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Home My WebLink About002-103-01-0700-LUP-2005-478 � - Application for Land Use Perrait (*Shoreland*) o rn o - , County of Saw��er �� " PO Box 676 - Hayward VJI 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 ar has any of the above waterbodies located within 'v� l�� the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. 7� � PRINT-USE BLACK INK OR PENCIL 1 m t y� L ' J j� i�•�.... �' �'�E C!Y t7� 1� , T I C1u� U�_ ��'`;v�: +��'`-� � Owner Build�,r � C ��{ ��' �o�em ��..�` �. o' � Mailing Address Mailirig Address � p h I �l!�! /� f3��p j �/" .�J Q!� � � City, State, Zip � City, State, Zip �` )-.i�"s S�-I Z-- - s�� f w'� �, � Daytime Phone H Daytime Phone C � ` _ c.��S - 3o�i C � Additi�nal Information: Zone District: �Q-( � Lot D imensions: �/1'U '� �� P� � Date lot was created: � �",�.�� Acres: � y�5 `�° � Is there wetland near the proposed structure? If yes, how far J��,�' n � 0 Building Land Use Floodplain: O Yes (,)O No � ( ) New ( ) Filling Chip��ewa Flowage: ( ) Yes �O No � O Addition O Dredging Driveway access off of a(Checic one): � ( ) Alteration ( ) Grading ( ) Private Rd �t,) Town Rd. � ( ) Moving On ( ) Commercial ( ) County Hwy ( ) State Hwy �" � ) � ) o G� 0 N � ci, C-+ Primary Structure Accessory Building Addition o 0 ( ) Dwelling ( ) Garage-attached/�ietached ( ) Deck � O Year round O # of car stalls O Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom .- O Other primary structure O O Relocate/enlarge A O Single family or multi-unit O O # of new �j �;�a;;:G�ti1C��T� � AdditionalInformation: c � � � � � Type of Construction: � � (� Frame ( ) Log ( ) Pole/metal ( ) Block �j(� Concrete � � ( ) Other � ,,.� C Construction Cost: Primary Structure $ ------ ,.d � Accessory Building: $ �- � A3dition: $ a0, �ta � � � � � Deeci �a�� 71L5b� �ertii ed Soil T�st� �g - �1 � � Z CSM: Vol !�Pg�_Lot#�_ Sanitary Permit# �8 - 118 �Q � 2�� ~ x Plat Envelope �r: 0 6 � °` Condo Vol Pg Year Installed: N "Loads and Flows": Vol Pg Owne;-When Installed: � � � .� r � Previous office approvals/actions: ` r�; � Variance: # LUP:# SP: # CUP: # sv � Inspection Report: # Change of Zone :Jistrict: J � � � ��01� 3 Describe the construction using these columns. List the dimensions of each structure in a separate . column. List each story, e addition, eac ation in a separate column. #1 . #2. ��n?6�l � #3. #4. Size ft. wide . i e ft. wide ft. wide ft. long 3� ` ft. long ft. long ft. long Floor area sq. ft. `7�v� sq. ft. sq. ft. sq. ft. Hgt. from grade to peak =-��. hgt. ft. hgt. ft. hgt. Stories �tories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream Name , . . . . � � � �l e c��. c �e �Y�.�+..� �`,� _a�� I � � ; � � c ( ' l � ��Qa.� � ; � - � I u, -- - • s ; �a � ! ' 3�0 �12� ` , `ra t-I l_,. � � . _ _.___ . � � a�ir -- Y�� 3 v . �"J .�,'�= .! �6 '?�.�v G , �-e.�Oc►�`�e � t � �-� '�.,. ' j ��1�� Tv �(� � FtA. I.� 1'�E'�'��'�l�T" -�l, �� ( � S -r- 'T� S n c 7i�; a_ . u�� ; � � M yp' � ;�'� �;. � � u �e Id --ts�—{ I ��• �r, �� Fire Number and Name of Road � �.-( � �C� �-} f"� �-' � �` f� �_ 1' $ 1 . Enter lot dimensions and indicate north by arrow. Signat of Owner or A t ori ed Agent: 2. Indicate the location and size of the requested cons�:ruction �`S . �;�• Signature activities. Print Name: '" � 3. Also, indicate the location and distance to the well, The above certifies that the isted information and intentions e true and correct., that all work shall be performed in complia e 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�ng as ow�er�s� a9e�t, has the permission of the owner(s) to perform the work requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee: $ Total land area within 300' of the waterbody: (A) /,3S�D � Total impervious surface area [including this project] (�) g �- (B) / (A) x 100 = % Used (y , z � v (Shall not E;xceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Req�zired? O Yes Q� No �e��r (� , z o05 � �� Issue Date Signature of Issuing Agent Q�jb.� �p , z OO�D 50% Rule: Average Road Setback: Expiration Date Office Comments: ABENDPOST �3EACH � SEC. 30 TWF� 40 N. R. 8 W . / ,�2 22 2 ��' 2 O �P�'� / \9 2 .14. �0 \1 23 �� i.ia.a \� �6 � 2\ 22 � � o �,� �3 2 9 / / `\ �2 \� � � �o �� 9 �rO �i 0 �h 1 � �a � �3 o� �' `� �� 2 20 9 2 � � 9 \O ��i \� \ P � �l \ Q�� 0 �� `6 \ > � h 6 � �°c �� a � O �3 .� 0 \ �2 2 � � �P�t` g �° 22 2� � � 0 2'b �y2 6 2�` I 8 u� �' 26 p� � ,� �2 �o O�2 \ 2 � ,L�,L I � 2 17 •5'�� 3 �- �l 4 u� 9L 6'� P�� 5 16 � � �.r�'l� � 10 W 6 9 Q 7 8 8 15 2 7 X 9 �4 3 6 � 10 �3 4 5 II !2 W(ll F CT77F'F�' � � ti C'�R T/FlEI� SUR �/ES� /J7AP B/OGK / 'S'U6o�%:sion o� �a� G f o{� �/>e �/a�o�A6eii�joa,s � .Be4<.E /cca�� ii� �i'oYer�/✓/cn��o� �o��'c�c�'o� 30 � ��..r�s/�� /o �i'�/�� ,�a��.� � !�e_s {. 7<.�n o-� f3oss La.ee , S�cu�J.�r G'ou�� LV,sca�s.�, ��'�C�O��f� e-+ �Q�G�„Q� ��`,,,C, RiCWARO A — �} STOWE � � � 3 ,P,<tia/�d .9. s�4,e r eiac't+woop � \ � ,Peq.sfCr�d La��c�'Urr/�or- �� W� O'� / �� M LUi.SCo/)si'n ,Pay. �/. s-i�� S[JFt �o � %Pi,/ 2� , /�gG � � y� l v c d � \ � / l i�� h � � ��.s2 ��-, � -s A�y � hN: 3 � o;a l+,°, \ ' `9 ` � � y �� + c'4 d � „''s �'M _- i° z SCa/c ..` /.._ 20' .�� '�:<'�- l . �� e ,e 2. vn I`� o ��' ��l .� ' v` .o\� '�• s� »\ � ,�i�� va z � � . a Gjo Z '' � �. aJ C� �� 3 _q \� �� a `9.' � �s�� r� m a�'o�'`T - N n � i � � � � ti m�� 6` v _ � 1 /I/ � � f 'Z- . t/� �am �0 ► 3 , 2�. 3^ V� �/>��: Lo�s ia�.�2 0� o �;, o i�. ,;y3o�] f/>,s maP a�e s'�6s�a��Q.d, � .. � ,��° c l-o�/ u�Y/6oCon6;.��u.'�fi �F. -'S -t�i �x,s{,;� fJro�e.�{y � �/,e �_ LPr Sauf/.wes-F a�� l_o� 2 u�,'�� , 6� C�Qin6,nc�u,��l� e,.,s�.' 9 � 6 rl�� C �p�,�e�{�, � �,Se .�/.fh@zs-f. � E � f�. � ��yo � LEGENO �y'��' A(L ' l P� '��^� O R�7o�c.1 3/y. ' x 30�� i�^an Dar' sE�. � , Q '' �u,{. = i.se /6s. ��- 1'f� z�_ � �. /� 2�\1� • �e�1p�PfS �� O�D. %/'04fO'P� f o on� ��*• ,o'' C -c e. �y � 1�Er/o�ss /"O.P� ii'oiJ J�Pe �an�/ "':'- � E� � J l , ¢r'sq C5:5 debo�e5 /'PCo��e�/�7e45ure�¢nf. r ? � s shee� /a�' z G�ye i o r , sy�� y � SHORELAND PRESERVATION AGREEMENT (_Shoreline Veeetation Protection Areal Land Use Permit No. �J-'�' (To be entered by the Zoning Office) Index No. QJ -� WHEREAS, (list al1 owners) Ga_��r 2 � - �c,Y��'� � 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&om the ordinary high-water mazk of the waterbody. 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) fiirther agrees to a11ow authorized representarives of the Governmental Unit to enter onto the owner's properry 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 VEGETAT'ION 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 VFl;FTATTQN PRQ'i'FrTTQN ARFd 'yn a��r�iwr�A pnt}� �A�fj�n aain CNQRFT,ANTI VF_('.FTATTQN 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 a11 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 Sav✓yer County Zoning Office. Legal Description of Property: 1r� Ci� � �.T C� � �,�%`C`� � -(L� ��DC� � Pk�2u�f:�P�15'�- ��C�C'_G� � Se� 30 - TSIOAI- 28[J 7'ou�n o f- �SS l.a.d.p �Sn.,��o�L�u��,L. WZ 0� Z- /D 'i - 6 !- d '70 D � Dated this - -o S day of �p,n� �.��a�,. ,� tiv S (Owner) y-� (Owner) _��, 1S . �" Ovl .J'�'.�� (Owner) � (Owner) (Ownex) (Owner) This instrument was drafted by: Sawyer Counry Zoning Office