OLSON and ANGELIA A.OLSON, Req�s�ers ori�c�•
Sawyer County
po FS
husband and wife as survivorship marilal property,Grantce. Reca�ved�o�record rnis�day of
Grantor, for a valnable consideration conveys to Grantee the following Sf A D 2o OD at 0.3U o'ciock
described real estate in Sawyer County,State of Wisconsin: �ana rocorde�Qas vo�S
of Records on page o�`f�
� Pu •1_/ � Register
nCl ZILY�
� � Deputy
Recocdin Area
Namc and Re�urn Atldrcss
! SG/� �3 7�
, ��a941-ZZ�ix3
� Parcel Idenufication Number(PIN)
This Ls nM
� homestead pwperty.
, {is}(is noq
i
` Part of the Northeast Quarter of the Norlheas[Quarter(YE%.NE�/.),Section Twcnty-two(22),'fownship Fortyonc
� (41)Nort6,Aange Nine(9)Wesl,more particularly described as Lot Six(6)as recorded in Volume Eighteen(18)of
, Certified Survey Maps,pages 130-131,Survey No.5443.
. Tr��ras�ER
sa-
, FEE
Together with all appurlenant rights,title and interests.
' Grantor warrants that the tide to the Property is good, indefeasible in fee simple and fcee and clear of
, encumbrances except all easements,exceptions end reservntions of record.
� Daced th1S�day of �,�c u�� �(A��
� � 'SW ON&II F C.BY:
� _,.�S��WIL��''' .
� • ``,o�, • • �.,,
, ;�. �ZAR�,'�..,��
, AU7'I�NTICATION '� �C � ACKNOWLEDGMENT
�� U6�4r��,y2��F �l�aAri� �
� Signature(s) � '. P �. ,•���" �
�Srq�F pp Yl� • W CourtTY ) -I
authen[icated this^day of ��������'�����, P sonall came befo�e me this !��day oF
, he above n �d to
kn wn t b tl� per o s) �c�foregoing
� 'strument a a o I n.
' TTTLE:MFSv1BER STATE BAR OF WISCONSIN a �l
, (If not,
authorized by§706.06,Wis.Stats.)
, Notary Public,State nf [S � 1
� 7HI5INSTRUMENT WAS DItAFTED BY My ommi n is per�m�7�e L (If no[, stale expi�ation date:
, Attorney Thomas J.DufFy �_7.t�o��
� flayward,WI
� (SiSmwros may be authenticated or acknowlrAged. Both are not
neeessary.)
� �Names of permm signing in any capsciry slwuld be rypW or yrinmd below iheir signatures �O e ��
WAqRANTyDEED STAiEBAROiWL5CON5iN � 5 P� 2 4 0
' POIUt No.�.�99!
Inlormatan Prote¢simels Comoany FaM pu Lec,W:swnsin 800.655.j031