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Home My WebLink About020-639-24-3206-LUP-2008-141 �Application for Land Use Permit(*Shareland*) o 0 County of Savvyer � �'j �-� PO Box 676 -Hayward WI 54843 715/634-8288 � *Property that is located within 300'of a creek,riaer or stream or within 1000'oi'a 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 HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL p ' r �, �tX7I S� �� F��O N�-�,v � tq"ir� Owner � Builder a S � �� x as-z o: Mailing Address Mailing Address � � � �J�,v�z. v�i i S�{-8`��p ;; City,State,Zip City,State,Zip � 7.5- ZcoG�- 2 Z�v 3 � Daytime Phone Daytime Phone c Additional Information: Zone District: f-lj ` � � Lot Dimensions: !o(or� �- !�7 Date lot was created: Acres: /� L �f40�zzoj r� � Is there wetland near the proposed structure?If yes,how faz o Bu ding Land Use Floodplain:( )Yes ( )No � � (�New ( )Filling Chippewa Flowage:( )Yes ( ) No � rJ O Addition O Dredging Driveway access off of a(Check one): J � O Alteration O Grading O Private Rd O Town Rd. � � O Moving On O O County Hwy O State Hwy N o � � ) � ) � N � Pn Structure Ac ssory Building Addition T' o ° (�lling (^'�Garage-attached/detac_]led ( )Deck c,a � -o (�Yeaz round (z}#of caz stalls O Porch �., ( )�easonal ( ).��uilding ( )Enclosed C � (�%lFrame built on site O Screenhouse O Living room � c� � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen n, � � ( )Mobile/manufactured ( )Other ( )Bedroom "� � ( )Other primary structure ( ) ( )Relocate/enlarge W `V � � ( � ( )#of new �^ O � �- AdditionalInformation: N � < O cn � N � T of Construction: � � � N ( F:ame ( )Log ( )Po1e/metal ( )Block ( )Concrete Q W � �S c ( )Other � ,� Construction Cost:Primary Structure$ �/n �� o G � � Accessory Building:$ Addition:$ � (� � �o Deed:Vol 745 Pg i 99 Certified Soil Test# C)2-C�9� �, z CSM:Vol Pg Lot# Sanitazy Permit# O 1'/S'J � � P1atEnvelope pr: haS been �"��d o� s Condo Vol Pg Yeaz Instalied: n� �.» � "Loads and Flows": Vol Pg Owner When Installed: � 0 Previous office approvals/actions: p Variance:# LUP:# �- SP:# CUP:# �Z-(�/� � Inspection Report:# Change of Zone District: 6�j�1o8 zrys� r • � :F �ti`�!� '`�� ,�-�, r�<:.-,.-^�: ��., N�C �i^'-'�.::'=s �R�?,Q� V �/ , � l y�� .� ° �.�'_�.+ . � `. n�y� � 5 .�� Yt9��Y�� VO�" : Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each addition, cach alteration in a separate column. #1. ,t�.�s� #2. 6�vr_„�,�c -;2,i #3. #4. Size �� ft. wide �ft. wide ft. wide ft. wide �_fr. long L4 ft. long ft. long fr. long Floor area J�l4o sq. ft. s7(o sq. ft. sq. ft. � sq. ft. Hgt.from giade z Z to peak j!o ft. hgt. ft. hgt. ft. hgt. Stories I / stories stories stories # of bedrooms� Lake/Pond/Flowa e/River/Stream (Name) --�—�---_ • --- ��r,YT�i�`r N� -br�'d�B-�Stle"�1--�t''�� - ~\ �7� ��---� �� I . . . �1/CO� JY�L�� ' � ��'C''rIL• �, � . S Ysr�-Y.�. (l��f i — . C��" " � �� . � i �X4�< � � ' � �� - --- a ��=-�I� . � SJ�z,� �Z¢<Z� E7� ��ag I w� ---��---/S✓ I �p0 f(L. G�y Z I ' y �.—_, ,tioR�� _� i , G(oG I�v�sc N�i(�--�� --- Fire Number and Name of Road �,�S�ZJ�/ ��J.�St�/EI✓J 1. Enter lot dimensions and indicate north by arrow. Sign ture of Cl�eu�r or uthorized Agent: 2. Indicate the location and size of the requested construction u�r � - — �T Signature�� activities. Print Name: 3. Also, lnc�lc3te the location ancl cllStanCe to tl]e Well, The above cedifies that the listed informalion antl intentions are We and conect.,tha�all work shall be performed in compliance Septic t2T11C and dTainf eld, Wetland 3ieas, lot 11nes, with the requiremenLc ot the Sawyer County Zoning ONinance and the laws and regulations of the State of Wiscronsin, and if centerline of the road and waterbodies. a��e as owoer�5� a�e�t,nas me Pe��ss�on or me owoe�5�ro pedorm the work requestetl on this application. The above personsls hereby give permission for aceess to ihe property for onsite inspection. Permit fee: $ 2 OC�� Total land area within 300' of the waterbody: (A)_ 198�oo� Total impervious surface area [including this project] (B) 2 l7�, (B) / (A) x 100 =% Used J °�o (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes 6 No 0 !,D � (��Z�:(%Li3�,� e Issue Dat Signature of Issuing Agent QA1,�p �t� 4 2 pp g 50% Rule: Average Road Setback: Expiration ate Office Comments: �UR�OS'e B� ��"�`S To ' ';l��v 1 �"Jt�� '`-�� Q,,t,j0 (��-D l�O CQ.?P,o.�CO-sS�2D Ge�G SHORELAND PRESERVATION AGREEMF.NT (Shorcline Veeetation Protection Area) Land Use Permit No. 08_/y/ (To be entered by the Zoning Office) Index No. �- f / WHEREAS, (list all owners) oui S � Uc�.��2r�f �t�✓i(�2CtcJ , 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' landwazd from the ordinary high-water mazk of the waterbody. 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 i representatives of the Govemmental Unit to enter onto the owner's property at the following description 9' 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 SHORELINE VEGETATION PROT'ECTION 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 SHORELINE ;'� VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION '� PROTECTION t1IZEA, 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 7 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 -a Zoning Office. � � Legal Description of Property: N(�/ 4 Se:�J�l_v�2�� r�� ti:/: Co �✓ /�i��,,� � OZo �1�3y- y�=- ��o� ��-� /D � „t ` 7'n�n o�F D"e� � Dated this /D day of �',�n.� , ZcX�B � 1 � (Owner) (Owner) Q ��.� �� (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � �� ` ,�� a �,�; � ��:." �� '" �` �5` -� ,�"`�n ,�',�*" �� };� ��.., :�,: ��s��,� � � ��' ' �� x�,= �,"��* � 3 a �" `' ihJ� �,��. �,! � 6> �� :�.�� .�. ;� �� g`.a�;��' �� .� ��': ,�d � '.c�'.T. �.i>..x "�R,�. '��' ��e 4r��' �. r } �;��3, ,"�: -: . , r;;