HomeMy WebLinkAbout026-938-07-5201-LUP-2008-300 Application for Land Use Permit (*Shoreland*) o o � �.�
County of Saw��er � �
PO Box 676 - Hayward V��I 54843
715/634-8288
*Property that is located within 300' of a creek, 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. h �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL �
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Additional Information: Zone District: ,� � � � .
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Lot D:imensions: ��l. 3 7 �C �_�
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Date lot was created�i= �U;���� ���P Acres:.
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Is there wetland near the proposed structure? If yes, how far � � �
Building Land Use Floodplain: O Yes (5�)No '� � �
( )New ( ) Filling Chippewa Flowage: ( ) Yes (� N�� � �n
O Addition O Dredging Driveway access off of a(Check one): ^ �
�C) Alteration ( ) Grading ( ) Private Rd (Xj Town Rd. CD �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �"• � �
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Primary Structure Accessory Building Addition � o °
Gara e attached/detached ( ) Deck �`'
(�C) Dwelling � ) g - � �°
(,1� Year round ( ) # of car stalls ( ) Porch N �
( ) Seasonal ( ) Storage Building ( ) Enclosed , ,�
Screenhouse ( ) Living room , �?
( ) Frame built on site ( ) v�l �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom --
( ) Other primary structure ( )
( ) Relocate/enlarge �, � �
��'�/��� ��1� /�sF•K cti�' � ) ( ) # of new ,r�' �
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AdditionalInformation: � �
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Type of Construction: �
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QC)Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete (�
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( ) Other �� � '�
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Construction Cost: Primary Structure $ ��' C>o c� `
Accessory Building: $ Addition: $ � � �
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Deed: Vol��Pg�_ Certified Soil Test# '?9- �� � � z
Lot# Sanitary Permit# '7 9-� 2 7 � � �
CSM: Vol Pg , �.
Plat Envelope �r� � �
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Condo Vol Pg Year Installed: N �
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"Loads and Flows": Vol Pg Ownei•When Installed: �
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Previous office approvals/actions: � 3 ,���
Variance: # LUP:# 79 - Z z 3 SP: ;� CUP: # !
Inspection Report: # Change of Zone I�istrict: �`p�
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Describe the construction using these columns. List the dimensions of each structure in � separate
column. List each story, each addition, each alteration in a separate column.
#1. ��X�Si�,vJz��.�#2. #3. #4.
Size ,,�, y ft. wide ft. wide ft. wide ft. wide
`f� ft. long ft. long ft. long ft. long
Floor area�sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from giade /� to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
#of bedrooms�_
Lake/Pond/Flowa e/River/Stream (Name)
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Fire Number and Name of Road �/2d Y� �n�h ��a�
1. Enter lot dimensions and indicate north by arrow. Sign ture of C)wner o�'Authorized Age,�t:
2. Indicate the location and size of the requested construction '� ����i1,f��r-�� G�=���
�ignature
activities. -
Print Name:
3. Also, indicate the location and distance to the well, The above certifies th,at 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. a�t��g as ow�er�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: $ �GO • �
Total land area within 300' of the waterbod A JSo�v o� �� � ��� - U
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Total impervious surface area [including this project] (B) 153(� �
(B)/ (A) x 100 = % Used 16�, (Shall not exceed 15%[or 25% with a con�iitional use permit].)
Shareline Vegetation Protection Area: Mitigation ReqUiired? O Yes �jNo
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Issue Date Signature of I Agent
�a��, � �Z,f z d°% 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
Page 1 of 1
Real Estate Property �isting Current Year '
Real estate recard updated on 1j7,i2C�06. '
Property Description Billing Address
PIN: 57-026-2-38-09-07-5 05-002-000010 GARRISON ETAL,SUSAN C/O FRIENDSHUH,STEVEN
PO BOX 432
Legacy PIN: 026938075201 SAVAGE MN 55378-043Z
Record ID: 27727
Map ID: :2.1 Ownership (last updated.��'/6J2tI077:59.�15AM)
County: SAWYER GARRISON ETAL,SUSAN C/O FRIENDSHUH,STEVEN
Municipality: (026)TOWN OF SAND LAKE SAVAGE MN
Public Land PO BOX 432 55378-0432
Survey: SECTION 7 T38N R9W
Quarter: OTHER Site Address (last updated.�2j5,�Z0077,�58.•51 AM)
Quarter- GOVERNMENT LOT
Quarter/Tract: 4284N RANCH RD
Plat/Entity Name: GOVf LOT 2 STONE LAKE WI 54876
Description: PRT GOVT LOT 2 MFL Current Assessment Valuations (last updated:2,/6,/Z007
Recorded Acres: 29.370 7.�SS:35AM)
Calculated Acres: 0.000
Lottery Credit Assessment Tvpe Acres Land Improve Total
Claims: � W7- MANAGED FOREST Z9.370 294,100 0 Z94,100
Waterbody(s): Sissabagama Lake (05-38-09) LAND-OPEN
Zoning: (RR1) Residential/Recreational One Totals: 29.370 294,100 0 294,100
Farmland No Districts (lastupdated:Z/620Q77:57;35AM)
Preservation:
District Name Tvpe Code
Documents State of Wisconsin STATE 1
Sawyer County COUNTY 57
CONVERSION 2/6/2007 Doc#: /Vol- Town of Sand Lake MUNICIPALITY 026
Page: 273/67 Hayward Community School District SCHOOL 2478
Technical College TECH 17
Parent Property(s) Child Property(s)
(where the property came (properties this property
from) c�eated)
N/A N/A
http://sawyerfs6/System/REAL_PROPERTY/listing.asp?pid=27727 9/5/2008
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SISSABA6AMA LAKE
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No. OS_�.�C/ (To be entered by the Zoning Office) Index No. �- J7 C�
WHEREAS, (listallowners)�SCd�I ��re�r✓�'So+'1 E� ct /
� _ ��e��en �r� �n d Sh h = �- 4 �
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� 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.
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,q 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' landwazd from the ordinary high-water mark of the waterbody.
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L 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
` representatives of the Governmental Unit to entec onto the owner's property at the following description
d 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 struchue(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 temunate
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.
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� Legal Description of Proper[y: c f�Y'�� �/� TGJ.� 3,� �✓ , � . C� Gc� ,OCK p�;a, /
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Dated this_,�day of S�„o F Zoo g
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(Owner) (Owner)
This instrument was dcafred by:
Sawyer County Zoniug Office
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