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032-540-31-5216-LUP-2008-179
.� Application for Land Use Permit(*Shoreland*) � o ,� County of Sawyer �, � k . PO Box 676 -Haywazd WI 54843 �15/634-8288 *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 1 �JD11�1 ��w105��/ `�'CUDr C'c���U�iZL'.,(� � � Owner —T Builder a yy9 WAs�;��-��..�� �a�w t�i6�u�� �'a�� �� � o� Mailing Address Mailing Address -� O (.C,�j{�J��-t.'�. Lt�;.sC', l'S[�u� ��I ��8� � � City,State,Zip City,State,Zip � 6 ba 7!s 9y�= �9�3 � Daytime Phone �� -�/�d/- 7Ua`,� Daytime Phone � � Additional Inforxnation: Zone District: R,-/ � � � Lot Dimensions: J Date lot was created: Acres: i �U 3 Is there wetland near the proposed structure?If yes,how far o � Building Land Use Floodplain:O Yes QQ No G � �New ( )Filling Chippewa Flowage:( )Yes ( ) No �o O Addition O Dredging Driveway access off of a(Check one): x� ( )Alteration ( )Grading ( )Private Rd �Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy J o 0 � ) � ) � N S Primazy Structure Accessory Building Addition N � ,°r. O Dwelling Q�Garage-attache etache O Deck � � O Yeaz round (�' #of caz stalls O Porch N � � I � ( )Seasonal ( )Storage Building ( )Enclosed �� O Frame built on site O Screenhouse O Living room p cv ( )Modular/manufactured ( )Greenhouse ( )Kitchen d � � ( )Mobile/manufactured ( )Other ( )Bedroom "i () A:� O Other primazy structure O O Relocate/enlazge W N � � ( ) ( )#of new '� , U � AdditionalInformation: p � p N � � , ` � Type of Construction: 6 � �a` �Frame ( )Log ( )Pole/metal ( )Block �Concrete N �A L��� O � I ( )Other .� ,� Construction Cost:Primary Structure$ 1 Q Q Q d 8 ,.ti � P � �Accessory Building:$ Addition:$ d � � Deed:Vol 7g7 Pg Zoo Certified Soil Test# ya-19d � z CSM:Vol Pg Lot# /�v Sanitary Permit# 98-14+5 � � Plat Envelope Or: � ` � I"\ Condo Vol Pg Yeaz Installed: N I� "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: N Variance:# LUP:# yq-oqQ�_SP:# CUP:# � Inspection Report:# 45•e3� Change of Zone District: � �I�j,'�� U� _ 3G 399 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 �_ft.long ft.long ft.long ft.long Floor azea �/c�0 sq.ft. sq.f[. sq.ft. sq.ft. HgC from gade j�v� to pealc ft.hgt. fr.hgt. ft.hgt. Stories � stories stories stories #of bedrooms O � �� ake/Pond/Flowa e/River/Stream Name �/�Y1��� ��1C,�1L� u� --- _ .\ _ - ;------ ,�� � \ �y ` �`',,, '�, J qp ��N '� � yS e�i � � �G � . � ... —__ _ � \♦ , � f/ous� _ � �� I �' � � � �I �0� ' , i S � Fire Number and Name of Road `� �• �-�� k�n�a<^ l��n 7 1. Enter lot dimensions and indicate north by azrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction SignaW�— activities. ���'� Pnnt Name: �^� °�' 3. Also,indlcate the location and d'lstatice to t11e well, rhe above cerofies that me listed iMortna ion and in tions are We afM corte�t.,thaf all work shall be peAormed in compliance se tic tank and drainfield,wetland azeas,lot lines, with the requiremen6 of ihe Sawyer County Zonirg Ortiinance p and ihe laws and reguWtions of the Shate of Wisconsin,arid H centerline of the road and waterbodies. a�u�y as ow�er�s>aye��nas me ce��5ston or me ow�e�s�io perform ihe work requested on this application. The above personys hereby gNe permission for aosss to the properry for � onsite inspeaion. Permit fee:$ ��� , Total land azea within 300'of the waterbody:(A) �� Q'�� Total impervious surface azea[including this project](B) 3�f� (B)/(A)x 100=%Used / G (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?( )Yes No D,. �' ZOo� ' Iss eu D�te�—� Signature of Iss 'ng ent � o0 50%Rule: Average Road Setback: Expiratio Da e Office Comments: ' � w � ry i � � - � � WP. ON. R. 5W. � . � ��� . �: . � � ;� �- �30 � i , 1.2 :1.4 :r.3 .t.b, � :1.3 id �L� � ARK � R LAKE :��2 :�� :�l�F :2r9- :2.� :2.6 :P.7 :�.S :Q.4 ;�.) '2.lf :2.12 :Q.)a � ,5Y 11 !? � y � ? 8 9 0 � :?. -- �� � �� :7,� :7.3 !q !8 1� lb �$ � ?,� -5.�. :2.19 :Q.IS :2•t7 :2.16 '2.15 r '.7.9 ;7.b S i� P �6. 5 ��.4 \QQ�� :7,8 :710 � :7.1 :7.4 :7.5 , � L ,.s�, � '� � ��� i � :7.7 ���;/ :6.2 'b.3 _ _ �'Y 'D �.: c) y�c :�.i C0 :�rr + k P o-k C-----tu.S�r+..vu...a.,,�__..._-_e,.�,_' ;�;:� B U C VC — I ? � :5.3 � :b.lo TAI L �.,�4� / �D �0 N D� ''' /. � `"r .."'. , ��f � /` .�� :5.2 v .13:l .13 .3.�-- - ,13,4�� �' :(.) •b.s � b.q �, � �. r� :6 4 :6.7 i; --`�- '�,.�� :s.� y�G� - ���-/%/_...�. �'� Y '�� � :5.� �• . 1 6 - 6 I 3.6�/ .A� ' :b.I 1 �.--�...— Y 7 �,� �3,7 �. itc� ..G, .� \ � ,.c,. .16.1 .,r.< ��cv — ..�.. ,<<„ — Kru a .�/ii �2.) � ..Iri .�Jr.� aif�i .16.2 ,� .�ca �-� SHORELANDPRESERVATION AGREEMENT (Non-Intact Shoreline Ve Ptar• protection Area) . Land Use Permit No. � — / � -�'J (To be entered by the Zoning Office) Index No. Q� - � 79 WFiEREAS, (list all owners) _ �D h y� � � �'��a � y�,p,�{ I owns teal estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Peanit. NOW, THEREFORE, the ownet(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 Mi6gafion Plan and Implementation Schedule approved by the Sawyer County Zoning Departrnent. 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 Pemut is issued by the Zoning Office. The owner(s) fiuther agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's property at the following description to inspect the structute(s) or uses authorized by said Land Use Permit and to deternune if the SHORELINE � VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will � authorize, in addiUon to other penalties and relief required under tt�e Sawyer County Zoning Ordinance, � injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all skvctures approved by the issue of said L�wd Use Pemut and the revocation of any other uses approved by the �J issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. hLegal Description of Property: ( o f /(, o F j�,.v KQ v L.a,kY Es+a.#cS r+ aou'�- �o�- z � S°� -3T "f 4�N ,3.� sJ—T�s�,�nF �) � „ l�er � Sz���ei Co�v.L�, �v� b Z �54o • i - i� � Dated this ( day of S� 1 v Z oo S , � � �e (Owner) � (Owner) (Owner) C � (Owner) (Owner) I � O This instm[nent was drafted by: Sawyer County Zoning Oftice Dempsey-W inter-LUP#08-179 7-24-2008 . . �i . +R'- R' �"; i'>:_: ' �f tx—�;"`� ` � �. 3 � . � tF it �� `� a�l� . 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