HomeMy WebLinkAbout024-741-30-1409-LUP-2008-034 e=Hn��
Applic;ation for Land Use Permit o o • X -
County of Sawyer � '� "
PO Box 676 -Hayward WI 54843
� '�
715/634-8288 `-'
The undersigned hereby makes application for a Land Use Permit and agrees that all work �
shall be done in compliance with the requirements of the Sa�ryer County Zoning Ordinance � �
and the laws and regulations of the State of Wisconsin.
NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL T ,
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.��R��Y+ i3cNNi�= ►�4CK�ey �;joi-�na ��c�N�'�'�=�����' �
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Owner Builder �'
;��cr �. ��� St� P-o• ��x �y o� �
� � �Mailing Address Mailing Address �
��������,��t��,��, �,�i. 5:3L z 7 H��yw�t��� , u,�i Sy�`l3 �
Ciry,State,Zip City,State,Zip 1� �
���y) 3 z� - ���5 3 ��.s1 ��y - C�o3 �'
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Daytime Phone Da ime Phone �
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Additional Information: Zone District ��'\- � �
0
� 7
I,otsize �DP X �
a�o{��,n�y,eD /L-3-/9 f b Acres �• Z I R�
Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river,
creek or stream) If yes,how far from the shoreline&water name: �/'7�s��h~ �
Is there wetland near the proposed structure?If yes,how faz /1», �� r.�
Building Land Use J�
1}�S New ( )Filling Floodplain:( )Yes (�No # ' �
( )Addition ( )Dredging
N� G�
( )Alteration ( )Grading Chippe�va Flowage: ( )Yes (�X}No '�� �
N o
� �Moving On � � Driveway:( )State ( )County OCj Town Rd.��
v
Primary Structure Accessory Building Addition Q�
�Dwelling QQ Garage-attached/detached (Xl Deck a W
QQ Yeaz round (3)#of car stalls ( )Porch � p �
( )Seasonal ( )Storage Building ( )Enclosed �
�Frame built on site O Screenhouse O Living room ` � �
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom � �
O Other primary structure O O Relocate/enlarge o
� � � � ( )#ofnew c �
, �
AdditionalInformation: � �
pC+r'cLi.✓n.'t- u�iL< HAvL' A�l.� R'fI/9C'H,�l� Z Srffc L �.-av�y�- R� �
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Type of Construction �
-�
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
0
( )Other �
Construction Cost:Primary Structure$ �3C��e C + ��
Accessory Building:$ �'�� Addition:$ z
y �oo5j��1 /1 - ��'
Vol 5 ! Z Pg___�?�of Deed Certified Soil Test# 9�'�3�1 • - �
CSM Vol�_Pg—'Cr� Lot# � Sanitary Permit# p�l-L`�3
Plat Envelope ����0 Or: : „- �
Condo Vol Pg
Year Installed' Z�-�n�
Aff of ex septic Vol Pg Owner When Installed:
Gard Gazebo Vol Pg _\Ei�K-`-��" ���`�'�'��~ ��KL�
� ,11�\p�
Previous Variance: LUP: Inspection Date: � �
�5��-1"I
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Describe the construction using these columns.List the dimensions of each structure in a separate , , ,
colum List each story,each ad tion,each alteration in a separate column.
#1. �rC #2.��l�t'��� #3..�T1�/l��I(�f�(o�f #4.�c/l�
Size �� ft.wide Z�1�.wide 30 ft.wide %P ft.wide
�ft.long .��L' ft.long �ft.long >� ft.long
Floor area /y�sq.ft. ��-sq.�. -l�—sq.�. �_sq.ft.
Hgt.from grade �C�to P���1 ft.hgt. /c� ft.hgt. � ft.hgt.
Stories�_ / stories � stories `� stories
#of bedrooms�_ �,��
� Lot Line r Lake iver name: (�d�r-�`A
CD < �w Tc�--�N� ,-�
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FireNumberandNameofRoad /�313�V /��' CL/�/n.' �� �
1.Fill in lot dimensions and indicate north by arrow. SignBture of Owner or Authorized Agent:
2.Indicate location and size of existing and new structures.
3.Indicate location of well,septic tank,drainfield. °�L �,/
4.Indicate distance to existing structures,lot lines,septic system. �
5.Indicate distance to the ordinazy high-water mark of any lake,
pond,river,stream,creek,and name the body of water. Panc Name:
The above cerGfes Nat ihe Iisted informah'on and intentions are
6.Indicate any grading or clearing in excess of the construction site. a�essto�the p perety roonst�nsp�eaho eby 9�°e permission ror
7.Indicate distance to any wetland.
Permit Fee: �
_ Y�n.� 4 Zm� .
Issue Date Si,,vna�ure of issui ,". r�t
►'i��P� Z o09 _
Expirati—on a�
��m{'�."'�`'`�' �- �636
Office Comments: (�G•�k Oa-�e� �J�i DOO �Z`�o �'"�'(�''��`^' "�+"�'a'u�'
Inspection Date: 50%Rule Applies: Avg.Setback:
Restrictions and other information:
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SAWYER COUNTY CElZTIF1ED SURVEY MAP
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No. o�_a3 y (To be entered by the Zoning Office) Index No. UU - ���
WHEREAS,(list all owners) �p rr� � �n n��e /`✓C7���L/
,
owns real estate within Sawyer County that is subject to the Sawyer Counry Shoreland Regulations, and
WHEREAS;in order to secure a Land Use Permit.
NOW,T'HEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that
the SHORELINE VEGETATION PROT'ECTION t1REA on said real estate is intact to a minimum depth of
35'landwazd&om 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)further agrees to allow authorized
y� 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 e�cists and that it is being preserved.This authorization shall terminate
O
�1 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 AREA,Sawyer County Zoning Ordinance remains in effect.Violation of this Agreement will
S authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
S. injunctive relief,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 Permit and the revocation of any other uses approved by the
I �' 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:�,� � o� '(,S/11 ✓o� !� �z�0 7__AQ�f'-�- c� �hp SE Nt'
� JCC �� �-L�N �� lOWN Ot� ISUJV�d. �fi�l.o QroiJ'c.AEf ��+�t�_�
� l��' c�2�l-�y t-3 0— �yd9
� Dated this I!o day of /�f ov Z c�o 7_
� (O er) (Owner)
�
�
� ( e (Owner)
�
O (Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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