020-639-13-5707-LUP-2004-110 _ l�'- '
Application for Land Use Permit(*Shoreland*) o o.��
County of Sawyer �
PO Box 676 -Haywazd WI 54843
715/634-8288 � O ��
*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
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Owner Builder � � �
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Mailing Address Mailing Address I� O `'.
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City,State,Zip ;r q-rja-S D� �D 16 City,State,Zip �''
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Daytime Phone Daytime Phone c,._ ��'
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Additional Information: Zone District ti h vt ( . `�?
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Lot Dimensions: I l�'� y "'�'��f �;' �
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Date lot was created: Acres � ��� � 3-
Is there wetland near the proposed stnzcture?If yes,how far �d '�`� � o �
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Building Land Use Floodplain:O Yes O No � �; a
O New O Filling Chippewa Flowage:O Yes (✓f No c��o ,
O Addition O Dredging Driveway access off of a(Check one): � iu
(.�'Alteration ( )Grading ( )Private Rd (✓r'I'own Rd. ? �
� x
O Moving On O O County Hwy O State Hwy �
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Primary Structure Accessoxy Building Addition o ,�
( }B�ie.li::g ( )Garage-a��ach:,d/uatached (��'Beck �� � �"
( )Yeaz round ( )#of car stalls (�)'Porch '� ��� n
( )Seasonal ( )Storage Building ( )Enclosed � 7
O Frame built on site O Screenhouse O Living room co �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen V
( )Mobile/manufactured ( )Other ( )Bedroom a Q ��
( )Other primary structure ( ) ( )Relocate/enlarge ^�� `� �
� � ( ) ( )#of new �
Additional Information. �c rt C�1. t�"}`` � � � �
Ex f�cr�si�-�^+ '� ("�'�� ��;�t'i -Cf i 4�1�� c��ti'� �'� �u) c�o �(
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Type of Constrnction: ; -
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ���� W'�
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( )Other � ,�
Construction Cost:Primary Structure$ ,ly d
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Accessory Building:$ Addition:$ + � ;y��
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Deed:Vol �'r � Pg I�(`� .=a Certified Soil Test# �� - � � �y
CSM:Vol �C' Pg I`i� Lot# :r�i% Sanitary Permit# C �' - ��C� "� �
Plat Envelope �r� � r;
Condo Vol Pg Year Installed: i�
"Loads and Flows": Vol Pg Owner When Installed: � �
0
Previous office approvals/actions: t �
Variance:# LUP:# ("�`' -��-� SP:# CUP:# �' �
Inspection Report:# Change of Zone District:
yj5loy
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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 column.
#1. SCrcu�Porci� #2. dGC k- #3. #4.
Size f D fr.wide �ft.wide ft.wide ft.wide
�4 ft.long a u fr.long ft.long ft.long
Floor azea a��(� sq.ft. o?y o sq.ft. sq.fr. sq.ft.
Hgt from grade l S' to pealc — ft.hgt. fr.hgt. ft.hgt.
Stories� — stories stories stories
#of bedrooms
Lake/Pond/Flowa e/River/Stream ame
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Fire Number and Name of Road��o��� �%G��''� �d.
1. Enter lot dimensions and indicate north by arrow. `$ignature of Owner or Autho�ized Agent:
2. Indicate the location and size of the requested construction y , �i �1 -;.� .�>- ''.�it'�'�cc,
Signa e
activities.
PrintName:��'v��1 !'�iti����ltillB. �'JY!<2
3. AISo,indicate the location and distance to the well, The above certfles mat the�isted int ation and intentions are
true and correct.,ihat all work shall be performed in compliance
septic tank and drainfield,wetland azeas,lot lines, with Ne requirements of the Sawyer Cowry Zoning OMinance
and the Wws and regulations of lhe State of Wisconsin,and if
centerline of the road and waterbodies. acany as ow�e�(s�a9em,nas me���5s�o�of�ne owoed5)co
peAorm the work 2quested on this application. The above
personsls hereby give pertnission for acxess to the property for
onsiteinspeclion.
Permit fee:$ 7S�
Total land azea within 300'of the waterbody:(A) 5Q h/Oa
Total impervious surface area[including this project](B) ��y I
(B)/(A)x 100=%Used s� �o (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No
Apri1 29, 2004 - �--
Issue Date Signature ofIs in ent
April 29, 2005 a
50/o Rule: Average Road Setback: _
Expiration Date
Office Comments:
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DRAWN BY�D DATE:B/s/9�
COLON (:) INDIGATES GOVT. LOT
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Wagner Surveying Associates, Inc.
26745 Lakeland Avenue N.
P.O. Box 89
Webster, Wisconsin 54893
715-866-4295
CERTIFIED SURVEY MAP N0.
ALL OF LOT 19 OF CERTIFlED SURVEY MAP VOLUME 13, PAGE 358-359 LOCATED IN
GOVERNMENT LOT 2; SECTION 14 AND GOVERNMENT LOT 7; SECTION 13,
TOWNSHIP 39 NORTH, RANGE 06 WEST, TOWN QF OJIBWa SAWYER COUNIY.
WISCONSIN.
LECEND , �oo SCALE o>"=100' ,00
�SAWYER C0. MON. OF RECORD I
O 1'IP FOUND � � �O,T
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CURVE TABLE
CURVE DELTA RADIUS ARC TANGEM BEARING CHORD �9�°O
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C1 2T72'18' aoaoo 189.93 96.79 N 2T54'07 E 188.15 0
C2 0442'45 40a.00 32.90 16.46 N 38'08'53' E 32.89 �+pw
C3 22'29'32' 400.00 157.03 79.54 N 25•32'4� E 156.02 �N�
C4 OGtt'27' 433.00 46.77 23.41 � N 38'24'35' E 46.75 w
CS 20°43'S0" 433.00 756.67 79.20 N 24 57'OCl E 155.81 m��
C6 00'40'45' 7000.00 71.85 5.83 N 41°50'38' E 17.85
`°���1�SGn�'NS�/{i�6'' � R�errr
rrr`� MARK E / ,/�; � �r � � 5 d �Ca+My �
I =�`r KRAUSE '�'__ nxe►Aa w�rc�ad e�+.�dev a
� S1808 _ � �D �e�r awdc
= WEBSIER, a �N ad r�cardsd'n val��
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Wagner Surveying Associates, Inc.
26745 Lakeland Avenue N.
P.O. Box 89
Webster, Wisconsin 54893
715-866-4295 �
CERTIFIED SURVEY MAP N0 .
SURVEYOR' S CERTIFICATE
I , Mark E. Krause, a Registered Land Surveyor, hereby certify that pursuant to a request
from TAYLOR INV�STMENT CORPORATION, I have caused the hereinafter described lands to be
surveyed and mapped under my direction and supervision; and to my best knowledge and
belief this Certified Survey f�lap is a true and correct representation of that survey;
THAT the exterior boundary of the land parcel surveyed and mapped is described as
follows:
All of Lot 19 of Certified Survey Map Volume 13, Page 358-359 located in Government
Lot 2, Section 14 and Government Lot 7 , Section 13, Township 39 North, Range 06 West ,
Town of Ojibwa, County of Sawyer, State of Vdisconsin and more particularly described as
follows:
Commencing at the Southeast Corner of Section 14;
THENCE N14°23 ' 22"W 1132 .87 feet to the Southwest Corner of Lot 19 of Certified
Survey Map Volume 13, Page 358-359 and centerline of Dam Road;
THEI�II� northeasterly along the West Line of said Lot. 19 and said centerline 11 . 85
feet along the arc of a circle concave to the West whose radius is 1000.00 feet the
chord of said arc bearing N41°50 ' 38"E 11 . 85 feet;
THENCE N41°30 ' 16"E 270. 75 feet along said 4�est Line and centerline;
THENCE along said West Line and centerline 189.93 feet along the arc of a circle
concave to the 6�est whose radius is 400.00 feet the chord of said arc bearing
N27°54 ' 07"E 188.15 feet to the Northwest Corner of said Lot 19;
THENCE S71°57 ' 52"E 345. 77 feet along th` North Line of said Lot 19 to a Meander Line
of the Chippewa River;
THENCE S40°41 ' 03"W 502.81 feet along said meander line to the South Line of said
Lot 19;
THENCE N68°12 ' S2"W 297.64 feet to the Point of Beginning.
This parcel contains 188, 900 square feet more or less and includes those lands
lying between the meander line and the shore of the Chippewa River as shown on
the map and is subject to easements and restrictions of record.
THAT such map is a correct representation of all of the exterior boundaries of the land
surveyed and the division thereof;
THAT I have fully complied with the provisions of Chapter 236.34 of the 6Visconsin
Statutes in surveying , dividing and mapping the same.
�`�r�h5"umunp�ps,,',',''/''�,
. , ;�•��`�y1� C�N �� ;
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Sawyer o . Zoning Administra ion =� KRAUSE �=
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= 5-1808 =
n `' = WEB3TER, _
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Date ''%'9� .�6-94 ��,�
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SHORELAND PRESERVATION AGREEMENT
� (Shoreline Ve�etation Protection Area) �
� Land Use Permit No. �- llb (To be entered by the Zoning Office) Index No. ��- l!d
� WHEREAS, (list all owners) David and Julie Forcier
, _�
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
i 35' lanuwaru iroiYi thc urdinaiy high-water mark of the waterbody.
�
'0 The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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) further 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 structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
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,
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: Th a t p a r t o f GL 7 S e c 2 3 , an d GL 2 S e c 14 T 3 9 N, R 6 W,
Town of Ojibwa, Sawyer County, WI. Described as Lot 2 of CSM filed 9/1/98
in vol 20, page 135 as doc �� 270457 .
Dated this day of ���— , �c::K�`-/
, �l �� �' � � � _
(Owner) David A. Forcier (Owner) Julie K. Forcier
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sa�ryer County Zoning Office