HomeMy WebLinkAbout010-770-00-0300-LUP-2006-352 Application for Land Use Permit(*Shoreland*) o 0
County of Savv3�er �, � '
PO Box 676 -Haywazd WI 54843
715/634-8288
*Property that is located within 300'of a creek,river 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 R�QUIRED PERMITS HAVE REEN ISSUED.
PRINT—USE BLACK INK OR PENCIL '
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Owner Builder a ��
ias�� � erti .Q o� (�1
Mailing Address Mailing Address � O �
/�Byw.�R� Cd .3'��Y� �
City,State,Zip City,State,Zip �
��iS) �.35�S�a y� �',��
L�`....
aytime Phone Daytirne Phone ` �'
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Additional Information: /Lone District: !Z?'z- �
Lot Dimensions: �
S
O q '0
Date lot was created: l/oZ/ Acres: 3, D 3
Is there wetland near the proposed structure?If yes,how faz o
Building Land Use Floodplain:O Yes (�No �
( )New ( )Filling Chippewa Flowage:( )Yes ( ) No �o
O Addition O Dredging Driveway access off of a(Check one): x�
�( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �
( )Moving On ( ) (�O County H�,vy ( )State Hwy °Q �
(� i s�'.0!' O N S
C.4iJi nl v, r
Primary Structure Accessory Building Addition o 0
( )Dwelling ( )Garage-attached/detached ( )Deck � `
O Year round O#of car stalls O Porch W i�
QQ Seasonal O Storage Building O Enclosed �,
O Frame built on site O Screenhouse O Living room �;
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom -
( )Other primary structure ( ) _ ( )Relocate/enlarge � �, \
� � ( ) ( )#ofnew
+ �
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AdditionalInformation: "' „
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Type of Construction: �'�
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ��� �
��
( )Other y
Construction Cost:Primary Structure$�u v o �
•o
Accessory Building:$ Addition:$ � �
x� —
Deed:Vol �{7Z _Pg�� Certified Soil Test#q!-Iq1 4L•1u �-4'�v � z
CSM:Vol Pg__Lut# Sanitary Permit#Y6-� 49-05� � �
Plat Envelope Or: �
Condo Vol Pg Yeaz I,nstalled: i� �
"Loads and Flows": Vol Pg Owner When Installed: �
�
Previous office approvals/actions: oL-5 '
17.-ou.H 9lc•I b1 `� �n . �
Variance:# q0-oR3 LUP:# qD-oZ5 49-281.SP:�� CUP:# `
ry;
Inspection Report:#4�,-uo 05-033 Change of Zone District:
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Describe the construction using these columns. List the dimen,su�ig of�eac�l��t�cture in a separate
column. List each story, each addition, each alteration in a separate column.
#1. il/p� foc nc�il�o�1 #2. #3. #4. ,
Size�ft. wide ft. wide fr. wide ft. wide
��ft. long ft. long ft. long ft. long i
Floor area ��� � sq. ft. sq. ft. sq. ft. sq. fr.
Hgt.firom gade to peak ft. hgt. ft. hgt. ft. hgt. �
Stories stories stories stories
#.of bedrooms
Lake/Pond/Flowa2e/River/Stream ame
L �'>'TC E' iP���o L,4k�
�'� �' �����' �"
Fire Number and Name of Road� ��.Sh� 7 �, eT/`� ,Q
1. Enter lot dimensions ar.d indicate north by arrow. Signa��Owner or Authorized Agent:
2. Indicate the location and size of the requested cunstruction
S' nature
activities. //
PrintName:�N�EA� �7��`E2tsQ
3. Also, indicate the location and distance to the well, The above certifes that the �isted intormation and intentions are
true and coned.,that all work shall be performed in compliance
SeptiC t3nk and c�T'alnfield, wetland aTeas, lot lines, with ihe requiremen4s ot the Sawyer Counry Zonirg ONinance
and the laws antl re��utations of the State of Wisconsin, and if
centerline of the road and waterbodies. acr�9 as ow�er�s�a�ie�c, nas me Pe�m�ssion or me ow�eqs�to
perform the work requested on this application. The above
personsls hereby give permission for aaess to the pmperty for
onsite inspedion.
Permit fee: $ � �
Total land area within 300' of the waterbody: (A)_ ��� e��y� ��� �i���'� ��
Total impervious surface area [including this project] (B) ������ �
(B) /(A) x 100=%Used (Shall not exceed 15%[or 25% with a conditional use permit].) � �
Shoreline Vegetation Protection Area: Mitigation Reqnired? O Yes O No 1
N L Q ��' �,.5� ,Z L10(n �y ''
Issue Da't Signature of Issumg Agent
(.
AUQ 1 �, 2U0"7 50% Rule: Average Road Setback: ��
Expiratio� „
Office Comments: � '
Sa�vyer County Zoninh Admiuistrsciion r Q
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Inspection Report �
..,
Owner(s) Karen L. Ketterer _ � �
Address 12547 W Countv Highway B Havward WI 54843 �
�AgenUPurchaser dba Kiefer's Resort �
Address td �
� r
Bldr/Plber/CST "
Address
Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation
❑ Dwelling ❑ Mobile Home ❑ Commercial ❑ Garage ❑ Addition
� Setback - Lake � Setback- Road ❑ Setback- Lot Line ❑ Soils Verification �
❑ � �
N' o
QCD Vo1472 pg 343, PRD 479 pg 401 RR-2 3.000 acres � �
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Discuss with Mr. and Mrs. I€�€fQ� pypr
Date& Time Ma 31, 2005
Signature ofInspector � �
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Ve2etation Protection Area)
Land Use Permit No. Q(D :�J,� (To be entered by the Zoning Office) Index No. G.(9 -�z
� WIIEREAS, (list all owners) '�'�(Q ��p�� `���}-�-�Q�'p lr
� �� e ��e�'s ?�iv�e Cy✓vve � .�S.Sc�ri-
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vowns 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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�. 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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� 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 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) POVJ�RS, 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
� vFrFTe'rrnrr aun�rTrn�r eu�e ___ � �_,�w�� ;;��w co�t:�r n.nin cunuFr e�.tn yF�:F're�rTnT.r
� 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 Pernut 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
c�j Zoning Office.
� Legal Description of Property: i�o�a� of Co�'� Lo f S S'eC 36 � T y�N, R B cJ� 7oc,�n e �
� u0.�i �d Sa.�.�uw.r�� CJZ b/0 -BV/- 3G-55o 9
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Dated this 2 `/ day of /-��qus�- Z "� `
(Owner (Owner)
( er) (Owner)
(Owner) (Ownex)
This instrument was drafted by:
Sawyer County Zoning Office
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