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Home My WebLink About020-639-26-5804-LUP-2008-377/� /,�� -� : Application for Land Use Permit (*Shoreland*) o o . . County of Saw��er � � k PO Box 676 - Hayward V�II 54843 715/634-8288 *Property that is located within 300' of a creek, ri��er 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 �� -� � i ��i A M�'��//f%� ✓L/S ✓�� iL.� � Owner Builde;r Q- c' �O��.��i o' Mailing Address Mailirig Address � � � �}-.l� �� '�G� ��3�� ;; City, State, Zip City, �State, Zip � �� 3 S-o j� �. Daytime Phone Daytirne Phone Additional Information: Zone District: R K a� �. � � Lot D:imensions: 5�7.�- I��S!�¢ �� Date lot was created: �7�6 Acres: �c C�� Is there wetland near the proposed structure? If yes, how far �;fa j� o � Building Land Use Floodplain: O Yes O No ,�.50��o,�/pB � � ( ) ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � � ( Addition O Dredging Drive ay access off of a (Check one:): � ( ) Alteration ( ) Grading ( rivate Rd ( ) Town Rd. � �' � � � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � � � ) � ) � N � � r Primary Structure Acc sory Building Addition v o 0 ( ) Dwelling ( Garage-attached/detached ( ) Deck o � ( ) Year round ( ) # of car stalls ( ) Porch o W ( ) 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 � N ' ( � O O # ofnew 1 � � � r � Additional Information: �Q� �()Q° �5 -��P , w A p��j �v�S /�' �` ,� � �- � a Type of Construction: p � � ( ) Frame ( ) Log ( Pole/metal ( ) Block ( ) Concrete � ( ) Other �° � Q `� � Construction Cost: Pri ary Structure $ o `J � o �, Accessory Building: $��'�1�p °� Acidition: $ � � f,� �3r9 �o�- d � Deed: Vol �� Pg��,�-�i� �� Certified Soil Test# � z CSM: Vol�y. Pg�,�[/-,r�/� Lot# ��6 Sanita:ry Permit# QS-3/a �Q 7� Plat Envelope Or: � Condo Vol Pg Year Installed: �; � "Loads and Flows": Vol Pg Ownei•When Installed: �? � � .� Previous office approvals/actions: � Variance: # LUP:# Q5- �/S�. SP: ;� CUP: # . � Inspection Report: # Change of Zone llistrict: � \� C � \\� :,� � 5�7 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 .�d� �T,o.� #2• #3. #4. Size�_ ft. wide ft. wide ft. wide ft. wide � ft. long ft. long ft. long ft. long Floor area �� Y sq. ft. sq. ft. sq. ft. sq. ft. • Hgt. from grade f� B' ,� to peak ft. hgt. ft. hgt. ft. hgt. , Stories f stories stories stories # of bedrooms , Lake/Pond/Flowa e/River/Stream (Name) : � r . l Fire Number and Name of Road � �� +�� 1 . Enter lot dimensions and indicate north by arrow. Si tur 'C)w er e . 2. Indicate the location and size of the requested construction ignature activities. Print Name: � L� 1� J � �l�U� 3. Also, indicate the location and distance to the well, The above ce ' s that the Iisted information and intentions are true and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and rec�ulations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t��9 as oW�er�s� a�ie�t, has the permission of the owner(s) to perform the work re�quested on this application. The above personsls hereby give� permission for access to the property for onsite inspection. Permit fee: $ �O(� �' Total land area within 300' of the waterbody: (A)��U Total impervious surface area [including this project] (B) �3 � � 0 (B) / (A) x 100 = % Used ,� :�2 � 70 (Shall not exceed 15%[or 25% with a con��itional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�fo . ��P�r��, Z !�0 � Issue Date Signature of Issui g ent ��,,,�j�y � r �� 50% Rule: Average Road Setback: Expiration Date Office Comments: . . . ` \ � s � � � ;�=- �y �,��a+� � ` ! ��`h�`• � .,�-.. ...'� �.�_�.. .�:..-��' � . �Pr�t C�� `� .. �� ; ,,u� �� S`,, .s+s^�- CER7tF1ED SURVEY MAP NO. �� - LOCATED IN GOVERNMENT LOT 8, �SOUTHEAST Q�JARTER OF THE SOUTHWEST QUARTER, SECTION 26, TOWNSHIP 39 NORTH, �" RANGE 06 WEST, TOWN OF OJIBWA, SAWYER COUNTY, Vi/(SCONSIN. --_------�.��--�-T-------- � - � M .aO.L£ZO N � I 6SZ££ 1 �� - � � •o� � ��, � � � �� '�-� �,° i � ��,� Z � a � �g�� j �( � � �'� 0 8 � W O rn a'' �Q � � � � ; V �� ❑ �v oD N� � � � NW � � � � � a' N U'c�'•+ � my 1 >�n v � O_ n� I � � � � � m�bb �� j C�'�00 �-SYY N '34'5T - 33207 � Nf7�n. (�8 � � �� i�p �:il g .�i�� b Co� :• �� - r.tc �._____ _.—_ p—� : �9,� � �� O �s ' * m � c� � ��- � � �� m� � � � —�� I G" � m i� I 0 � � � I� . ��*" P �{1�, u �� 1 � � i� Z ��° i� � � � � r� , h �� 'b � �'t�' . �` � W � ' _ y (O � �- � �p � � �� NN NN N P ` _� : f J� r '^ � � � "�'^l ' Cn D� w $ `¢ W p � � ��`�1 `"'�i "i--� � y O n?f � 1� �V� v �� y� � � � o �� ` '' � � N �� y� � `� � � � �� C� i,- � � l�� p ��om�^ _ y .^ � g � � ��yO �` � �. b, o � V� . g . . � y �� 1� � � : S 1g�6•4 9� l � � ly � 1 146.65 o S OS-4g•1�'W— � C�.�.p � � p��`� ��' g a � � � s � v :y, :5.11 :4.1 . I.I 12 :5.5 � :5.12 � � �6.3 2.34 2 6.7 1.93 3 � 6.8 i.�� r :6.4 2 _ :�g :3.1 i �' 6.5 � J :b.6 �s.2 i a � �;2.1 � Q 2 .9.2 : 7.2 ; 7.1 �, 3 :2.2 w a z �. u :2.3 1 � � :� . � � �, .►2.z :s.i � :1.2 ,R co � � � i / s 3 r �6� 17. iL 2 :s.2 / � � 1.3 � :8.5 iS� v �.�s 8.3 2., � 12.4 J z..� �8,4 25 35 36 SCALE: I INCH= 400 FEET FOR ASSESSMENT USE ONLY NOT DRAWN BY: D. M . E. DATE : !/ -lD - 1477 INTENDED TO SHOW CONCLUSIVE COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS , SHORELANDPRES�RVATION AG 08-3�7 Shorcline Ve etation Protechon AE aMENT Land Use Permit No. q5 _377 � y�� (To be entered by the Zoning Office WHEREAS� (]ist all owners) �� Index No. � : y� 1,(�� IA M �� „ �� n�/�Vi � ,�mlS lSiL� d � �a owns real estate within Sawyer County that is subject to the Sawyer Coun U WHEREAS> in order to secure a Land Use Permit, ��... ty Shoreland Regulations, anc � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that � the SHOREI,IN� VEGETATION PROTECTION AREA on said real estate is intact to a mimmum depth of � 35' landwazd from the ordinary high water mark of the waterbody. 3 The owner(s) hereb a 4.410 SHOREL y �ees to comply with the shoreland vegetative protection azea requirements of Section AND VEGETATION PROTECTION ARE,�, Sawyer County Zoning Ordinance, in effect on � representatives o the Go emmental UUnit to ent t1 ont f the otune e's 1e ro 5 between the hours of 8:00 A.M. and 6:00 P.M. � � �er agrees to allow authorized � to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE [Section 9.13(1) Pp�RS, Sawyer County Zoning Ordinance] O VEGETATION PROTECTION (� on the date of expiration of the lanAd u e pelrm;t However� the owner's obligation to maintain the SHOREI,RVE g preserved. This autharization shall terminate VEGETATION PROTECTION AREA in accordance with S e c t i o n 4.4 1 0 S H O R E L A ND VEGETATION � �� 9 PROTECTION A R E A, S a w y e r C o un ty Zoning Ordinance remains in effe c t. V i o l a tion o f t h is Agreement will tr� authorize, in addition to o t h e r p e n a l ties an d relief required under the S a - injunctive relief, restoration o f s a i d rea l estate, the revocation of said Lan$ Use Permit and i � structures approved by the issue of said Land Use Permit and the revocation o�f any ot er uses a ngoO dlbance, � lf� issue of said Land Use Permit. All parties agree that this Agreement shail be filed with the Saemoval of all Q O Zoning Office. PP y the wyer County ega] Description of Property: � � �E � �� Da d � � ---��---- (� er �_ Q� . �� (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer Countj•Z��n�, O�ce