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032-539-02-5619-LUP-2008-084 � ' . Application for Land Use Pernlit (*Shoreland*) o o ; � .� � County of Saw��er ,_ � � PO Box 676 -Hayward VII 548�, "� �,` .'- t �-; � 715/634-8288 �. *Property that is located within 300' of a creek, river or stream or within 1000' of a c1 flowage, lake or pond or has any of the above waterbodies located within � the property's boundaries. 'v� CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �',,h�,ry� V ��e e w�- pRINT—USE BLACK INK OR PENCIL � �D L"C� f��'U�Z�/�(�f-� �U.�/ �'or(/ST,�I��7J�ic� � Owner Builde;r � a; i�as � �T,�� �Go�� �i���� �o�n o: Mailing Address Mailirig Address � O �'�C�//7D/�, Q�13 GUr4, GZ�I ���102, � � City, State, Zip City, ;State, Zip ,� 1� . �o/��— 9'�7� �7i�- 9�� ,.�9�3 � � Daytime Phone Daytirne Phone Q � � r Additional Information: Zone District: �,- � C � �. �� Lot D:imensions: C � � N � Date lot was created: � Acres: y.Z Z, (� .� Is there wetland near the proposed structure? If yes, how far o � Building Land Use Floodplain: O Yes (�j)No � �' �New ( ) Filling Chippewa Flowage: ( )�'es ( ) N� � � Addition O Dredging Driveway access off of a(Check one): -� ^ ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. p � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �^' °Q � ) � ) N t`� � ' � C" Primary Structure Accessory Building �._� Addition W o 0 ( ) Dwelling �'Garage-attache detached � ( ) Deck ;� � O Year round {� # of car stalls O Porch �O W ( ) Seasonal ( ) Storage Building ( ) Enclosed . �--� ( ) Frame built on site ( ) Screenhouse ( ) Living room N c ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom p .- O Other primary structure O O Relocate/enlarge N N A � � ( ) ( ) # ofnew O � W AdditionalInformation: � `� .� $ N � c� .• � � Type of Construction: 0 � �Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other ,� Construction Cost: Primary Structure $ ��=G�� ,,b � Accessory Building: $ ��(i{ G� Addition: $ � � � - Deed: Vol Y 36 Pg Certified Soil Test#_ O�{"2sco __ � z CSM: Vol�_Pg �� O Lot#�_ Sanitary Permit# QY '3�7 _ _ � %� Plat Envelope � y3� Or: ,.� , � Condo Vol Pg Year Installed: � � I�� S N � � � "Loads and Flows": Vol Pg Owner When Installed: � i�i��c�/ � Y " �-�er�% � S �. � 8 " � Previous office approvals/actions: � � Variance: # LUP:# SP: ;� CUP: # �' a���' Inspection Report: #_ Change of Zone District: � ��, 3�b7o Describe the construction using these columns.List the dimensions of each structurc in 1 sepnratc column.List each story,each addition,each alteration in a separate column. #1. ���/i�l,�',� #2.���a,r..(`6d6 #3. #4. Size ,� ft.wide 3 z ft.wide ft.wide ft.wide �ft.long 3C� ft.long ft.long fr.long Floar azea l�s sq.ft. Q(y0 sq.ft. sq.fr. sq.ft. Hgt.from gade�to peak fr.hgt. ft.hgt. ft.hgt. Stories stories stories stories #of bedrooms Lake/Pond/Flowa c/River/Stream(Namel l� 7� � �J.�}/��,t-� /.��� VJ 1� nqe ---��_, '� -cX�s-�Nb �� �� I c4ar�J � I ��C 3lJ Porc(.� ' � i /SFRr�e�rA�K L � � �� S�Rr« � � rFc.D , � a4 x 30 , �.qs�N � n D� / �Eu.� l/r jJ�µ! _ <_ r__ 5z' _- ___� �Cz� �4 X 4 4 ���a�� Nebits56e vin�aro shal� n�t b=.cre�ie irr ace��sor- s,truc?;>es. �t� 'i �� � Fire Number and Name of Road S Gi/o� 1� SiQ�l/US 1(�/ /2CL4 b 1. Enter lot dimensions and indicate north by arrow. ' ature of wner or Authorized Agent: 2. Indicate the location and size of the requested construction -- — Signature activities. I ,(/ PnntName: d /a)�-�/���^��2'�'t 9 �'�.. 3. A�So,1ndlCate the lOCatlon and diStanCe to the We�l, The above cedi�at the Iisted intormation and inteu ions are true and correcL,ihat all work shall be peAormed in compliance septic tank and drainfield,wetland areas,lot lines, w�m me�cq��reme��or me sawyer co��ry zoo��9 omma�ce and ihe laws and regulations of the Sfate of Wisconsin,and it CCnteTllne of the T'oad anCl wate[bodles. acting as ovmer(s)a9ent,has the pertnission of the owner(s)to pedorm the work requested on ihis app�ication. The above personsls hereby give permission(or access to ihe property for 'l onsi�e inspectian. Permit fee:$ /oD W /uo �CX/ � - Total land area within 300'of the waterbody:(A) `y� � C� Total impervious surface area[includi�nyg this pro,jectl(B)__ ,j�'� (B)/(A)x 100=%Used .5 /c) (Shall not excezd I S%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Reqciired?O Yes (�/�No � //� 2�� 1 �' Issue Date Signatiue of I ui Agent l�j�� �!�/ ��� 50%Rule: Average Road Setback: i,xpirati n ate Habitable Liviny area shaA Office Comments: not be cre3fed iri acCeMsory structures. I---� � �� � n :r t4 .� �. .b.2 • �. ,: J.: y` y 19 1 .�b.l ` � I C� :2.� •!.3 �r � M ,) ' _ : i.� 1 „ �, � v �. c� � � :43 .3.) .3.1 �� N � _ :3.13 � :3.1 W ,:� � q= ✓ A 3 �.v.' w Qti ��g a ��•'� 1 , � �:3: .n �•2 s ,� ,� _ /� ;4:1 � �,� a � Y 1 ,`��� ✓ 3.�r � � , � ..s� � -i i� _ :4.� .3.b :3•¢ ;3.�� :3-►0 3•? � ;3�.� :3.IZ •�.6 :3 � 3.9 .3.!Q �- .3. � ;3. !. .5� .� , 14.2 .3•g -L'�/ . .� ��� Ib �� ��► :5.� .,_�. _ "3 •r�.b l f" �q� .�.� • . .ta.� Q, :5.8' .�,.� v �Q` ;5.9 � :5.3 � .�,�a, ;5.! .� 2 - :�.0 '.li= ( :5�►h ��1�� ' _ :s.�a :3.13 :��5 '� :5.2 - �1o.i 7 :b.11 .� t :b.J2 6 :b.18 , � :b.l� 7 :6.�9 :'b.i4 $ T � :b.i5 :b.�� � 9 6.2 � :6.2� ,��.. :(0 3 � � :�``� � .,1/. :6.1 '� ,y •L4 _ 'p `�� :b.5 :6.2 �."� :b.b �,� :b.9 :b.1�D .ctii . Q :1a1 ��.� :6.8 �,1 3 /O !I (1(o T,E' ,b.3 Nor u s �'O. .�b. .1: REF ; AERIaL PH070 P10 - 197o SCALE: i INCH= 400 fEE1 v. s, �. 5 . BLAISDELL LAK � G? �an �9 �2 DRAWN BY: �. M• E • D� COLON �:) 1NDICATES GO� � � � • . M/NK CAP/TAL SURVEY/NG, /NC. � - � ' � � SURVEVING SERVICES Medford,Wlsconsin � s°�"""'"` c..er,.d s�...r• ' Aop.r�y Su.v.ys TopegraPhi<MaPP�^9 � Ro���IocuFon• Plo�Plona ^E2TIFIF:D ;UHVE:`I MAP e STP'^;' OF WISCONSIN)�„ � COL`NTY OF SAIti�'cit ) ' ��� I, Ctiarle� Offermand, land surveyor of gxLa �N��'Q930" �O• �� Lhe StsT.e of LJSscohsin, do hereby certlPy -- m E�36�o tnat by th� order of Osesr Shcund, cwner, 2 c w�_'��s, �„�. � have made the following survey in Government z �m N � o `:so 'q Lot 6, in Sec. 2� T. 39 N.� R. S W.� Sawyer �,�,�'� �a"�-„ �`�3• ��i County� Wisco�i�in� mere pe.rticularly descr3bed f � �� �, "��f as follows: �m `,� Gomm�nning ¢t the Socth i corner of N2^26'S5"E a ��>., o s�Id Sec. 2, ;henc• N 2°19'liY E, along TB.ae' �R � �� the �ast line of 3nifl Gov�t. Lot 6� teing ��� a7 90 the c�ent<�r line oS G.T.H. "B". e���'s 631�.69T: then�:e N F}£1°19`1}0" W� 1319.92! jo�'�b i " to the ooir.t uf renl b��.lnoing� thcnce a`e ccntinuing N FS8�19'a.0" W� 926.?7'; thrnce -�,�; :T 2�26'[5" �, a1^ng the Es�t line cS ��{ narcel D of Certified Survey by Frwd 411e9ch. datec. Octob�r 10� 1972� 7�.1}b'7 NS•��'�'o• th-nce N p7°7''O$^ W, alnng the North _'N'- R+, more or 1eas, �£ line of 3aid Parcel D, 17 - to the shore line o: Earbel� Lakep� thence � �z•oe•z3�E iazo_ P?orthcasterly, along sqid sriore 1ine, 32$�� mo^e or l�sa� *hence S Afi�[6�17" E� � '�'"`«� E.IS=MENT _ 9h6� more or lese; th�nce c 2°OR�25" W, - 3RO.56� to the point oi resl beE;inning. ��'��'E �9T.52 I Turttier certify tliat I h.sve z � �m� complied with the provleion� of Cha�ter m _ 2?6 0£ th� revieed st3tutes of the State,a p� m of Wisconslr. i: suz•veyinq and mapping a i'n Y � � the same. E $� f N°N' This inst:vment dra£t-d by David m e� N I N� TlustyP �, n� APNi20V:.D THIS �� D^.Y OF ��= N �� �� � 197 '� ' nW ' �-.�,.:5� \�.a:.�- P $ �; �, ml' ' r 5 lv �H .f?L 's:DN?i!G ADPTTNIS_Rf.TOi? £ � - � ��SG,��ti � I A N � 1 OFFE2MAN I _'� S-326 `�� MEOt ORD, i(r y� — `�, �n5. .•O: i�C � '..�+........i;ti��` !�s . ;-1— �'M m� � a;1� W P N£. .. ...���3'] Z 168.28. �.89' 4�' 1.l5' J� AZ i� 5 2•OH'25 W �EGEND• 380.36 Scele o{Mep:I inch—100' O�• �� m'� —�— Iron Plp�a Fourd $Ne I a'� —� 7'a 21'Iron Pfp.�SN.1.13 Ib./4�. i y 9 STATE OF WISCONS N j . - ❑ s�o�.Mo�.Fo��d s9 COUNTY OF TAYLOR f'� 4'�_ —�—iroo vio.5�t gN N Z��9�3 2•a 30"Iron Pip�a Se�,3.65 ib./N. � £C.T.H. B"+E.�INE GL.� —�— . 1 � AR S JFFERMAN ,L.M 5�...ye.of�M Sf.1�a�M'i.con.fn,de 1�«.by u.tih M•�en PT� 'S � T� �•rv•nd�F. •bw�d��er�b.d v�eP��h'�e.. din9������I r.e ds�Id fF�f M.. mv�nyin9 P�•�u���.d e«�� .�p..un��tten ef fb�.�1�.ie� euid..i«ef eh�I��J wnw�.M�t.11 b�IWin9s��d im +��w.iwa If�aMalir���ht.tl��bou�.ry li�w�.�nd�h.�ne•�ncro�cFm.n� b .di.��nf vrev�N9 GV��r irwn vtd aurny ..c.n�.�L.dtu��d. � :1��^� �c'd £or reco� this 28th day of Sept. 1973 at 3:05 P• �I. 2-39-sw ED�uI.D Recor3ed Vo1. 2 of Cert, Surveys R�piM�.NLaMSnrv�yw z6 W i,c;y� <age�a_ �y • ����r�•--��s �Ca��,.r� � 1/7�� a+�bts.� iiegister o£ De�ds � SHORELAND PRESERVATION AGREEMENT . (Shoreline Veeetation Protection Area) Land Use Permit No.�(To be entered by the Zoning Office) Index No. c�% - LU � WHEREAS list all owners � � � ' a , / > ( ) bXY1J �ri��z Pnacr � ,YtD�ci� L/�.2,l�1'0� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS,in order to secure a Land Use Permit. NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of 35' landwazd from the ordinary high-water mazk of the waterbody. The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on � the date that the land use permit is issued by the zoning office. The owner(s) fiuther agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's property at the following description between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance] to inspect the sriucture(s) or uses authorized by said Land Use Permit and to determine if the SHOItELINE . VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate � on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION �PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement wili authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the _ issue of said Land Use Pernut. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: (o f 3 CSHt Uo/Z p�3`!� n r� Cre�'�- ��{� S e� 2 � %3 yN� 25 CJ 7pcvn v� l.Jl ✓��ar � S'ccwyp� C�ov��R�, � 03Z-S39-az�3G,!`Y Dated this � _day of ltil ay 0� � wner) (Owner) � ' (Owi r (Owner) � (Owner) (Owner) This instrument was drafted by: Sawyer County 7.oning Office Kruizenga - Winter - Lup#08-084 Intact 6-6-2008 . ..f "<� �?s ° .�-a .G,�' !�� �;: "�' �', .. ,". �..?r'`y ��R . �6 S f � r f r': "Ki��. ,c�i y- ,�y, � :. �''�1 'E sI 1 f�� ..�A`�. `.s . � ���.. 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