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030-737-02-5306-LUP-2004-007 _ _ _ _c, _ _ _ __ _ i.5o — Application for Land Use Permit o 0 County of Sawyer �, � � PO Box 676 -Haywazd WI 54843 � 715/634-8288 The undersigned hereby makes application for a Land Use Permit and agees that all work � shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance O and the laws and regulations of the State of Wisconsin. NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. i PRINT-USE BLACK INK OR PENCIL O ��� � (2�s '� � � � ����_< <� � � Owner 2 s �T�L. Builder � Qf(7�� � �' L2i�z�Lz sf �o�. Mailing Address Mailing Address � � -�c�_ L F�-f�!`= L�r 5'Y�'6,� � City,State,Zip City,State,Zip � =�r ti�_ f�k- -7 i 5- z ,3 y- �fY z� '`'���cA" Daytime Phone Daytime Phone o Ta � Additional Information: Zone District ��`� � - -� c ` Lot Size ��. p ;� e Date lot was created '�/-%/'9/ Acres c��/�� `�' p � , Is the property in a Shoreland Dishict?(within 1000'of a lake or pond,within 300'of a river, �y � creek or stream) If yes,how faz from the shoreline&water name: ,'o T z � � Is there wetland near the proposed structure?If yes,ho�v far � _ ,� Building Land Use �" � ( )New ( )Filling Floodplain:( )Yes ( )No # � ( )Addition ( )Dredging '� � ( )Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No � ( )Moving On ( ) C o � � ( ) Driveway:( )State ( )County ( )Town Rd. � " Primary Structure Accessory Building Addition -� � ( )Dwelling ( )Gazage-attached/detached ( )Deck ''� ( )Year round ( )#of car stalls ( )Porch � O Seasonal O Storage Building O Enclosed y� ( )Frame built on site ( )Screenhouse ( )Living room , p" ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured �;Other ( )Bedroom � ( )Other primary structure (��711 rr� rYqy�ehhD ( )Relocate/enlarge C \ � � �� � ( )#of new >� � m 0 Additional Information: b � � � Type of Co�struction � ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � � Construction Cost:Primary Structure$ � --� Accessory Building:$ Addition:$ 6 z '� Vol '/.� Pg �r7F of Deed Certified Soil Test# I � CSM Vol�_Pg 3�Lot#�'i�-: Sanitary Permit# ���(��y� i � P1atEnvelope /� 3yCrl Or: � Condo Vol Pg Yeaz Installed Aff of ex septic Vol Pg Owner When Installed: Gard Gazebo�"ol `3���gg .� '�'7� Previous Variance: LUP: Inspection Date: -�,�\� ;1555 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. �, #2. #3. �. Size �` ft. wide ft. wide ft. wide ft. wide �� ft. long ft. long ft. long ft. long Floor azea �` sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from gade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories #of bedrooms , Lot Line or Lake/River name: �--�----, � � L� Y � ���1P �/ ���• I W �' i� Fire Number and Name of Road /0�5�'�.I � d" ��' � /��' 1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate location and size of existing and new structures. 3. Indicate location of well, septic tank, drainfield. n 4. Indicate distance to existing sh�uctures, lot lines, septic system. f ��`"� ������ 5. Indicate distance to the ordinary high-water mazk of any lake, ond, river, stream, creek, and name the body of water. Pn°�Na'"e: p The above certifes lhat the listed infortna6on and inten6ons are We and crorrect.Tha above persons/s hereby give permission for 6. Indicate any grading or clearing in excess of the construction site. a�ss�o me P�o�e�ry roro�s�ie m5��eoo. 7. Indicate distance to any wetland. � , � �,��:_ c<<, Permit Fee: � �`-�� S C-, < � ,. ,,. 6�,.zoo'� - Issue Date Signature of Iss g t � ,nr•� 63 . Zoo� Expiration Date Office Comments: Inspection Date: 50%Rule Applies: Avg. Setback: Within Reservation boundaries: Restrictions and other information: SyIORi�:[.Alv!) lt�:STORATrON/PRI?tiF;RVATYON AGREEMENT Naomi Ligocki , W1I�IZI�AS, Paul Rus t , Joyce Hes s , Anthonv and Jean Rust ,' _James and Sherri Neube,r�er <nvns re�il csl:itc witl�it� Sawycr Cou��ty tltat is subject to the S�twycr Cout�ty Sli�reland Ke�ulations, �nd WEILRk;AS, in ordcr io scc�u�c ;i I�and C.1se Permit for a structure witll a . nonccmformin� sliorcland sctback ur Land Use Pcrn�it issucd for structures uncicr s,59.G92(Iv), Wisconsin Statutes. NOW, THEREFn2E, tlic owncr hel•eby a�rees t� prescrve or providc all S1�orclinc but'1`cr restoration as ru�uircd by thc Szwyer c���nty L��ricl anil Watcr Goi�secva�ion Dcpartmcnt in order to rc�torc ucitUo�• m�i�ltzin the real eslate; by _ N/A '1'he o�vner hercby a�recs that at all tiznes An the future ihc rcai �S_ esta�c suUji:ct to this /lbreerticnt s}�all comply with all shoreland 2eturn to: Sawycr Guunty %on�n,; (�ftice P. O. 13ox GGS vc�ct�tivc bufl-cx rcquire�t�e�nts of thc Sawycr Co�inty 'Loning iiayward Wi 5454 i Urdin�ince in effecl a� the time of sibnin3 of tl�.is document. Thc c�wner l�urthc:r �►grccs to allow autl�orized represcntativcs o!' thc Tax P:�rc�� �v un►t�er: 0 3 0 - 7 3 7 - 0 2 - 5 3 0 6 G�vcnunent��l Unit to ente�• onto the owncr's property at tl�e f'ollowin�� dcscriptioz� to inspect the structi�rc(s) �uthorized by L:�n�l t7sc Pcmlit to deterniine if thc shc�rciaiul vcJctative bl�fter ;is approved by thc Sawycr Cou�aty Irand a»d Water Consetv:�tion 17epartmcn( has bcc�� estat�lish�d, restored, enhanced �1�1c1/�C �li•eserveci. "('his Agrecmcnt shall be considered a R�strictive Covcnant ul�on thc r�al cs�ctic und il sl�zll ru11 witla the land :.uzd shall bc binditl� upon all fu�urc owncr, hcirs or assi;;ns. ViolatiOtl O1� (11iS C.OVCi13[1t �vx�� altt(�Prire, in ilc�CI1t10f1 t0 OC�'1et �eriSllleS and relicC TCquiiCd 1111dCK t11C S:iwyer Coi�nty 'Lo�li��;; Ocdxtaance, i�,junctivc rclicf 1nd restoration of saici rcal cstatc. Le,<<1Dcscriptionot'Property: Lot 6 , Certified Survey Map vol _ 13 pa�e 394 . ma� number 3407 , Part of Govt� Lot 3 , Section 2 , Township . 37N , Range 7W Town of Weirgor , Sawyer County , Wisconsin __ _ __ __ Datcd this. . .. __1-� �t-r d�y of � � �r l.� S_T.__ � vc� "3 - . ��,Li-/l,G, c: � ' _...... _.... _. (p��ner) Sherri Dawn Rust-Neuberger �(pwner) �� l . . . _ __ __._... _.. _.. (O� ncr) James B . Neube���' (Uwner) �•f��` :o o=�-- _.... .._ . - . (Uwuer) , ,,.o��'� �• .;;:���' (Owxaer) , AC�1NUWl.�D�Ev y� t 1'• S' � . OF ��G,_�ivr?�a¢� COUNTY OF �'�?!`-`� � ss: �'-'� `��� / � ��+- dzy ol' �-i� G-� ST ^o by '�'he fore�o�.t�,�'o��e as acknowlcdgcd betore ixae this ..r � , . " N'� _ .. _.. _ __.._� ---.._...... , �t��_ ' .�C'� '=- -- 1'l�is in.r• fi cnr was dr�ftcd by: 5awyci C'c�u��ty %onin� nfficc Notzty 1'ublic My C'ommission Lxpires; / � 3� - U� _ ,._.___.._....--.-- Z • d BZT6 4EZ STL 1Sft?J �f1FJd di0 � Z0 EO 4T �nd SIIORF I.ANU 1t�.STORATI��RES� V O AGREEME1V�Naomi Ligocki, WLLfiRliNS, Paul R.ust Jovice He�G A�n� nrl Ta^n R ,�r � �� �ie _ awns nal cstatc wdhin Sawyer ���j��As,in ordcy' Sawyct C:ouMY Sho�land Kegulatio�s, �� a to sccur� 1 La� U� p�°'i� f� a �`�"-'t issucd for nonconComvnB sliocdand s�tba�k or Land Us��'�''�" sttuMu[cs uakt s.59.692(lv).�N►�a Stnhttes. NO�✓,THEREFO� Ihc owncr hereby agreGS�o P�rvc or pmvidc ali sl�orclinc bul7cc r�storation as n�quiral by thc SawY�' Cuunry I.uad and Watcr Consecvation L�'�in ocdoc w r�storc:uullur maintuin the ce�esuue by_. _ N/A _- that at aII times in the fiu�c,�� Retum m:Sawycr Gwnty 2Af1°5�ce 'ilic o�vnu heceby a�S ent stw���mp�Y with all sho[eland p_O_Dox fiGs estatc wbjeCt to Uus A� �ing iiaywacd Wi 54843 vcyc�ativc buffiz requirements of the Sawya C�tY . Urdinance in effect at the timc o�S��°g°f�5 d�°G��of� Tu ruom r� 0 3 0-7 3 7-0�ab- owner Cunhcr a�m allow autY�riud T�P�"' Gov�xomcutal Unit w entc onto the owncr's�b����t to deteimine if the shorcland Collo�ving dcscription to inspect U1e�'cturc(s)auth r��W�����o��partmcnt has bcen vr.b+ctative Ix�ffa as aPP*o"ed by ihc Sawy�r C�tY t sha11 be coasideied a Restrictivc Covqtsutt ���yo�p�red,'Ch�s A� o all fuwro owncr,hcirs or assi�os. cshbiish�d>*��• w the land and sh�ll bc bindin�uP°� upon thc r�l cslatc and it s11all nu► ith �����o�p�u�y��licf rcquirod unda the Sawycr Violation oC tbis Covcaant�I�'�' on ofsaid real c�tG C:ounty'LomR4�►'dm��'�n�uncuvc rdicCand t�ad That part of Govt lot 3 Section 2L .T^^�^� hin '�7 N. Lc�a1 Dcscription of Pmp�Y�------' Ranv� i W T^ ti ^f ('artif__ie�._ ' ' ------�_ Weir or Saw 1� - ��o� �dayof '' Dat�d Utis � < �f G',��/ _.._._._- Naomi�.�ocki ���� �Q�vnCr� _. . ._... r ���� (Q�VRCf� ' ' �'— � �OVypCi� ��WRCI� . � � � r.'t2c.ca L SS' S'���F�'U=„..CO[JN'fY OF / ACKNO��. _��= - �yofc�vlLu,. ,�1�=-� ,��hY The fon�4��!'N'%',;"m`�Owlcdgcd before me tl�is 1� �—t---�,�. � 7'� u. .�( / k-c�'��z� Thitin�q�+�S�dr.i�pY " No1�rYPublic -.--- tia���0tl�'��,O"`°-'n[r�e - My��issian lacpires 6 J'-�?�_O � .:4'_. :.:Y��.�'. .�. .�` �-.�_ ��J`��,� w��i��r.��"'���� ORATIOIV/PRFSF. V Sl101il:�•nlvu �GREEMEIVT A---- Naomi Ligocki , Paul Rust , Joyce Hess , A�o� WLItR1iAS. — S—�:� s�n�yyet CO ty ���° u�e owns rral ca-�ats�w�'�K��i��WtIERtiAs,in ordtx S:twycr County U� p�it for a sw�Te `"`�� � lo ��� ' �orcLwd sctback or Land Us�Pc.T""t �ss�cd for nonconCurming ' nSiatutes- stzuctutcs anJer s.59.692(Lv�\Nisoo� NnW, TFIEREFO�. ihc owncr hereby ��-S �o Pr'�rvc or pmvidc all sl�orciioc bulTce r��on as n�quit�l bY thc SawYe� Cuunty L.and and Watcx Conta'�'�°n �t in o[de� w nstore:uuVor maintain the tsal estn�bY-- - N��--'-' 'll�c o�vna herehy a+,�� � at all limes u►the Cut�c, thc rcal R�m:Sawycc�'°1ty ZomnS 01F'ce esta�c wbjcct to this A�ment shal� comP1Y with a1l stwreland P.O_Dox�3 v�ccativc Uuffix rocN���a of �hc Sawycx C°u°n' L°"'ng Iiaywacd of this document-T� �,u p�h�p�: 0 3 0-7 3 7-0 2-5 3 0 6 Urd�nancc in effeci at�e��ofau�� �i��li�a of the owner (unhc� a� �to the owmx'S ProP�Y at the ne if the shocclanS GovcauncNal Uait W �ta t the sttucturc(s) au�orized bY L����t to ddecmi cnt Uas b��:n Collowing dcscrip6on to in�by � Sawy� C�ri � snd Watcr Cunsecvu�on Departm t �be ���� a Restrictivc Covqrmtt vcgctative bi�ffa as � �� p�,� �is p�' cshblishod, *��• with the land and sha11 bc tiutdio��all fuwro owncr,hcirs or assi��ns• m addihon to Whec P�'�aes atxl rcUcf m9uirod unda thc Sa�vycr u�on thc[�I cstatc and il sLall nui Violatiou oC This Covcnan��� ���on ofsud real�G �.OUR�}//ADItI��aIICC��T��� m c That part of .Govt lot 3 Section 2 ,. T�� h' D �� N" Legal Dcscription of Prop�RY=__--�-- y � Lot 6 of CSM vol 13, a e 394 Town of Weir Ran e 7 W, __�-- Wisconsin -- a va3 _ a�,of, � . Datc.d tl�is_ C'______�_— _._..._ - (pwner) � � � (�n�) � ���/bL� J �`� .__. � � C�rn� � �� w�� thon � us { � ` � Paul Rust (��� ^�-, �'S ,� �� (O�Vncr),� '_ ,�� . �9- �p�yna) Jean�Rust (Owner) " J� e M. He s s � _COUNPY�F- � �� � � �����' ss: ACKNO�V�. _��:SJra1�6 OF-� ��� :L _ .��ny befoee me this 2��h day of Y�ec c ,r� �� ; n,;knowlcd� - ' --.. 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