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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 �' � �: ��� � ���-� 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 � /1�1{�/'� 4 f � f�. � , u r��� ���' � � Owner Builder �i����� � y�B �PP�r tr.�a �� c.���� �t��l .�-� �r��,r ; �d� �, � �: �. 0 Mailing Address Mailing Address � O r ,r- � "�1���te� s v i c� ,�„ 1,,,,� ,S?I'`I�' �7"a i.�rr �. /9'`C rZ Lv� - '�r' Y � G � .� City, State, Zip City, State, Zip _�, (�6��- � 5' '/ .� �� o i� 7/ s" �g� � �" L � ��-` '��. Daytime Phone Daytime Phone '° � , Additional Information: Zone District: �/�"� ` , , 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 � ) � ) � � �, C--� 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 , � t�� AdditionalInformation: ��:� A . � �� � � � 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 aq CSM: Vol Pg Lot# Sanitary Permit# O�- :5�/9 � � � Plat Envelope Or: � �O Condo Vol Pg Year Installed: N "Loads and Flows": Vol Pg Owner When Installed: �? � � � Previous office approvals/actions: � Variance: # LUP:# (�-�u3 SP: # CUP: # � ` � Inspection Report: # �D a�� Change of Zone District: . . � �� ,2F`��""f fr�� -�g� a � l..t�? i : ,..r. i;` �ti � , � /.,��— J �I` � �J �r,�. /wa , 2 �! 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'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. s .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. 0 � � 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) � (Ovv�,er) (Owi�er) �._ '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�