HomeMy WebLinkAbout022-126-02-0700-LUP-2008-083 r/ '
Application for Land Use Per�._iit(-*Shareland*) o o X
County of Sawyer �, �
PO Box 676 -Hayward WI 54843
715/634-8288 �
*Property that is located within 300'of a creek,river or stream or within 1000'of a 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. �v V �M
�pRI T-USE BLACK INK OR PENCIL v �
(�fLLIAM C. �USH/ti� Z,
�I-IuniDA L- h"USN�ivy CO%EY L'f{iJC�A `n
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Owner Builder p- /1��
2253 Sro�v�rlpvE 1/ �_.� �Nrl FE� �D o� les�
Mailing Address Mailing Address � O �
SvN t��ir��E l.vi 535yo �DE2.RY (.�Z �4��b� �
City,State,Zip City,Stat Ze ip � �
Clo��' ) 8j`F - �5�9 C7�5)%'�5-�-��� Ce(I (��s)��9 -3;�`l� �_
Daytime Phone Da}ntirne Phone �
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Additional I ormation:1 r 1- Zone District: ��'� A
�eh Q�!'�+'��'T �rn"1b I�' � � G 3
�.� �. �__ Lot Dimensions:� �01 �'-��� �; (�
Date lot was created: Acres: ' `��O � `3 9 � �
Is there wetland near the proposed structure?If yes,how far SN����-�N� o �J
_
Building Land Use Floodplain:O Yes (Xf No � �
(�(j New O Filling Chippewa Flowage:�Yes O No �
O Addition O Dredging Driveway access off of a(Check one): � x�
v,-,
( )Alteration ( )Grading ( )Private Rd (Xj Town Rd. , �
( )Moving On ( ) ( )County Hwy ( )State H�vy � o �
� ) � ) N N �
Primary Structure Accessory Building Addition N o °
( )Dwelling (X(Garage-s�detached ( )Deck �,, �
O Yeaz round (�#of car stalls O Porch 'O W �
( )Seasonal ( )Storage Building ( )Enclosed p �
O Frame built on site O Screenhouse O Living room J c�
( )Modular/manufactured ( )Greenhouse ( )Kitchen �, ,•`_',
( )Mobile/manufactured ( )Other ( )Bedroom w � �
( )Other primazy structure ( ) ( )Relocate/enlarge �� r
� � ( ) ( )#of new ;
� N
S
AdditionalInformarion: � � p
� 1+ �
� d n
Type of Construction: o `� �
(x(Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � o
( )Other J ,�
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Construction Cost:Primary Structure$ p ,ti �
Accessory Building:$ ���DOO Addition:$ � �
�
Deed:Vol �y� Pg 3 93 Certified Soil Test# �l- ���� �, z
CSM:Vol Pg Lot# Sanitazy Permit# � � -�5� `•"' 7y
Plat Envelope Or: b, J
Condo Vol Pg Yeaz Installed: � I� � c:�
"Loads and Flows": Vol Pg Owner When Installed: � �
(iUrc-��qm C �USrir�vLx- ��
Previous office approvals/actions:
Y ,r' i��
Variance:# LUP:# �7'y�s SP:;� CUP: '�.' v ��1��
Inspection Report:# Change of Zone District: �
�
z���
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. � er} 6 #2. #3. #4.
Size fr. wide ft. wide fr. wide fr. wide
�Z O 3�ong ft. long ft. long ft. long
Floor azea�sq. ft. sq. ft. sq. ft. sq. fr.
Hgt.from grade � 3 to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
#of bedrooms -D -
Lake/Pond/Flowa r/River/Stream (Name)
.�e �T7ACNE �
Fire Number and Name of Road 3,s��/ �l�C N Lp/�"C
1. Enter lot dimensions and indicate north by arrow. ignature of Owner Autl iz Agent:
2. Indicate the location and size of the requested construction 2,.,� 4
SignaNre �
activities. '
PnntName:w«�IqM �� . �`��H/NL�
3. Also, 1nC�1C3te tlle IoC3tion and d1St3T1Ce to i.11e Well, The above ceNfes that ihe listed intormauon and intentions are
We and wrted.,that all work shall be performed in compliance
SeptiC taT11C and (�iainfleld, wetland 3Leas, lot Ilnes, with ihe requiremenL ot ihe Sawyer County Zoning ONinance
and the laws and reclulations of the State of Wisconsin, and i(
CCCltetllne of tI1C rOad and watePbod105. acting as owner(s)agent has the permission of the owner(s)to
perform the work re�quesled on this application. The above
personsls here6y give permission for access to the property for
�� onsite inspection.
u
Permit fee: $ S '
Total land area within 300' of the waterbody: (A)�7, � �
Total impervious surface area [including this project] (B)� �J�5
(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 O(f No
�i.i l� 1�O� "
Issue Date Signature of Iss in gent
09 50% Rule: Average Road Setback:
Expiration D te
�'st�+t4r�{w L�;%in� arca sh?�'
Office Comments: nor. b� cr�a�ec� iri aG�ersory
strur,tures.
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TOWN OF RA�i �
GREEN S SUBDIVic
PART GOV T LOT 7 SEC . 23 -
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�K �'� F � �"`��'S
SHORELAND PRESERVATION AGRE�MENT
(Shoreline Ve2etation Protection Area)
Land Use Permit No. w ' ��(To be entered by the Zoning Office) Index No. �- ��
WHEREAS, (listallowners) 1./"��L�Aw� �` - �vsrlitiGs AN�
k'��ti� �A L . ���+�N�
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' landward 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) fiuther agrees to allow authorized
representatives of the Govemmental 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
a on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE
, :. VEGETATION PROT'ECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
i PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will
3 authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
injunctive �elief, 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 Pernut 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
S Zoning Office.
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jLegalDescriptionofProperty: -�ats 7�� �LuCK a �PE�tis Suh��v�S�o�J l��r- C1��t
� �UT 7. SEC. 23 738 /� R� � �wrJ CF /�RD�sSo�J SRwYC-,e
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(Owner) `� (Owner)
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(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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