HomeMy WebLinkAbout008-938-33-5401-LUP-1997-630 �
Application for Land Use Permit r y -
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843 �
715/634-8288
T'he undersigned hereby makes application for a Land Use Permit and agrees that all work
shall be done in compliance with the requirements of the Sawyet County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.
PRINT—USE BLACK INK OR PENCIL
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Owner � Builder `
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Mailing Address / Mailing Address 7 �
City,State,Zip City,State,Zip
Daytime Phone Daytime Phone
Building Land Use
( )New ( )Filling Zone District �;( �
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On (��''� � '°-' �
( ) (� ) Acres /("r �`�� �
c
Primary Structure Accessory Building Addition � �
( )Dwelling ( )Gazage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls O Porch o
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure (,) ' ' ' ( )Relocate/enlazge
� � ( ) ( )#of new �
Type of Construction
( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �� >
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( )Other "
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Construction Cost$ �
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Vol Pg of Deed Certified Soil Test# � �
CSM Vol Pg Sanitary Permit# _ a �� Iz
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Plat Envelope Or:
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Condo Vol Pg Yeaz Installed y
Aff of ex septic V P Owner When Installed: ��
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Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Si2e ft.wide ft.wide fr.wide ft.wide
/��� ft.long ft.long ft.long ft.long
Floor azea sq.ft. sq.ft. sq.ft. sq.ft.
Hgt Srom gade to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms
reaz lot line or waterline of lake/rivsr
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline
Road
Lot lines �
Septic system — -- ` '
Distance between structures. ``
{.,�
Indicate North.
Fire Number:
Signature of Owner
-------centerline of road-------
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IssueDate 03 November, 1997 ExpireDate 03 November, 1998
. �_���
Office Comments:
Rtate o nsin APPIJCATION/PEI2MTT FOR RIPRAY PROJECI'S
Department of Natuml Resourcros.� . ��- � . . Pucsuan[ [o sec[ioo 30.12(3)(A)3, Wis. Sta[s. 'r'ocm 3500-91 �-� = �� �
. 'Ibis fo[m i� required under Section 30.1[�3);�Wis. SWes. ftefusal to�prwide this information may result in the dismissal ofxour a plic9tioa:�� -� "
PersooaUy iden[ifiable informatioo on this form will be used for no�other purpcue- f— — �(,,�
LandrnwdaName , PmjectL.o�[iou L�gK� S//o�2t n✓ Fl2oN1` aF 8�/ITNCUSE
' C nae�, %i. � B o x / 9a.
sum or Rouce r F. .L. —
Q � S�1/4, S � 1/4,Scction .�� .T_3�N,RQ� (E) (l�
c;ry,su�c zP coae ( ) c�ry (✓)Tw�„ � �V»ge o[ F IJ�E Wq !ER
• � . iv` - �
Home Tdephone No. Work Telephone No. Fiie Numbcr u Pa o. County Name of Watccway
c �� � : " � c ) � �3S'33- G �
I hercby certi[y tltat the information conuined hecein is tcve and accurate. I am the owner of t6e riparian property or am the duly authorizW eepeueneativc and
may si�this application on bet�al[of t6e owner(s)of said p`operty. I luve r�ad and undexstand all of the mnditione of this pe�mie Iisted on the nvicex side and
adl conatrva t6e above mrntioncd project in mmpliance with all such condiuoa+. I uodasiand lhat Gilurc to comply wilh auy or all of[he provisions of the
pe[mit ¢adas[Le authociation containcd hercin nWI and void and may euWt in a 6ne and/or imprisonmrn[ under the provisioro of s.30.12(S),Wu.Slats.or
(ecfatuce under�.30.15. Wu. Stats
Printed or'lyped Full Name of P.ppliwnt Signamm of P.pplipnt Date signee
G 9 07 - 97
v
ATTENT'ION!! YOU MUST COMPLY THE CONDITIONS ON THE BAC�OF TffiS PE�II'T
FINDINGSOFFACI' S�P � � �997
I. 'tlu applic�nt has complied with all peocedural and Icgal rtquifemenu of W'uconsin �w. K FALLS /�
� 'Ihe pmposed pfoject will not IesWt in a material otstr�aion to naviga�ion,will not adversely affec[waier qua:ity,will not inertis��eter pollution in
mrface waten and will not c�usc rnv¢onmental pollution az defined in s. 144.01(3), Wis.Seau., i(th< pfojca u corutructed in accordance with thu
pClmil.
3. 'he DepaRment has determined that the granting o[this pe[mil would nol be a major sute action signifc�ntty alIccting the quality of the human
eervimnment.
4. 'Ihe Depanment and the applinnt have completed all pmcedurel rcquiremrnu and the project as permi«ed will compty with all applie�ble requiremrn[5
o[Wis[onsin Administra[ive Codc and Wisconsin Sutulcs.
5. TLe projec[will no[impact wctlands.
CONCLUSIONS OF LAW
1. "[lu D<partment has authority undcr s. 30.12(3), Wis.Stan.,and applidble W'ismnsin Administrewe Coda to issue a pami[ for this pmject
2 "Ite Depanmrn[has complfed vnth s. 111,Wu.Stau.and NR 103,Wu.Adm. Code
NOTICE OF APPEAL RIGHTS
If you bdieve Ihat}rou have a right[o challenge this decision,you should knaw that W'ismnsin Administrative Codes and Wismmin Slatutc ctablish lime�eriods
witLin w6ich[equaa lo m�icw Depanmrnt dttisions mus[be filed.
To'equat a contated tase h�aring punuan[ to s.227.47,Wis.Stats.,you have 30 days aRv[he dcosion is mailed,or othawiac saved by the Departmrne to
eme a pctition for hwring on the Seaetary of tAe Depanmmt o[Nawral Resourar. T3is noti«u pewided pucsuant to s.T27.4S(2),Wis.Suu.
LEAVE BLANK-DEPARTMENT OF NANRAI.RESOURCE USE ONLY
SCATE OF WISCONSIN -DEPARTMENT OF NANRAI.RESOURCES
For the Seaeury
Lssued By. �X�/ C� Daee Signed /� —7—!Y
� �CALC��t�
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� WINJ�A� r
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.NGS OF PROPOSED Location Sketch ((ndicate sr�le?. 5fi�w �oute fo project site; incfude nearest `
, i'I�iTY SHOULD BE mainroad and crossroad. �
i'KL:PARI;U IN ACCORDANCE
`•".' ;'!'H 5�1�iPLE DRAWIVG
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I'roject Plans (Include top view and typical cross sectlons. Clearly idenUfy features and dimensions or indicate scale.)
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DOCUMENT NO. qUl'L CLAIM D6SD I
'� STATE BARpOFpWISCONSIN p`FOHN;, �-
17 5 0 r�,s=..�E E,E ���.oA�E�o ���o.
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A.ow.r.an�. �
EMILY F MACKANIN, an adult woman ���'��������� �I
..........................._..................._---......._.......................---__.....--......._ P t �d lor rocord 16� �d I�,
........—.....-'-'-'-'.. ................-----------'-..........._...._...................-'--........ �— rr--�
nuibchiime to-'---:IOSF.�H-.�1A.CJ,C.t�1IN�..e.A.b.JJl.a.t,_IDftA.---------"--'----'-. ol Hw.ro�on p�o�Y �� il'
� cy�
—............................�--- .._...--....._...--�-� ----.......--...............--- �I
� --- ...._�- -----�— -�--�-- ---- — ... .._...--�----�-- —�-----------��-�—� ;�
D�arr
- .....-.--.......-•---- ...--��- __ _-.....-�-�'----�-�-�----�---�------�
the following described real estate in ._......_.._....Sa�ayes..................County, — y�
'� Stato of Wiaconein: ,u„H, �� �
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Tnx KeY No.---.._..._.....--...._._._......
� Government Lot Four (4), Section Thirty-three (33) �
' i Township Thirty-eight (38) North, Range Nine (9) West, lying West of County I',
Trunk Highway "F". II
That part of Government Lot Four (4) Section Thirty-three (33), Township Thir[y-eigh[;II
(38) North, Range Nine (9) West, described as follows: Beginning at an iron pipe i
at the intersection of the North and South quarter line and the North line of i
Government Lot 4; thence West on the North line of Lot 4, 181.7 feet to the cen[er j
line of County Trunk Highway "F"; thence South, along said center line, 191.2
feet; thence South 57°00' East 233.7 feet to the shore of I.ake Chetac; thence
Northeasterly along the shore of said lake 405 feet; thence in a Northwesterly
direction 300 feet to the place of beginning.
Excepting the right of way of present County Trunk Highway "F".
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EXEMPT 8
, � II
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, is not �
This...--"-"'---""'--..... homestend property. !
' (is) (is not) Ij
natca this -�-----�-----�-�---�--..22nd.-...--�-... aay ot----�---�----..Sep.kemhez.....--- ---...-�---�is...fl�.. ;
� �---...-.-..-�--------------�--------�----------------.-..--(SEAL) _��7. - -"�:._.�}f�GGC'�G�!'�1^'..(SEAL) .
' • ..-------•Emi F. Mackanin '
-----------�----------------------------�----------�-�-------- ...-------�-----�--•---------...---.......
� -----�---•----�-----•�----�-----�----------------------�-�--(SEAL) -----...-•----- �-��------�-.....--�•---�---------�--------(SEAL)
i , �-�.................------��------------�------�-�----------- I
' AUTHENTICATION ACKNOWLED6MENT �
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�� Signatures suthenticated thia .................. day of STAT� OF WISCONSIN I
,: .............�-----------------�--------......�19------- Sa er ss. ��.
I i .--'--------'G'�--y"-----------.County. ;
I; ---------.-------................-------------�--�--------.......------�- PersonallY came before me,this'--.ZZIId.--'.-dap ot
. --$_2.P-k....1.9.$.0......_.the above named------------------------
............ ...............�----._......- ----�-�-----
�' TITLC: MEMBER STATE BAR OF WISCONSIN --..---Etpi-�.y..F...kk�C.1GB.A.i.A-_-----_---.----.-'--..-.--.--. I�.
Qf�wt, ... ,�,2+`::���a^.0.*�\ah� -- ....------'-----"-�--------------"'-'--------"'-------.....-
""._•__." .'_.__""__.__. �
, authorized by�706.06,Wis�Sta'�'t�EUP:E A�lli/,�.���0� ----�-�------..................'----'-...."-'--'-'-------'--"-"-.'----
= ���';.--�—� �r.'�k
�. ,l, ..... _.._._..——.............._ -�-----....................._..
THIS INSTRUMENT WAS OR/�FfEO q� �'�� �'� to me known to Ue the person.. .....__.who executed the
�+� •,i
Thomae W. DuPfy� At�Tn�y ��1��1.� ':��to piing instrument nnd nc qp't�led�e the snroe. ,
---- -----�- y- ..._ �ObL CtG-- a'. ..- acquel� Am ndson -
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(Si�;nntures may be authenticn�t��}I�i" knowledged. 6th. .5 otery ublic...._.....-_._Sa�'lYer Covnty,R'ia.
are not necessary.) +'i*��'r f, `�'%�' My Commission is p�rinape�7,t1 (If not, state ezpirntion
r( "+���:' L b 25
� Thr use of wimesses is optional @J�'R�• �jC ,�',1::���1 �� date: ...- -----. .-.-- '---- -, 19._. ...)
__,�tiE`�43t\:�:'�.'"�'"'_—_ ----�--- --- ___-- � ---- --_--
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QUIT CI.AIM DElD STATF.BAR OF W15CONSIN Wieconcin Le¢sl Blnnk Co. Inc.
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