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HomeMy WebLinkAbout026-938-07-5625-LUP-2008-114 Application for Land Use Permit(*Shoreland*) o o � County of Sawyer � � PO Box 676 -Hayward WI 54843 X 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 REQUIRED PERMITS HAVE BEEN 1SSUEB. � PRINT-USE BLACK INK O PENCIL � r � ;PE 6 F«a �i//e he� L,�.r�f �r� � Owner Buildcr p- � [ �. � 7D(Cl �4'To ...W.a,/ D�9� � 'P o' � M/a1iling Address T— Mailing Addres � O lCOff i'Nci✓a !�//A/ ssGCY� � A C / J��'b.�G � 'City,State,Zip City,Stat ,Zip �s�-��� -�y� �i � - �£ M Daytime Phone Da �ne Phone � � Additional Information: Zone District:�/Z � \ Lot Dimensions: �So ,�S5�% M � Date lot was created: _3-/5-76 Acres: yv S,S� Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:O Yes O No �*+� ( )New ( )Filling Chippewa Flowage:( )Yes ( ) N�� � cti^o (5(f Addition O Dredging Driveway access off of a(Check one): f�,, x� ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �� ( )Moving On ( ) ( )County Hwy ( )State Hwy H� � , o a � ) � ) W N � °p� r Primary Structure Accessory Building Addition p o ° ( )Dwelling (�C�Gara �acne ietached ( }Deci: �� � ( )Year round ( )#o car stalls ( )Porch �L, '` ,�c)Seasonal O Storage Building O Enclosed t � O Frame built on site O Screenhouse O Living room ��o ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen p� ( )Mobile/manufactured ( )Other ( )Bedroom � p, ( )Other primary structure ( ) ( )Relocate/enlarge 8 � \ ( ) ( ) ( )#ofnew � � � AdditionalInformation: � W ; 0 0,, � O � �, f� e f° � � Type of Construction: b i � QC.)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete / � v ( )Other �' � � Construction Cost:Primary Structure$ � ro Accessory Building:$ Addition:$.j�i oUU � (,� TJ7' 4� 90 CD C� Deed:Vol Y70 Pg_/4�� Certified Soil Test# 81�{Y3 � - � z CSM:Vol 5� Pg /3?-9 Lot# 3t5 SanitaryPermit# g�-zb� O��Q'J J� Q4 7 Plat Envelope Or: � � - ti� Condo Vol Pg Yeaz Installed: �, "Loads and Flows": Vol Pg Owner When Installed: rn � � ^r. Previous office approvals/actions u Vaziance:# p7,poq LUP:# 91-2QD SP:;� CUP:# Inspection Report:# 07•005__ Change of Zone District: o� 51��, 2T 755 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. #I.l.a�.,�:£ , #2. #3. #4. Size�ft.wide ft.wide ft.wide ft.wide �ft.long fr.long ft.long ft.long Floor azea�')1'��c z�sqVYfr. sq.ft. sq.ft. sq.fr. Hgt from grade Z�` to peak fr.hgt. ft.hgt. ft.hgt. Stories�_ stories stories stories #of bedrooms 1 � �:� ' r:f Lake/Pond/Flowa e/River/Stream ame S's �� - 7o{�a.l �ta,b��a.bl�e qreq / S U� l�4�!U �p ,��, F 75 � 2 y ���`� fF�ss �f�Y �� fi � ,b � � � � � �6 ��;st l�s'^' 3.? ��}/ n -� /7 '.J � �Aaa6E ...,� � 7�ssfh ��� •�•�l�rr�E L,o,.,�S,�a�./lS��i ��,/�. 2�� 6)a S4�'r� 2 v` � Z�i � �, T-a T �G'� � L� �{- � � !.-.�// :�1 6s� sf�s� 3� �� � � �O �� l �� .a�s�, ,�=� ,���� ,��/��.�<� -��H�„��_ ��s£h�s� �� L�L �",, s� ��� � Fire Number and Name of Road y3 0�i/v �tt���'^�'+i ��-�� 1. Enter lot dimensions and indicate north by arrow. Si ature of C)wner o orized Agent: 2. Indicate the location and size of the requested construction Si ature activities. �,�p��,� a, �' I�-p�yeE� PrintName: 3. AISo,indlcate the locatlon and distance to the well, The above certifles mat the�isted intormation and intentions are We and covect,that all work shall be pedortned in compliance Sept1C t3i11C 3rid dlalnfleld,wet�and dTeas,lot lines, with the requirements of the Savryer County Zoning Ordinance and Ne laws and requlations of the State of Wisconsin,and it COnteTllne of the T'o3d and watCrbodlCS. acting as owner(s)agent,has the permission ot the owner(s)to pedortn the work r��.quested on this application. The above personsls hereby givE:permission for aceess to the property for onsite inspedian. Permit fee:$ /oG�� Total land azea within 300'of the waterbody:(A)�ODO Total impervious surface area[including this project](B) I�9.� (B)/(A)x 100=%Used �.(Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required? Yes O No �yyl 7,�3D � � . Issue Date Signature of Issuing Agent �CSo9 50%Rule: Average Road Setback: Expiration ate Office Comments: � F SAN D LAKE ;.7 T W P 38 N. R.9 W. �------------ -----� SISSABAGAMA LAKE � �r- �4.1 �` � , \ � �\\ � ��•3 :6.17 ( �� ��,Is \ I � � i �2.4 ` / �6.18 � ��.2 ��\ �� � � 9 7 / & I �1.3 �\6.14 �� •.�9 6\ •2.3 � � 5\ � � � 3 �\ .1.3 � �6.1 � +625 � .14 �`�-� 4 �6.3 �2.5 �� :6.12 =6.2 621 . • �� :6.4 :2� � +6.24 p � 6.9 :ez� :c. �2.1 �6.8 •:c. � �\i �3.3 �6.1 3.4 �6. ` �3.6 6.I0 •6.7 :s.is �' � �3.5 � �sis �6.6 � F �� s�� r � I q�q �3r � _ � � ��9 :3.7 \\ < \ �� \ F 5.1 �\ �� \� 1 � �3� �� .5.2 � ��� � �- -��_-____ .6.2 7 3 � 3.02 2 --� .7.6 .7.4 .7.2 i .6.I � � ��� �, � � � �.. �: ro ���� 5�` LAK� S/SS/��AMA � n � �, �. �. ' szc:�, 2 `� � � \�se � t�i .� cs_ �,.. . 3r�• z q � � h �' �\ ,{� � v� \ s� N 1` N � � � •� �. 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'f� �4 f / , U�, ` � �G�,. a Q D /�x,c, -�— �� � SHORELAND PI2F,S�RVATION AGR�EMFNT (Non-Intact Shoreline Veeetation Protection Area) Land Use Permit No. O8-��5� (To be entered by the Zoning Office) Index No. C� -� WHEREAS,(list all owners) ���ecc� �'/��,' �z�GX ��o��i,,,,,, c.��,. � �riS�l2tn.� /��l/. ,S o6Y' 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 SHORELIN�VEGETATION PROTECTION AREA on said real estate shall be restored in accordance wili the�fitigation i ian aud im�:emeii�auoii Schedule ayp�aved by the Sn.vye:County Zcning Dep�tmer.t. 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 Pemut 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 properiy at the following description 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.Violation of ttus Agreement will authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, injunctive relief,restora6on of said real estate,the revocation of said Land Use Pemut 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: `f(��;1 �ti�.P �`c ��,v� /�,f }�,l�� S�� d 1 � � q 1�^'� �P �C��! C���r�.� � ��G- ys�- �� . s�a s Datedthis N/y-�J of • —���. � (Owner) (Owner) � (Owner) (Owner) � � � (Owner) (Owner) � This instrvment was drafted by: Satryer County Zoning Oft'ice ��: a �: �. . \ . , {,p�'�:..,woi.ta�.+rr:..:.. �t' �� ��:,,�; .. . ■ '�-�-, - � . - - �� 'f _� _ �F: � � �I� � �;� .�.����--� � ,,�� LO "'., ; __•i.,_: ._