HomeMy WebLinkAbout014-942-28-4304-LUP-2008-334 r -
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Application for Land Use Permit (*Shoreland*) r ,� _
County of Saw��er ° �
PO Box 676 - Hayward V�II 5484�a:: �,�`=�� - `J �/
715/634-8288 � "1
*Property that is located within 300' of a creek, ri��er or stream or within 1000' oi.'a t� .
flowage, lake or pond or has any of the above waterbodies located within � �
the property's boundaries. �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVF.BEEN ISSUED. C
PRINT-USE BLACK INK OR PENCIL
Chr►S��r�e � � �`
� �
��' l,�ss �0_�/�7' �.vs �'!r'�� a�� _
Owner Buildf;r a.
n � �'
� ��i ���x �l�11�� b: �c►;� U�► <'�. ��. � o:
Mailing Address Mailirig Address � p
�. �'le.✓��1c��5 c,�� p'�7 r'� �.���/ 7 ��F�/`(��'.a �� " �.�'�'� � � �
City, State, Zip City, ��tate, Zip
�5 � / Z Z y- S ��C� �/�--hl��— y/'IC� , �
Daytime Phone Daytirne Phone
Additional Information: Zone District: 2 2-1 �
Lot D:imensions: /�j x 3//(_�/ `
�� �
Date lot was created: l-2y-GL3 Acres: s � �?J'�7�/� �
Is there wetland near the proposed structure? If yes, how far J��c'�S G.t.� ��� �c`� o
Building Land Use Floodplain: ( ) Yes 1� No �
(�New O Filling Chippewa Flowage: O Yes (� No �
O Addition O Dredging Driveway access off of a(Check one): � ^
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. v �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy o °Q
O O � � °
W
� N �
' � N C�
Primary Structure Accessory Building ac�x�z Addition o �
, � o
( ) Dwelling (� Garage-�ae�e�/detached ( ) Deck N �
( ) Year round (� # of car stalls ( ) Porch � �;,
( ) Seasonal ( ) Storage Building ( ) Enclosed � �
�
( ) Frame built on site ( ) Screenhouse ( ) Living room � c� �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen , � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom '� (;
( ) Other primary structure ( ) ( ) Relocate/enlarge �°, L A
( ) ( ) ( ) # of new � � �,�
o � '��
AdditionalInformation: Q N �
0
� N �'
o a' "
Type of Construction: � �,,
(�) Frame ( ) Log ( ) Pole/metal ( ) Block �) Concrete W
( ) Other �
:� � �
_.�.��9 - _ .�-.►
Construction Cost: Primary Structure $ �
Accessory Building: $ s(,� ,C�UC7 ` _ A�idition: $ � �
� �
�
Deed: Vol 3z9<8� Pg Certified Soil Test# p3_ z� � z
CSM: Vol zy Pg z 73 Lot# ( Sanita:ry Permit# �_3 _3cz3 °Q 7�
s����o �
Plat Envelope Or: o,
Condo Vol Pg Year Installed: �;
"Loads and Flows": Vo l Pg Ownei•W hen Insta l le d: � �
�
`.,
Previous office approvals/actions: ir
Variance: # LUP:# v3-5c�s SP: �� CUP: # �C
�
Inspection Report: # Change of Zone ]�istrict: i0'��^
�)Y.,
�S��s
r
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.
, �,
#l.'r-7f�T,�1�r+�%� C41.a�%��;� #2. �� _;� �-A�:� #3. >w� ��-'��r�tc�-�� #4.
Size_��ft. wide �� ` ft. wide (� ft. wide ft. wide
�ft. long �ft. long �(�ft. lon�; ft. long
Floor area_� sq. ft. Db sq. ft. ��sq. ft. sq. ft.
Hgt.from grade ,.?S to peak �}� -C '�ft. hgt. ,���ft. hgt. ft. hgt.
Stories p�i� .f,/-��iL .---- stories -�--�'tories stories
rooms
Lake/Pond/Flowa i�/River/Stream (Name)
.,� �
�' � a.� ,¢-l l A-� H�'� '���T� ,
✓`�
/�
Fire Number and Name of Road i Z �j�/✓�,�,�'�1 � �,�,�',�%,�"G,��
1. Enter lot dimensions and indicate north by arrow. S' nat e of Ow u nrize Agent:
2. Indicate the location and size of the requested construction
activities. S�9 �F �
Print Name:� - L • �J i`�l 'T
3. Also, indicate the location and distance to the well, The above certifies th�at the listed information and intentions are
true and a�rrect.,that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines, with the requirement�: of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. a�t��s as ow�er�s�a<�e�t, has the permission of the owner(s)to
perform the work requested on this application. The above
persons/s hereby give� permission for access to the property for
onsite inspection.
Permit fee: $
Total iand area within 300' of the waterbody: �A) ����{�i ," �`"
Total impervious surface area [including this project] (B)��S(Q � ' :
(B) /(A) x 100 =% Used _t'3 . 3�o (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requ�ired? (X) Yes O No
��+�-8�4�r `7, 2G`� � ' ' �eAu��c.l z�--
Issue Date Signature of Iss ng A ent
t�� `�, Z-Ci�j 50% Rule: Average Road Setback:
Expiration Date
Office Comments: y�b��-b�'� �-��� � � �C�'�SSo✓'`-� S�'�C�-�►��S
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Russ Sanith
Construction, Inc.
9032W Cty Rd B
Hayw�ard, WI 64�43
�
Oct 01 08 04:04p Russell Smith
715-462-4186 P�2 �
POWER OF ATTORNEY
Know all IVIen by these presents, that I, ( U.J � �ZC v2 , .
, property owner,Town af — Sawyer County,Part o�Governznent Lot
, S+-c,�1/4, S G 1/4, S T , P. � � , State of Wisconsin, have/
made, constituted and apgointed �55 f`�1����%.�i f', �f / _
in the Coun of �
ty �q iJ yt f� , State of Wisconsin, my true and lawful agent for
me and in my nazne,piace and stead to do any and all things nocessary for the application
_ for,negotiation of, or ohtaining of state,coun�ty and loca.l perr�its with the County of
- Sawyer, Wisconsi.n, giving and gra�ting hereby unto said agent full power and authorize
to do so and perform all and every act and things whafsoever required and necessary to be
done in about said premises,as fuliy to all intents and pur�oses as I might and could do if
persoaally present,reserving full power of substitution and revocation,hereby ratifying
aIl that my saad ageut of his substitute shall lawfully do or cause tc►be done by virtue
thereo� -
In witness whereof,T have hereunto set my hand and seal this �� Day
of d c�-G��r ,-2�� ?�b $
,
Owner
Notary: �P,�ta.a. �'���C L ev
State of: ���
County of •��`'`'�
� Personally came before me this � day of CC f , ?�9@� Z a0�
The above nazned !'f'lCzit Sw� t z�f to me to be the person who
executed the foregoing instrvment and acknowledged tt�e same_
,�� C w�
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SECTION LINE DATA AND SECTION SUBDIVISION PROVIDED BY G
���f ����f� SAWYER COUNTY SURVEYORS DEPARTMENT, LANDNET WDNR
��� AND WI. CARTOGRAPHER'S OFFICE. �p a 200
�pplications, Land Surveying, Consulting,
�m Maps&Site Planning-services
wi-R�s�2ass
piar Ave.-Hayward,WI 54843-715l634-9422 ���Z�
Email goold@cheqnet.net
PAULA CHISSER '
SAWYER COUNTY, WI
REGISTER OF DEEDS • -
3124 95 . F
06/24/2003 12:15 PM
RECORDING FEE 13.00
Pages 2
SAWYER COUNTY CERTIFIED SURVEY MAP
LOCATED lN THE SW 1/4 OF THE SE 1/4, SECT/ON 28, T42N,
R9W, TOWN OF LENROOT, SAWYER COUNTY, WISCONSIN.
BEARINGS ARE REFERENCED TO THE SOUTH
LINE OF SECTION 28-42-9.
S 86'-09'-17"E. SAWYER COUNTY GRID,HPGN
"HAR N" NAD 83/91
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a � -- � `" TODD C.
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� SW COR 28-42-9 = r s-zas9
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�,,,,�,�,�„��,a..,.,o,,�„�,...r., •FOUND 1•iAn+sr� TODD C.GOOLD-RLS 4
"""""•""`"""""'"� �Fau�°tvrina+v�aE DATED THIS:�"XDAY OF�wG ,2003
M-R�O�
�M.�y�M.�...-ws�..aw�ra- �SET t'x 24•IRON PIPE,vVE16Fff=1 13 LB/FT
71�IOLM]�W-��
PAGE 1 Of 2
�,,, �? 4 � � '?' 3
C�tiited Survey No. g 6 1 O �
SHORELAND PRESERVATION AGREEMENT �
(Non-Intact Shoreline Ve�etation Protection Area)
Land Use Permit No. � �3 (To be entered by the Zoning Office) Index No. � ���
WHEREAS,(list all owners) �
,
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 shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department.
� The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply
with all shoreland vegeta.tive buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
that the Land Use Pemut 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 to
--�-� inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
� VEGETATION PROTECTION AREA exists and that it is being preserved. 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 Pernut. All parties agree that this Agreement shall be filed with the Sawyer County
� Zoning Office.
4�
N Legal Description of Property: �,e:�,7t� ;,�r ;�� �'CJ %y� v� ;r/� S� %�,� ,
—+— '
� -� �'Fc�:a.� .2f�� T��/�/ ,��9GJ� ow,��r� �� �nh�, � �.�Y�-�t
�
—� , �
�c�X' ��isc'
� Datedthis � ' da of QGfi�;�c:�E' , .2C�Clc�`
---,
� (Owner) (Owner)
�
�
i (Owner) (Owner)
(Owner) (Owner)
This uistrument was drafted by:
Sawyer County Zoning Office
�
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RusS Smlth
Construction, Inc.
9032W Cty Rd B
Hayward, WI 5�3