008-130-00-2300-LUP-2004-574/ \T `- �
� Application for Land Use Permit(*Shoreland*) o 0
County of Sawyer � � �
PO Box 676 -Hayward WI 54843 � �
715/634-8288 � �
*Property that is located within 300'of a creek,river or stream or within 1000'of a �� �
flowage,lake or pond or has any of the above waterbodies located within � �
the property's boundaries. � � �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �,
PRINT-USE BLACK INK OR PENCIL �
D�N.�Ln»N� r�AH �t N�STRc� S sf-S Ccn�S iQ�:�TiG.✓ � �
Owner Builder �'
3�i�s 7tss�r ccazi �0 Box 9� o� �
Mailing Address Mailing Address ° o
w�cDi3��y �r�N SS-�,� 5 13iacHt✓�� ws �y8/7
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City,State,Zip City,State,Zip
� s-�- ��s-9s�c2 7r5- �9��iyY� �
Daytime Phone Daytime Phone - a' �
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Zone District f� �-� �'
Additional Information: �
.��,
Lot Dimensions: �,��
4s-F.
Date lot was created: Acres ��5� ,,.
Is there wetland near the proposed structure?If yes,how faz o �
� �'-�
Building Land Use Floodplain:O Yes (jC)No G �
�(�)New O Filling Chippewa Flowage:O Yes ,(�No c��o
�`j Addition O Dredging Driveway access off of a(Check one): � �
( )Alteration ( )Grading ( )Private Rd �Town Rd. � �
( )Moving On ( ) ( )County Hwy ( )State Hwy o �
� ) � ) N S
v, r
Primary Structure Accessory Building Addition o 0
(�Dwelling �Garage-attached/detached ( )Deck �
� O Year round O#of caz stalls (�Porch W
( )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/enlarge
� � � � ( )#of new ��
AdditionalInformation: " a
� �
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n �
�T e of Construction: � �
J Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ti
( )Other � ,.�
Construction Cost:Primary Structure$�5 S-e e r� ,.ly �
Accessory Building:$ Addition:$ � �
�3/WZ�Z � �
Deed:Vol Pg Certified Soil Test# p y•Z 7S �, z
CSM:Vol Pg Lot# Sanitary Permit# O y - 3/9 °Q 7�
Plat Envelope Or: b�
� • �
Condo Vol Pg Yeaz Installed: �;,
'�and Flows": Vol Pg Owner When Installed: � �
0
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�als/actions:
�
_ LUP:# SP:# CUP:# �
# Change of Zone District: �
���3�p�l
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�-�oa
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Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration in a separate c�lumn. #4. 5�REEd P�R��
#I. YNAIuLEve� #2. lc�i #3. �A�A�
��';�7Size � ,�'�
ft. wide � `l, S fr. wide 1 `� ft. wide j 2 ft. wide
� � 3 � ft. long �ft. long 1`� ft. long �_fr. long
�' � s ft. � sq. ft.
� Floor area � c o sq. ft. �/G L._sq. ft. 5_7 b 4• /`a J
?� Hgt.from gcade �3 � to peak � 3 ft. hgt. �ft. hgt. ��ft. hgt.
� �_ stories I stories
(�� Stories stories 1
# of bedrooms�
7D� SQ � / y�`l� Lake/Pond/Flowa e/River/Stream Name
L A i�'� �,/
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, � , N
i y �
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I
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t iy—� 6NR 30 —i
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F�n �QJ (Qce
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Fire Number and Name of Road � � `'� ��- �� ` �' � `� � ��
1. Enter lot dimensions and indicate north by arrow. Sigrtature�o,/f� ner o Author zed Agent:
2. Indicate the location and size of the xequested construction f �h.o�-l'
c� ti--�
��gnaNre
3Ct1V 1h8S. pdnt Name: —
The above cedifes that lhe listed infortnation and intentions are
3. f�ISO, 1riCi1C2Y.e t}1C IOC3tlOri 3Tld(�15t2T1Ce t0 YZle WCIl, hue and conect.,that all work shall be perfortned in compliance
with the requirements of the Sawyer County Zoning ONinance
septic tank and drainfield,wetland areas, lot lines, and the laws and regulations of the State of Wiswnsin, and �r
acting as ownef(s) agent,has the permission of the owner(s)to
centerline of the road and waterbodies. Perfo� cne won� req�estea o� m�5 application. The ahove
personsls hereby give pertnission for access lo the pmperty for
onsite inspection.
_ oj
Permit fee: $ aCC���� SC' �`�C'`
Total land area within 300' of the waterbody: (A) � `�� ��9
Total impervious surface area [including this project] (B) I� `��'
(B) / (A) x 100 =%Used r] e �t /o (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O I'es No
October 13, 2004 " � —
Issue Date Signature ofI s i gent
October 13, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
1
SHORELAND PRESERVATION AGREEMENT
(Shoreline VeQetation Protection Area)
Land Use Permit No. �xl-Jr7'y (To be entered by the Zoning Office) Index No. Qy-�_
WHEREAS, (list all owners) p��✓�l L b L L /NtJ 5 T��m- �"F iFN � L. %N�f T�'�w�
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� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
?f WHEREAS, in order to secure a Land Use Permit.
d
oNOW, 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.
0
1� The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section
17 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on
C the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized
� representatives of the Govemmental 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 structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
T 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 will
�' authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
(J 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 Permit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
Legal Description of Property: /•.o� z �.�v�S f"�'�r m'�i.Q P o � `�'� ��o��
,�l�i�d��rs�on Locu�-pa � .. Se� �L�2L�, � 9�J 7,��n v��r
S-� - -
�Da this S��-C�( day f �
�,I,�:..Eai(r�;'�-.�
(Owner) (Owner)
(Owner) (Owner)
(Ownei) (Ownex)
This instrument was drafted by:
Sawyer County Zoning Office
� Oct 11 04 08 : 28p Hatalie Ka� Clemens 715 - 354 - 3101 p . 2
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Town of Edgewater .. � . , � : 1.►
P.O. Box 338 � " 'i, �.�
,�,.
. , '` " � :
Birchwood, WI 54817 ' §��`
Mr. William Christman
Sawyer County Zoning Adrninistrator
10610 Main Street
Hayward, WI 54843
Dear Mr. Christman,
This letter is to inform you that the Town of Edgewater has a platted road which begins
on ol Haye's road and goes between Jack Nystrom's and Donald Lindstrom's properties
and terminates at Big Chetac Lake. We the Town Boazd of the Town of Edgewater have
no plans to develop that platted road into an actual road now or in the future.
We wish to state that this letter does not preclude some Edgewater Town Board from
developing that road at some time in the future.
Thank you for your assistance with this in getting Mr. Lindstrom's problem solved.
Signed this 12`" day of October, 2004
Sincerely,
The Town Boazd of Edgewater
� .�- '�-�
Daniel wens - Chairman
! �
� al o Asp - Supe ' r
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�'�G-( C 1.�r� Attest:���.r..1�-�-�_�.�+z��.�
Robert E. Reynol - Supervisor Natalie Kay Clemens, Clezlc'Treasurer
LAKE
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