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002-109-19-0800-LUP-2010-106
Application for Land Use Permit (*Non-shoreland*� County of Sawyer 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• a above waterbodies located within the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL 28000./ L Jo0tisdm) Owner 133"3 2<<! r K Ave Mailing Address City, State, Zip 715-- zy8--7q , Daytime Phone' 0_4661iel rc,DcaG c o2 Builder 9N 2ND S l (r/ 50 Mailing Address CA trti 9:e20--V1 6-52 SgV2-7 City, State, Zip Daytime Phone Site address: ` 6 ZO ft1 Q.c_A f2 N 0_ A V (Number -and name of road) Proposed construction (check one); ( )New or replacement dwelling/primary btulding. Number of bedrooms: booNew or replacement accessory building ( )Addition or alteration to dwelling/primarybmilding• Total number of bedrooms:___.___ ( )Addition or alteration to accessory building ( )New business Qr use of existing building ( )Use of land (such as mining, grading, filling) Additional information: Construction Cost: Primary Structure $ Accessory Building: $ O ' Addition: $ Describe what you are building. List each project separately. ft _ r 2 sq ft[ project#1.Size of footprint:_ SC) Height from grade to peak:_ / 9— rT Total sq ft: 1(.., � 0 �'� (This total includes additional stories or lofts.) ft _ sq ft Project#2. Size of footprint: AV Total sq ft: Height from grade to peak• ft.x ft= sq ft. Project#3. Size of footprint: Total sq ft: Height from grade to peak: Show lot dimensions and indicate north. Draw the location, size, and dimensions of of each structure on the Property- Indicate new structure. Show driveway access. Draw the location of the septic system and distance to structure. Show location of any wetland. Show the distance from the structure to road centerline, lot lines, wetland, septic system (drainfield and/or tank). Notice: Land Use Permits expire one year from issue date. The undersigned codifies that the hied information and inten- tions are true and cwecL that all work shall be performed in compoanoe with the requirements of the Sawyer County Zoning ordinance and the Ima and whereby give permissionlations of the State f Wisconsin. The undersigned pe ( ) for access to the property for onslte inspection. ignature of operty owner (or agent with _'ower of Attorney). On C Z G O L N_ 0 e 0 Ez b2wsw�\-/ Real Estate Sawyer County Property Listing Today's Date: 3/17/2010 Page 1of1 Property Status: Current Created On: 2/6/2007 7:55:01 AM Desc I toI Updated: 2 11 2004 Tax ID• 482 PIN: 57-002-2-4G-08-31-5 15-175-190800 Legacy PIN: 002109190800 Map ID: -14.19.8 Municipality: (002) TOWN OF BASS LAKE STR: S31 T40N R08W Description: ABENDPOST 2ND ADDN LOTS 8-20 BLK 19 LOTS 23-29 BLK 19 Recorded Acres: 1.370 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Zoning: (RR2) Residential/Recreational Two Tax Districts Updated: 2/6/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass lake 2478 Hayward Community School District 17 Technical College ,W Recorded Documents Updated: 4/4/2008 ® WARRANTY DEED Date Recorded: 315844 WD#315844 ZQ OwnershlD Updated: 2/6/2007 RANDY L & BRIGITTE I JOH14SON NEW RICHMOND WI Billing Address: Mailing Address: RANDY L & BRIG11 TE I RANDY L & BRIGITTE I JOHNSON 70HNSON 1333 214TH AVENUE 1333 214TH AVENUE NEW RICHMOND WI 54017 NEW RICHMOND WI 54017 Site Address 7620N CLARENCE AVE HAYWARD 54843 0 Prooerty Assessment Updated: 6/24/2008 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.370 16,200 105,100 2-Year Comparison 2009 2010 Change Land: 16,200 16,200 0.0% Improved: 105,100 105,100 0.0% Total: 121,300 121,300 0.0% LW Property History N/A 3/17/2010 2 0 N 'N IN AN N N anITHOMY WiNlWlalwlmlJlmltO two W t0 W J W A W N - N N N N N 0 N A N J N W N W W O W N W A 0W J W t0 Al OnRACn W J W (T A W N- p W W J W 0 A W N- N N N N N N N N N W W N W A W CA J W W O III OI n I C I 0 R F N C F Z N A N (T N W N J N W tL 1 LAWRENC E SCALE: I"= 100' 91 m m m ©®I MIL. N A W N N O W N A N to N W N J N W O W A (T W J SHEE