HomeMy WebLinkAbout026-152-00-0600-LUP-2008-361 {
Application for Land Use Permit(*Shoreland*) '. �
r -�
County of SavvS�er � � /'
PO Box 676 -Hayward WI 54843 �
715/634-8288 O
*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 ISSUED. �
PRINT—USE BLACK INK OR PENCIL (U' '
��h a�rdl�k6�u�,��1�a// /'r,�c,�1�9�'� 0(���r �
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Owner Builder a
87,2 5��o9Qn /��e�I'du�, ,A��,t��x l a� N.
o�
�jling Address Mailing Address � � �
U/G���/�l �k. /��Y1h?A��it J�,J��,�� �A�t��JA/�f�� � r-�TuJ.`�'� O �o
City,Stat�,Zip City,;5tate,Zip � �'
9S,Z-g8�- �87,3� B£��3 ��s' �s'� — q-9'�h '' �r
Daytime Phone Daytime Phone Q �
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Additional Information: Zone District: � �Z. � � �
Lot Dimensions: �� X �5 � � � �
�
Date lot was created: Acres: , 259, r1
Is there wetland near the proposed structure?If yes,how far o �
Building Land Use Floodplain:( )Yes ( )No C ��
( )New ( )Filling Chippewa Flowage:( )Yes (� No � � �
(�Addition O Dredging Driveway access off of a(Check one): � � \
O Alteration O Grading QQ Private Rd O Town Rd. N� �
( )Moving On ( ) ( )County Hwy ( )State Hwy �, °Q
�
� ) � ) _ � � �
Primazy Structure Accessory Building Addition s o �
( )Dwelling ( )Garage-attached/detached ( )Deck ��
( )Year round ( )#of car stalls ( )Porch ,�.,
¢CS Seasonal O Storage Building �Enclosed a�
O Frame built on site O Screenhouse O Living room �c�
( )Modular/manufactured ( )Greenhouse ,Q9 Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom �, �
( )Other primary structure ( ) ( )Relocate/enlarge � Q '
� � O O#ofnew � �
�
AdditionalInformation: o � A
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Type of Construction: a O �
j�)Frame O Log O Pole/metal J�Block O Concrete � �
( )Other �
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Construction Cost:Primary Structure$ ,.d �
Accessory Building:$ Addition:R ��j po C> � I GJ
�uz46�o � �
Deed:Vol 2��2 Pg `1`L Certified Soil Test# �, z
CSM:Vol Pg Lot# Sanitary Permit# a' �
Plat Envelope �r� O1 �
Condo Vol Pg Year Installed: n�
� �
"Loads and Flows": Vol Pg Owner When Installed: �
�
I �
Previous office approvals/actions: v 0
Vaziance:# LUP:# F`i-3�l SP:;� CUP:# � 10\�
Inspection Report:# Change of Zone District:
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. #2. #3. #4.
Size ft. wide �_ft. wide ft. wide ft. wide
J"r ft. long �7 ft. long ft. long ft. long
Floor area �� sq. ft. �_sq. ft. sq. ft. sq. ft. �
Hgk fi-om gade to peak ft. hgt. ft. hgt. fr. hgt.
Stories� � stories stories stories
#of bedrooms O
i
Lake/Pond/Flowa c/River/Stream ame
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Fire Number and Name of Road ��o�9� !a'�W/LS`/��/��
1. Enter lot dimensions and indicate north by arrow. figrtptu Ow r or o 'zed Agent:
2. Indicate the location and size of the requested construction �
� . SignaNre
activities. ' , //
Pri�Name: -T)hn, �'Jnn"�I/�
3. Also, indiC3te tlle IoCatlOn a11C1 diStanCC t0 tlle We�l, The above ceNfies Nat Ne listed intormation and intentbns are
We and correct.,tha�all work shall be perfortned in compliance
Sept1C t3n�C and dTalnf101d, wetland areas, lot lines, with the requirements ot me Sawyer Counry Zoning ONinance
and ihe Wws and regulations of the State of Wiswnsin, and if
centerline of the road and waterbodies. aa�o9 as ow�er�s�a9e�t nas me Pe�,�s�on or me ow�e��s��o
peAorm the work requested on this application. The above
persons/s hereby give permission for aaess lo the property for
� onsite inspection.
c
Permit fee: $ ^�5
Totzi ;and area within 300' oi tne waterbody: (A) I�� Z 3 `�
Total impervious surface area [including this project] (B) 79.3-s��� 8'7V
(B)/(A)x 100 = % Used 7, 5°7n (Shali not exceed 15%[or 25% with a conditional use permit).)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes O No
(�--N �x 2 � � 7 DU 4�J _�
Issue Date Signature ofIss 'n gent
(�C�p.�,r• 2, �� Zpp 9 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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SHORELAND P12ESERVATION AGREEMENT
(Non-Intact S6oreline Veeetation Protection Area) �
Land Use Permit No. ��'3(0 / (To be entered by the Zoning Office) Index No. � -�p/
WI-IEREAS, (list all owners)
��N�� /�1 A �(rJA t.2. �
/'✓�+�lC� �Anl1�A Z2i
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 SHORELINE VEGETATION PROTBCTION 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 Land Use Permit 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 propedy at the following description to
� inspect the structure(s) or uses authorized by said Land Use Permit and to determiue if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will
authorize, in addition to other penal6es 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
-e,�_ structures approved by the issue of said I,and Use Permit and the revocation of any other uses approved by the
� issue of said Land Use Pemut. All parties agee that tlris Agreement shall be filed with the Sawyer County
� Zoning Office.
� g P � P Y� .��/"'C,('i /� / �v �l � �/"�� �i'I� cS/7 Tc3 A/
Le al Descri hon of Pro ert i O d� �� � , � �
1 ,�'o�l� Tr.�n o�':����/'�"� oL� - � � z -v� _ o� � �
'� Dated this l7 day of 0 � , 'D�
�
� (� �� (Owner)
�
� (O r) (Owner)
�'`J `1 C�'2�
� (Owner) (Owner)
�
This insUvment was drafted by:
Sawyer County Zoning Office
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