026-939-20-5211-LUP-2004-506 * � �
Application for Land Use Permit ( Shoreland ) o o - �
County of Sawyer � �
�M�'�- � ���L3� p0 Box 676 - Hayward WI 54843 � '
�L� �if�2� a.U'��� 715/634-8288 �,
��Q'�'� *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 �' �
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��� � ���-� the property's boundaries. ,
CONS �[TCTION HALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL �
�Orrqi ne and �
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Owner Builder �i����� �
y�B �PP�r tr.�a �� c.���� �t��l .�-� �r��,r ; �d� �, � �:
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City, State, Zip City, State, Zip _�,
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Daytime Phone Daytime Phone '°
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Additional Information: Zone District: �/�"� `
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Lot Dimensions: /l�� �- y�.� � �
7,
Date lot was created: Acres: !� � `�
Is there wetland near the proposed structure?If yes, how far o �
Building Land Use Floodplain: O Yes (}C�No � C_
(�Q New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No �
( )Addition ( ) Dredging Driveway access off of a(Check one): �
( ) Alteration ( ) Grading ( ) Private Rd �) Town Rd. �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy UQ
� ) � ) � �
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Primary Structure Accessory Building Addition o 0
(X) Dwelling �Garage-attache etached ( ) Deck � �e;,
(� Year round (2�# of car stalls O Porch W
' ( ) Seasonal ( ) Storage Building ( ) Enclosed �
�C) Frame built on site ( ) Screenhouse ( ) Living room c�
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom Q
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
� � ( ) ( ) # ofnew ,
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AdditionalInformation: ��:� A
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Type of Construction: �
(�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete , C
( ) Other ,�
Construction Cost: Primary Structure $ /�� o A d ,.� �
Accessory Building: $_� �d � Addition: $ � �
�Y_ �=` _'�SS-. r �.� �' �
Deed: Vol C� Pg ,� ','°� Certified Soil Test# J �-� � � z
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CSM: Vol Pg Lot# Sanitary Permit# O�- :5�/9 � �
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Plat Envelope Or: � �O
Condo Vol Pg Year Installed: N
"Loads and Flows": Vol Pg Owner When Installed: �? �
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Previous office approvals/actions: �
Variance: # LUP:# (�-�u3 SP: # CUP: # �
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� Inspection Report: # �D a�� Change of Zone District: . .
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SH()1tELAND P�SERVATI(3N A(iREEMF.N'� �
(S�areline V��etatian Protcct�a�a Are:�) _
Land T3se P�rmit No. _O�:��P _ (To be cntered by the Zonin� Office) Index._Na. Oy - �D�.
'WHEREAS, (list all o ��ners) Harold and �.orraine Knutson
,
owns rea� estat� witl ix� Sawyer County that is subject to the Sawyer County Shareland Regu�ations, �d
� 'VVHEREAS, in order � '� sect�re a Land YJsc Pem�it.
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.a �,rp�T,l, THERE�dRE_ t f�e awner(s) hereby cerkz�es that, as a cond�ixota of issue of said Land iJse T'ermit, at
� thc SHQR��INE V� ��tETATION pROTECTION ,A�A on said real estate is intact to a minim�un deptk� of
�- 35' landward from the �rdinary hi�h-watez mark of the wal;crb�dy.
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� The owner(s) hereby � �;recs to compl� with t,k�e shareland vegetative pzotection area rcquirements of Section
4.41Q ST�t)RELAND �EGETATION PRpTECTION AREA, Sawyex County Zonin� Ordinance, in e�£ect on
� the datc that the Ian,d � se permit is issued by �� Zp�� o���• Tt1e °�Qr��� �er agrees to allo�v autharized
� representatives of th.e ��over�,z�nental Unit to entex onto the own�r's property at tY�e �'ollowin� descriptior�
� b�tween the hours of ` ;�)0 A.M. and 6:00 P.M. [Seetian 9.Z�(1) POWERS, 5awyer County Zvning Ordinance]
to inspect the struetu �(s) or uses autharizcd by said Land Use Perrnit ax►d ta dctcrrnine if the SHOR�LIN�
c VECrET13TION FRQ�} l:�•C"TION AREA exzsts and that it is being prese�rved. This authariz,�tion sha�I tern�inate
� on the date of e.cpx�rati� �r.�. of the land use permit. However, thc awnez's obligation to maintain the SHORELINE
VEGETATY�N �1�2.0 ��l:CTION AREA ir► �ccordance with Scction 4.410 S�IORELANI) VI=GLTATION
� �RdTECTI4�V' AREf` , Sawyer Caunty ZoninB 4rdinanc� rcmains in c�f'eGt• Vzola.tion of this A�reement �will
� authorize, xz� addition ta other penatt�es and r�lief rec�uircd under the Sawyer Couzaty Zoning Ordinance,
injunctive relief, xesto ���tion of said real estate, the revocat�on of said Land Usc Pcrmi1�, and the remaval of al�
`g stxuctures approved bS th� issue of said L�nd CJse Petm�t �nd the revocation of any pther uses approvod by the
� issue of said Land Us � Permit, All parties agree that this �lgreement shall be £'iled with the Sa`�`)'er County
� Zoning Office.
T Part of Gov ' t lot 2 Section 2�(
OLegal Description o� I' � � �pertY� ______,�,_,_,_ ' •
located in the Town o ,
+ 026- 939- 20 - 5211
_...�..,
Dat�d this _ _ da of
;
{Owner) (Owner)
(Owner) (C)w[�er)
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(Ovv�,er) (Owi�er)
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'I'liis instrumcnt was dra#� � by:
5awycr Cacu�ty Zaning (" � ce
_�. _ _
_- _ _ _ — ---- '�N I �J� : W17�:
�d Wd�1�:�0 b0�z 8�1 •da5 £Z�Z7�9 : 'ON �1�