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Home My WebLink About002-840-18-5115-LUP-2004-083 Application for Land Use Permit(*Shoreland*) r y County of Sawyer ° � c� PO Box 676 -Hayward WI 54843 715/634-8288 � *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 SAALL NOT BEGIN UNTTL ALL RF.QUIRED PERMTTS HAVE BEEN ISSUED. 7 PRINT—USE BLACK INK OR PENCIL �r'F�J� � l�Acr,ZE fil6 ��£�.!/f 1Vu,��i�.0� L e c Xc4na.v9L �p,.,r3 c � Owner /! Builder n�. �U� �uII5a5 �I�1�1� L/� I�ES� �A G,A � N � � � � � Mailing Address Ma�ung Address p p 8►x�,,tia�.,� /��t� s�y3� C� SyKy3 � � City,State,Zip Ci ,State,Zip � �S3-A3S-4,�L� `71 S- - 6 3 y-6.�6 6 ` Daytime Phone Daytime Phone Additional Information: Zone District: P�.— � � A Lot Dimensions: C Datelotwascreated: `7—�r-�38 Acres: �,57(� � Is there wetland near the proposed structure?If yes,how far Y£5 7�� o M n Building Land Use Floodplain:( )Yes ( )No G � ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No c�^� �Addition O Dredging Driveway access off of a(Check o�ie): � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � o` N �y Primazy Structure Accessory Building Addition o � (�Dwelling ( )Garage-attached/detached ( )Deck � � ( )Yeaz round ( )#of car stails ( )Porch ,,, �Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room c, ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen " ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlarge 'V O O O#ofnew , Additional Information: A— � � � 0 i Type of Construction: ` �)Frame ( )Log ( )Pole/metal ( )Block ( )Conerete pQ ( )Other � � a Construction Cost:Primary Structure$ ��5,n�o,�— ro � Accessory Building:$ Addition:$ � � � Deed:Vol 4�0�1 P 3 *k g� Certified Soil Test# � z CSM:Vol��Pg 1�/ Lot#� Sanitary Permit# �y,[`�.-,j a °4 � Plat Envelope Or: � I �Q Condo Vol Pg Year Installed:Z��/ �, �•.;, ,:?� N � "Loads and Flows": Vol Pg Owner When Installed: � � �fl"Ml� 'f" �/eNll�£�L� /l/+?3s32•� `� Previous office approvals/actions: ` Variance:# LUP:# 91,-.-:�� SP:# CUP:# � Inspection Report:# Change of Zone District: � � :\�\ aa�i Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each addition, each alter�tion in a separate column. . #1. IST 5`uir� #2. 2�'O Fioo2 #3. #4. Size 20 fr. wide 2C ft. wide ft. wide ft, wide �� ft. long �� ft. long ft. long ft. long Floor azea 60(7 sq. ft. �0(� sq. ft. sq. ft. sq. ft. Hgt from gade `6� to peak � fr. hgt. ft. hgt. ft, hgt. Stories � stories stories stories # of bedrooms / � , ��L �Oo:z: f t �%C Lake/Pond/Flowa e/River/Stream ame � � I �� us � i � � - - - � r Rc�+w� 'crcl, � c- - -�- - - -� 2y, - - So , - - -� � � 3s� �xisr�uG 3e� � 2yx3s�`" � � I 1z ' � � _ st�,� �s 3a,- — --� r1oLQ�U A RO�Jirro�v �c �a � �o x 30 �' C — — — — — — — __ T s� . 3ti —�g — �I '� — — —�� — — > zy' ��5-n u� I S ' We� GF�zA�� '��` 6.— — �s � , _ _---- /� r m °/ Fire umber and Name of Road I y�� v (�� ra � i r' L n; 1. Enter lot dimensions and indicate nortq by arrow. Sig r �Ow��ypr�thorized Agent: 2. Indicate the location and size of the re uested construction % / 8ChV1t18S. � Signa ir�e^� Print Name: �`L/ / " // /�LLL2. 3. A�So, 1ndiCate the locatlon and cliStanCe to the well, The a6ove cedifies that the listed information and intentions are true and cortect, that all work shall be peAortned in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of ihe Sawyer County Zoning Ordinance and ihe laws and regulations of the Siate of Wisconsin, and if centerline of the road and waterbodies. ac�my a5 ow�er�s� ayen�, na5 cne��ssio�or me ow�e��5�io pedorm the work requested on this application. The above personsls hereby give permission for access ro the property for onsite inspedion. Permit fee: $ 7S"�" Total land area within 300' of the waterbody: (A) �7, ,�lf� Total impervious surface azea [including this project] (B) �� O (B)/(A) x 100 = % Used � (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Proteetion Area: Mitigation Required? (� Yes O No April 26 , 2004 ' Issue Date , ignature of Issuing Agent April 26 , 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: SI�ORELAND PR�SERVATION AGR�EMENT (Non-Intact Shoreline Veeetation Protection Area) Land Use Permit No. (`�y�[33 (To be entered by the Zoning Office) Index No. �_-��_ WHEREAS, (list all owners) �.�n,d �i ' � ��,.(�� .�,.d rn,�,t2�Z A� � ,�f/aq2/a 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 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 Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. 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 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 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. 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 shvctures 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: T -..-(, S j Y l �f(�� ' L1J G - Lu � / I � ��I�/ Dated this `7 1�i daY of_ �j�;4.r� �UO � , (Ownec) '; (Owner) % ��b-'1�! �'zw.-i (Owner) (Owner) ,.t,, / �ca i�{,•f4 'FQ C�'j��E �y ,e (Owner)� (Owner) This u�strument was drafted by: Sa�ryer County Zonuig Office y • � .. . ��'l �:.•r�a �i.: C:e�'iJti: :`i� � 1+�4�7 ��lT:=.,L�,��;, �. : �; r; ;, ,Y V � � � B � � � � � K � 5t�P t OR V BOU6VD,A�x..,.L fiONS.�' . 18 T W P. 40 �I . R . 8 W . 4a� 40 cA ' ��j '°c�� ('Q � � ��40•�� 'I. 9�� 40; '��' � �� : �.12 `'�• � % 40, oo � / �'<, �__ m • � ,�, 5 �ti ,,. j ` r � � �, '��,7 \aC �r /.3. 7D • y , o ' ` �� L � � Z•G 7 y 2,s'r � J .�.� �/ ; � � ' � i . ;�� - 2 •� � � z � :2_2 , ' '. ; : 1 .l3 i :1.4 . I :I,16 j:I.I7 � I , ? � i I � ' s' i � '�-�' / N �\ _ .,l _ _._ ..- '_ ' • � \ . I w�� _ __-' - - _. .?S`� � ._ o?; � 4� �4 4p� �. . 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