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Home My WebLink About026-939-20-5304-LUP-2008-192 ..� Application for Land Use Pernlit (*Shoreland*) o o � County of Savv��er � � � PO Box 676 - Hayward V�II 54843 � 715/634-8288 r, *Property that is located within 300' of a creek, river or stream or within 1000' oi.'a s flowage, lake or pond or has any of the above waterbodies located within �- the property's boundaries. CONSTRUCTION SHALL NOT B IN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ' PR —USE BLACK INK OR PENCIL 7�'— � � � �� 2. �/�ti. c �� a.. wner Buildf;r ¢: � c t(�� z � � � o� Mailing Address Mailirig Address � O S��; �r �a-r � wr �y�� .� City, State, Zip City, �State, Zip 7� 7lC- - �G'�S`.. S� � z . Daytime Phone Daytirne Phone c Additional Information: Zone District: ,� �Z-Z � Lot D:imensions: c�� Date lot was created:� �- Z�/ � Acres: 1, .5 3 � Is there wetland near the proposed structure? If yes, how far o � Building Land Use Floodplain: O Yes O No � �- �New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one;): � ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. U'� � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � �' � ) � ) � � � �N � Primary Structure Accessory Building Addition N o �. ( ) Dwelling (7C) Garage-attached/detached ( ) Deck , � ( ) Year round ( ) # of car stalls ( ) Porch � �„ ( ) Seasonal -(�� Storage Building ( ) Enclosed � � O Frame built on site O Screenhouse O Living room �, � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �`�� ( ) Mobile/manufactured ( ) Other ( ) Bedroom �, .- ( ) Other primary structure ( ) ( ) Relocate/enlarge t�> Q A ( ) ( ) ( ) # of new ' � � � AdditionalInformation: ��, •,��' A � �� O � Type of Construction: `� ( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �� ' �`' ; �J; O ( ) Other �� ,, O � Construction Cost: Primary Structure $ o � � � Accessory Building: $��%,c�c z �'y �='�G' Acidition: $ � � `� � Deed: Vol�_Pg� Certified Soil Test# (%`7 — )� � � � z CSM: Vol�Pg�Lot# � Sanitary Permit# t 7—I� � UQ 7� � Plat Envelope Or: o, -,(� Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Ownei• When Installed: � � � � Previous office approvals/actions: �5 ;C� -( N�°j t3u r�i) w Variance: # LUP:# ��7 ""3 �/rj SP: ;� CUP: # Inspection Report: # Change of Zone llistrict: � �� D� I �y� Z$738 Describe the construction using these columns. List the dimensions of each structure in a sep�rate , column. List each story, each addition, each alteration in a separate column. : #1 .� �2 �'� C; �{ #2. E�;�� `� " #3. #4. Size3� �l� ft. wide /�/ x /`/ ft. wide ft. wide ft. wide Z�' x 2 `� ft. long �� '� � Lft. long ft. long ft. long Floor area // S � sq. ft. �� sq. ft. sq. ft. sq. ft. Hgt. from gracle z Z-- to peak � ft. hgt. ft. hgt. ft. hgt. Stories �_ � stories stories stories # of bedrooms 4 Lake/Pond/Flowa e/River/Stream (Name) ' � ,QS�-�- ��-��`1 „ , � Fire Number and Name of Road / S�(r 9 �c. � ...�.�.1'� �C�� U " 1 . Enter lot dimensions and indicate north by arrow. na C)wne Authorized Agent: 2. Indicate the location and size of the requested construction � ' �---�.? Signature,'� activities. �� Print Name: � t- ; 'L5 'L-�} U�( � � L L (, 3. A1So, indicate the location and distance to the well, The above certifies th�at the listed information and intentions are true and correct., that all work shall be performed in compliance 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. aa��9 as ow�er�s� a<�e�t, has the permission of the owner(s) to perform the work requested on this application. The above persons/s hereby give� permission for access to the property for onsite inspection. C1 �_� Permit fee: $ ��CJ Total land area within 300' of the waterbody: (A) �/..5, n° " Total impervious surface area [including this project] (B) S7d 9 (B) / (A) x 100 = % Used /2 , 7 °l (Shall not exceed 15%[or 25% with a con��itional use permit].) Shoreline Vegetation Protection Area: Mitigation Requ�ired? (a Yes O No 00 � ` �t- Issue Date Signatur�e of Issuing Agent � ( Zoo 50% Rule: Average Road Setback: Expiration D te Office Comments: .. /� i � w� L� �`Q G' . �--� -�' ,r -_ �- � � / �, /�/ ��\� � ) 1 � � r� �� r -t- —��l---� �, �1 � � � ,., � ,,. � � 1 � �� l � � ` � � �. � � � � , � ce -- — � �� 1 � �a .L , � ? � -� � � J . 1� �. le�. �� : , � N � J _ _ -� Q�: � �' ' � � , ,y ( � Y � � �� 1 � _ . ��j , ( I ��J �� ' \ , �, y ' � � a ° �`, �� { : � � , � � c � � � � ,� v,� ' � � �'1 � �� (' , � , �-- ; � ��__ -�i �__ 3 , � � � � c� " � , � � �� d ` � � -�. ,� _ , � ;c � � i �, � � �- � -� �y ' � ! � � `� c� I , � ; �,__.___��1 J � � � � � � � � i � � ti � �, � � � �, �� . �` �o � I � l� 7 � �, � � �. 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Gb.543 5[�.F�' � P 3 � Z 2 # � Z_ � � v Z � V� N G` � v� o �-a v `� ry � o O• C (t,\ � fY -�' t m � � � e r � N L N � � S S 9 � L N ' ' � � P } l�Ito.v.d.N /�/ l`t° 3I4 ir.K btY--�- � =r`IPL'k2�46'G.�_tSo,�q• � ) 1 o - = NSK7Vl�f�(".�150_4t'�� I j16L'��12-i1"lM1l^'�jD.il� " - ` — 1 �—�81'45'-+fa"l�-rSo.of � iSo s i o't - d - � �� µ ! O"t fS�t —�o.� �_ __� � _ �� hAnlD (,AK� ��.•�``�GONS"�.,,� �1�'�". �Ow ��• ��?.................!•1.'�•.� (� ` � �� DAVID F. �� V�� . �ICaP�'� ? t• RIEDER 1 �`a �Q.OI1S�(XG6 Vd�� J�'(lIU�O� =t: S-1 737 � - � �` BIRCHWOODdf � �Ib�,GYl�IYI �6�. �J'1'13� ' , WI � '''�• ��• -'"��'�'�` ll M1YG�1 l°J�l'� ',''y�N wi i NvE�``y► S�A�E -�- l"= too' - .:,� .�-�+5�/ 0 50 �oo �. . 5ku,� � o� 2 F�9� � � � . �� SHORELAND PRESERVATION AGR�EMENT (Non-Intact Shoreline Vegetation Protection Area) Land Use Permit No. ' (To be entered by the Zoning Offi Index No. �-� WHEREAS,(list all owners), I�'(}�2� J- ��dk�—� `� ��l J�l�/! �. G-� owns real estate within Sawyer County ihat is subject to the Sawyer County Shoreland Regulations, and WHEREAS,in order to secure a Land Usc 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 shall be restored in accordance with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. 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 I,and Use Permit is issued by flie Zoning Office. The owner(s) further agrees to allow authorized � representatives of the Governmental Unit to enter onto the owner's propetty at the following description to � inspect the structure(s) or uses authorized by said Land Use Peanit and to detemvne if the SHORELINE VEGETATION PROTECTION AI2EA exists 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, injunctive relief,restoration of said real estate,the revocation of said Land Use Permit 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. " ` L,ega1 Description of Property: �M1 C�I QZ�O- 939-20- S 30 3� c��y, csm Ud i�8 xr 3� Se C 2 0 ?�4i1/ ,2�icJ �n_.�l�.r.tm � C3'ou'f /..��3 � Dated �s / day of 5�l y , �08 � ( er (Owner) (Owner) (Owner) N o. � (Owner) (Owner) I � O This instrumen[was drafted by: Sawyer Cotu�ty Zoning Office � '� �� a ��1"�� e'��`-�i1a '�; I b'w� ;��.x��- .�-�., . . ? � .!� j .'..y.. .4}t:,.� ,.. �'�`, ,;;'�:•V-,.t . . ;4::;,;-�;' �-.i ,�w E� . _ � `!'r�+i ��. _ . �f_Y� '�*�. °��! �• . -��'l e_. i��