HomeMy WebLinkAbout026-939-17-5309-LUP-2008-090 r/
Application for Land Use Permit (*Shoreland*) r � .
County of Sa��er � � k � �
PO Box 676 - Hayward WI 54843 , ,
715/634-8288 '�i��` ;'�.; ;�
*Property that is located within 300' of a creek, river or stream or within 1000' oi�a 7
flowage, lake or pond or has any of the above waterbodies located within -
the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUEA �, `
PRINT—USE BLACK INK OR PENCIL �
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Owner Builder �:
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�l��� �-�.,�s C��� � I,�. � a�� A � � o�
Mailing Address Mailing Address � O
��c�(,��G/<� �L� 0���I � fo,v c. A �� �/ S Y��'� � -
City, State, Zip City, State, Zin �� ,
S/S-���-GGY>/ ��.5-- �S�- Z 7G% - C�// �
Daytime Phone Daytime Phone
Additional Information: Zone District: /��-( -
Lot D:imensions:
/ c'� �
Date lot was created: Acres, 1 �,�.,� /
Is there wetland near the proposed structure? If yes, how far o
Building Land Use Floodplain: ( ) Yes �)No �
( )New ( ) Filling Chippewa Flowage: ( ) Yes :�) N�� �
(yZ�Addition O Dredging Driveway access off of a(Check one): �
( ) Alteration (�Crading (o�jPrivate Rd ( ) Town Rd. �
Count Hw State Hw �
( ) Moving On ( ) ( ) Y Y � ) Y " �
� ) � � � �
cii C-+
Primary Structure Accessory Building Addition o 0
( ) Dwelling �_ _ � c e ( ) Deck � �,�
( ) Year round ( ) # of car stalls ( ) Porch W
( ^ ' � � 5��2'Kge Bu:l�inD ( ) En_clo�ed �
j �easuna� �-
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �
( ) Other primary structure � �,�� �',�,� , ��li% ( ) Relocate/enlarge �j
� � ( � � � ( ) # ofnew rr,
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AdditionalInformation: ��. �
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Type of Construction: �
��Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete
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( ) Other �
Construction Cost: Primary Structure $_��_ ,b �
Accessory Building: $ Acidition: $�� av� � �
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Deed: Vol 3710 Pg 55 Certified Soil Test# � z
aa �
CSM: Vol Pg Lot# Sanitaxy Permit# �
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Plat Envelope Or: � �`1
Condo Vol Pg Year Installed: N
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"Loads and Flows": Vol Pg Owner•When Installed: r?
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Previous office approvals/actions: �
Variance: # LUP:# SP: # CUP: #
Inspection Report: # Change of Zone District: ` ��
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28�5 l I � '�;;;t�•+,.
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�41 .c,z.�rc 6a�..c� #2. #3. #4.
Size�_ft.wide ft.wide ft.wide ft.wide
� ft.long ft.long ft.long ft.long
Floor area�_sq.ft. sq.ft. sq.ft. sq.ft.
Hgt from gacle�_to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms
Lake/Pond/Flowa e/River/Stream ame �A���
yo' �;6�i
35�
�� o p� �?c-
2 '/isa sy/�„
�� IILo
5�z
���s� �bz
86 y S"��
�`�� 6
2 y
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_� 1'0•� � Sf�F,C F'ld�IfaD� I_ ,ltn� �' �
y ea s�,l;
��� �3fa ss'� f10�h0 Cf.9i�C1 !f;aGC2'".ISOr�r
2 � tr�u;,��eL
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Fire Number and Name of Road�� Z-xi(�-� �o/c1�., .SA,.� s �
1. Enter lot dimensions and indicate north by arrow. Signature ner or Authorized Agent:
2. Indicate the location and size of the requested constmction �i�����---
Signature
activities.
Print Name:,Q�/,f.f'.f��
3. AISO,1ndlCate tI1C loCatlOn ancl d1StanCe to the well, The above ceN(es that the Iisted informaGon and intentions are
We and cortect.lhal all work shall be performed in compliance
septic tank and drainfield,wetland areas,lot lines, with ihe requirements of the Sawyer County Zoning Ordinance
and Ne laws and regulations of the Sfate of Wisconsin,and if
centerllne of the road and waterbodies. acting as ownet(s)a�ent,has the permission ot me owner(s)to
pedorm the work requested on this application. The above
personsls hereby giv[:permission for aaess to the property for
��G„ onsite inspection.
D�
Permit fee:$ 5� ���'�"'- � p� � J�Cd.-�
Total land azea within 300'of the waterbody:(A)��z Ov _ � —
Total impervious surface area jincluding this project](B):$�r�/��,
�r 0
(B)/(A)x 100=%Used y Cl fl (Shall not exceed I S%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?�Yes O No
�ccu 2� Z vo'� -
Issue Date � Signature of I sui Agent
`f�ay ZD Z UO 9 50%Rule: Average Road Setback:
Expiration Da e
Office Comments: �'���tub�e Living ar�a sh1�
not b�creaiec+,in acce;sory
structu�es.
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NOTE: PARCEL ID NU
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026-939-17
026-939-20 5317
5102
� SECTION LINE DATA AND SECTION SUBDIVISION PROVIDED BY
i 0�f jf ��v�f�J SAWYER COUNTY SURVEYORS DEPARTMENT, LANDNET WDNR
�r�_ AND WI. CARTOGRAPHER'S OFFICE. 400 0
i/GPS Applications, Land Surveying, Consulting,
Custom Maps&Site Planning-services
W I-R LS#2489
148W Poplar Ave.-Hayward,WI 54843-715/634-9422 �0���
Email goold�cheqnet.net
SHORELAND PRESERVATION AGREFMENT
(Non-Intact Shoreline Vegetation Protection Area) '
Land Use Permit No. • g0 (To be entered by the Zoning Office) Index No. �-09d
WHEREAS,(list all owners)�J/,„ (�r,„�un L//�7 �,�-/ ��� l�',E'
/�i��/� �� 7_'/ l-�/ic�/ . .
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 PROT'ECTION AREA on said real estate shall be restored in accordance
with the Mitigation Plan and Implementa6on Schedule approved by the Sawyer County Zoning Deparfinent.
The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply
with all shoreland vegetative buffer requirements of the 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 a11ow authorized
representatives of the Govemmental Unit to enter onto the owner's property at the following description to
� inspect the structure(s) or uses authorized by said Land Use Permit and to deternvne if the SHORELIN�
VEGETATION PROTECTION AREA e�cists and that it is being preserved.Violation of this Agreement will
� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
I;V injunctive relief,restoration of said real estate,the revocation of said Land Use Permit and the removal of a11
strttctures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
issue of said Land Use Pemut. All parties agree that this Agreement shall be filed with the Sawyer County
� Zoning Office.
_ I.egal Description of Property:_ �r..i� -��,,,�I /�,/� / ,,/[�,� � �,��7 -yZ,,,,7� T��J!,/
—�N1P�,t� � r��2 �'y_�� /7 ,S'c��
Dated this y-iq-oy day of
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a (Owner) �_ (Owner)
,� Q.� ��
i (Owner) (Owner)
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� (Owner) (Owner)
This ic�suument was draRcd by:
Sawyer County Zoning Office
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