HomeMy WebLinkAbout026-939-21-5303-LUP-2008-357�`
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Application for Land Use Permit (*Shoreland*) r , ._
County of Saw��er � � �
�� PO Box 676 - Hayward V�II 54843 ,
715/634-8288 � �
*Property that is located within 300' of a creek, river o����earxi or within 1Q00' of a -
flowage, lake or pond or has any of the above waterbodies located within �
the property's boundaries. l�
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �• � �
PRINT-USE BLACK INK OR PENCIL
��ne ne � �
����.-�, Q�l���� � �� Q����u ��s� � C�1
Owner Buildf;r Q- �
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�oa 1 �'" �/ s�t �au,r-�- ��1�� tJ �(��c.t��e �_ o• .
Mailing Address Mailing Address � O ,J
i,��s---� 1��-s 1�'!e��P�- I f�- sv,��s .�t��v,� L-12 , C�L ��7� �
City, State, Zip City, �tate, Zip
r s�s- � �� -�oi9 ��s --� �5' - ��o�
Daytime Phone Daytirne Phone
Additional Information: Zone District: (�R.-�
�
Lot D:imensions:
�
Date lot was created: Acres: �8� �
Is there wetland near the proposed structure? If yes, how far o �
Buildi g Land Use Floodplain: O Yes O No �
(�w ( ) Filling Chippev✓a Flowage: ( ) Yes ( ) N�� �
O Addition O Dredging Driveway access off of a (Check one): �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �"
O O � N �.
� � r
Primary Structure Accessory Building Addition o 0 0
( ) Dwelling (�arage-attached/cietached ( ) Deck 6 � ( ,
( ) Year round (� # of car stalls ( ) Porch N W `��
( ) S a onal ( ) Storage Building ( ) Enclosed ' �
�
me built on site O Screenhouse O Living room ,.�"'n h
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen o�
( ) Mobile/manufactured ( ) Other ( ) Bedroom � .-
( ) Other primary structure ( ) ( ) Relocate/enlarge N '
O O O # ofnew �
�
Additional Information: � � ;
� �
o SU �
c — "
Type f Construction: � �
( rame ( ) Log ( ) Pole/metal ( ) Bloc:k ( ) Concrete o w
a o
( ) Other _ $ W �
Construction Cost: Primary Structure $_ _ _ � �
. - �
Accessory Building: $ �(�r;CO.OG Acidition: $ �
c�
Deed: Vol 333�8L Pg Certified Soil Test# cz5•.3zz. � z
CSM: Vol �s Pg 3i�Lot# � Sanita:ry Permit# G�5-386 UQ 7�
Plat Envelope ��� Or: �, �
Condo Vol Pg Year Installed: �,
"Loads and Flows": Vol Pg Owner•When Installed: � �
�
...
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Previous office approvals/actions: �^'
9 2-- �L52. L,,
Variance: # LUP:# 05-53'] SP: ;� CUP: #
Inspection Report: # 03_ 0y� Change of Zone l�istrict: ��'�
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a87qo
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. � n #2. #3. #4. •
Size �� ft. wide 3 ft. wide ft. wide ft. wide
a (, ft. long Zb ft. long ft. long ft. long
Floor area �7� sq. ft. �sq. ft. sq. ft. sq. ft.
Hgt.from grade��to peak ft. hgt. ft. hgt. ft. hgt.
Stories�_ stories stories stories
# of bedrooms �
Lake/Pond/Flowa e/River/Stream (Name)
� 7s�.
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�.er $uv
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Fire Number and Name of Road �S"�3� �✓ .5~�.,� .0� �
1. Enter lot dimensions and indicate north by arrow. Signature of C)wner or Authorized Agent:
; --� �°i;:
2. Indicate the location and size of the requested construction -�,�����.-� �
Signature
activities. n
Print Name: ��I�Yl�t`�'� YO��l,lC��
3. Also, 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. aoc��s as oWner�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.
Permit fee: $
Total land area within 300' of the waterbody: (A)����
Total impervious surface area [including this project] (B) ����5'� 3 yoy
(B) /(A) x 100 = % Used /��a /6•9� (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes O No
��,���.�_,ZD O � -� �
Issue Date Signature of Issu g ent
�C��4�►' 23 . ZdD 9 50% Rule: Average Road Setback:
Expiration Date
�-'�abit�b4e Li�ri;�; arr:.gi �h��l�
Office Comments: �p; �� ereatec! ir� acc�::,s�l°'i�'
str�,cturas.
- - - , � T
FRANKLIN PARK pq6-i2�-� ' �
LOTS 1-10 Oe00 t '
0 � _6tnC,. 2 ; 026-939-22 � 026
Q s 02g_12� � 5608
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NpTE� IIDOITfONI�I. PM�� �� 2 5604
tM�BER SUPPI.[EO FOR nLL OF .63AC. � '
FRI1M(LIN PNtK SUB�N[SION 255AC 2^ i
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026-939-22 �`L h,�ti
5518 57n
.20AC. 54AC.
o2s-939-22 RICK'S CON�OMINIUM
5511 UNIrS 1-4
.25AC. t 026-270-00 0100 .OJnC.
2 028-270-00 0200 ,OtAC.
SAND LAKE a 026-270-00 0300 02nC.
4 026-270-00 0400 .01AC.
SAND LA
rar& o�o unc�cae o26
rtEcarotwc 0[V[SION LINE -
BETVEEN THESE PROPERI(ES 026
c SAME OYNER7.
S�UPPLIED FORaSU�NSET P�[NT SU9D
FOUR LAKES RNNCM MILLSIDE ROOI
FOUR LMI(ES RANCH ��KES[OE AODI
• U26-934-22 5301
• 026-939-22 5302
• 026-939-22 5401
. 026-939-22 3103
. 026-979-22 5202
• a26-939-22 5408
• 026-939-22 3104
. 026-939-22 3142
• 026-939-22 4202
• 026-939-22 5102
• 026-939-22 5201
NOTE� CSN t`185 MP��S T�
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026-939-21 5302 LOTS 1-35 026 �8� �
tTER L[NE BASEO 4.87AC. IB .82AC.
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NpTE� ADD[TION�L PMCEL IU 026,
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F PnRCEL [0 NUMBERS
SUPPLIEO FOR F04R
LAI(ES RANCH HILLS[OE
02E-939-2!
GRAPHIC SCALE TAX ASSESSMENT PURPOSES ONLY
200 +oo aoo �e� Information contained on this map is
advisory. Map accuracy is limited by the
quality of the public records from which it
was prepared. It is not intended as a
( IN FEET ) substitute for an accurate field survey.
1 inch = 400 ft.
G�RTf�1�p S I�IR.V�'� I�#�4�
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SHORELAND PRES�RVATION AGI2E�MENT
(Shoreline Vegetation Protection Area)
Land Use Permit No.08_ 7 (To be entered by the Zoning Office) Index No. �__ .J`�
WHEREAS, (listallowners) ,�y�p� �o����
� yl�P V1P �O ��L�lt'
owns real estate within Sawyer County that is subjeat to the Sawyer County Shoreland Regulations, and
WHEREAS,in order to secure a Land Use Permit.
NOW, THEREFORE, the owner(s) hereby ceRifies that, as a condition of issue of said Land Use Permit, that
the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
35' landwazd from the ordinary high-water mazk of the waterbody.
The owner(s) hereby 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
� representafives of the Governmental 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 Permit and the removal of all
\�'-� structures approved by the issue of said Land Use Pemut and the revocation of any other uses approved by the
Y issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
� Zoning Office.
� L
� Legal Description of Property: S�d f - �S'!tj - �b�'t LJ �"�7 �-vf �
p pZ� -939 - Z/- S3o3 Sc� nd I�� u�- �n� z esn� Ya/Zs� 3i7
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Dated this �'Q day of ��-��e(` , ���
���J,:Gfdi'l
(Owner) (Owner)
�
� (Owner) (Owner)
� - r
�
O (Ownex) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
35���5 .'+''`i
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