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Home My WebLink About020-639-14-5101-LUP-2008-356 Application for Land Use Permit(*Shoreland*) � � 0 0 County of Sawyer �, � PO Box 676 -Hayward WI 54843 �15/634-8288 _.� *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. CONSTRUCTION SHALL NOT BF.GIN UNTIL ALL REQUIRF.D PERMITS HAVE BEEN ISSUED. PR1NT-USE BLACK INK OR PENCIL 1 i .. � 0�-��u�a �u��k��;��,,; r��1�K s��-��e��uv�sl-,-ucfiv�, � � i � Owner Fam��`I1 ~ Builder � �131� 1�� +-��5� �ve� �+3�1b a`lo+-'`��. �. Mailing Address Mailing Address � G � �c��i�nr� �?� 537,�1� I-�olCornb� �� 5�1�'�5 � City,State,Zip r City,State,Zip� 715-55 - �9`� li�� 3-y�o� �� -- 55��- ,��,� ;�, Daytime Phone Daytime Phone -�- Additional Information: Zone District (L R'Z �� Lot Dimensions: --- _�— Date lot was created: Acres. ��. I T r Is there wetland near the proposed structure?If yes,how far o � Building Land Use Floodplain:( Yes (�No �a C lkl New O Filling Chippewa Flowage:Q�)Yes O No � -�- O Addition O Dredging Driveway access off of a(Check one): x�( � ( )Alteration ( )Grading ( )Private Rd (X�Town Rd. �n� ( )Moving On ( ) ( )County Hwy ( )State Hwy ��•"' G� � ) � ) j � � P �� .., Primary Structure Accessory Building Addition r+ o 0 ( )Dwelling (�Garage-attache c[etache' ( )Deck W � � O Year round (7�#of caz stails O Porch s W ( )Seasonal ( )Storage Building ( )Enclosed o � ()()Frame built on site ( )Screenhouse ( )Living room 6' �o ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen - " ( )Mobile/manufactured ( )Other ( )Bedroom `L V - i � ( )Other primazy structure ( ) ( )Relocate/enlarge �' �; ( ) ( ) ( )#ofnew C u� Additionallnformation: o w p � C � n Type of Construction: o � � QU Frame O Log O Pole/metal O Block QV Concrete ° O G� ( )Other � Construction Cost:Primary Structure$ ,_, � Accessory Building:$ 7ni �(%�% . (�C� Addition:$ � �7 ,�338 9 FS � u Deed:Vol �8z 7 Pg �_ z S__ Certified Soil Test# O/-z55 � z CSM:Vol Pg Lot# Sanitary Permit# °0 � Plat Envelope Or. a� � Condo Vol Pg Yeaz Instalied: ,�, � � "I,oads and Flows": Vol Pg Owner When Instailed: � ci Previous office approvals/actions: Variance:# t7l-olo LUP:# SP:# CUP:# Inspection Report:# qy-CY�L? Change of Zone District � `ot��o � 2125D 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. #4. Size v � ft. wide ft. wide fr. wide fr. wide ��'�{ ft. long fr. long ft. long fr. long Floor azea � S.� sq. ft. sq. ft. sq. ft. sq. ft. Hgt frnm giade�to peak ft. l�gt. fr. hgt. fr. hgt. Stories � stories stories stories # of bedrooms C � Lake/Pond/Flowa e/River/Stream ame � ('�/-� I �i�E W r� l2 / V� �2 �-- . :. 1 - ---- _ --- ----- -_ ____ - � �� '� J ' ' � � � �� / � I � �f• I _, 1-�'� � ��. i�� 70�' Ct��n � ro�;�d � d� - 7 T 13� x�aa��e. \ �'.2 � � - ia� . �—� � � �� 1 ,; Fire Number aad Name of Road � � � __ l�R�p� l. Enter Iot dimensions and indicate nortq by arrow. S�tur�of Own �or th�ized Ag nt: 2. [ndicate the location and size of the re uested construction �` �ir�l/l�CCl'L'L�� ignaWre activities. %� � �/„„Q� L��{.� PrintName:Ti '�� ICiCQ �� 1'1� 3. Also, indlCate the location and distazlce to the well, The above certifies ihat me�isted intormation and inten6ons a true and corteci,Ihat all work shall be peAom�ed in compliance septic tank and drainfield, wetland areas, lot lines, wilh the reQuiremenis ot the Saxyer Counry Zoning Ordinance and Ne laws and regulalions of ihe State of Wisconsin, and if Cellterline of the I'oad and waterbOdles. acting as ownef(s)ayent has fhe pertnission ot Ue owner(s)to perlortn the work requested on Nis application. The above personsls here6y give permissbn for access to Ne property for n �y onsite inspection. Permit fee: $ 'U�• l,C� Total land area within 300' of the waterbody: (A) S�0,p o � Total impervious surface area [including this project] (B) 17�y (B)/(A) x 100 = % Used < � � (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes ( No —�`�'91�j 2 3, �o o � - Issue Date Signature ofissui nt �(1�9�,� Z� r Zo o q 50% Rule: Average Road Setback: Expiration Date Office Comments: ��dbit4b{� Livim ansa �h:�p '�o+ t�� createcS in acce:�sor� structwes. � � . � ,,_„ � �� / r / � .2.� . � _ .�.� � ,._.� �, � ,,,u, � � I I I I I I I I I I I ,},� ,4.3 r � r �4.2 .� .3.� �` � � I 1 � � � .4•4 I I ( l l \ 1 � I l \ � :2.2 .14,1 �� ` � �`�� - � .� � \ ��Z \ � �9VER '� /�y� �i��% ;3 I ��,��= �� i � /i _/ �� ,/�� -^ � :�.� �r� �r / \� `�/ 13 23 R� TO M II CV'5-7o7 SCRLE 1 fNCH = 40o FF_ET JTER QUAD CI°172) SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Area) Land Use Permit No. �8- ,�� (To be entered by the Zoning Office) Index No. �-35� WHEREAS, (list all owners) �c` � .c� `u��c �C-��rlr4 titi 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 ownec(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 3 S landwazd from the ordinary high-water mark 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) further agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's property at the following description �}' 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 PROTECTION 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 � VEG�TATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION PROTECTION AREA, 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 � struchues 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 � Zoning Office. � ' � Legal Description of Property: 03� L3°I ' )�� S I� � C�; b�.,c � �� 739A/r/` �o �/ D,1'� ��- ��' � � Datedthis �1�� dayof �'�� 1 ��-c ,� , ��:US � � (p �) � (Owner) � - - � (Owner) (Owner) (Owner) (Owner) This i��shument was drafted by: Sawyer County Zoning Office ��. � .n'u� �,��J.Y�'�r � ��,''-�.`� _ ..�;�.C, � �4 a � �a �� i �' r %y^a -�� l ku Af.�. .:.�:•Y . :9' � . �Y� .� � k K �� i r��E �r - ,�„� `'�'��'i . � e s � .<ia�r �s, - • �`�� ' �,i � ,�r� �"` Q. ;�',' �� ; -... , ;, !"',- i . 4', ^� ��',�`l �,,„ Kti , °'#'1)�� \� ii� � `` t � ;,,,, "Y. � � � � �j'�: ,.q :n�ea~�� .?j' ;,{ r "u ,� ti ,y��a� ��;,. ;'w ' `,�.y,��?' y �i )� `�R 1 �,� � ��q'y! � y.,� "��. .> wr a��n'- '�; g,J;.�r w�c y '�t �+ . .. , . h ��N��X p/, ..'�, t . �.:,� y,�.�;d,t•!'��',,1 * f �d•," s w ,m•�`--'�`1`�IAfF'I Y¢"lK a