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020-639-34-3301-LUP-2008-259
�� . Application for Land Use Permit (*�-shoreland*) o o . County of Saw`�er � � � - PO Box 676 - Hayward �VI 54843 715/634-8288 �1: *Property that is not located within 300' of a creek, river or stream or within 1000' of a ,;.:. flowage, lake or pond or does not have any of the ,�bove waterbodies located witriin � the property's boundaries. , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE��UIRED PERMITS HAVE BEEN ISSUED. � � PRINT-USE BLACK INK OR PENCIL �� � � + �. c' ',- � ����� '' -� .� (,,�M1 �.., � s y' '1, � ��� 1 ���„�1 (X.I� � � Owner Build��r �' '� �� tc /OU�l� � � o: ;�<y- ; ��% `' � M ilin Address ! , � Maili�ig Address O � ��c.� -� i.,��J ��� ?� �- — � � - — � . City, State, Zip City, State, Zip _� � --.Z;� � �� — ���� � ` Daytime Phone Daytime Phone -c� ��s-a�'� Additional Information: Zone District: RQ-�- •� Lot Dimensions: ; �:�G� �! �3,�U � ' � Date lot was created: Acres: �U n o � Is there wetland near the proposed structure? If yes, how far `—j� •�- ' � � Building Land Use Floodplain: O Yes (��'No � � ( )New ( )Filling � � �� O Addition O Dredging Driveway access off of a(Check onf,): .� � O Alteration O Grading O Pr•ivate Rd O Town Rd. o 0 ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy o �; � ( ) ( ) No S. , �-; Primary Structure Accessory Building Addition �c � � ( ) Dwelling ( ) Garage-attached/cietached ( ) Deck � W O Year round O # of car stalls O Porch i � ( ) Seasonal (�-'j'Storage Building ( ) Enclosed .� � �,�'', ( ) Frame built on site ( ) Screenhouse ( ) Living room �„ � ���, ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen o, � ( ) Mobile/manufactured ( ) Other ( ) Bedroom (� O .- O Other primary structure O O Relocate/en]'�arge p ,�. A ( ) ( ) ( ) # of new � �' �� -4 r. � t r� AdditionalInformation: � A o � U, � � a � � Ty e of Construction: �, �l�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete . ( ) Other Construction Cost: Primary Structure $ � � Accessory Building: $ (L�t�'� A��dition: $ � ���1 ^ •�.li c� Deed: Vol 7�Pg l� Certified Soil Test# DD-„�Sd °4 z CSM: Vol Pg Lot# Sanitary Permit# Oo- K Z 7 � 7� Plat Envelope Or: �; Condo Vol Pg Year Installed: � Aff of ex septic Vol Pg Owner When Installed: � � � Previous office approvals/actions: � .., Variance: # LUP: # pD- 5�.y SP: � CUP: # Inspection Report: # pp-��b Change of Zone District: ��� ;��; ,-, � �(�ty�i" • ' r . Describe the construction using tla.ese co�umns. Lis1:the dimensions of each structure in a separate , column. List each story, each addition, each alteration in a separate column. - #1. l�;��5�;�'�� #2. #3. #4. Size�,�`ft. `v�ide ft. wide ft. wide ft. wide j (� ft. long ft. long ft. long ft. long Floor area��`�l� sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade��to peak ft. hgt. ft. hgt. ft. hgt. Stories ( stories stories stories # of bedrooms-���_ ' Rear Lot Line _ ,, .� _ __ — i ��� --------_-------- �� � � �------- -- , � �, ,, , �,�' � `�, � ��i�`" � �E ■ - ..� � y�``�' �`'� - � /� �'S �-��''� 1J � � � Z � ��: V t� � �� � ! i ; . l �s � � � ��' �___--_ J r ,� �'� ��r 3�— � ' � (��t � � '`, i �_��-'' \ ,� � : '�'�tj�-�:�., B--t � �, a � � 3G� \ .��- __--� � 35 L � � ,_, , � �Q � 1� ���; v�tii�2 r2-o� �� � ,� � � � i � ✓ ' �S � ���,� � ��,,� � �_ , , �- � r; Fire Number and Name of Road ' ( o> �- i1,�„r �� ,���c 1. Enter lot dimensions and indicate north by arrow. Signptur f.U. er or Authorized Agent: 2. Indicate the location and size of the requested construction ' `Signature activities. ��/ _� � � �� ,fl„� Print Name: l\t.�i � � (.1�-�' 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance and the laws and reclulations of the State of Wisconsin, and if centerline of the road. C�r'�C�,��� `�-�f,i►'� 3� f acting as owner(s)anent,has the permission of the owner(s)to perform the work requested on this application. The above -�{j Q�WVn personsls hereby give�permission for access to the property for � �J onsite inspection. Pe,�,,,ir fPe: $ +� — -�tic�,l��' l Z, Z ov `b _ . Issue Date Signature of I uin gent _�,�Z Z oo� 50% Rule: Average Ro�d Setback: Expiration I�ate � Office Comments: � � . � � .b.l .5.1 � I I I I i I I I I iva � � � � a.. .7.1 .8.1 � � I .�u, .v„ � nv. I `1 atw I nlu � .�=�r �l/ ' ,9.4 � ,_., y[ �REE K � FoRo I �u• ,w — � „�„ � ,�w �Y„ �,�, a�, .q.i — I — ,^� _ <��i .10.� �dn am ..v � .,v. �ti i L .9.3 i — uv '� .u�i U/ �� u — ����. �w. � — .�C.2 �� �� Sui ,� ��i�. .�2.� �I ary Mv I� — „��.. I I ,;� � � flii �� .i�/ .�2.z �' .��.� ��lii �� ..1/ I — .12.3 �� IS �un �� — ,�y" I I �,.. ,��„ � ti - 1 11 i i 15_' �v�� ,_. � J2. _ �� 3 — -- - --- REF: AFRIAL PHOTD L13 (le-5-1970) SCALE: I INCH= 40D FEE U.S.G.S W�NTER QUAD C�`172� COLON B). INDICATES GO ...,��. .,�. ......���� .,,...�.� � �..�� „y� . �........ ..... . . ,.�. ....-.... � � ...�...�, � �y� � � � SAOREI.AND PRFSERVATION AGRF.RMEN'T (ShonGne-�e ep4Non ProteCtbn�rea) �wnd Use Permit No.!�8-25 9 (To be enbecod by the Zoning OYSce) d o.���5 9 ' r v�n�as,�u��i o.�� -� , r �- � ��� r�c cP� �2 owns real esmte within Sawyer Co�mty that is subject to the Sawyer Coinrty Shoreland Regulations, and V✓HBREAS,in ordec tp sam a Laad Usc Pamit. NOW,'II�ORB,tho owna{s)haeby oatifies that, as a condition of iss�u of said Land Use Petmit,that tLe SHORffi.II1E VE(3ETATtON.PROTBCTlON ARf3A oa caid real estete is iatacK to a minimum•depth af 35' laadwud fiom dm oidinary high-wetet matlr of fhe sv�tetbodp. T� �(S) �Y �$� �P1Y w�th du sL�eland veg�ative pcotocdoo ans raquire�ts of 3xtion 4.�410 SH()R�ID VFASTATION PROT8CIZON ARIiA, Saw�sr CountY Zoaj°8 Oid'msnce+ in effod on the daoe thut tho leod nse pamit is issuod by tho m,ning office.'The ownea(s)fiu4ia aBraa w ellow authorized re�esarti��es af the Govemmattat Umt W e�a oato the ownds propeRy at thc followmg da,a�iption: bolwoen�e}wa�s of 8.�00 A.M.end 6�00 P.M. [Seotion 9.13(I)POWSRS, Sawy�x Connty ZoninB Oc'diasax] � to incpecA the �kucdae(s) or uses aufhori�ed by said Land Usc P�it sad Lo ddssmiae if tbe SHORHLINE VBC#B'£AZION PROTECTION AREA oxists aud thnt it is boing proeervod. '1Lis aatho�iz�ioa shell beimiaate oa the detc of cxpiiation of the lend use pamit However,t�o owffix's obligalion to maintain ths SHORE6INE? VHQETA7ION PROTECIION ARBA ia acooirfance wit6i SaKion 4.410 SHOItEi.AND VEGETA'110N • PROTBCPiON�RA.A, Sawya County Zon+ng Ord,iam�oe remaim in egect. Violotion of tbis Ag�reement will aufhorizG, in addition to other p�sldes a�d ieltef requicad wder the Sawyec CamtY ��B ��. �� iRj�tiva rdic� rasOmaaon of said teal estnte,the nwoarlion of said Laad Use Pamit end tho removnl o€all � skud�ces�'ed by the issue of said Iand Use Pecmit aod tho ravocation aF�y odwr usea epproved by�e issna of aeid Lend Uso Poimit; A11 puties agree that tl�is Agi+eemeut shall be filed with die Savvycr Counry Zoniag Office. 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