HomeMy WebLinkAbout006-440-17-5101-LUP-2007-516 � �
CV ��c .4 ,,��
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Application for Land Use Permit (*Shoreland*) o o -�� .
County of Sawyer � �
PO Box 676 - Hayward VII 54843
715/634-8288
*Property that is located within 300' of a creek, ri��er 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 PERMTTS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL � �
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Owner Builde;r Q-: �
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Mailing Address Mailirig Address � O
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City, State, Zip City, �5tate, Zip �
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Daytime Phone —T Daytirne Phone -. �
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Additional Information: Zone District: !� ^ - - - �
Lot D:imensions: �
Date lot was created: Acres; I 5 3 -�ca �`a � :5��. 3 Q
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Is there wetland near the proposed structure? If yes, how far jV C� o 0
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Building Land Use Floodplain: ( ) Yes (�Q No � �
(,�New ( ) Filling Chippewa Flowage: ( ) Yes (1� N� � � �
O Addition O Dredging Driveway access off of a(Check one:): � �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � � �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � a"
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Primary Structure Accessory Building Addition o ,�
( ) 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 �; c�
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �,�
( ) Mobile/manufactured (_�� Other / ( ) Bedroom •
O Other primary structure (� C�-y f b�'S O Relocate/enlarge �C �
� � O O # ofnew � i
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AdditionalInformation: � �
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Type of Construction: �� � —
�(��Frame ( ) Log ( )Pole/metal ( ) Block ( ) Concrete �% ��C�1
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( ) Other � � o ,�
Construction Cost: Primary Structure $ ,� i�
Accessory Building: $ I 700 �}- � �'�C.� Acidition: $ � �
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Deed: Vol ��31.� Pg�_ Certified Soil Test# /l� f�" �-1�'�4> � z
b , �,� r- p i/
CSM: Vol Pg_ Lot# Sanita:ry Permit# �-��� � �
Plat Envelope Or: �It e a v�s f i S O 7- a�g o, .�
Condo Vol Pg Year Installed: N
"Loads and Flows": Vol Pg Ownei•When Installed: � �
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Previous office approvals/actions: {� �
Variance: # LUP:# SP: ;� CUP: # , �
Inspection Report: # Change of Zone I�istrict: � ���:3`7�j
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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. ; a. l #2. . (6. � #3. #4.
Size �. ft. wide /L� ft. wide ft. wide ft. wide
C���t- ft. long C�C�f ft. long ft. long ft. long
Floor area � � sq. ft. G^ �� 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)
.���, �, �---�-{4� G, � c� �"'� a�=�'
Fire Number and Name of Road �S �'7 / /���.�,�c,��;C'�^ �'�✓�
1. Enter lot dimensions and indicate north by arrow. Signature of C)wner or Authorized Agent:
2. Indicate the location and size of the requested construction ����,-�-�t-�-=��___
Signature
activities.
Print Name: �`=—c-� �� S'�4�—n'.ti,�cc.L.C�
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. a�t��s as oWner�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
onsite inspection.
Permit fee: $ � ��Q
Total land area within 300' of the waterbody: (A) �/`' �'�'�' 6 ��'� r'''�� �' ' ^ � /
� �' �l'✓�C.�" '^ <�r �...�> t_(, t . J f�.e.':r
Total impervious surface area [includin�this project] (B)��� � w
(B)/ (A) x 100 = % Used �J • �rlL' (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requiired? O Yes (�No
���/lpin.ho,►� .�� �ZOO '� i%�2���C r �. ,/rs2�l'�
Issue Date Signature of Issuing Agent
�� Vp�y�,{� �Pj � Z�8 50% Rule: Average Road Setback:
Expiration Date
Office Comments: y `z�—��g ��-SlT�'� s U�f� Q� ��66�� 3� ��5 7S;
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Page 1 of 1
Real Estate Property Listing Current Year �
Rea/estate record updated on 1/1/2006.
Property Description Billing Address
57-006-2-40-04-17-5 05-001- GLENWOOD SCHOOL FOR BOYS
PIN' 000010 18700SOUTH HALSTED
Legacy PIN: 006440175101 GLENWOOD IL 60425
Record ID: 7273 Ownership (last updated.�2/6/10077.•59:01 AM)
Map ID: :1.1 &:2.1
Municipality: (006)TOWN OF DRAPER GLENWOOD SCHOOL FOR BOYS
Public Land 18700 SOUTH HALSTED GLENWOOD IL
Survey:
SECTION 17 T40N R4W 60425
Quarter: OTHER Site Address (last updated.�Z/6/Z0077.•58:46AM)
Quarter- GOVERNMENT LOT
Quarter/Tract: 8559N GLENWOOD RD
Plat/Entity Name: GOVf LOT 1 WINTER WI 54896
Description: GOVT LOTS 1 &2 8581N GLENWOOD RD
Recorded Acres: 56.300 WINTER WI 54896
Calculated Acres: 0.000 Current Assessment Valuations (/ast updated.�10/11/2007
Lottery Credit � IZ:22:50 PM)
Claims:
Waterbody(s): Blaisdell Lake(16-40-04) Assessment�Ipe Acres Land Improve Total
Zoning: (RRl) Residential/Recreational One G1 -RESIDENTIAL 2.000 52,500 47,400 99,900
G5-UNDEVELOPED 8.000 2,400 0 2,400
G6- PRODUCTIVE 23.960 155,600 0 155,600
Documents FOREST
Doc#: /Vol- X4- EXEMPT OTHER 22.340 0 0 0
CONVERSION 2/6/2007 page: 236/687 82/308 Totals: 56.300 210,500 47,400 257,900
Districts (last updated.�2/6/10077.•56:28AM)
District Name Type Code
State of Wisconsin STATE 1
Sawyer County COUNTY 57
Town of Draper MUNICIPALITY 006
Winter School District SCHOOL 6615
Technical College TECH 17
Parent Properly(s) Child Property(s)
(where the property came (properties this properly
from) created)
N/A N/A
http://sawyerfs6/System/REAL_PROPERTY/listing.asp?pid=7273 4/24/2008
SHORELAND PRESERVATION AGREEMF,NT
_� (Shoreline Veeetation Protection Areal
Land Use Permit No. D'7"_5l� (To be entered by the Zoning Office) Index No. �-J�/�_
WHEREAS,(list all owners) �,��y �::�,� � C,S-.\, ���� .�.,,c o�o g CA�a G,`��L S
owns real estate within Sawyer County that is subjeat to the Sawyer County Shoreland Regulafions, and
� WHEREAS;in order to secure a Land Use Permit.
s" NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that
�J the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
�- 35'landwazd from the ordinary high-water mazk of the waterbody.
�
� The owner(s)hereby agrees to comply with the shoreland vegetative protecrion 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 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 t1REA 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,
�O injunctive relief,restoration of said real estate,the revocation of said Land Use Permit and the removal of all
3 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:�y'���`f �o} � .�r I'7 T yo N l2 �/4J
��tua� �,s� �v��>-���- .��� �-� (?�y.. ,* ��L -
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� Dated Yhis_ `��day of j��r/ , �Oc���
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Q (Owner) (Ownei)
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(Own�—�_ (Owner)
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(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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