HomeMy WebLinkAbout024-741-15-3212-LUP-2008-316 jr .
v,�� Application for Land Use Permit (*Shoreland*) o o �.
County of Saw��er � �
PO Box 676 - Hayward V�II 54843
715/634-8288 j�
*Property that is located within 300' of a creek, river or stream or within 1000' of a p
flowage, lake or pond or has any of the above waterbodies located within C1 ' �
the property's boundaries. N �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE(?UIRED PERMITS HAVE BEEN ISSUED. �
� PRINT-USE BLACK INK OR PENCIL �, �
I�i C�Y� . �
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Owner � Builde�r Q- rn
/O�'��O ���/�" �n� ���C L�- ����� o:
Mailing Address Mailir�g Address _ � O �
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City, tate, Zip City, ' tate, Zip
�/.S" ��'����y� ��� � ��z� �/��/�--_ �
Daytime Phone Daytirne Phone n �
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Additional Information: Zone District: fZ R `1 � �
C� �; � � y _ � �� � � �
- � Lot D�mensions•
� � �s
e lot was created: Acres: ���� 2 � 7� �
Is there wetland near the proposed structure? If yes, how far � �5 �-f n �
0
Bui ing Land Use Floodplain: ( ) Yes ( ) No � �
(�New O Filling Chippewa Flowage: O Yes O N�� c
O Addition O Dredging Driv way access off of a (Check one): � �
( ) Alteration ( ) Grading (�ivate Rd ( ) Town Rd.
� �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N �' �
( ) ( ) � � �
N � r
Primary Structure Acc ory Building Addition � o 0
( ) Dw�lling ( Garage-attached/cietached ( ) Deck � �
'Year round (� # of car stalls ( ) Porch o �,
( Stora e Buildin Enclosed J �
( ) easonal ( ) g g � )
Livin room ' �
( Frame built on site O Screenhouse O g
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �+ � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom w � .-
( ) Other primary structure ( ) ( ) Relocate/enlarge �; �
� � ( ) ( ) # of new N � (�
, � �
AdditionalInformation: o .� A
� � �� �
o � "
,Typ f Construction: o° �
(�me ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � � ��
a
( ) Other ,�
Construction Cost: Primary Structure $_• ,,.d �
Accessory Building: $X � ��, o o D Acidition: $ � '�
�? \
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Deed: Vol 3Y39B/ Pg Certified Soil Test# Yg•K5/ Q?-i/b � z
CSM: Vol 28 Pg 3Y� Lot# z Sanita:ry Permit# o�!-o�y � �
Plat Envelope !1 73z 8 Or: �
Condo Vol Pg Year Installed: N
� �
"Loads and Flows": Vol Pg Owner•When Installed: �
�
�
Previous office approvals/actions: o
Variance: # LUP:# o'{-o�l SP: �� CUP: # �
Inspection Report: # Change of Zone District: �'�
�
� ����
�
. � �
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 . G�Ce r�c�� #2. #3. #4. '
Size� ft. wide ft. wide ft. wide ft. wide ,
�L(o ft. long ft. long ft. long ft. long
Floor area ��8� 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 e/River/Stream (Name) � �� � � '
,
� �.�,� ��'� '_,.. �'. L.l..a._:t _ �� �''�-- /��C;�_ ! � � ��
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Fire Number and Name of Road �������Y'�l� L.Q-�L.��
1 . Enter lot dimensions and indicate north by arrow. Si re o C) er thorized A ent:
2. Indicate the location and size of the requested construction
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 regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. act��9 as owner�s� a�ient, 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: $
Total land area within 300' of the waterbody: (A)� q, Zy'7
Total impervious surface area [including this project] (B) 3�136
(B) / (A) x 100 = % Used _�, Q fo (Shall not exceed 15%[or 25% with a con��itional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes � No
.��n,�w�. Z--S, 2 00 � - �-
Issue I�Sate Signature of I ui g Agent
� Z S , Zo o � 50% Rule: Average Road Setback:
Expiration Date
Office Comments: F�bita�ble Livinc� artid �h��
rtot b� cre�#ed in �eccP�.s�rv�
str��ctu�e�. "
SAWYER COUNTY CERTIFIED SURVEY MAP
LOTS 9 — 11 OF CSM N0. 5555, LOCATED IN PART OF THE
NW 1/4 — SW 1/4 AND PART OF THE NE 1/4 — SW 1/4, SECTION 15,
T. 41 N. , R. 7 W. , IN THE TOWN OF ROUND LAKE, SAWYER COUNTY, WISCONSIN. �. 35�
�s9o.+o7 �or a csM
SEC. 15 S 89' ]2' 17' E 5869. 93' 146't
� SEC. 15 ,
W / 4 COR. 692. 03' S177. 90' E 1/4 COR. , 590. 56 �h J9� N S91 j� �I
N 00' 49' S0' E �tuv. uo� S 84• 49' 00 W f�- \, �O-
34. 20' :-. � �3• 4S. �'
W.C. FOR � �
W 1/4 COR. g 3 P.aa ' ��� �y
3�KIAH. MON 3 , jn � ('-j r- j LP TANK � �
p � �I
. cu o �n .�30' W/DE k0.4D EAS£MENT PER t/0us£ � 8
� � o c°�° o CSM N0. 35.33 AND 5555. r f 1,2��} .��LJ. ��`. � � �
� EASf - WEST 1�4 UNf � oo m <'�,..� ?i:;._f' C�
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3 N M ' ' ._ 33I . . • E ..,.,- 9. {y r �.
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S �8' • �S �8•+8� ACCESS fi15EMENf v � ? , l�,�'
�_ 50 p4. E 33, e� � , 93' 'O • .�t % ti C.� �j
Si1RVEYING01�' HAYWARD,/NC _ _ _ 316' 92' N 82• 48' 54' E J` S /� �y� �� \��p C� �
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SURVEY BY: b �� ,�;. � � �
LARRY T. NELSON — RLS # 1276 UT/Ll7Y LEGEND � \ � � � 4i
♦ SEPTIC VEM rs' • ��O
O 2.5' D4l TANK COVER LINE BEARING DISTANCE RECORDED DATA\ � S��S��J�:{,� .� hO�b
SCALE.• 1 INCH = 100 FEET o wfu �1 N la• oz- �e• E 37. 63 r+ �e•o�• �3• E, 37. 40 '� s�, c� �,�' u,O1p �
L2 N 08' 38' 12' E 131. 02 N oe• 41' 23' E, 131. 02 � F. ,J ry .., hj c,
� £LfC. PED. L3 N 22' 49' 00' E 56. 00 \ � '•J Z �' .,ry
� oo O ,o0 200 � METER PANfC LS S 00' 4�9' S0' V 470. 55 � � �i rs,�9. � � �
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LEGEND CUENT• N/CK HUA/1/NG �OB.• H06/116 FlLE.• T41NR7W/SEC. 15 �p,7,7g N pUf}y �p
� FOUND 3/4" REHAR, UNLESS NOTED ORAf7ED BY.• JRlJ F/LE.• HOS_063 HEART OF THE NORTH ��'� �' �3
BEAR/NGS AR£ R£fFR£hCEO TO IH£ S�E. � • _ ��• PH.• 715/6.3{-24/2
O sEr �- �/2(oo) x ia" IRON PlPE, wr. = z.2�//Fr. FIST - WE37 1/� UNE OF S£C. �s. F,,x: �►s�6.j+-6+++
( ) RECORDED DATA ,,�,,,,,� ,o � S �,z•„• E NB.S-176/PG.46 SHfET J OF 2 SURVEYING OF HAYWARD, INC. INFOOV�ONSURVEYINC.COM
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� SECTION LINE DATA AND SECTION SUBDIVISION PROVIDED BY
�'-7Q�j—j� ���1'f�j SAWYER COUNTY SURVEYORS DEPARTMENT, LANDNET WDNR
��,>C AND WI. CARTOGRAPHER'S OFFICE. 400
GIS/GPS Applications, Land Surveying, Consulting, �
Custom Maps&Site Planning-services
WI-RLS#2489
14048W Poplar Ave.-Hayward,WI 54843-715/634-9422 NO���
Email goold�cheqnet.net
SHOR�LAND PRESERVATION AGREEMF,NT
(Shorelinc Vegetation Protection Area)
Land Use Permit No. -.,If (To be entered by the Zoning Office) Index No. (�(/ -��k�
WHEREAS,(list all owners) //t'lGt4�f G� �{f/l�i�J""/iC/�s- �" �U%A"1J5t
17 Ll/'�Tf/t,��
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'landwazd from the ordinary high-water mark of the waterbody.
The owner(s)hereby agrees to comply with the shoreland vegetative protection azea requirements of Section
4.410 SHORELAND VEGETATION PROT'ECTION AREA,Sawyer County Zoning Ordinance,in effect on
e the date that the land use permit is issued by the zoning office.The owner(s)fiuther agrees to allow authorized
representatives of the Govemmental 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]
'Cs�' to inspect the structure(s)or uses authorized by said Land Use Permit and to determine if the SHOI2�LINE
VEGETATION PROTECTION AREA exists and that it is being preserved."Chis authorization shall terminate
on the date of expiration of the land use permit. Howevec,the owner's obligation to maintain the SHORELINE
VEGETATION PROT'ECTION 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:1V�/.(J �t�l �L(1 �/,<Ce.r1cL��1.�x1'��Z7�-�, /� ��5� -S(,J fc�G�
� �-� �c+-� �S, 7 y�AJ R Z�..c� � )n �o-c�n�/'�oux�.tl L�'� t���-•�C'�u�✓�
Lp�#� p2y-�yr- 15-3209
� Dated this__�_day of a`� , o�UfJ�(�
�
� r)� � �--� (Owner)
I � _-�.
� (O � r) �J � (Owner)
(Owner) (Owner)
This u�strument was draRed by:
Sawycr County Zoning Office
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