HomeMy WebLinkAbout026-185-01-2400-LUP-2008-372 � r� '
Application for Land'Use Permit (*Shoreland*) r ,� �
County of Sa�'er ���� ��=i= -�w1 .: ��� � � X�
�a C� PO Box 676 - Hayward WI 54843 �`J �
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. J 1!.
PRINT-USE BLACK INK O ENCII� �
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Owner Buildf�r ,► ¢
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Mailing Address Mailing Address � p
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City, State, Zip City, �5tate, Zip � �
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Daytime Phone Daytirne Phone �� . �
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Additional Information: Zone District: �'�R-'� �_'
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Lot D:imensions: �` �,�'` _-��� � `�.
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Date lot was created: 7-/S '�!{� Acres: . 75S �' �
Is there wetland near the proposed structure? If yes, how far n �
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Build' g Land Use Floodplain: O Yes (�) No �
��vv ( ) Filling Chippewa Flowage: ( ) Yes � ����No �
O Addition O Dredging Driveway access off of a (Check one): � �r_
( ) Alteration ( ) Grading ( ) Private Rd ���own Rd. .s �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � �`'
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P:im tructure Accessory Building Addi ' n � o 0
�iing ( ) Garage-attachedidetacl�ed (�ck w �
�...;�s ea,•rouna ( } � ai car staiis ��-j rorcn � W
( ) Seasonal ( ) Storage Building ( ) Enclosed .r �-
O Frame built on site O Screenhouse O Living room � �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen , ;�
( ) Mobile/manufactured ( ) Other ( ) Bedroom G, p .-
( ) Other primary structure ( ) ( ) Relocate/enlarge � � "
( ) ( ) ( ) # of new u` '
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AdditionalInformation: .� Q �
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Type f Construction: r' o
rame ( ) Log ( ) Pole/metal ( ) Bloc:k ( ) Concrete � °� ,
e
( ) Other y
Construction Cost: Primary Structure $ �/�' . . � � �
Accessory Building: $ Acidition: $ '<�..� ��� � .
. � ��
Deed: Vol�Pg� Certified Soil Test# �R- 18 �
� 30� � z
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CS1VI: Vol ZD Pg 8L Lot# z, Sanita:ry Permit# (�� - �(D(o _ �
rt s�B 7 ~ �..
Plat Envelope Or: o,
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Condo Vol Pg Year I«stalled: _ ,�, ,
"Loads and Flows": Vol Pg Owner•When Installed: � `��
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Previous office approvals/actians: �
Variance: # LUP:# SP: ;t CUP: # 1 I
0
Inspection Report: # Change of 7one Dis+..rict: � �p I Z�`
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Describe the construction using these columns. List the dimensions of each structure in a separate .
columr�,, List eac,li;story� each addition, each �erat' n in a separate column, ,
#1. �:% �� r�' % / ��' f #2. �' '- � �� '' � #3. � �,� �.. � #4. �� � �r�' .
Size ��, ft. wide ` ft. wide � )� ft. wi e �� ft._ wide
:�_; ft. long /;�" ft. long � � ft. long Z� ft. long
Floor area -- . b-�. sq. ft. r:;� ' � sq. ft. sq. ft. _ �z sq. ft.
Hgt. from grade � to peak �� ft. hgt. " ft. hgt. ft. hgt.
Staries � stories stories stories
# of bedrooms �
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Fire Number and Name of Road I; -r / l (� �' ' " �� `-
1 . Enter lot dimensions and indicate north by arrow. Signature f C)wner or thorized Agent:
2. Indicate the location and size of the requested construction � �-
Signa re
activities. --L_
Print me:
�. A1So, indicate the location and distance to the well, The above certifies that 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 requirement�, of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. a�t��9 as ow�er�s� a<ie�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: $ Z OO
Total land area within 300' of the waterbody: (A)��g g
Total impervious surface area [including this project] (B) ,28�
(B) / (A) x 100 = % Used y;� , lo % (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requiired? � Yes O No
�OC�°4 �____T �lJ � �
Issue Date Signature of Is i Agent
� �4`�,, y Z �0 9 50% Rule: Average Road Setback:
Expiration Date N C�,� T�,�� '�Ll V t� � U(Z 5 LC.-"1�PtN G /42AQS.l�/VD $K���-
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Page 1 of 1 •
Real Estate Sawyer County Property Listing Date: 10/29/20C .
`-� J_ump To Tax Listing Property Sta -
Rry Property Description Updated: 1/7/2006 -'"� Ownership Upda
�_...... .... ....._ ._.....,... �. ,�.......... .. .., w. ,.„.�,,,. ,... ., .r.,..�,��,
PIN: 57-026-2-39-09-10-5 15-129-012400 JOHN C&ANN C NASH SH
Legacy PIN: 026185012400
Record ID: 27149 Billing Address: Mailing_Address:
Ma ID: -16.1.24&25 JOHN C&ANN C NASH JOHN C&ANN C NA
Municipality: (026)TOWN OF SAND LAKE 635 EVERGREEN CIRCLE 635 EVERGREEN CIRCI
Description: S10-T39N-R09W SHOREVIEW MN 55126 SHOREVIEW MN 5512E
VICfORY HEIGHTS-ADDITION C LOTS 24-
25 BLK 1 LOT 2 CSM 20/82#5787 '�� Site Address
Recorded Acres: OJ55 15572W VICTORY HEIGHTS CIR HF��,, M STON
Calculated Acres: 0.000
Lottery Claims: 0
First Dollar: Yes --� Assessment Valuations Upda
.. ..,, ., „ ,,,,,,,,. ,� �„ ,..... ._ .,..,.
Farmland: No 2008 Assessment Detail
Waterbody: Lac Courte Oreilles Code Acres Land
Zoning: (RRi) Residential/Recreational One G1-RESIDENTIAL 0.755 335,300
�' Taxing Districts Updated: 2/6/2007 2"Year Comparison 2007 2008
�w�������-« �� --�-�� - --� =-� -��� Land: 335,300 335,300
1 State of Wisconsin Improved: 44,000 44,000
57 Sawyer County Total: 379,300 379,300
026 Town of Sand Lake
2478 Hayward Community School District
17 Technical College �
'� Property History
: ,,,...�.
4� Recorded Documents Updated: 4/4/2008 N/A
WARRANTY DEED�, ,.,� , _ �,,,,,m.
Date Recorded: WD614/94
http://tas.sawyercountygov.org/System/REAL_PROPERTY/listing.asp?pid=27149&ui=1... 10/29/2008
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��
SHORELAND PRESERVATION AGREF.MENT '
(Pion-Iutact Shorcline Veeetation Protection Area) -
Land Use Permit No. �� -��r/�To be entered by the Zoning Office) Index No. og -��
WIIEREAS,(tist all ownecs) Np_S�i �rs ft�� � /I n r�
�
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 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 vegeta6ve buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
that the Land Use Pemut 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 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.Violation of tkus Agreement will
authorize, in addition to other penalties and relief requued under the Sawyer County Zoning Ordivance,
� injunctive relief,restoration of said real estate,the revocation of said Land Use Permit and the removal of all
siructures 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 tlus Agreement shall be filed with the Sawyer County
-�� Zoning Office.
�
3 LegalDescriptionofProperty: �„�Z�.r esr-+� Yaf 20 8�z S r iv,t�9N �RQw 4Ls� Kr�ow.,�S
�. 1�� Zy a La i�[K � (116'J��•.� �le:qhd.� Su`bi1,��r�� iQoldn�'� 7c.�r! 0'l .�a.riJ Ltc�'r,f .�iw r�_
_ o�y G 1,� n r - �B a--ar-Z Yvr� ,.------------�
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Datedthis ,ty dayof G�� �a�
� (Owner) (Owne ______ �
� Owner
L� � ) (Owner)
�
'� (Owner) (Owner)
�
This instrument was drafred by:
Satryer County Zoning Office
Nash- 15572W Victory Heights Cir-SVPA- Mit Required 10-29-2008
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