HomeMy WebLinkAbout026-939-14-5219-LUP-2008-154 �
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Application for Land Use Pernlit (*Shoreland*) r � -
County of Savv��er � � �� ,
PO Box 676 - Hayward V�II 54843
715/634-8288 �
*Property that is located within 300' of a creek, river 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 PERMITS HAVE BEEN ISSUED. �
PRINT—USE BLACK INK OR PENCIL
1�.�;�/,-��-n -�' ���o� . � � r
Owner Buildf;r �
���� �.r,/�'�C �"/�'I Gr i'I �C"� o' `
Mailing Address Mailirig Address � �
1.�te r�a � �.� ��os.�l� �
City, State, Zip City, �State, Zip
��-���/� �� �`� .
Daytime Phone (�GQ,/�' �,CS -'`--�'��-3G�5�Daytirne Phone
Additional Information: Zone District: K.�/
�eh1� � , ��;'
Lot D:imensions: ��_� �D �
�e�i. Z,�n,e- / 02 D ' X 3 3 a ` �
Date lot was created:�_�� ✓j�J Acres; ,. � a-
Is there wetland near the proposed structure? If yes, how far n o
Building Land Use Floodplain: ( ) Yes ( ) No �
¢�New ( ) Filling Chippewa Flowage: ( ) Yes ( ) N� �
O Addition O Dredging Driveway access off of a(Check one:): (,� �
( ) Alteration ( ) Grading �Private Rd ( ) Town Rd. o
�
Movin On Count Hw State Hw �
� ) g � ) � ) Y Y � ) Y � o 0
� � � � � N �
Primary Structure Accessory Building Addition � o 0
(� Dwelling ( ) Garage-attached/cietached ( ) Deck W �
� � �
( ) Year round ( ) # of car stalls ( ) Porch � W
( ) Seasonal � Storage Building �/Lc�.c+c� ( ) Enclosed ,0 �
O Frame built on site O Screenhouse O Living room � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �
( ) Other primary structure ( ) ( ) Relocate/enlarge � �
� � ( ) ( ) # ofnew � �
1
AdditionalInformation: C .�
0 �
N �
Type of Construction: p �
( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete 8 �
�
� Other�� .n�,r�1� � � ,�
Construction Cost: Primary Structure $ ,.d �
Accessory Building: $�( �� o O Q �� i) Acidition: $ �` �
�
�
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Deed: Vol�_Pg�_ Certified Soil Test# Q�-�7�_ � z
cio �
CSM: Vol 5 Pg [5 � Lot# 3 Sanita:ry Permit#� -�96 �
Plat Envelope �'F�y Or: �v�a �
Condo Vol Pg Year Installed: N �
"Loads and Flows": Vol Pg Ownei•When Installed: �
�
�,
on
Previous office approvals/actions:
Variance: # LUP:# SP: �� CUP: # �
0
Inspection Report: # Change of Zone District: ���n
zsYs�
-.. .
Describe the construction using these columns. List the dimensions of elch structure in a separatc
column. List each story, each addition, each alteration in 1 separate column. �
#1.�) T,�aI #2. �N a f� 9 ���� � #3. _Q��_ #4. __(E�--,�uQ�e�v
Size ,Sp ; ft. wide Zo ft. wide LO ft. wide ft. wide
(oD � ft. long Z� ft. long L� ft. long ft. long
Floor area � sq. ft. `(Oc� sq. ft. YO� sq. ft. .z�ov�sq. ft.
i
i
Hgt. firom grade c2 � to peak ft. hgt. ft. hgt. ft. hgt.
Stories / �Z sCories stories stories
# of bedrooms �_
f3�� �L� Lake/Pond/Flowa e/River/Stream ame '
2 �`�
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Fire Number and Name of Road (o �.30 /✓ �Zoe2Cl�c� ��
1. Enter lot dimensions and indicate north by arrow. Signature of Uwne o��rized Agent:
2. Indicate the location and size of the requested construction /J ,��c�%,..,,
SignaNre
activities. -�-
PnntName:�iC��Y/ �> 1.��4LlP
3. Also, lndicate the location and dlstance to tl�e well, The a6ove certifies ihat the listed information antl intentions are
true and cnnect., that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines, with the requirements o( the Sawyer Counry Zoning ONinance
and the laws and re�ulations o( the State of Wisconsin, and i(
Centerllne of the I'oad and WatCrbOdles. acling as ovmef(s) aqent, has Ne permission of the owner(s) to
pedorm the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspectian.
Permit fee: $ % 7�'7�
�
Total land area within 300' of the waterbody: (A) 3(,13�v
Total impervious surface area [including this project] (B) 33e y
(B) / (A) x 100 = % Used /0 , q% (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes � No
Q.u,� 6'� Z vo � _ �
Issue Dat Signature of Issuing Agent
� l ZC�09 50% Rule: Average Road Setback:
Ex irati—o Date � Ljn Q Q,, � �,, Q,t �/M �_
P �a�x�2 � � !K/ z�GGtiG�i1'iy�w` 1w�Z�
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Page l Of 2 pages
��,�� S��► �`!? y
�s �'
SHORELAND PRESERVATION AGREEMENT
(Shorcline Veeetation Protection Area)
Land Use Permit No.�:��(To be entered by the Zoning Office) Index No. �- LS
WHEREAS,(list all owners)��(��f�� p�d ��h�r� �A���P�
�����d�t2�1��'/ %�
l�)gter�Q�r � L ���5�
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regularions, 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 Perniit,that
the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
3S landwazd from the ordinary high-water mazk of the waterbody.
The owner(s)bereby 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 Govemmental 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 AREA 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,
� injunctive relief,restoration 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:� �v �o � o� -Se� �7 �1��-�a� g�J
� 1_�:��.3 �� �t2�<���9- /y�a/9 /'�r�,e�l e �.�/9
� CS�++uot 5 �a� l5 8 Toc�n od- ��nJ l,c,k.r.
� Dated this _day of j,i n�' , a D o�_
� ���� ti l��
Q �o�er> �o�,e�>
l��/�.�p�/,r�a,�-z'c�
(Owner) (Owner)
(Owner) (Ownet)
This instrument was drafted by:
Sawyer Counry Zoning Office
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