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024-175-00-0300-LUP-2008-085
� / ` ..,^ ' v�' - . Application for Land Use Permit (*Shoreland*) , � County of Saw�Ter r '� � � � r. PO Box 676 - Hayward �JI 54843 `- � 715/634-8288 � *Property that is located within 300' of a creelc, river 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 �E,U � s ,L , ,� �. � �'` _ y � C„ F� Owner Builde;r tr a- 8 � � ��- ¢ �'= ;�;„g e ddress 7 a• "`"a11 Mailirig Address � iso yG3�',3 � ° City, St te, Zip City, �State, Zip � -" /9- �� - 7� p �o , Daytime Phon Daytirne Phone �o��¢f �G.� - 3/Z 8 Additional Information: ���� � Zone �District: - � �l _ 885- SS9 �� � — 9 i �( �� z�z �� Lot D:imensions: '� � Date lot was created:__ .S�/2 -7� Acres: e $ � , Is there wetland near the proposed structure?If yes, how far_�/Q n `� o � Building Land Use Floodplain: ( ) Yes (� No � � New O Filling Chi ewa Flowa e: � ti ( Addition J� pp gO Yes (� N�� . O redging Driveway access off of a(Check one): �''; � ( ) Alteration ( ) Grading 4C) Private Rd ( ) Town Rd. � , ( ) Moving On ( ) ( ) Count Hw � � ��� � � Y Y ( ) State Hwy � � � o Primar Structure '' �' � y Accessory Building Addition -' o � ( ) Dwelling ( ) Garage-attached/detached ( ) Deck � 0 ( ) Year round ( ) # of car stalls � � S ( ) Porch � ( ) easonal �torage Building ( ) Enclosed ,� � O Frame built on site O creenhouse O Living room ' � ( ) Modular/manufactured ( ) Greenhouse ��' � ( ) Mobile/manufactured ( ) Kitchen � ( ) Other ( ) Bedroom �,0 ( ) Other primary structure ( ) ( ) Relocate/enlarge � �`' �'� � ) � ) ( ) # of new � � c Additional Information: �° i c � � , a .� _ � Type of Construction: ' � � � � � Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other �� C Constructian Cc;st; Pri��ar}- Stru�tare $ y - z Accessor Buildin : $_ � '� y g �8 OD 0 Acidition: $ � � ;. Deed: VoI _�',�-�, p , � �� g--�— c.ertified Soil i'est�= CSM: Vol Pg Lot# ` IZ Sanitary Permit# � � �� � � � Plat Envelope _ U" � -' Or: � °, _ -, Condo Vol Pg Year I:nstalled: Na .:; =" � "Loads and Flows": Vol Pg Owne1•When Installed: "' � � � � � Previous office approvals/actions: � Variance: # 2 ' LUP:#_ Q�, - �, 9 SP: ;� CUP: # Inspection Report: # Change of Zone District: 3�h� �3st�� 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 � � ft. wide ft. wide ft. wide ft. wide �ft. long ft. long ft. long ft. long Floor area f Z.D D sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade�to peak � O ft. hgt. ft. hgt. ft. hgt. Stories�_ stories stories stories # of bedrooms�_ Lake/Pond/Flowa ��/River/Stream (Name) / ��' E12. �,4� � � w /���" / � � ��,��Q r� ��,�o S � E U� � � � Y 9 , , 3o /w x yo � x 2 ° . , ��f� 3�w Fire Number and Name of Road � � � 1. Enter lot dimensions and indicate north by arrow. Sign re f C)wner r th ized Agent: 2. Indicate the location and size of the requested construction � � Si ature activities. —T Print Name:��F t lI)i$ V �/¢ / 3. Also, indicate the location and distance to the well, The above certifies th�at the listed information and inte ns 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 requiations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t��9 as ow�er�s�a<�e�t, has the permission of the owner(s)to perform the work requested on this application. The above persons/s hereby give;permission for access to the property for p 0 onsite insp?c!i�n. Permit fee: $_I D�. � Total land area within 300' of the waterbody: (A) 7g a Total impervious surface area [including this project] �B j_yfzpZ� (B)/(A) x 100 =% Used �� .�_(Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes No � , `9')')�.� /�' , Z Ul�� Issue Date Signature of Issuing Agent dQ 50% Rule: Average Road Setbacic: Expiration D e Office Comments: / � —Y n . .�' ` . � . I I � � I � II I .. � ------- � . -•� i�-' ' .....:..Y� \�N Y'� r d ? � , LSf��� .y� E '. ��i� s�.. ,d� 1t s� "�` 0��5: . �� � �� o, .. ?� f __ __ _ � — ��� _ _ ���'� _ - — ----- — � � — 6s - � ��S o0�`� (s�nv� ePn��u��vo,p�n�tS'wJ rna4 �-o ba�� b � � dS pp� (ran�a a�n��v,,as»,vS��,pS��a fo baa� � — \ ' I 65 �g� �san�a aPn��v;��u;��ac»p $0 3a�� � o / � � � � � -- _ � m Cv � —o --- o�j ,y� '� G m� _ ��-� ,� _ � �.a: � �� � ��� i � � �� ��'� ____ _ � �, '2' � �, ___ �. _ _ - - ���� � - � � - � __ o� .:S"°f� � � ��`� � � — � �C � � � _ ��� a � � _ _ - __ _-- � /'� _ _ �b __ _ � � S � -.8 � _ _ '�+f�( �I � . . . . . : ^ , , 2.23AC. .3gAC. b o 8.�9AC. � , U- � f� m T " ~ ' , NE- NE " . 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SW-SE - ' � � �OMN AST DAN Rp• B'� 024-741-16 4301 F� MApp��� ��TM 024-741-16 � 4 P(�p��s 4402 ` 27.05AC. + 024-747-18 4401 �p�'�NF 16.33AC. �0�,�'ti" � 3.87AC. 1.86AC. GRAPHIC SCALE TAX ASSESSMENT PURPOSES ONI o Zaa � 800 teoo Information contained on this map is odvisory. Map accuracy is limited by quality of the public records from wh was prepared. It is not intended as c ( IN FEET ) substitute for an accurate field surve: 1 inch = 400 ft. 1 ��, • � ,�r��r. . � . .�...' . t / � , I 1 � r � � r 1 � • \� J_�I �� � ` ' • _ � . t � ( ��� � _'� , �.` e .�f � � ,� � •� PAf�/ Uf 1I�F SUl�tf�£��T //4 OF Ti;E� NOR�N£AST //Q AND 1 ��y= � � NUFrT�,1.�-A:�/- //7 UF T/!E SOU rHFA S T //4 OF S£CTYJN/6. 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Jr 0. � EAST 1/4 CCiNER 1��� i. �j ��� � 'i• ��o�o__.._ ` SECT�ON �• �.w �s��• I����, � ---- :l:..1_' � • i � Ll� �•,: 8 r �"� � ����� �es'��''e1 � ` ,.,.�:��, ,,.. . - ., �-. p, . , �.�,,.s : ,,;y. .'{� . !.t o' /M�� =�i��o �/ � � ����f.. � t . ►r " / a� 4►r� �� ..��.. t /o�� o � �� � d' �'/ �' �� �d �' • . 't .. � / �� �. . � ,�•�c�ts o c�'i �• g � •• • / d " $ � '••• � (2 Rl'I.`L�.^'�..:i.�t o t�•��� 2 � ' �✓ + O q0 -+-�......_t I�•�r��1�� • /.�!�C�l) iifas`"_---- � � ��. .c•�• yC�IE 1�•10� --�------.�__-_ , , o � �� � � ��l � - � ♦ .�� �� • ♦� '� . . 6 4 • •/ • '=•j•• • - w . 8 �► �' ' � IH !f� � � � . . 1.�!�1C11t f .p + `��I.� n �...::._�...._ ._.. . : _.._� . / � •o - � - ��-1.`_...._- -- s���>> �u"i ��� su•��or't / �z?��� _ , CJAvE D�TA . ....___� ..._. . _ .. . .. . •�.si ' !,�.>.-�:_ :._ _.. .��.. _.. . . �-' � �� '�'7r'p�-V Or�_..ns�►' /,j��� . ttrrvt 1O-O V � ':�t. • o . � L _. _.... __._� ,,,�.;. .o o. o. �1 •-�!7��.. Yr �O� �- � i- S•�f st o • ��� n i �C-�O��)' 5 . „ , ..� o �_ns.: . !t t�cst t � y %;, so �o a�� N i-���f' ,� ��a� ��' �'' {4 � `e q. cu,�t Q-Q ., .o �. � :.,, .���s ._` � ��� 4. P ; R-H/!0' . e♦ P •o • e ►-!!•ts'7t' •��� � � •• ti C-��{)1. Mt� ��� � p l��!!f� - � r�0 O< < ♦ f t��2��� • � �� �n• �� '�~ i ��.� (� .� �ro n J t��� �. ,r � f.V�vR Q-C� .. �o� ��•�cets `� °v ✓,� +� r. � ^ .it> >J 'i{�.y � t/ � . \♦ �-!�^a'72� . •�� . .t��j! \, � C-tOlr� . ��a.� . � ���:�1«:" � w ow � l-t��c�' i� +•'" � ♦ w � i-u7.3�� i. ���:�I� ��,,�� . J. \\\��'� � �� (; .�tl�►l� ' .�, � ��./. ♦ \ � n� , CU�'�f lJ `� \': '�J1 � : '� ♦ �� . � . .. . . �� ..� 1� �Y•.. { ` o. 7 11•).•���. .w '` :er ���is .zio�n . . 1 t -e.•��:t' J;,:,�t� + 1«w �, � t•��N '�• ��;���} �~ �C�� ' � , ti � l-foJ)� � � a�� � 2 ' .O � 1-����. . e . .� ';S, �rr•c��a � �.� ����s�'i t).� .' � ,�� ♦♦ n)�:i '����� ��••�n/7 •�''^• ,�, �L� ��� fl�r/ �1 - i0 • � � e :. '�o . � wJf•..• ia"• � 11-�JOO� .. . . , � / � _�tl�, + • ��1. Mti��7171�• `, 'A)p.���,. . . � -1r��1/�1• •, �--�� SHORELAND PRESERVATION AGRE�MENT (Shoreline Veeetation Protection Area) Land Use Fermit No.��('To be entered by the Zoning Office) Indea No. �� WHEItEAS,(list all owners) 1�n n�S G� /n�/-{��q /`�(q�� owns rea] estate within Sawyer County that is subjeot to the Sawyer County Shoreland Regulations, and VJF�REAS,in order to secure a Land Use Permit. NOW, Tf�12EFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that the SHORELINE V�GETATION PROT'ECTION AREA on said real estate is intact to a minimum depth of 3S tandwazd&om tfie ordinary high-water mazk of the waterbody. The owner(s) hereby agtees to comply with the shoreland vegetafive protection area requirements of Section CS' 4.410 SHORELAND VEGETATTON PROTECTION AItEA, Sawyer County Zoning Ordivance, in effeot on fhe date that the land use pemut is issued by the wning office. The owner(s) fuether agrees to allow authorized �" representatives of the Govetnmental 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) POVJERS, Sawyer County Zoning Ordinance] r 1 to inspect the structure(s) or uses authorized by said L,and Use Permit and to detemvne if the SHORELINE �J VEGETAITON PROTECTION AREA exists and that it is being preserved. Tlus authorization shall terminate "�" on tl�e date of expiration of tl�e land use pernut, However, the owner's obligation to maintain the SHORELINE � VEGETATION PROTECTTON AREA in accoidance with Section 4.410 SHOR�LAND VEGETATION • PRO'I�CT'ION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will � authoriie, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, •� injunctive relief, restoration of said real estate, the revocafion of said Land Use Pemut 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. � � , —� I.egal Description of Property: �o r,l e��f'. /l., � 7'y/N /Z 7 w K n o�n k c L u � �3 -�S `�he �;qtr �4� SUbC�.u�t�o r�o[vn_e � 1?���,.a l.a,Icea�Trr Ceun�v� W—`� �2 �/- 1 ?5-ov - �3od Dat 's S �7 day of t ^ � , r�AC�� � (Owner) � � (Owner) � (Owner) (Owner) � (Owne�) Oc,.ier` C 1 Tliis vutrument was draRed by: Sawyer County Zoning Oftice � Maly - Round Lake - LUP #08-085 6-6-2008 SVPA Not Mowed On This Date � Ii � � Y x ` r!y �,a u �i+ � j��{ ✓ a !_. .,'^ - .. � � .' � � � ���; ;i'�,C'�1 ' r �� �. �� / ��It ���� �j �� �'�; �}k.�}'� � �,� y�s � +-�. '�•`� ' _ � eMr t � , i. �� � Y w� � �<, � �"� c� � + �{ 4 f � �+ g � �C s •. � �t �""7/ q+s :s �" y '� x .. � ,� i `i , JAv. . l � 1�1 t�. ' 'Xe,1E ° t 4`i"� E. � � �' `l. . 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