HomeMy WebLinkAbout032-538-04-1410-LUP-2008-283 , � 1
Application for Land Use Pernlit (*Shoreland*) o o ✓ �
County of Saw��er � � .
�
PO Box 676 - Hayward V�II 54843 �
715/634-8288 �
*Property that is located within 300' of a creek, river or stream or within 1000' oi,a `-µ'.,
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 f.�S�L '
f=i.�1�1(�HT�a}.. � �cci h'�C-�'_ �o�% TNo+�
Sc,�V i �
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Owner Buildf;r �
N � � `i� 6� � �5e�.3 i� GHA Tii�Mrsotv C���kl� o.
Mailing Address Mailing Address � O
V�I � `I t t''�,, t.�.%.L �`f � �f E:. c�l�?�N T�1'� � �,�;�- S"`J� � b �
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City, State, Zip City, �tate, Zip
� � � - Z. � 6 �`�7 `I t� i "j 1 5 - z 6 � ... Z� �t ��.
Daytime Phone Daytirne Phone `a
Additional Information: Zone :District: P U D
Lot D:imensions: I 1 �� X -� �-��
Date lot was created: Acres, U• �� �
Is there wetland near the proposed structure? If yes, how far n/ c� o ` ;
;;
Building Land Use Floodplain: ( ) Yes ( )No � ��,
( )New ( ) Filling Chippewa Flowage: ( ) Yes ( ) N�� � �.�
(�O Addition O Dredging Driveway access off of a(Check one:): � --�
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy V, � �
( ) ( ) o N �
w � r
Primary Structure Accessory Building Addition N o 0
( ) Dwelling ( ) Garage-attached/detached ( ) Deck N �
(� Year round O # of car stalls O Porch � �,
( ) Seasonal ( ) Storage Building ( ) Enclosed � �
O Frame built on site O Screenhouse (�O Living room c� �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �� ��
( ) Mobile/manufactured ( ) Other ( ) Bedroom o 'a
( ) Other primary structure ( ) ( ) Relocate/enlarge � � "\
( � ( ) ( ) # of new � .��� �
��
0 '
AdditionalInformation: � ;
, �
g �
o . "
Ty e of Construction: �
(�Frame ( ) Log ( ) Pole/metal ( ) Bloc:k ( ) Concrete p �
� _t:
( ) Other o ,�
Construction Cost: Yrimary 5tructure � O '� �
Accessory Building: $ -�Acidition: $ � ��;G�c=' � (,,�
�
z9y�z� � �
Deed: Vol ' 1,� pg "�{� �` 78y��l� Certified Soil Test# $0^{�j 5g�31 � z
CSM: Vol�_Pg ��,% Lot# �l�_ Sanita;ry Permit# 1�/-/(�Z `l8'Y�8 � �
�
Plat Envelope � /38d Or: o,
�
Condo Vol Pg Year I:nstalled: �,
"Loads and Flows": Vol Pg Owner•When Installed: � �
�
.�
Previous office approvals/actions: q 8'��7 � '
9�(-��q �
Variance: # LUP:# 63,t3� SP: # CUP: # ; �
Inspection Report: # Change of Zone District: ;- �"
1
3,38a/
_ �
. ' �
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.
#l. A'���i t� �� #2. #3. #4.
Size ^ � ft. wide ft. wide ft. wide ft. wide
1 � ft. long ft. long ft. long ft. long
Floar area ��G sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from grade f`� ' to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories �
# of bedrooms �
Lake/Pond/Flowa ��/River/Stream (Name) _
S
S � � f� i i� � J-� �-D
Fire Number and Name of Road /\l `1 7 Y �� � F �'S�. `�`', ��
1. Enter lot dimensions and indicate north by arrow. Signat re of C)w�te�'Ar�Aut_h`orized Agent:
2. Indicate the location and size of the requested construction k,
Signature
activities. '
Print Name: ���~s �`'� ��T F /�
3. Also, indicate the location and distance to the well, The 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 regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. act��9 as ow�er�s�a�ie�c,has the permission of the owner(s)to
perform the work re�quested on this application. The above
personsls hereby give� permission for access to the property for
onsite inspection.
Permit fee: $ 7���v I
Total land area within 300' of the waterbod A • �� ��r'�s C3 ��`� �O ��—aP���v'��
Y� � )
Total impervious surface area [including this project] (B) Z..`i�4� -�,q�.�'-
(B) /(A) x 100 = % Used '�� G� ��, (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Requ�ired? O Yes (1(f No
�`U � C��� -
Issue ate Signature of Issuing Agent
� ���;�- .,3�,z(�/`' S0% Rule: Average Road Setback:
Expiratf on Date
Office Comments:
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v MINK CAPITAL SURVEYING, INC• SURVEYINGSERVIGES.
�--E=o.^^.-_---1 MEDFORD, WISCONSIN 54451 Subdivisio�s
. ' • C�rliliad Survsys
Property S�rvsys
Topographic Mapping
Sirr�t Improvamen�s
Rou1a Locafions
Plot Plons
C;i:RTIFIr�D :�URV;�Y MAP '
NI3MBER ( R co .
(Continued on the reverse side ) o" ss�� o• ,- I
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SA�dYER CUUNTY LONING ��? , � �
ADMINISTRATOR �a� � �oa4:o�$0
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LEGEND
Scc10 of Map: I inch --ioo' — Iron Pipas Found
1"x24"Iron Pipes Se►, 1.13 Ib./fr.
STATE OF WISCONSIN r) THIS�NSTRUMENTORAFTEDBYCHA�7LESOFFEFtMAN (] StonaMon.Found
COUNTY OF TAYLOR ) SS —Q— If0�1 Pifl3FourW.RRSpiK•
—�— 2"x 30'Iron Pipes Set,3.65 Ib./f1.
� CHARLESOFFERMAN , Lend $urv�yor of 1h• $fat• o� Wisconsin, do f��r�br c�rfi{y fh�f on DECEMBER 20,1379 � I •ur..�y�d th.
•bow d�acri6�d prop�riy �ccording tc oHici�l r�cords �nd i6�f th� •ccompanying m�p is � frw and co�r�cf r�pr�a�nl�fion of fM �r4�rior boundari�s of f6� I�nd
surv�y�d,th�t •11 buildinys �nd improwm�n+a li� vrholly within fh� beund�ry Iin�a,�nd �h.t eo�ncro�chm�nti by • ' �nt prop�rty own�n �pp ftom s�id surv�y
�xupt �� indiu4�d.
4-3B-5W WINTERFIOW
� Rpi�l.r.d Land Su'v�vor
�.. _ � , , t;�-t �____:...."Y� �� �
SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation ProYection Area)
Land Use Permit No. (J�j-zf'j'3 (To be entered by the Zoning Office) Index No. �_-�
WHEREAS,(list all owners)_ S�iY�ES �, �(V i� r"��f�C-i1�E�C E� ���T E N
owns real estate within Sawyer County that is subjecC to the Sawyer County Shoreland Rcgulations, 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'landward from the ordinary high-water mark oFthe waterbody.
� The owner(s)hereby agees 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
-r� 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 structute(s)or uses authoxized by said Land Use Permit and to determine if the SHORELINE
a VEGETATION PROTECTION AREA exists and that it is being preserved.This authorization shall terminate
L-, 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
C PROTECTION AREA,Sawyer County Zoning Ordinance remains in effect.Violation of this Agreement will
Q' 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
O
/1 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: N y l��� N E�,Sv�J ('� p. �v r��i E(�, W I J�`1 �`16
(� $EC 71 0 h) Gy `T G i•��.', 3� (�A N�.F_ O =� �i �3z-.�38-oy- lyi�
� Pr� s�Nc i�� r �i c5i�n 7/0� � J3�o
� Date this �`� day of lk ln G U S i , 2 O c��"
�(g , r) (Owner)
�.
(Owner) � (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zo�iug Office