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022-738-13-5206-LUP-2004-303 Application for Land Use Permit(*Shoreland*) o o X�- ' 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 w�thin 1000'of a � flowage,lake or pond or has any of the above waterbodies located within �j� � the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT-USE BLACK INK OR PENCIL /�7iehCte/ �31,E��:rl" � � TaCse�v l.'he. /.1��.eP � Owner � �— Builder a O `1`�4S�a �I rL %�•'. �' � /cLL�I;ia o � Mailing Address Mailing Address � O �' ��� wr 5y��'Z. � City,State,Zip City,State,Zip 7�5 •i�/5"- Z7 z-S �- Daytime Phone Daytime Phone p r Additional Information: Zone District: /`�� � Lot Dimensions: � Date lot was created: Acres: I. L S ^ Is there wetland neaz the proposed structure?If yes,how faz o � Building Land Use Floodplain:O Yes O No � (�New ( )Filling Chippewa Flowage:( )Yes ( ) No �o O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � ) � ) � o �, r" Primary Structure Accessory Building Addition o 0 ( )Dwelling ( )Garage-attached/detached ( )Deck � � O Yeaz round O#of car stalls O Porch W ( )Seasonal (}d Storage Building /,�x//� ( )Enclosed �, O Frame built on site O Screenhouse O Living room c� ( )Modular/manufaetured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactwed ( )Other ( )Bedxoom �a � O Other primary structure O O Relocate/enlarge N � � ( ) ( )#of new � r � AdditionalInformation: "� � � � � Type of Construction: �` — �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � W � ( )Other ,.� Construction Cost:Primary Structure$ ,.,y � � � Accessory Building:$ 3 �i C(� AddiYion:$ o � p � Deed:Vol So0 Pg a�� Certified Soil Test# '7�-2(fl7 � z tro ,� CSM:Vol ,�7 Pg�Lot# _S Sanitary Permit# ?9- Z37 � Plat Envelope Or: � —1 Condo Vol Pg Year Installed: N � �, "Loads and Flows": Vol Pg Owner When Installed: � ci ;c Previous office approvals/actions: r' Variance:# LUP:# �7Q�-(�Yy SP:# CUP:# `� Inspeetion Report:# Change of Zone District: I �(�� �' �N('VI,� l.D` �a35� �w 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. 5�e, i31�,�� #2. #3. #4. Size � � ft. wide fr. wide ft. wide ft. wide I �: fr. long fr. long ft. long ft. long Floor area �� L sq. ft. sq. ft. sq. ft. sq. ft. Hgt from grade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories #of bedrooms Lake/Pond/Flowa e/River/Stream ame �� T �+' i)r��tw� N � � ; �30 �I' =�b., �°�,� _._ --_ � � �. � LN.S , .� �x��� �lw���jitld �„ -�9 _�— ,io-I , � �. S���t� h�t'r � • / �_ 1 �:�il � 4) I �1�4' „ � 1�7,.s� � G /� � �,,( V �.G`'�`r��lvL ��(,.�" `�-/-,,..._ p 1 � f ��' ����� � �' � l � � � 1 %�� . �� 3 � C � �r�:�� R,� �� �- � �i Fire Number and Name of Road J 8(,�51.� j2ti-. 1 E a a c{ J�dr� 1. Enter lot dimensions and indicate north by arrow. ignature of Owner or Q thorized Agent: 2. Indicate the location and size of the requested construction C c,� " ` �� / � Signatur activities. � PrinWame: 3. Also, indicate the location and distance to the well, The above cerofes ihat Ne listed intormation and intentions are We and corred., ihat all work shall be peAormed in compliance septic tank and drainfield, wetland azeas, lot lines, wiN Ne requiremenGs of the Sawyer Counry Zoning Ordinance and the iaws and regulations of the S1ate of Wisconsin, and if centerline of the road and waterbodies. aceo9 as owner�s>ayem,nas me���5s�on or me owne��s�ro peAortn the work requested on ihis application. The above persons/s he2by give permission for access to the property for onsite inspection. �(. Permit fee: $ ~/ �� Total land area within 300' of the waterbody: (A) i 3�� 3��' yL'�S��' Total impervious surface azea [including this project] (B) /a � �_ (B) /(A) x 100 = %Used -.3 �C (Shall not exceed I S%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes No � � June 28, 2004 �2! � /'' �%' Issue Date Signature of Issuing Agent June 28, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: \ TWP38N . R . 7 W . 3 y.�o 4 :1.14 O 97 � � � . . �1.15 • � �77 �ea is� ,�e g, •2 6 7 �1 .8 �i�iz 10 ,�.� . . o � :� �1.7 13 y �1.4 ' .6 , �� � O '�' �2.7 r �.s? � I.�3 =1.5 � :I.10 6 �3. :z4 �1.9 ��� . i2 3 4 5 s l6 15 I �� 5.1 �G z.o i. 2.2s i. i. i.� �.,, 1.� �� :�. ( �2.8 �2.6 ��.4 �2.1 � �8.1 �34 � �\� �3.5 ,� __ � � , :7.� . . .13. :� ; � � � ) .�5.1 .15.2 � O � ^ � MINK CAPITAL SURVEYING, INC. � r—EAM SURVEYING SERVICES �-- -� MEDFORD, WISCONSIN 54451 s��;�;.�o�= � - � � � Csrliii�d Surveys Properfy Surv�ys Topoyraphic Mapping - SM�N Improvemsnfs Roufa locclions __.______ Plol Plans CERTIFIED SURPEY MAP I STATE OF WISCONSIN) COUNTY Or SAWYER �SS _._ . I. Charles Offerman, land surveyor of the State of Wisconsin. do hereby 1 certify that I have made the following survey in Government I,ot 2� Section \Z 13. T• 38 N.� R. 7 W,� Sawyer C unty� Wisconsin, more particularly described �; y= as follows: =w �$ w� Commencing at the Nor 4 corner of said Section 13; thence s 3°35' w:� m9 °'� 30" E� along the N—S' j � . �ne of said Section 13� 13�6.98�; thence �o a m� N 50°54' E, along the �Southerly Right—of—Way of a Town Road� A'" � w s / / 429.97' to the point of real beginning; �� �� `y,4,�4 � thence continuing N 5p°54' E� along said w� o . e,� Right—of—Way� 429,.9j�� thence s 3°35'30" E� �°'- . oe �' 77k� , more or less, to the shore line of the = o ' �tiry� Chippewa River; thence Southerly� along said P / shore line, 3�0' . more or less; thence N 30 4 +� � .y� H 35'30" w. 634� , more or less, to the said �pp� ��•'� P point of real beginning. Said parcel being ,a. / �ao „ subject to Highway, Utility or other ease— ��po� �30-- Q�°,� ments in use or of record. ,�0 9i � �. � I further certify that I have complied ,°'/� �;m ; with the provisions of Cha,�ber 236 of the " „- .,;" revised statutes of the State of Wisconsin /e� o m�'o in surveying and mapping the same. �^�1-� 2'his instrument 3rafted by Charles `" °' N A � Offerman. ub o �p 0 o'-� c�i o I[PRROYED THIS � DAY OF�� �,_i� � a 1977. � NUTE: Soil and percol—" '�q,, �(,`��_l�`�, ation tests taken by � e ''� SAWYER COIT�'TY ZONING AD1dIPIISTRATOR others. °o ° wy �''e, i, q° O ti s iN� _� � ' w -'"�` �p o�,�,eeeeraeeeecoo H 6 ° b���°`����,+v 9��0�'v � � U p �,p��rf,.�a»...wti��y i'a, p��G � ° n �°, re' j ✓ p A= - r CHARLES� � � �� m � B OFFERMAN � u rn� � ��� '" �f � � � Io081 � '�� s-sz� a + n u .,� MEDFORD� f.� b } wis. � N i' �^%.`. :���� Q Register'e O[fire �+ y"�� 7!- •a.. `',`.. ^ SQti' �C � •N���1��e���`''/�t�J tr �'=:CJunly � fi'�, (;�� Aeceieed(or record the �� day o[ `�✓,v ap��G jCiea� �i�y� A D 19��at�''Yro clock ��and recorded in voi. J' ot�_e-�._��y�T_on paQe—r'�+ _ � •�C.YG� UK.�ltJ�s-� Regi;ter Depul� o ioo' zoo' IEGENO Scale of Mep:I inch�zoo' � ---�_ Iron Pipes Found —o-- I'z 24"Iron Pipe�Ser,1.13 Ib./ft. $TATE OF WISCONSIN 5S 0 S�ona Mon.Found COUNTY OF TAYLOR � —p—��o�p��f Se� —�— 2"x 30'Iron�pes S�t,3.65 Ib./ft. � CNARlE50FFERMAN ��� Surv�yo�of fA�$t�t�of Wiuomin,do h�r.b urYi fhd oe AWUST 6,19T7 Y �T , I surv�y�d th. •bw�d�acrib�d prop�r}y�ccordinq}c alFici�l ncordf�nd 4h�f fh��ccomp�nying m�p ia�trw�nd cancf r •uni�ftoe of th.M��io oundui�s of}F�I�nd �YIY�y�,}h�f�II buildinps�nd impror�m��s li�rholly rithin th�bound�ry lin��,�nd ih�f ne�ncro�chm -�di•c•n1 prcp• r p��r from wid wrv�y .�c�pf u indic�f�d. 13-3t•7W gONCLER REALY / � Q Rpia�r�d Land S.rv�r (� r� �a•,�,�ec'. StuveV �O'. �,�..r.. /y� SHORELAND PRESERVATION AGREEMENT (_Shorcline Veeetation Protection Area) Land Use Permit No.�--�(� (To be entered by the Zoning Office) Index No. �- 36Z� � � WHEREAS,(list all owners) Michael Shepard and Jacqueline Wyer d � �� � owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WIIEREAS,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'landward 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 ti 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 Pernut 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 Oauthorize, 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. LegalDescriptionofProperty: part of Gov;t lot 2, Lot 5 DSM vol 5 pg 148 • located in Section 13, T 38 N, R7W, Town of Radisson, Sawyer Countv. WI Dated this 14 day of June 2004 ( wner�� (Owner) � (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawper Coanty Zoniug Office