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024-741-16-3102-LUP-2008-187
Application for Land Use Permit(*Shoreland*) o o -- - ��c,. County of Saw}�er � __,.,,. �_�'��;� � ,� PO Box 676 -Haywazd PlI 54$�43' 715/634-8288 *Property that is located within 300'of a creek,rieer or stream or within 1000'01.'a � flowage,lake or pond or has any of the above waterbodies located within the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �,rb Kd baS�4 PRINT-USE BLACK INK OR PENCIL p„n�,�� , I•�1�_' ' _ `v� �I��r,���oti �f 4� 5� �uW�__��wn��e rL � � Owner Builder a � /o9fi �/,ckYiZ Lti� t 1 G 5 o w T����r f IZ>> N o� Mailing Address Mailing Address � � � f�wr9-/Lp l�S�onSi�-SYby3���r S�l�"y 3 � � City,�te,Zip City, ate,Zip �957-)Z!�'-�3�� —���� �7?7 � Daytime Phone Daytirne Phone �6_ C�7N'S E Additional Information: ��„Mpc�r� Zone District: �Q� ,� � Lot Dimensions: fs's�x o2 7S � Date lot was created: Acres: 3(o � Is there wetland neaz the proposed structure?If yes,how faz �7(� f'� /7.5�� o Building Land Use Floodplain:( )Yes ( )No _ G ( )New ( )Filling Chippewa Flowage:( )Yes (�N�� � rn � �Addition O Dredging Driveway access off of a(Check one): o � � O Alteration O Grading fj�Private Rd O Town Rd. N � C ( )Moving On ( ) ��p ( )County Hwy ( )State Hwy � o 0 � � � � � N ;�+ Primary Structure Acc�ory Building Addition 'C o ° O Dwelling p�� (� arage-attached/detached O Deck C � (�Year round �,� F�j#of car stalls C2� �Porch ;? L, O Seasonal Q�� ( �Storage Building O Enclosed s. � O Frame built on site O Screenhouse O Living room ' c� s, ( )Modular/manufactured ( )Greenhouse ( )Kitchen W " trrt � O Mobile/manufactured O Other pi�'X� f�Bedroom O Q ( )Other primary structure ( ) �vcYl 2C�i/G �}Q Relocate/enlarge � \ ( ) ( ) /�'�4�tsy„� (2)#of new � � �� �.�`.�— Additional Information: - o c A� 3��/6�� {��,���: � � 8 • � � ��� O O n Type o�Construction:/ N � �Frame (�Log ( )Pole/metal ( )Block ( )Concrete ( )Other �..b�,z SM d Construction Cost:Primary Structure$ �D�� " ,Mtit`ti"�S �. Mti f�+�ls D c�0 ro � Accessory Building:$ ��}DQ,��/�-��. Addition:$ /,�54 � ��cl� 4� �Rnx,� 3b�n pn� t..v�wbca� � TJeed:Vel 3,2, Pg lZfv Certified Soil Test# 9'�-[y�9y-Q7y ;� z CSM:Vol_�,�Pg 2�Lot# y Sanitaty Permit#9Sl-.�52 98-l3s °' 7� Plat Envelope Or: b, _J Condo Vol Pg Yeaz Installed: c:� "Loads and Flows": Vol Pg Owner When Installed: � � 0 7- ,3s �Vl l/ ���- � Previous office approvals/actions: 03`39� ,a qq-33y Variance:# QS-001- LUP:# 95-19D SP:� CUP:# N \ Inspection Report:# Change of Zone District: 1? 25334 Describe the construction using these columns.List the dimensions of each structure in 1 separate column.List each story,each addition,each alteration in a separate column #i.sc-attn. Po�u.h #z. B.Raorh e�ns�on. #3. ��+��c #4. Size_�__ft.wide I fi Zoft.wide s,,,,�i�,� 3`� , ft.wide fr.wide /�ft.long �.�2ft.long~H �O� ft.long ft.long Floor area oZS�� sq.ft. �(�fpq.ft. /d�b sq.ft. sq.ft. Hgt.from grade (Zr to peak �.2 ft.hgt. y2�oR ICSSft.hgt. ft.hgt. 2 Stories � _L�stories fl-t'/��Z stories stories #of bedrooms O � T/4�55YS 1 $edroo� ��"� Lake/Pond/Flo a e/River/Stream Name � � � � ___.— _—_; cn ` ' �' � J � �� �� ' 4 � � F i �� • r � -- �, "'k�o j�. � � � � `�. _ . �� � � nl W -`' • ` � 1` � � � 6 T � ';� , _ , �o + ; _ '_, ��,� � � _� o r—��. � ? _ J � c� �a �,���y — ��� � V� � � s � srPD„r� � M1l� p Ji nr � R y 'J o� \ � } � � �O\ `\\ —1.��' 's', � � � y �i� � 1'i '� �U ��g � '. ���_T / f �. ,� k \ 8,, � ,� . �, -� . _- � , , � • ,�o _. . ' � �; '---- '"- � � `` ?'-.- � � o � o d �, ���t� ?�'� �� � 1 � s � � � �� ' T � o.�;� � d � �za �Ao o -1v+-� �} w xt `��qr / �� � I I r r g� � r R� � ��� ��1 � �O� ry ` � � 3 "' -0 5 io j f � ` O � F g. Fire Number and Name of Road /D�'fS/ m f�+t�ti� �h/l��- 1. Enter lot dimensions and indicate north by arrow. Signature o�er or Authorized Agent: 2. Indicate the location and size of the requested construction � ; y,7��—__ Signature activities. �r� ��,y Print Name: 3. Also,indicate the location and distance to the well, The above certifes Uat the listed intormation and intentions are true and coned.,that all work shall be peAormed in compliance SephC tank aIld c�rainfield,wetland azeas,lot lines, with the requirements ot the Sawyer County Zoning Ordinance and Ne laws and re�ulatlons of the State of Wiscronsin,and if CeritCTline of tlle Load and Watelbodles. acting as owner(s)agent,has the permission ot the owner(s)to peRortn the work rE�ques�ed on this appliwtion. The above persons/s hereby give permission for axess to the property for oa / onsite inspeclion. Permit fee:$��i'C �-/,'A�C%t' ; /��1�`�✓15 Total land azea within 300'of the waterbody:(A)� DbD � Totai:mperv:ous surface azez[inc!uding this project](B) i���15 k' (B)/(A)x 100=%Used 5 �6�z (Shall not exceed 15%[or 25%with a conditional use permit].);zl�vo�_ 15`� Shoreline Vegetation Protection Area:Mitigation Required?O Yes j�No �,, Du 4� 20U� - Issue Date rt� Signature ofIssui nt 9,�.�ku 9�.z 009 50%Rule: Average Road Setback: Expiratio�T Coj�S�Oq Pe-�mt-�- �tJnd�d� �4o i+�C,Lu.de �.'�.c� Habit�bie uvin�arsa sha.0 C�.�n�„�Sioc�S o'�- C��.i�rton .�ix . office coma�ents: rini tre created in accessory M'��'���"^'��O'� ��o�-e`�. P�elLr"'`�"' St�,�t�r�s. 6c���-�e�•is,aooq. �aqe �x.s�eu,e�-to�.�C��e.Ql ec.D Pe.e_o uM�e.e•PM 024-741-09 5403 . � . �.97AC. T I G ER CAT O T;v��,,w,nv , . FLOWAGE 5"a"'" �S3°'`� v�en+ �a c:u's s � 1.47AC.i .76AC. i �� 1. G.L. 4 �..Q a�A� 'aN SE—SW a ,.sz c.��`��4 �g 5 S*O6�`py,' � 024-741-09 3401 ¢ n . . O 38.4bAC. 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Oi3Tq LINEIGE��SW� xY��-SWV. � _ 69:/'� X 6B'�3'�B'N. J.31' - _ y �a � a• • m / �e�., i�' 5 — i�e_. / ,ae�v l�� —N Bi'13'25'M � w � 2 +��" � m / � � �;� � � � SCALE: 1' - 1D0' � � ���� �� L O T 4 ��m BEAFINOS flEFERENGEO TO THE � ,w ppEA-f5fi.l)'J SO/FTa- SOUTH LINE OF SECTION 3.60�LRES+- $� '�C3:. � 16, T41N. R7M, p55l1MED TO L O T 5 ; ( z BEAR S 84'33'46' E. �i ME�-�3.569 SO/FT�- I � / ].89 ACNES�- i 'U' 1 E�SEMEHT- ���93'21'2i E,16.SB" � � / ���/ f f 1.9�' — �s.se _ — — :.��' 12'I�2f'� �� �� � f12.30' ' 129� N Be 13'33 E f92.13' —i6.%' .69• � — _ - f -��.— 195.„f�S8��9 E � — — `,,���\f�/� aoe _ — ��SG•�Ns.S/��Cr 8���I �r� � LARRY T. \ �, ���T SEE PA6E 3 FOH REIUIfAF.P OF 33' YIDE R0�0 E�SEMEM �IE;SON � - �� :^�'. r�/ 70 TOMN fOM. AL50 TZE TD SECTSIXI CORNER. `S�" ASHIAND, ;�->, � W1S 9 /�� � �'y�.y_r�� ,4.>� CERTIFIED SURVEY MAP EGEND HEART OF THE NORTH SURVEYING PAFT OF THE NW3/4-SM3/O, NE1/4-SNf/4,�OUNO MOOO POST OF HAYWARD INC. MAPCH 28, 3994 6 THE SES/4-NN]/4, SEC. 16. T<1N. R]M OUNO 3/4'AL W/CAP qT. S0. 80X 251-A 5335-SS TONN OF HOt1N0 LAKE. SAMYEA COUNTY, FOl1N0 11/4' IRON PIPE HAVNpRD. MISC. 54843 005/94 HISCONSIN. SET 1'%2d' IP MT-1.13 LB/FT �35-63a-2142 PAGE ] OF 3 .... ..�..... �/.��/ ,`���7 SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) Land Use Permit No. �-/A`] (To be entered by the Zoning Office) Index No. C� - �8� WLIEREAS, (list all owners) ��/'t-r�� �j�9 y�/�j 6�79�2�/� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WI3EREAS;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 PROT�CTION AREA on said real estate is intact to a minimum depth of 35' landwazd 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 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 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 PROTBCTION AREA in accordance with Section 4.410 SHORELAND V�GETATION � PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of trus Agreement will y-.. authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, � injunctive relief, restaration 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. C �� Legal Description of Property: �/� �H ,7(,�/ %-I ,SL�C , l 6 %W/1/ L��A/ i� 7 w � �7y/�KC , �/, �- � Dated this a�s �/ � day of 7f/ , �2T�0� � � i (Owner) (Owner) � �, � (O (Owner) � ��Z� (Owner) � (Owner) This instrument was draRed by: Sawyer County Zoning Office � `5 + �""" r r � � '"��� � h '��, '�` "��-°.. a. e� � �€ a� 9 y� � / ��' -� Y.4 ve i. ar � 3i � '�.p � : � ���. y +4 �{ P 3 e�y . � .. ' � � { � � ' J : ., � � . 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