HomeMy WebLinkAbout032-539-34-2210-LUP-2008-268 Application for Land Use Permit (*Shoreland*) o o '�
County of Saw��er � � � �
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PO Box 676 - Hayward V�JI 54843 ,
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. � ,
PRINT-USE BLACK INK OR PENCIL �
/��i7 LF.� C�NS> � �
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Owner Buildf;r a-
/1,5�735 /�/c.c 5 i�c �/�✓ -S�r�'`"� o:
Mailing Address Mailir�g Address � O
�.9rn3�z�r�lrf. (�c�i S-3S�Z 3 � �
City, State, Zip City, ,State, Zip �
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Daytime Phone Daytirne Phone Z
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Additional Information: Zone District: /2� `�
�rn.�.c�..� / / �.
9 �� �'�� Lot D imensions: /D`/ X y�`� n
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Date lot was created: �- / -�� Acres: � z Z �
Is there wetland near the proposed structure? If yes, how far
�� ' 7 " o r
Building Land Use Floodplain: ( ) Yes (jC�No � �,
( )New ( ) Filling Chippewa Flowage: ( ) Yes (J� No � ��
(p�,Addition O Dredging Driveway access off of a(Check one): („ � "�
( ) Alteration ( ) Grading ( ) Private Rd OC) Town Rd. ;� �
( ) Moving On r ( ) ( ) County Hwy ( ) State Hwy � o �
� � `•� �'� � '� � � � t� �
Primary Structure Accessory Building Addition N o 0
� Dwelling ( ) Garage-attached/detached ( ) Deck G�,�i �
� Year round ( ) # of car stalls ( ) Porch 4� �,
Seasonal ( ) Storage Building ( ) Enclosed cn �
( ) Frame built on site ( ) Screenhouse �C) Living room � e�
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom '
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
� � ( ) ( ) # ofnew o N
N �
Additional Information: �h�+(�S � n p ���G'�. � �
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Type of Construction: I i �
(� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete o N
( ) Other o � y
Construction Cost: Primary Structure $ _ � � � �`"
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Accessory Building: $ Ac�dition: $ t�L�� �
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Deed: Vol z8�y8 9 Pg ��T'IL Certified Soil Test# �'1)�,Zyb 9'7-yZ6 � Z
CSM: Vol��Pg��Lot#�� Sanitary Permit# QB -cao5 °Q 7�
Plat Envelope �s71z Or: o, �
Condo Vol Pg Year Installed: � ��� �,
"Loads and Flows": Vol Pg Ownei•When Installed: � �
/fC[J��� I�'IN�C �(�.PFczMtYV7��['D���17 ��SNA2/LG'JU �i C G f2 �
Previous office approvals/actions: �� .Zg�Cv �����4� �`°� " �`�`'�AS� ��� y Z. �
98•69� ', �
Variance: # LUP:# 98-009 SP: ,� CUP: # `, �
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Inspection Report: # Change of Zone llistrict: �� ��2�08
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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. �'d� #2. � #3. #4. •
Size_�_ft. wide f� ft. wide ft. wide ft. wide
�ft. long �`'�- ft. long ft. long ft. long
Floor area /D`� sq. ft. 1�-� sq. ft. sq. ft. sq. ft.
Hgt.from grade l`� to peak ft. hgt. ft. hgt. ft. hgt.
Staries � stories stories stories
#of bedrooms �
► Lake/Pond/Flowa e/River/Stream (Name)
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Fire Number and Name of I�oad (QOl 3 C.J �. ��C�e �/►/��✓1 f e✓ /�c�cLoL
l. Enter lot dimensions and indicate north by arrow. Signature o w r Authorized Agent:
2. Indicate the location and size of the requested construction
Signature
activities. /
PrintName: �J L��
3. A1S0, 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 requiremenL of the Sawyer County Zoning Ordinance
and the laws and requlations of the State of Wisconsin, and if
centerline of the road and waterbodies. acc��9 as oW�er�s�a�ie�t, has the permission of the owner(s)to
perform the work re�quested on this application. The above
persons/s hereby give� permission for access to the property for
onsite inspection.
Permit fee: $ '
Total land area within 300' of the waterbody: (A)
Total impervious surface area [including this project] (B) �-=; �' �'. , ,3 �/y� �
(B)/(A) x 100 = % Used ' (Shall not exceed 15%[or 25% with a con��itional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requiired? O Yes (�)No
�n,�z J, 2 vo 8 - �,�u.��,r Z�-
Issue Date Signature of Is in gent
Z.l . Z UO 9 50% Rule: Average Road Setback:
Expiration ate
�Pro U 0..1 0� 4�- �O X l� (J 0..�r O �r'��cQ �
Office Comments: � ' A 1' � �
v�1,��,st m�-�^�-o�- �e. `75� S�� �` `�r� `
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#1.���dd... -------- #2. l�ar..`.�-�c� #3. #4.
Size�_ft. wide fG ft.wide ft. wide ft. wide
z�_ft. long !Z O ft. long ft. long ft. long
� Floor area /d sq. ft. _��sq. ft. sq. ft. sq. ft. .
Hgt firom grade !`� t�peak ft.hgt ft.hgt. ft. hgt._
Stories / stories stories stories �
#of bedrooms�_
� Lake/PondlFlowa elRiv tream ame
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Fire Num r and Name of oad__�Q/3 GJ L.d K�e l�i vt�-e✓ /�v�t.at
1. Enter lot dimensions and indicate north by azrow. Signature r uthorized Agent:
2. Indicate the lacation and size of the requested construction
activities. _ �g"'e
3. Also,indicate the Iocation and distance to the well, m�e�����:s�on ana�oenuo�are
hue ana oome�t,n�at al w«k�ae ne periom�ed m�
septic tank and drainfield,wefland azeas,lot lines, w���or u�e saw�co�tr zon�,� o��oe
�a a�e�ena��a n�s�o�vv�.�a�
centerline of the road and waterbodies. ���ts)�.�a�e�ton or me ow�r�s��o
perfam oie wodc reque� on �as appkatioa me above
P��'�f�9�P�for ao�ss b�Ihe p�opeAy for
ans�einspec6on. �
Permit fee: $ ��
Total land area within 300' of the waterbody: (A) .� ' �'-�� �
Tota1 imperviovs surface area[inclu ' this Project] (B) .33�8 3 y`�S
- --- -- - __-- _ ________ --- --
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(B)/(A)x 100=%Used � � , � (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required? ( )Yes (}�No
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CERT I � 6 ED SURVEY �utAP
PART OF TH� N . W . I /4 OF THE N . W . I /4 OF SECTION 34
T39N - RSW - TOWN OF �1 ! NTER - SAWYER COUNTI" -
WISCONSIN - BEING A SUBDIVISION OF LOT 2 AND PART
OF LOT 3 OF CERTIFIED SURVE'Y NO . 2011 .
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(WT. - �.50 LBS. GCR FT.1 REOISiERED LA4D HUR�EVOR
WISCONSIN REO. 110, s-iJJS
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/ NORTH U kE OF SECTION 34
N.E. CUR OF
N.Y. COR. � R SEC. Sf.
SE0. 34 (FALLS
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�" CEDES AND CANCELS LOTS � °'I s � _ g
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z� VEY NO. 20I I DUE TO A � • .LL ��- '
w v SURVEY BY LARRY T. NELSON ; . '� �" $ "
s� DATED I/16/98 AN OVER- � �I rn � " "4, `" n _ "
�a, I.AP OF THE PROPERTY TO � (j� � a �- < '^ �
�'� THE WEST OF LOT 3 WAS o n o Nq $ '� � ag $ "'
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a THIS MAP IS BEING MADE `X _ _ el _ o
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Cartified Survey No. ..> �.'7 Z �-Z
SHORELAND PRF,SERVATION AGREEMFNT
(Shoreline Veeetation Protection Area)
Land Use Permit No. QU��OO (To be entered by the Zoning Office) Index No. c�C7 -��
WHEREAS, (list all owners) f��NF� �'' �}jf2 y 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 Pemiit.
NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
the SHORELIN� VEGETATION PROTF,CTION AREA on said real estate is intact to a minimum depth of
35' landward 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 Governmental Unit to enter onto the owner's property at the following description
between the hoars of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance]
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. This authorization shall terminate
on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHOIZELINE
-�, VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND V�GETATION
PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will
� 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.
� LegalDescriptionofProperty: �Q[ L.>}IG� (,�/�NTfJL 2E7�9-1� /�/i�vT�2 /�
� Lo�3 cs•n unl 2o Pos2 � 77z � a �TT,��� 2s rJ �� „�, �1 a. ��.,
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� Dated this /5 day of /�uGus7' , �„2��
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� (Owner) (Owner) , �
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� (Owner) (Owner)
(Owner) (Owner)
T6is instrume�t was draRed by:
Sawyer Counly Zo�ing Office
Lee-6013W Lk Winter Rd-SVPA OK-75' Setback OK 730-2008
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