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010-841-14-5108-LUP-2004-326 . i Application for Land Use Permit(*Shoreland*) o o . County of Sawyer �, � PO Box 676 -Haywazd 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. \ �W 58 I $«L� P��T-USE BLACK INK OR PENCIL Y / ,�T r�,.n..c-v� b � �l�c�A�L L, JS�euG��7vx c�`�IV102Toiv R�r�DiNGS � Owner Builder a ia�a9 vv %w�N LAK� �AD ►s�r� ����eo�Q ST, 5��� i�3 0: � Mailing Address Mailing Address � O N�vw�,en ; I�I 5y��{3 /-�gyw�0� u�� Sy�'y 3 ° � City,State,Zip City,State,Zip .� 715-(�34-5'R�7 �1�5-q3y-���D , Daytime Phone Daytime Phone (� Additional Information: Zone District: /?�I t�� � ���,5 '� '�� �> >Y'�r ��� K��-cn Lot Dimensions: � B U�X W�J�� � Ce' � Date lot was created: (11/}Y a 7i �9�b Acres: �.a�v t � Is there wetland near the proposed structure?If yes,how faz o � Building Land Use Floodplain:( )Yes (X)No � � 6C)New O Filling Chippewa Flowage:O Yes OC) No c� O Addition O Dredging Driveway access off of a(Check one): � �� ( )Alteration ( )Grading ( )Private Rd OC)Town Rd. � O Moving On O O County Hvvy O State Hwy tlQ � ) � ) � S Primazy Structure Accessory Building Addition o � ( )Dwelling (�tj Garage-attached/detached ( )Deck � � ( )Yeaz round ( )#of caz stalls ��-�Porch � � �„ ( )Seasonal (�Storage Building �( )Enclosed � O Frame built on site O Screenhouse O Living room rn Z O Modulaz/manufactured O Greenhouse O Kitchen v r ( )Mobile/manufactured ( )Other ( )Bedroom O � ( )Other primazy structure ( ) ( )Relocate/enlazge ` ( ) ( ) ( )#of new O � �� - S^�� oC, AdditionalInformation: ' � p Ae�vt ...�Lli�'� �.1�?l: � l '. � Ct(�i�l , .'•, ` � _ . .,�,- . � � � .�� ^ ,. . . � . �, .. �. � �i.. _� ., .� - � n Type of Construction: � ( )Frame ( )Log O(J Pole/metal ( )Block ( )Concrete � � L i ( )Other o � � Construction Cost:Primary Structure$ ��_•. ,: ` � ro � Accessory Building:$ j�, 3`��D Addirion:$ ' "I '�:i� �� � � :° Deed:Vol Pg�i��#3 i y 3 ao Certified Soil Test# 8$-lyi� � z CSM:Vol�Pg i 53 Lot#�_ Sanitary Permit#�-��� °Q � Plat Envelope #��Z� Or: o, op Condo Vol Pg �1�83 ���9 Year Installed: �;, "Loads and Flows": Vol Pg Owner When Installed: � � 0 �. Previous office approvals/actions: Variance:# LUP:# 9b�.33� SP:# CUP:# '� � Inspection Report:# Change of Zone District `���� Ioals 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 column. #1. Pr�u;B�D� #2. �� aJ1 #3. �(adcln #4. Size���fr. wide ��ft. ' ��Iwl�y /o ft. wide ft. wide 3 � fr. long 38 ft. long ��ft. long fr. long Floor azea a ,a sq. ft. �D�y sq. ft. 00 sq. ft. sq. ft. Hgt from giade�to pealc ft. hgt. ft. hgt. ft. hgt. Stories � stories stories stories # of bedrooms N/A Lake/Pond/Flowa e/River/Stream Name �C U U+�� �> T , � rioer� ie' 2'GiL� � � 3 J rh° I eez ss' , ~ KrL'Xsa' Ls�—�, P��aB�.m6, S��- PRavoseo /7�� v, �36�c, � sz'.3a' .nt vovau �'j� �ywry� o — `� � %� g /lizl� e'ri�' Y KwedNva� (l C��� `L � . .._._ . �_._so' --��0 1�2: � f�,�,.>a s� q �70' 7��`���� Ss'' T � Oaim � � N R A �� O T� � `4� ` 1 r ��) N ��� `, L��y �O�'I\� . � ` L� i - . �. .� . \ � . #—`t��"F"' ll —S—O Y Fire Number and Name of Road I �l TVV�/� LA K� DR D 1. Enter lot dimensions and indicate north by arrow. Signature o Own o A orized gent: 2. Indicate the location and size of the requested construction /�j�f��� - �l� �T � Signalure activities. ' PnntName: MI/CfIAG L L' ����� 3. Also, 1ndlCate the locatiOn and dl5tance to t}le well, The a6ove certifes that the listed information and intentions are hue arM correcl.,ihal all work shall be peAormed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of ihe Savryer County Zoning Ordinance and ihe laws and regulations of the Shate of Wisconsin, and if centerline of the road and waterbodies. aceoy as owoer�s)a9e�t, na5 me���5s�o� or cne ow�,e�(s�co pedorm the work requesled on this application. The above persons/s hereby give permission for aceess to the pmperty for onsRe inspection. Permit fee: $ � 00 Oa Total land area within 300' of the waterbody: (A)�� (?U D s Total impervious surface azea (including this project] (B)�yQ�f�� (B)/(A) x 100 = % Used �a .a � (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? � Yes O No July 6, 2004 G�i�` Z��L� C <<r?�i,�� _ Issue Date Signature of Issuing Agent July 6, 2005 50% Rule: Average Road Setback: Expiration Date ��a�2U7Y- /�� �� tv'km•�: au7�� 6ara� 028 j�3g'2 /o6y�TZ_ � a6Y�t2 7ar�11. Of ce omments: 9� l��Y�'`i- �z6Y�t..�, i o, s�s-!�"`�zu....�n.��r-w�,, �o, ao y,�rt !v�to�/��- �aa:��e.,a� ��r�� �- ,o, �e = r�� 47y �b D 11� 97K?- 14y�c°° = 8.3�b 0._„ / �i6'�o .o,,..�� �l��S,�/� .� �r�xn �accs ao' SHOYM FS 6fi' N1�IN fOR MAPPIrvC PURPOSES. -�"-�_ OYB oioen-usrw moen-t�sms ���&��"��: o�oai-usim `»•` t.a:wc ee�ec . �i om-en ,���__...__ ���sw� .N+ u-mu � � Mv` atYE�t-11531N ].nu St�,lEH IA1K� �M�- 0!!AC Of0-B11 aae�x / � mo-�i �-sn� ax / oro-ea '-�'ri �.n ec /' �-siu �� �� otoai-usim �' t.b � 3.IY�C � / oioaa-usio� +�}�� om-en ° / ,,..,� �;�,� �..5,�, G.L. 1 oee,�c �%` oio-e� /� �-51E lPlfi / o.n�c oia.e. / i.acac oio-en �-sim �� 010-NI 1�-5115 /� 10:M1 145fl8 - U10-eft OYlK' a-5fA u-smx iwrc zts Z � �ienc oio en -xi om en ��' � onnc mo � �� ��- p� �� SCHOOL ,. s,�, �" HOUSE BAY M M01 010-8q-14 p�t� �s4nc oia-e' sii� sin OA3AC 0.]B/�C 01 010 1 BH 1� O10 1� 511 1 SH! 0�� 1 �' . 0108,1-015JW 511a '/ /� OtUMt-1�5](IB M� 0/0 ��/ N� 010-&1 '��'�� 1�-5LI8 5�39 �.�o-Bn 0.9J IC �-sxis _�„ LEADERS BAY 5]W 010-NI 145]IN ��C o,o-,� ROUND LAKE RETREAT ROUND LAKE oo:o,ao SUBDIVISION. 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LOT !, SECTION /4, T 4( N, R 8 W. SA W YER COUIYT Y, WISCONS/N. 1 N _ORTH R.O.W,�gyE - h ��---�_ TWAV �AKES ROAD — � SOUTHR.OW LMYE - DUE WEST -- -- � - NORTH LINE GOVT.LOr L SEC. �4, 7 a!N,R 8 W. - JJ./6' "�y z S B71p'p6"E,2�2.?2• ^' NE COR.SEC./1, TI/N,RBW. N U� C.S,N.�?397 � N �ON- !"RON PIPE C.S.M.�/669 ni' VOL.// '=b 4 VOL.8 -Ilo mv PGS.1BSdIB6 � N =+,w PGS. 1B3d/B1 v�a V � �_! � m m- " N � p�� ► v {, m d �.{"IRON ROD � � a � S B9'192/�E,108.)2'y L.S.M.I,JB/ y A , f N I)'l170'M,40l)/'I N A G � . VOL.7 g j, 176,902 SO.FT.! e'? C.S.M�2763 ^� ": 4.06 ACRES! p" VOL.l0 PGS.332d3J3 PGS.25B6259 � NOTE!ACREAGE SHOWN MCLDDES iN£LANO BE7WEEN THE���93' THE SWAp�d �S 89"41'SI"W i 46.96' �i�"1RON R00 � �3�' 'N a0 3/39' � .W,z24 9 28.Y6' /%B.O1�5�6•29� �/"970N PPE �,(j"070N ROO � Y y Y � �I ` \ Cl O� ' ` Y ` O ti — — �I � n d a� � SCALE l"=200' 1 Z�N � �' � b y IAi Z' P m �' NI 2 b A O ! 1 DENOTES RECORDEO BEAR/NG ANO/OR 0lST'ANCE�:� ROUND m� � �E` •IRON PfPE,SEIT D'�x 30""WT.=l.13 les.�r, 0�1 LAKE X`; N �DENOTES 1%"f0.0.1/RON P1PE FDUND IH PLACE u� i I UNLESS OTHERWlS£NOTED ,1 � oI BEARlNGS BASEO ON 7'NE NORTH L/NE OF GOV7'.LOT l, �� I $ECT/ON 14, T 4/N, R 8 W. ASSUMED r0 BfAR , DUE W£S7. ` � MAY 27, 1988 � � I �a,.�9� cY - P,�i,� '', — , ,-�oN Roo J , �, , ,s.��� 1 �' �' _ ��c,COl�tsr� � _/� ' ,,.�aN Roo ,— �A*� L `� � � S 73'/679"W,376.44' i���niur.i P£1'E.'RSON � I wn�w,� 2�9 2 4 3 � ivcs_ . �, t+.v�.r.o�or ). �1�r� ��� sawrac co�atr j � SU�v ]tecei.�d tor recad B� �� @�e! ��__.AD19�o� M�and record�d 10 vd.� � ��3 y�'N Y�praV�e .S.'�i�/.�� ` L'y'C'� cYi' Y Y�U - ��X �H ������ PAGE/OF 2 PAGES / /� J� SHORELAND PRESERVATION AGR�EMENT (Non-Intact Shorelinc VcEetation Protection Area) � Land Use Permit No. d</-32(0 (To be entered by the Zoning Office) Index No. ��- � z, n�. � WHEREAS,(list all owners) ��� iC��A�L �• �,�1/GEi � A/S� M. ��UG�� _ �uss��� Z. �,eve� �,vi� �7�-���-,y /� . r'�,e�e.� a d � 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 shall be restored in accordance r� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Depaztment. a �°' The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply with all shoreland vegetative buffer requirements of the Sawyer County Zoning Qrdinance in effect on the date � that the I,and Use Pemut is issued by the Zoning Office. The owner(s) fur[her agrees to allow authorized _ representatives of the Governmental Unit to enter onto the owner's property at the following description to � inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE z VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will (� authorize, in addi6on to other penalfies and relief required under the Sawyer County Zoning Ordinance, injunctive relief, restoration of said real estate, the revocation of said Land Use Pemut and the removal of all ,.9 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 M Zoning Office. i ��/�/ r'�/iY �Sw D�s��'i��D�s Lvr � Legal Description of Property: „Q� �OY7" L%r �, � � b��,P�c�p.v�Eo �z iZ ���'SMs, 0�s l53-/5�� Sa,erFYNo a9��o -4vD �D�v� /c/-_<_(/,Q��� y/I�.� f�G C'SMS �1?9 S lrS'.3"���/i �'/.2V�}'/YD � %�Plo 9 Dated this TN day of J�i��� , �p � .h ' s�,.�1� C� `'1'��..�� , (O r) er) � (Owner) ( wner) (Owner) (Owner) This insmunent was drafted by: Sawyer County Zoning Office ,� ��w.y ;� . ��� ��„ `si ��„�� I �,�ii:: �_ ° - � ,� � �- , � � �,�� � i .it.. . .,. .: � . 2 v...� . � }...... � '4.x... . ..:^'� . . �. ' . . � �. � � . a .... , � � _ �� � �:, �' � -.� ! ��, 'X ��'.,. „- . . �"A i §�� ��� �. .w'q I �' � �''�� � � �` , ��, ;_: ' � �. � � � � � � �ri^ � � � �: .� .5 . .: �;« x ��. � s ; s", � �'�~ � N ��,.� , � � ���; �' ",°� ' ,, s� � e� � : - � � . � � � � .���< , , . . , � � � � s ; � � � �rt ��, � �: , r: -: > ' . a: , �, _ ,. � p ,�.. � , : =. I �f�. ���: � � � � �" tl��� 1 N� .'�" '� � �c �` � t ',S � �'N �� � ���A .* ..vyr��. . � �� .:,.,���� _ � , � r y " Y - ' # ',t 3 - __ '� t � ' - �• ' - � � � .* -�::"� .. � �" � e i���y��� � ,������� , ,t � � ,„ ' , ,,. �''. • _. � ��°`�t. 4�� � �� #��.. � � f� �;�l+� ,.. ��r �� s� �'�,�-��� ..`��f'� r �` -�` . ��� . ��" �y' � .r�: � ' .. . • g e ,� � rt : �� - ., � . , ; �, � � } _ € ,. � � ;., � : . � �" �< ;�' � _� '" �= � � � ��� �, �� � �� � � � �