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024-741-35-3313-LUP-2004-087 Application for Land Use Permit(*Shoreland*) County of Sawyer � � �� � PO Box 676 -Hayward WI 54843 „O 715/634-8288 i1 �- ? *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 boundazies. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK IN�R PENCIL -_ � i_ n � � D I�RR`� hND 1.���[�! LJA« 1���<,-� �)M �7N �,vs?F-J�:; � � Owner �/ Builder p- R � .2.Z0� J�/tu���K �ih. 9���Z L..� G�'_��- 1 0: Mailing Address l Mailing Address � O � �,�)r�T�E r��D �,l/��. �-ri.�0 9 D _f'I/}y'W�/:10 \�/i. 5�/�r y3 � City,State,Zip City,State,Zip � /�.2�2- _�_�'� � /�'J''� .� �ls� y�.�'-�/l 7d � I Daytime Phone Daytime Phone �� � t Additional Information: Zone District: / i Lot Dimensions: /n�.[� x �f I�,S� Date lot was created: Acres: / �LR !�`� -y ., ' Is there wetland neaz the proposed structure?If yes,how faz i�� �To �Qo�� ��,�(%� o f�� Building .ZBx�/`� Land Use Floodplain:O Yes (�No ss�s 9/ ��a 3 b .� - c �j New O Filling Chippewa Flowage:O Yes OO No n O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (%�Town Rd. � O Moving On O O County Hwy O State Hwy �0 � o � � ) � ) (�LJ��PFo['�.'�� �A ric J N � � r Primary Structure Accessory Building Addition , o 0 (J�Dwelling Q�)Gazage etached (xj Deck •2 L�K�b" � �Yeaz round (,Z)#of car stalls �Lj Porch ��x �Z , w O Seasonal O Storage Building �Enclosed S x�Z �Frame built on site O Screenhouse O Living room �o �; ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom o� _ ( )Other primary structure ( ) ( )Relocate/enlazge � ' � � O O#ofnew ' � � AdditionalInformation: — „ , � � (,''' � Type of Construction: �� �!j Frame ( )Log ( )Pole/metal ( )Block (x)Concrete •�,} �'`� ( )Other � � y Construction Cost:Primary Stnzcture$ 196 00�', �,, ti � Accessory Building:$ /.S o v O Addition:$ ,u����p�p ,.� �' F�, � � -,.: , � � Deed:Vo1-�;-��� Pg���'���'- CertifiedSoilTest# ,325� qy�oZ�y � z CSM:Vol I,� Pg I� Lot#�_ Sanitary Permit# t��/-(�q � 7y `.�?,���°1��5: ,,_ " � Plat Envelope Or: o, Condo Vol Pg Yeaz Installed: �;, "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: , Vaziance:# LUP:# SP:# CUP:# I � Inspection Report:# Change of Zone District: �{I��1� alo3(o8 Describe the construction using these columns. List the dimensions of each structure in a separate colum L��t each story, each addition, each alteration in a separate column. . � #1. ou < #2. ��T�µF� �iA�p�;; #3. F — �/ �uu,i � #4. LjfLc,,S�t ./��{z Size�ft. wide 2 8 ft. wide /2 �a'ft. wide ,28 " 6 ' ft. wide _ � �/ ft. long �ft. long �ft. long /p � J.2 ' fr. long � Floor azea 1.23?, o sq. fr. ���sq. ft. .�� sq. ft. ZgO��sq. ft. Hgt from gade�to peak�ft. hgt. !: ft. hgt. �� � �o ft. hgt. Stories� _�stories 1 stories � / stories #of bedrooms�� Lake/Pond/Flowa e/River/Stream ame f-�ftFF�NC Or ,(CiI oa� _fFTI,RC: Ht � ���� ' Fire Numb r and Name of Road (,� ���pF o. , � �c F.,� .✓E a G r lTY_ �G . .F ' . /� /1PPciE�O �orP �'t� i�c,� ,.�� �. 1. Enter lot dimensions and indicate nor�by arrow. Si ur of Owr�eLor AtrthorizeB Agent: 2. Indicate the location and size of the requested construction � ��- ,�r''/ activities. s� �� PnntName: 3. Also, indicate the location and distance to the well, The above certifies that ihe listed intormation and intentions are We and cortect.,that all work shall be peAortned in compliance septic tank and drainfield, wetland azeas, lot lines, with Ne requiremenLs of Ne Sawyer County Zoning Ordinance and Ne laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. acs�y as ow�er�5� ayem,nas me Permission or tne owne��s�to perform the work requested on this applicatlon. The above personsls hereby give pertnission for access to ihe property for „ �,J onsAe inspection. .✓' Permit fee: $ n,� Total land azea within 300' of the waterbody: (A) 3 p 9 oG SQ. �T. Total impervious surface area [including this project] (B) 3 9,' (B)/(A) x 100 = % Used � 2 °J�, (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Requi ? ( s ()c)No . / �� `��F L� ` IY�`" '' 1"!' L.. . 1y._-.� ' 1.u5� JM ��N IssueDate SignatuteofIssuingAgent �'Ur�s��' �,. 7i�,,,.� ����C-:� 50% Rule: Average Road Setback: Expiration Date —r Office Comments: ,� . 9 .c► �° � � �. � g � A• � � � 30 w A. 0 � 1 $ � � • � Q � � u � � _ � � � , � ��� �� � n � � �. � �rr � ~ � _ �- - � � � -- ^ •. - _ .. .. .. - .� "'� � �1"�lE T' � � � - .� ���FiFFd� � ' � _ _ � _ .. � � � - - - � _ _ _ Q s I r�,.�,��rc �. - - -- ' "� � ` � �� , � � � �. ' � i � i � 1 v; �� ��'C"% '; � � # N � '' iiiii 3 0 � � � it � ii ► i � "' �•'6 v e � �: t ! t � $ � �i � N w � ��� � w � "�, _ , � �' � � � i $ S � � � � � � � ' , a • o � y , � � � M � M1 � � Y n Q S • � � �. � � �Q � � � � Y ,y � � � ` � � 4 sa,�� a � �� � �� �0�1� ���� ._ it3 39hd 3NIH::�y4V �yz��3dS S�8 LBIL-95Z-: �b-6 9k; � 4t b��O� JZt %hU � o � _ w � o � � � � z � o � r V � — N N � — � � � W o cn � � � � � d� O � � _ � = cl� N '� �- � � . O W 0 = 0 O — O O O � � �� �/ � � .. � � v � r �i�� � � � � � � r rl U � � / Z . `��� V^! 4! 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'.�-.�-n ? v � m � � 6v � • '/ ,, �( T _' � ��.\ o w Z ;� �� • ���\ // ,�l��.� li�rn_ _"^..,�,�,1� � N w � 28.74' /\�-+ J, Q � J ���% `Ci �rJ Q �}�'. , o � �5� ' U �'� � rT� O � � � � � � ;� �� � �, t r� � '� (�� � N N O I . ( / � � �' F�y j� N v /y . ', ���� � _-� � � � � « � � �,.��, � Q r � r ? m ��°jrn � � �' �' t--' �',` ' ;� � �,: f��. ` i f.�'.� �; D 4. �_ �,, ' v �1�'"�:. ,.,..^.� �.. -t /to .f� \ ` l m ��/ � � � � � �� L � � D .. • m /o'N � �('�� ro o r z �� ,, cn (il � , � -i r � � � - � g 1�, /� c° � � � 1q �'3 . W � o m ? 1p3 36•� � . 2p6 72, ,// me°a• � .1 � � ' � � ����^ � 03 36• ~ w O � U Z ��2 io �; N • N _6� t0 "' H .�05�� .�� o�d �� � � CERTIFIED SURVEY MAP LEGEND HEART OF THE NORTH PART OF THE SW-SW, SEC. 35, �FOUND�1" IRON PIPE SURVEYS INC . 5ET i x24 IP WT/i . i3 RT. 10, BOX 251 S103-85 T 4i N, R 7 W, TOWN OF ROUND LAKE, HAYWARD, WISC. 54843 MAY 25, 1990. SAWYER COUNTY, WISCONSIN. 715-634-2442 PAGE 1 OF 2 , . , , , . .��6� i a.� ��, �' I , R�i��alci L. �='eterson. Wisconsir� Reaistered Land Surveyor hereby certify tl�a�t in comr�liance with CIial�ter 136.34 of tl-ie W15CGl"1511� ;�tatutes . T ha��e surveyed, ar�cl ni�pped the l.ar�d herein described, and tl�a� in rny o�inion this map is a correct represerrtation of the survey m��de, to Lt�e best of my knowlPdge and ability, and that this survey has been made ��nder tY�e direcLion of THOMAS DU�E'Y and ROBERT BERGUM, �wr-iers . TYiis lan� is located in part of ttie SW1/4-5W1/4, Section 35, T 41 N, R 7 W, 'Town of Row-�d Lake, Sawyer County Wisconsin, described as follows : Commer-,c ing ai� ttie �outriwe st carner of Sect.ion 3 5, T 41 N, R 7 W, Thence P1 lU°51 ' 39" W, alonu the West line of said SWl/4-SW1/4, 101�3 .65 feet to tf�e actual point oF beginni»a, Thence contir,ue N 10°51 ' 39" W, 437 .28 feet to the Northwest corner of said SW1/4-SW1/4, Thence ;� 88°57 ' 32" E, alonci tt�e North line of said SW1/4-SW1/4, 476.77 feet -to a meander corn�r on tt�ie Westerly bank af ttze Chief River , Ther�ce alonu tiie tneander line of the Ck�ief River as follows ; S 33°31 ' 19" E, 15U .92 feet , '1'hence S 66°11 ' 19" E, 260 .16 feet , Thence S 13°14 ' 23" W , 206.72 feet to the enci ot s�id rneander line, Thence N 89°O1 ' 55" W, 668.41 feet to the point of beginning and includin� all the land between tiiE� meander line and the waters edae of the Chief River, between tY�ie parcel lines ex�.ended to the waters edae of the Ct�iief River. Sub�ect t:o all existing easements and reservations . 21b '732 �..,.,�, A�p[.ra�'e Of�oe ) �,�`` �C����J'�,r�.a 8a�Countr j'. l t� ,(�1 l ' �� ,�,"°�"`_-�""�w. �l���� ved for�ecord the dQp d ' '� ? -�-i� A� ���ac�3� �o�stoa %�/,1_ i RON�I� L.�\ �� - 14 crnd recorded in vol.�_3 �.�,, ! t-s F'ET'EI�SON ot Lo�'-�t.tir;� on vaoe ,1�S �/1�. � '( s-aos `�_��--- FiAY?V1lRL) L" `�Uu`� \ WLS. ' Reqista� Ttiis instrumer�t. draf.-ted by �` �,� �>;,� '" �/ Ronald L. Peterson �;:y�lJj�.,.•T �'�.%� Dewny May 25, 1`.390 �..-` SI1R��'=�*'� �� `� ' � __=-__--=-' i � t�� ��— �,�/ e� AP��roved tl�is _�/_ day of�,Ji,��. � , 1990 , by � �-� ,F-1� , Sawyer County Zoning Admin. 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HF�Y ��i? �"K ,... , SHORELAND PRE5ERVATION AGREEMENT (Shoreline Veeetation Protection Area) Land Use Permit No.�y-�7 (To be entered by the Zoning Office) Index No. Q�-� WHEREAS,(list all owners) (2 r r� f'� C�0. i 1 l��b r� � �ti 1 Q l( 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 35'landwaz�d from the ordinary:ugh-water mazk of the waterbod-y. The owner(s)hereby agrees to comply with the shoreland vegetative protection azea 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)fiu�ther 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 SHOREL[NE 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 SHOREL[NE 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: �o w., �� %�o�n�a �- «�l e _��Lt� �-( �SC,t� �/`� �Nc„ �� ��w-,,gl.��o �ll /�� ��f_ `7 ��✓ �oT,� Lot 3 of CSM vol 13 pg 125 -127 Dated this �` � day of ���� / , 02 D O'� �� /��C-t�-i yYl GR.�a-�� (Owner) (Owner) ,�?c.e��.�- l� _ L�/�-G� _ (Owner) (Ownec) (Owner) (Owner) This instrument was draf[ed by: Sawyer Coanty Zoning Office . ,�'' �' �������.� ��;�� �� � , ,�s Russ Smith �' ` �' � �R �� ��� i .:� � Construction ' �'� �'� ` ��` � �� —� � , , `_ �� � � * �`�_ �i � - ,r sosz w ccy Rd e -`�, , ,.'. , �,:' � ', . Hayward, Wl 54843 k�'�� , �;_ � ' „ � ,T:� � , `�` �' �� `�� � 715-462�170 , �� � e ` .j � � � � ,' c � , �" / �, - � � � ) � ' � .�`� g 7 . i sl� . � j � ti � - �f , � •��� ��� . f� � � � �� �. � x x : � « / wi , �„„ � � s�. �= � � j.,� `` t/ 1� ��� t k ,. , rr � � '�:, �" . J 4 � .� , < f *... 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