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Home My WebLink About032-105-00-0500-LUP-2008-241 Application for Land Use Permit (*Shoreland*) r ,� - 0 0 - � 1-� County of Sa��er : -, �; �; � ''� PO Box 676 - Hayward V�I 54843 Y— �� :�� , � �`�' ' 715/634-8288 - �� - *Property that is located within 300' of a creek, river or streain or within 1000' oi'a " ` flowage, lake or pond or has any of the above waterbodies located within 1� ` the property's boundaries. " CONSTRUCTION SHALL NOT BEGIN UNTIL ALL RE(ZUIRED PERMITS H�VE BEEN ISSUED. PRINT—USE BLACK INK OR PENCIL �. �,J. ., j � (� fA.l''�@.� L�Y'�Y`L�, L'"i �� ,':i ;f�, �;ti'_ � � - Owner Builde;r � , � :;, „ � .'�,�a: ;._ �� ,�7 r� �: 0 Mailing Address Mailirig Address � O ;, s . �, � ,�,, � � City, State, Lip � � i.iiy, ��tate, �ip " '� :r� .. � �� 'S ... .,1 c,C . J.� ��... _ � � ' l� Daytime,Phone Daytirne Phone �:� � � ?. � � __ Additional Information: Zone District: �t � . � . r, �, ' Lot D:imensions: �,"�` �. J�•� � � � e � Date lot was created: 1 �;ro � Acres: _ , �� -- Is there wetland near the proposed structure? If yes, ho�v far o � Building Land Use Floodplain: ( ) Yes (!/'} No � � � ( )New ( ) Filling Chippewa Flowage: ( ) Yes (z;)' N�� .J � O Addition O Dredging Driveway access off of a(Check one): � � (,/� Alteration ( ) Grading ( ) Private Rd (�) Town Rd. �+ � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N � � \ � � � � N � � r Primary Structure Accessory Building Addition � o 0 (y) Dwelling ( ) Garage-attached/cietached (F-)Deck � � ( ) Year round ( ) # of car stalls (, ) Porch � �;, (� Seasonal ( ) Storage Building ( ) Encloseci V, � � O Frame built on site O Screenhouse O Living room c� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �� ( ) Mobile/manufactured ( ) Other ( ) Bedroom � ; O Other primary structure O O Relocate/enlarge N e " ( ) ( ) ( ) # ofnew � `� < ,�j o ' Additional Information: �; � � � �� ' � � �� , ° , � ��.ttc �� :�i� �'.{�: . . ri d�'2 'L,{ ��, ,i,, � �l�'t�. r}d�{� T p a I � { O1 (�D � V n Type of Construction: � ( ) Frame (�Log ( )Pole/metal ( ) Block ( ) Concrete ,� ( ) Other � �� Construction Cost: Primary Structure $ �- = f .`�'� � � Accessory Building: $ Acidition: $ � ,-� 1 `° ,� � . � �..� � i•. �. - � � i i.' �k Deed: Voi �._+�p�Yg�.G� l;ertitieci Joil i est# ,;��z � �;; � �z 00 � CSM: Vol Pg _�_.Lot# Sanit�ary Permit# ,':`� "' ,��t� � q, , ;_, Plat Envelope 'f3rnC� � < 4 w ;;� ?��ti � �..� �=' o, ,; Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Ownei•When Installed: � � � .� 4 Previous office approvals/actions: O(�- 3�-a �" Variance: # LUP:# '" ` � ��1�, SP: ,� CUP: # �+" t � Inspection Report: # Change of Zone llistrict: ''31 D 3L515 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. � �'. �,;a #2. . �t:�.� #3. �� E�' #4. _ Size k'^ �ti" ft. wide ��ft. wide �_ft. wide ft. wide �� n� F�; ft. long �,� ft. long �_ft. long ft. long Floor area `�'��,�t sq. ft. �� sq. ft. sq. ft. sq. fi:. ', ' Hgt.from grade to peak ft. hgt. ft. hgt. ft. h�,�t. Stories�_ stories stories stories ' # of bedrooms ��'. Lake/Pond/Flowa ��/River/Stream (Name) � � r ,, �0�� ` ��. T � ;�l-�' � . , �,, � � , ; , . � , � -� � 1�.�.� , , � � �� SkEt� y�y �� I ��,I �H�'��Q i� ��3a��- � , � u..►1 7�� -- � �.,-� _ - - � � � ` e� � , _ i� � > �' �4� � � � � � J 3�, � �_.____ . � . -�-- �---- --� __-_ _ �.��^c�_._ _- � � � r��'� � .?��+�v_� � � �uC.{ �ayig roo� c�n ��,� ;,� ��„ ` ^ / \ ��I ��' � �� g� )?�Avt�- �� tL��'y, ' �I .. I �a�',- �br�- e..�.�i��✓ ,L�v�'�' ._�p.^ � l— Fire Number and Name of Road � �.� ;� �� ; �� b �' -� �'-� � % ' _ ' 1. Enter lot dimensions and indicate north by arrow. Signatur�af�)wt�er or Authorized A nt: 2. Indicate the location and size of the requested construction : '�.�� -� �;�,,��s,��,,,�r�-� Signature activities. r� Print Name:��'(�4% 1�.�� /cJf';'€� ';,.`.7, 3. Also, indicate the location and distance to the well, The above certifies th�at the listed information and intentions are true and correcf.,that ali�vork shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirertient� 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�e;!s)agent, nas the permission of the owner(s)to perform the v�o;k rEquested on this application. The above persons/s hereby give permission for access to the property for onsite ins�ec�ion, Permit fee: $ t ��.` ��,� — Total land area within 300' of the waterbody: (A) � � i�G� Total impervious surface area [including this projectJ (.B) }�.,t,�tv (B) /(A) x 100 = % Used !` ° a (Shall not exceed 15%[or 25% with a con�iitional use permit].) Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes (�No �Ouea�.�5 z�� - �-- Issue Date Signature of Issui A ent � 1,�„a�- �$'� Z�`�1 50% Rule: _ Average Road Setback: Expiration Dat Office Comments: �'(� �� P��'�o�� C.��re-�� ' BARKER LAKE SUB �IVISION S EC. 29 7'WP. 4o N. R. 5 W. dai L.,�{ l �� v �-�.. d=.�i'�i o �� U�3.i r R �Ap � �� o To� N � � � ; " � n z .. � � ao, , � b °- O 5 � }- 4 �� 3 � � 2 �� I � a � � � � N / i � � �E'� ' R� � � ' GH�PPEWA 0 r 5HORELAND PRESERVATION AGREEMENT (Shoreline Vegetation ProtecYion Area) Land Use Permit No. 8-z� (To be entered by the Zoning Office) Index No. �-� WHEREAS, (list all owners) (�, �p� � � ,�,�y� � , owns real estate within Sawyer County that is subjeot to the Sawyei 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 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 representatives of the Govemmental 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 struchue(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 wiil � 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 Permit and the revocation of any other uses approved by the issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: � �y^ � (� �C a 1�� L^ � �E'� ,Z �,�,�5 �J %owH n-� �d 1� ]�'c� J�Et,k��FJ^ C�tsuN �L Lt/t, —�� p3Z-/OS -OO - O�o� Dated ' 3 I day of�v( , z oo g � � (Owner) (Owner) � � (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office �