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Home My WebLink About024-741-17-3408-LUP-2008-147 /- � Application for Land Use Permit (*Shoreland*) o o �( County of Saw��er � � PO Box 676 - Hayward WI 54843 715/634-8288 � *Property that is located within 300' of a creek, ri��er or stream or within 1000' of a � flowage, lake or pond or has any of the above waterbodies located within the property's boundaries. , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE(ZUIRED PERMITS HAVE BEEN ISSUED. PRINT—USE BLACK INK OR PENCIL ,� � _:C��f �i � T �/ if Z�i! lv/ �c. 1 � . ' � � Owner Buildex ,, ' Q- � �' ''"� � " �� :��,�'i �' ,� .i.�r�,- (�,.� � ` � o. � Mailing Address Mailirig Address � O � � � _ c� •� City, State, Zip City, ;State, Zip � � Daytime Phone Daytirne Phone � `'r Additional Information: , Zone District: 122�� , � :, j� ' • - � i I .` �, . , --� � . �� + Lot D:imensions: � " � �_ � . � ; � Date lot was created: Acres: � (� Is there wetland near the proposed structure? If yes, how far ^C�r� �� o S � Building Land Use Floodplain: ( ) Yes ( !)No � � (j�.)New ( ) Filling Chippewa Flowage: ( ) Yes ( °j' N�� O Addition O Dredging Driveway access off of a(Check onF:): � ( )Alteration (�Grading ( ) Private Rd ( ) Town Rd. � ? ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � �' � ( )_. ( ) r N �. Primary Structure Accessory Building , Addition �, o ,°r� ( ) Dwelling � Garage-attached/detached ( ) Deck � � ( ) Year round (�) # of car stalls ( ) Porch � W � � ( ) Seasonal ( ) Storage Building ( ) Enclosed � � O Frame built on site O Screenhouse O Living room � cu v. ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � �' � ( ) Mobile/manufactured ( ) Other ( ) Bedroorn � � A ( ) Other primary structure (Y) �.>LL<� � . � - c . ( ) Relocate/enlarge t,,, � � ( � � ( ) # ofnew o � v' � � � Additional Information: 0 a�-�a�h� '� i.U p V y' yyg g � � Sht�re la.+�d �ho�1 � � � w � Type of Construction: �p (��Frame ( ) Log ( ) Pole/metal ( ) Bloc:k (!} Concrete � _ ( ) Other y Construction Cost: Primary Structure $ ,.d � Accessory Building: $ }' "> Acidition: $ � lJ H� � Deed: Vo13 8Z Pg Certified Soil Test# QD-.z8� � z vo CSM: Vol 1�j Pg z s 7 Lot#�_ Sanita:ry Permit# 9/- a75 � � � Plat Envelope Or: � Condo Vol Pg Year Installed: N � � � "Loads and Flows": Vol Pg Ownei• When Installed: � � .� Previous office approvals/actions: N Variance: # LUP:# Qy,-�1�19 SP� �� CUP: # � Inspection Report: # Change of Zone I�istrict: �0�7°� � zs yis 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.�'nCa-vc�� #2. #3. #4. Size `�� ft. wide ft. wide ft. wide ft. wide ft. long ft. long ft. long ft. long ' Floor area ��, � 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 ;� Lake/Pond/Flowa ��/River/Stream (Name) ��- ,� �. �, � � t' �,�- �, � `�; � �� _ t � �' � � y \1 `' � �5� � � , __� _ - _ _ --- , �, -� , �—_ ,so �� {oo� .' , ��,.�_ _ . , � , ,. ,� ,. __ __ _._ _ . j��1 � ' 1.7, ., . . . _. . . � ' i �....� �; � ' . 1��J ��J� � �� . ' ,�.y`^y 1.... i �.,,4� ( ' :..• ._ � C,'�,}.11'V.,'i- � }C.- ��r�-.�- c�-� °' -�F �.a �u c�c' � !��.f ^',� �nr+ :r 4+' �^ t,`�r t` �e-(,,, �(J�� t'r<"�� ,�,�I i h-t /�-��rok�/1� � 1 �,,��,-etii..,� ( ,+r�ie 6� �'��c �-'� � � ��c�.: ��,. �{Je.t,,c� C-C'r��, ��'�u ��F m-t r�.� y� � �� y '�� '�2.k.� �� , � . Fire Number and Name of Road ��'1 � � �� C�� { O�� " ��• 1. Enter lot dimensions and indicate north by arrow. Sig tur,e C) �er or A thorized A ent: 2. Indicate the location and size of the requested construction /' Signature activities. ��. L/��,,��;s� Print Name: 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, with the requirements of the Sawyer County Zoning Ordinance and the laws and requlations of the State of Wisconsin, and if centerline of the road and waterbodies. aa�n9 as oWner�s�a�ie�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 onsite inspection. Permit fee: $ ��"�' T. i t � n� r ai_„ _ , a.._t,. y \ � ! �e 14� �C�/1�`�1`UC,��O'►1 ��f`t Ct��R J' �fAM lUtal Iand area wit,�i�� Cv ol �ii� J�a�iii�vd : ? 3vo� -}v ONw rv` Total impervious surface area [including this project] (B)�_ (B) / (A) x 100 = % Used � (Shall not exceed 15%[or 25% with a con��itional use permit].) Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes �No C�,��.o_ I 2 � 2 UDS Issue Date Signature of Issuing Agent Q�,C� l _i z �p9 50% Rule: Average Road Setback: Expiration ate Office Comments: a' . ,-R � � �� ,..,�,,, . , .. .. , I�it�1��' ��''�Z i��'y��; ;` �"•�;� � T �'(��`�� 2. ... . ,} , . . , .� . .. .��.... �. _ .... .....,.... �.I�....,,.'d / � SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) Land Use Permit No. - �7 (To be entered by the Zoning Office) Index No. �-� WHEREAS, (list all owners) �� l,�r�.� �� > -� �j.-��-.�n� ��,-�S c� , 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 mark of the waterbody. The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section �' 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on the date that the land use pertnit is issued by the zoning office. The owner(s) further agrees to allow authorized 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 exists and that it is being preserved. This authorization shall terminate — 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 authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, 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 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 •`-�"� � � �" . � � '� �� , /�� f� ��/�` t��-, �J ��'Y',`+� � c -/�. � �.� "-' , �/ � _ i � -7 1 -/ - .3 !� t� V�C� 4...�u�c- �. Dated this �Y day of �� , �p� � � (O ) �'^ (Owner) � i ; O (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office < s ��" R � L� t;sc . .6.1 �,Z9 � .,L" .5.2 �.n • � ' .5.5 /.r y � .5.3 y �L" .S 4 ,L" � ,',- .7.1 .8.3 c .8.2 � ,�, 3 �� .S.� �L" ..L. .10.12 .10.11 ..L .I.. 10. ..' 10. 10�1 ,�L, . .10.3 77�£R !y .10.13 .10.10 �S .10.9 .9.1 i o.e' �� PLA CID 7 .10.6 � � ,o.� =o :,.s .9.4 � .12.1 s��q �'o .,�,2 LAK.� :,., , , oa :�•'� y� Lc �y� �� 1y L .12.2 .12.5 .12. .�s.a ,,5.� ;1.3 .12.3 .12.7 .15.6 BURNS � LAK� :1.5 •�2•ti .15.2 .12.6 �nl o r�t t�i9 \ �