HomeMy WebLinkAbout032-540-29-5217-LUP-2008-242 - Application for Land Use Permit (*Shoreland*) r � �
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County of Savv��er -� '
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PO Box 676 - Hayward V�II 54843 ��f� 1�;��,L,� �.;;;;a#�,��;:����_ �.�': �:
715/634-8288 N �
*Property that is located within 300' of a creek, ri��er 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 RE(ZUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL
Debr'q. � � t
J�Sc�P�� �'�n����za N�M�; oc�►��►� �
Owner Builder ¢: 1�
Z 1 2�/ �^��F'i(��T�Ory ?�i�i _ o� �
Mailing Address Mailir�g Address � �
C.��_c v� c�. L , /�^�`-� ���4 � � �
City, State, Zip City, State, Zip � �`f
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Daytime Phone � Daytirne Phone � n �
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Additional Information: Zone District: �— � � �
CA�1�.1 LUP ISSVE� MR�� Z403 �
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Lot D:imensions: /S�� x ��� N
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Date lot was created: � Acres: / b� ��G,30d S� �,
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Is there wetland near the proposed structure? If yes, how far /Vo n
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Building Land Use Floodplain: ( ) Yes (� No �
(jC)New O Filling Chippewa Flowage: O Yes (X} N�� U �
O Addition O Dredging Driveway access off of a(Check one): Q �
( ) Alteration ( ) Grading (� Private Rd ( ) Town Rd. �,,,�
O Moving On O O County Hwy O State Hwy N� �
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� ) � ) N N �
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Primary Structure Accessory Building Addition o o �
( ) Dwclling (� Garage-attached/cietached ( ) Deck � � N
( 1 Year rn�md (31 # of car stalls ( 1 Porch N w I
( ) Seasonal ( ) Storage Building ( ) Enclosed .� �
O Frame built on site O Screenhouse O Living room � A �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen ;� �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � p �
( ) Other primary structure ( ) ( ) Relocate/enlarge , N
� � O O # ofnew g � U
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AdditionalInformation: o � �
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Type of Construction: � N N
�Q Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
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( ) Other ,�
Construction Cost: Primary Structure $ ,� �
Accessory Building: $ ( 2, OOD Addition: $ � �
zDeed�Vol 1'Oq pg �I'�� - Certified Soil Test#_Q�-�Z, _ � �
CSM: Vol�_Pg �37 Lot# z Sanita:ry Permit# b3,�� � �
5q49� ~'
Plat Envelope ��,� Zi�` 3� Or: o� �
Condo Vol Pg Year Installed: 2-� % '�'
N �
"Loads and Flows": Vol Pg Ownei•When Installed: �
��SE�r� Ct�iRiz,�P� �
Previous office approvals/actions: N
Variance: # LUP:# b3_o�� SP: ;� CUP: # �
Inspection Report: # Change of Zone I�istrict: g�y�68
lX `
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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. GRQ��� #2. #3. #4. '
Size 24 ft. wide ft. wide ft. wide ft. wide
4 0 ft. long ft. long ft. long � ft. long
Floor area �'1(�4 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 i�/River/Stream (Name)
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Fire Number and Name of Road ���7 S �� N aPP� L r�P ��� �� ���'��' �� �U.
1. Enter lot dimensions and indicate north by arrow. Si ature of C)w n�r o uthorized Agent:
2. Indicate the location and size of the requested construction � v L`5 ,
Signature
activities. � � ��,,� _� /���
1 P' t Name: CJ J�1� � �• l
3. Also, indicate the location and distance to the well, t- e 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 requlations of the State of Wisconsin, and if
centerline of the road and waterbodies. act��9 as oW�er�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 propeRy for
Q� onsite inspection.
Permit fee: $ /b0
Total land area within 300' of the waterbody: (A) �So X 34ti�_ �S 4U0 S�
Total impervious surface area [including this projectl (B)_3, 3 � Z_S�
(B) /(A) x 100 = % Used �, 3��D (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes (�No
M�c��.o.�..S�F ZOO� L��/ ���-✓
Issue Date Signature of Issuing Agent
s�. ZOO� 50% Rule: Average Road Setback:
Expiration D te
Office Comments: �iY�C�G�� /��%p''�GW'C� �?iC.2Gr, �
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REF: ASR�a� pHOTo-N9 - iq�o SCALE: I INCH= 40o FEET
US,6.S BLpISDFLL LAKE QUAq �q72 DRAWN BY: D.fvi.E. DA
COLON (:) INDICATES GOV
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� I � Government Lot 2 m TOWN ROAD
� � � Section 29 � _____ ______ se�•�4'a3�w E 1/4 Corner �
I _____ Section 29
1 $11.41'
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n J � I Winter Township �o�r. iny� and�y�es a�d ucar�y � Y ° n ������
LL �. � Sawyer County, Wisconsin p � o�� i�.s oaiPio�
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� „y> � hs9 ` Z 57,690 eq.tt. .°, I SE Comer �ch be deeded a t/5tfi a.
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�'Sw�. � ol Legend Q'
� C.�l ��S�B. p yl 0 1 1/2" dia. k 24" lonq Iron pipe eet(1.67 Ib/Lf.) h '.
/\/ .�� 8 I ISI 3/4" dla. Iron rod found �,,'
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Ur�j�, I ❑ Numinum Sawyer County monument found 5
cu�wT�v�� ��''i•� 100 � 0 100 200 300 $ I
CURVE RADIUS TANGENi LENGTH DEITA CH.BEARINC CHORD �}} �
A-B 50.00' 140.52' 122.90' 140'49'38" S72'24'23"E 94.21' �` Yll e �'i{�H�C $�i� - �� SCO�C �° _ ��Q� I �I
B-C 50.00' S1.4B' 80.00' 91•/0'24" S 4S°50'18'vl 71.74' ��C� I Pnporod Cy Fovo�te Surveying. S.C. Eogle River, WI 54521
A-C 50.00' 101.39' 202.90' 2J2'30'02" S 26'34'11"E 89.69'
Oroked try: D. Korropocky/Rle No. 1999042.crd, 79990�7Apl1
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Ve�etation Protection Area
Land Use Permit No.
- y (To be entered by the Zoning Office) Index No. �-�1—�--
WHEREAS, (list all owners)
�o �, ; ��,�•� C��-�►�z��
,
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 sa d�real e tateus ntact�to a m n mum de�pt hof
the SHORELINE VEGETATION PROTECTION AREA on
35' landward from the ordinary high-water mark of the waterbody.
� The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section
4.410 SHORELAND VEGETATION PROTECTION AREA, �oe�°�t��e ag�.ees�t allow authori ed
� use ermit is issued by the zoning office � � �� tion
the date that the land p
� representatives of the Governmental Unit to enter onto the owner's property at the following des p
s between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) PP�Rand t det rmineyif the SHORELINE
�y to inspect the structure(s) or uses authorized by said Land Use ,
`� VEGETATION PROTECTION AREA exists and that it ishe o�er's obl gat on to ma ntain the SHORELINE
� on the date of expiration of the land use permrt. However, t
� 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
L er Count Zoning Ordinance,
°' authorize, in addition to other penalties and relief required under the Sawy Y
J injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all
t .
L
structures approved by the issue of said Land Use Permrt and�theement shall be filed�with the Sawyer County
d issue of said Land Use Permit. All parties agree that tlus g
U Zoning Office.
� Legal Description of Property:
Ga� (.c� N C %4 s C %4 S�� � Z q Tc.�n� 4 0 N 2 S"l.�
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� �M �- Q 2 - S 0� 29 - � ,
i Co �- � 2 esy►, ✓at � � PQ �37 �Z- Sya - 29 �5Z/'7
W Da ed this � � day of J � �� � Z��
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Owner)
(Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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