014-218-00-1400-LUP-2004-382 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 �z �
the property's boundaries. � =
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �=
C��I� A �ar�n PRINT-USE BLACK INK OR PENCIL 'r, �
�IC'Ct�th�f �LI,�GNI 'I�1fi�1SC� St�� �
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Owner c�l� LU rScM Builder a
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�1��/ LJ. /�'St 4w �� i �G�r�. ��S �fo 1 iw �il�( �.
Mailing Address Mailing Address ' � p
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City,State,Zip City,State,Zip �
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DaytimePhone - ;I��� -cl,al DaytimePhone c� � �
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Additional Information: Zone District: ]C-ryn a"� ��auacf{ S�w�V1�r��� � �
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Lot Dimensions: F � °�
r� —
Date lot was created: Acres:
Is there wetland near the proposed structare?If yes,how far o � �
Building Land Use Floodplain:O Yes (j�No � �
( )New ( )Filling Chippewa Flowage:( )�'es (�1 No cP
O Addition O Dredging Driveway access off of a(Check one): �
(�Alteration O Grading (X}Private Rd O Town Rd. �
( )Moving On ���� � ( )County Hwy ( )State Hwy °Q
o �
(���P� N °s
eX e�,rl;;�: c_a�.F_, �, r
Primary Stnzcture� Accessory Building Addition o 0
( )Dwelling ( )Garage-attached/detached ( )Deck �
O Year round O#of car stalls O Porch W
(�Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen v
( )Mobile/manufactured ( )Other ( )Bedroom (� �
( )Other primazy structure ( ) ( )Relocate/enlazge
� � ( ) ( )#ofnew �
AdditionalInformation: � p
�
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Type of Constnzction: � �
(�Frame��'�,) ( )Log ( )Pole/metal ( )Block (�Concrete �
�
( )Other ,.j
Construction Cost:Primary Structure$ �L�d� ,,y �
Accessory Building:$ Addition:$ � -�
� �
Deed:Vol � y� Pg �N`l Certified Soil Test# � z
ac �
CSM:Vol Pg Lot# Sanitary Permit# -
Plat Envelope Or. � �,
Condo Vol Pg Year Installed: N
t» �
"Loads and Flows": Vol Pg Owner When Installed: �
ci
I
Previous office approvals/acYions: \ \�
Vaziance:# LUP:# SP:# CUP:# -C \� ,
Inspection Report:# Change of Zone District: �
Ilno3�/
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. �' � #2. #3. #4.
Size ft. wide ft. wide ft. wide ft. wide
ft. long ft. long ft. long ft. long
Floor azea sq. fr. sq. ft. sq. ft. sq. ft.
Hgk firom grade to peak ft. hgt. fr. hgt. fr. hgt.
Stories stories stories stories
#of bedrooms
Lake/Pond/Flowa e/River/Stream Name
t�,•�'
_—� : �; �Ie
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r �.���r fA'Y?���� ,t� tiica�: :
F - L.,ties� no L:•
1
,�;�E�i
Fire Number and Name of Road
1. Enter lot dimensions and indicate north by arrow. S' natuFg of Ow er or Authorized Agent:
2. Indicate the location and size of the requested construction ��'� �� �y�,p�
� Signature
activities.
PnntName: �f��� �CLi�Oi'1 _
3. Also, lndicate tlle locatiOn and d15Y�nCe to the well, The above cedifles that the listed intormation and intentions are
We and corted., inat all work shall be performed in compliance
SeptiC t3RIC and drB.lIlfleld, wetlanCl azeas, lot llnes, with the requiremenLs of the Sawyer CounTy Zoning Ordinance
and Ne laws and regulations of the State of Wisconsin, and if
CenteLllriO Of tlle IOad and wateT'bodles. acting as ownef(s)agent has the permission ot the owner(s)to
peAorm the work requestetl on this application. The above
personsls here6y give permission for aaess to the property for
onsite inspection.
Permit fee: $ �� • � - �'
Total land area within 300' of the waterbody: (A)
Total impervious surface area [including this project] (B) �
, , _
(B) / (A) x 100 =% Used (Shall not exceed 15%[or 25% with a conditional use permit].)��
�r-'r
Shoreline Vegetation Protection Area: Mitigation Required? Yes O No
_—?�r-?�-�00�i �
Issue Date Signature of I ui Agent
July 27 , 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments: ���7�fV �i' C'�,�` � � ` ' '` � ��"^J� o� ��� ��
,
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Sawycr Cuunty ',.��-�{'.��R;-'`: �"
Attn: Deb :: .w� r . �.. . .
Pnx: 715-G3R-3277
Phone: 'J15-634-R288
Junc 21. 2004
I�cur D�b:
As Presidcnt of thc Ndson I,;il:c ConJominium Avsociation, I h;ivc bccn ;i,kcd w writc a
letter regardin�; Cabin #14 at Nelson I,ake I.odge. W�, as :u� atisaciation, were mude
awarc of thc 1'act that cabin 14 is rcqucsling lo pilch thcir roof. 1 approvc of this dccision.
lf you need any adJitiUnal inlormatiun, please don't hcsitatc to call mc at 651-653-9124.
Thank you.
Your, lruly,
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Sandra Mills
110A Presidcni. Ncl,on Luko I,<�Jgc
T � d 9d6i - bL9- iS9 • oui ° ue�3- awoH eLb � 60 bD iz �nC
� � TOWN OF LENROOT, SAWYER COUNTY, WISCONSIN.
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O m m 5 8859�37' W, 349.89� 5 88'S9�54' W, 67.28�
� � J OUROT 1 CSM /5247 �
o �n � Si1RV6i7JYfr L�' XAYIVARQ INC
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- -TOTAL = 5 88'S9'37' W, 382.92'—— IXis. acc. owr.
S 01'00' E, 24.4' f i S 88'S9'S4' W
s orao' �, zz' ` S 9'37' W, 349.89' �s roo' E io.a' s o ' �. 20.4' 67.28' zz't
��4 � 4e.ea' r-
. P.O.B. 116.23 .89 � 107.55' � � 51.83 q6 9 0 0
I (LCE � ��RIXIND���--� � _ �J �� NI ^ CONDO
� I �LCE ��/r.`��/j `O 59 $ — � (�� (�c� o ' V oacKs
I Iu I � .H �
M 8626' E 9s I UNI� �J�/4J" `` (l,C� GVAPGROUND �" (CE) I UNIT 13 I UN�T 14 eWi a �
p I a9.v' JNIT 11 (�c� `��/`{'�� � PFASFIAENT °D� m I (LCE) o n FUNRE DOCK SfTFS
y � � (LC� �„ L_� SU&IECT TO D.N.R. RECULATIONS
W L� PUMP HWSE� ��� � e UNIT 9 � 1�� � NI
°� eamNc DR�AY c {�� UNIT 15
m ' � _ _ _ ' � „v/S s (LCE) «� Z 22't
> IN B�Z E UNIT 10 I L6 �pGROUND -
rn 54. ' yi (LCE) I (CE) I (LCE) FlSN CLEAN OOCKS
�- .I p (LCE) 1 65�AC t t UNIT 8 I I �SE� N
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I QNCLUDINC R/W) 396.11'
.03• _ CPMPGROUND
— —N 88'S9'37" E 429.14'— — �K
N 01'00' W, 7.2'
� I � UNfTS 8 & 9 SHALL BE RETAItJED BY THE /�/
I � � OWNER OF THE CAMPGROUND LODGE. ^ /�j
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EVERSON'S�fVELSON
LAKE �ODGE C'ONDO
� .114 ' NELSON
LAKE is.
REF.: SAWYER CO. DEED RECORpS
U.S.G.S. — HAYWARD + STANBERRY
EAST SCALE: I INCH= 400 FEE
DRAWN BY: KM �
AERIAL PHOTO C3 COLON (�) INDIGATES GO
SI�ORELAND PRESERVATION AGREEMENT
'��(Non-Intact Shoreline Veeetation Protection Area) �
Land Use Permit No. �-� 8� (To be entered by the Zoning Office) Index No. ��/ - �_�_
WHEREAS, (list all owners) ,�Q(�y�r� J��cn g ��M �`1 Z� n c v� cJ�
�� ,� Lc�rso h
� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
d WHEREAS, in order to secure a Land Use Permit.
�
�
cn NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Pernut, that
d the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance
� with the Mi$gation Plan and Implementa$on Schedule approved by the Sawyer County Zoning Department.
y The owner s hereb a rees that at all tunes in the future the real estate sub ect to this A reement sha11 com 1
v� � ) Y g � .1 g PY
1� with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
' that the Land Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized
�G 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
� VEGETATION PROTECT'ION AREA exists and that it is being preserved. Violation of this Agreement will
� authorize, in addition to other penalties and relief requued under the Sawyer County Zoning Ordinance,
I�] 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
Q� Zoning Office.
� LegalDescriptionofProperty: _�n,'� IY� t'o+�scns �e�5or1 L�,i� C�d�»7�Y��'ums � ����Q��i�1 �,J�a�,
QtnmC�iuid'�PQ ,�i�e,.fgt ,h thc i•ommrm �/evn.�n� av� �c�C�l�ies � �✓ea5�y, ;
NC�Si^� �t„1Cr-- Zoc�0.Q �cr�CfOrn� h �`uvnS �n Cartr,�c�1 �`n � µw� tx2�c�ared a.,-� -�j� i5��r an�°^
Dated this 1 b day of /� i,.1y� ��./ �`°`i`�' ��
(Owner) (Owner)
� :j or�� ,�,,,�e�G�en— /�e�svn ('an 1�ti �u.1s cv�
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office