HomeMy WebLinkAbout026-939-09-5104-LUP-2008-289 \
Application for Land Use Perr.nit (��Slloreland*) o 0
County of Saw��er � � x
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 poncl or l�as any of tl�e abuve waterhoclies locatecl within �
the property's boundaries.
CONSTRUCTION SHALL NOT B�GIN UNTIL ALL REQUIRGD PERMITS HAVE BEEN ISSUGD.
PRIN"I'-USE BLACK INK OR YCNCIL
�cc�.� �-�yla�y �h �o�r�s��J �vo .�►'�C�oxxt.� hom�s�.�. G
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Owner Build�,r �'-'
C.
�5 3� (,Ja�e� Q���e �Q�3� f-�a� wc�r�. , C�T a.
Mailing Address a�liiig Address � �
�c� r�� �,� 5S `13 � �Q ,ti ; �y'S�'3 �
City, State, Zip City, tate, Zip � �
� � a - � �.�.- � �Sa �- ���- ���� �
Daytime Phone Dayti�ne Plioiie ,�
p � �
Additional Information: Zone District: A � ^� � ' � A
�
Lot Dimensio►is:
I 0
Date lot was created: Acres: �. �l� �
___—___ � o
Is there wetland near the proposed structure? If yes, how far o �
Building Land Use Floodplain: O Yes (�(,S No
� '
( )New ( ) Filling Chip��ewa F'lowage: ( ) Yes � No � � .
Dred in 7 Driveway access ol�t of a (Checic one): V, � �
( ) Addition ( ) � b
� Alteration (�Cj Grading O Pi ivate Rd � Town Rd. � �
O Moving On O Comrnercial O Cc�u�ity Ilwy O State I-Iwy N o 0
( ) ( ) � N �
N � r
Primary Structure Accessory Building Addition o 0
( ) Dwelling ( ) Garage-attached/cietachecl � � Do ch � � ~
� Year round ( ) # of car stalls ( ) a
( ) Seasonal ( ) Storage Building ( ) Enclosed " �
( ) Frame built on site ( ) Screenhouse ( ) Living room � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen U, :�
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
Relocate/enlar e � � A
( ) Other primary structure ( ) � � g ,
( ) Single family or multi-unit ( ) ( ) # of new o ,
�
AdditionalInformation: o � A
1(o X�3 (� -��.�,1( �,sem.e,�-�- u.�.e►^��� o � �
�
"fype of Construction: c �
�j Frame ( ) Log ( ) Pole/tnetal � Block � Concrete ,� �
�
( ) Other �
Construction Cost: Primary Structure $ � �
Accessory Building: $ addition: $ 5 3, QD� ��' � �
�
�
Deed 3 y� CertiCed Soil Test## �7— ��g � z
CSM: Vol 5�S Pg c3 Lot# C Sanilary I'ermit# �7 ' �� � U3'/8/ �Q %�
��:�� ?5, P�`� Or: °` �
Plat Envelope
Condo Vol Pg Year Installed: J �
�.,
"Loads and Flows": Vol Pg Owne�� When Installcd: �
�,
, .
03- 2 93 �
Previous office approvals/actions: q 3_ 5YZ
Variance: # LUP:# O3— Zv� SI': � CUP: #
Inspection Report: # po- O3L Change ol Zone �istrict: � /�� `� ��
� ����
��
28�(5
Describe the construction using these columns.List:the dimensions of elch structure in a separate
column.List each story,each addition,eacl�alteration in a separate column.
#l.�r�ey��ln� #2. ��3. #4.
Size�s�fr.wide ft.wide ft.�vide 8.wide
__,��_ft.long ft.long ft.long ft.long
Ploor area_�_sq.ft. sq.ft. sq.ft. sq.fr.
Hgt from gade —' to pealc �ft.l�gt ft.l�gt. ft.hgt. �
Stories '— stories stories stories
#of bedrooms�
alce/Pond/Flowa e/River/5tream Name
i �� LC� ��G
I
l�a'
I
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31 q
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Fire Number and Name of Road �� /�,! e�- e'
1. �nter lot dimensions and indicate north Uy arrow. Slqnatufe ofAwllep or Authorized Ageilt:
2. I�dicate the location and size of the requested consnl�ction �r �.'�
activities.
Print Name:
3. Also,1ndiC3tC tI1C Iocation and distance to the well, The above ce nies mac me nsiea m�ormation and intentions are
tme and wrrecL,ihat all work shall be pedormed in compliance
septic tank and drainfield,wetland areas,lot liues, � w�m me�eqwremen�s or me sawyer co��ry zo�i�y o�di�ao�
and Ihe laws and regulations of lhe State of Wisconsin,and if
centerllne of the road and waterbodies. acting as owner(s)ageN,has ihe permission ot me owner(s)to
pedorm the work requested on lhis application. The above
personsls hereby give permisslon lor awess to the property for
' onsite inspection.
.F_�,;f.. .
Permit fee:$ 7J`� _ ,�'�o
Total land areawithin 300'ofthe��aierbody:(A) Z'I�30° �� ���� N'�`�"� I�A
Total impervious surface area[incluu.ng this�cojecC](B)___��,,�..�_
�
(B)/(A)x 100=%Used ,z°6 �Shall not exceed 15%[or 25%witl�a conditional use permit].)
Shoreline Vegetation Protectiou Bcfea:Mitigation�lnired?O Yes O No
. AE"� :S'�,;lOc-;;;i ���G�iLdh�/�L�,%y2���
Issiie Date Signature of Is� ing� ent
�C�}_�f ��[%��� 50%Rule: Average Road Setback:
Expiration La�c �
Office Comments:
POWER OF ATTORNEY
Know all Men by these presents, that I, � ^ �J o �o�'r/5�r�
, property owner, Town of_S�Nd �,�f Q�awyer County, Part of Govemment Lot
' I/4, 1/4, S �c_, T .�'/N, R�, State of Wisconsin, have
made, constituted and appointed /��+���n��� of�(,�.�y;(���i�cG/�u�r�
in the County of����e`- , State of Wisconsin, my true and lawful agent for
me and in my name, place and stead to do any and all things necessary for the application
for, negotiation of, or obtaining of state, county and local permits with the County of
Sawyer, Wisconsin, giving and granting hereby unto said agent full power and authorize
to do so and perform all and every act and things whatsoever required and necessary to be
done in about said premises, as fully to all intents and purposes as I might and could do if
personally present, reserving full power of substitution and revocation, hereby ratifying
all that my said agent of his substitute shall lawfully do oc cause to be done by virtue
thereof,
� nrl
In wi ess whereof, I have hereunto set my hand and seal this � — Day
of , 2008
Owner
Not��: C�na ar i e. K� I le s
State of: � �n h�-�(
co�t� of: -1-� nnep�r�
Personally came before me this�day of , 2008
The above named O tl � (V�Gf 0'f(1 � t e to be the person who
executed the foregoing instrument d acknowledged the sazne.
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otary Public County State
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My Commission expires:� ���V
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SHORELAND RESTORATION/PRESERVATION '
AGREEMENT �+egister's o+ti„�a 'k �G
SawyerCounry ` ''`
qqq���rved for record this �� tley oi
�VHEREAS, Paul and/or Mary Jo Morrison �n o 2c0.3 ac � ociocec
M antl recortled as vol.
' on page �
owns real estate within Sawyer County that is subject to the �� o- - „ �,,
Sawyer County Shoreland Regulations, and VJHEREAS, in order Regieter
to secure a Land Use Permit for a structure with a
���,_,,,,
nonconformin� shoreland setback or Land Use Permit issued for
structures under s.59.692(lv), Wisconsin Statutes.
NOW, THEREFORE, the owner hereby agrees to preserve or
provide all shoreline buffer restoration as required by the Sawyer
Colmty Land and Water Conservation Department in order to
restore aud/or maintain the real estate by n/a
The owner hereby agrees that at all times in the future, the real Retum to: Sawyer County Zoning Office
estate subject to this A�reement shall comply �i�ith all shoreland p, O. Box 663
ve�etative buffer requirements of the Sawyer County Zoning gayward WI 54843
Ordinance in effect at the time of signing of this document. The
owner further agrees to allow authorized representatives of the Tas Parcel v❑mber: _ 026-939-09-5104
Govemmental Unit to enter onto the owner's property at the
following description to inspect the structure(s) authorized by Land Use Peimit to�etermine�T�ie�ee and�� �—
vegetative buffer as approved by the Sawyer County Land and Water Conservation Department has been
established, restored, enhanced and/or preserved. This Agreement shall be considered a Restrictive Covenant
upon the real estate and it shall run with the land and shall be bindin� upon all future owner, heirs or assi�ns.
Violation of this Covenant will authorize, in addition to other penalties and relief required under the Sawyer
County Zoning Ordinance, injunctive relief and restoration of said real estate.
L,e�alDescriptionofProperty: The South 80 feet of the NOrth 485 Feet of Gov' t Lot 1
Sec. 9, Township 39 North, Range 9 West, Except the West 900 feet. Located in
/ � ��
Uated this �day of ,
(p�r , - (Owner)
� ' ; ! � � � ��.ry Jn �17/���
(Own r � � _ (Owner)
�
<� �Gt I�L. %� /�/D/�i"iJ 4�
(O ner) (Owner)
ACKNO�VLEDGNIENT: STATE OF (Y1 (� - COUNTY OF N e�v���;n ss:
The foregoing instrument was acknowledged before me this �o� day of (tia� ,a-�3 by
'` _`a A�, . I . �n e J( lc:Lc � o (� o i S a
�`� � `G -�:'u;.!. ",�"EEOTA
_ �-(�q..w,'�'LG L y�-,.�G��
Sawyer County Zon ng Office Notary Public
My Commission Expires: — 3 )— o c �� �
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