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Home My WebLink About002-940-29-4202-LUP-2004-115 Application for Land Use Permit(*Shoreland*) o o � � County of Sawyer � . - 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 Y� � flowage,lake or pond or has any of the above waterbodies located within � � the property's boundazies. - � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �(�1Cj PRINT-USE BLACK INK OR PENCIL j i r i � ��if��., �� ;, � ��3�tki;i��(z • . ( NCi ;_"� i�lL a�t � Owner Builder o°J- � S I��(_�l�� ? �� I IL�L%i'S J��1'�� o� � IVlai,ling Address Mailing Address � p �`�/'��L.l'1�i �� 1.1�� i��`� �, �i��y��(.i:ili��l �_�i. � `_l��; � �'� C ti y,STtate,�p City,State,�Zip �` ��'1�\ �D �- .�,� ��I �`�-—��1,,• ',�/ ?_=; '- Daytime Phone Daytime Phone �= � Additional Information: Zone District: ,�-�� . � �� ', LotDimensions: ��(Il ��'_ � Date lot was created: Acres: �-��.��C"�� i,..::� 1 i � :,',�� = �": Is there wetland near the proposed structure?If yes,how faz�„�� r o ' Building Land Use Floodplain:O Y—es O No � - ( )New ( )Filling Chippewa Flowage:( )Yes (�� No � : �( Addition O Dredging Driveway access off of a(Check one): � _ Alteration ( )Grading ( )Private Rd �Town Rd. � - ( )Moving On ( ) ( )County Hwy ( ) tate Hwy °Q ( ) ( ) � S � r Primazy Structure Accessory Building Addition o 0 ( )Dwelling ( )Gazage-attached/detached ( )Deck � O Year round O#of caz stalls O Porch W ,�,Seasonal ( )Storage Building ( )Enclosed ^, ( )Frame built on site ( )Screenhouse �Living room co \ ( )Modular/manufactured ( )Greenhouse Kitchen ,•`_', � ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge `�� ` ( ) ( ) ( )#ofnew '" � Additional Information: „ _ � � 0 TypeofConstruction: �� (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ;.. A' (I)Other �� Conshuction Cost:Primary Structure$ �1 c��' � N ro � Accessory Building:$ Addition:$ � � � O Deed:Vol ,,�:,+' Pg��-�'i CertifiedSoilTest# ��.� , ,� ��/ �, z CSM:Vol Pg Lot# Sanitary Permit# °Q � Plat Envelope Or: 'a, � Condo Vol Pg Yeaz Installed: N � "Loads and Flows": Vol Pg Owner When Installed: �, 0 Previous office approvals/actions: Variance:# LUP:# - -�;=� SP:# CUP:# ,(,� i Inspection Report:# Change of Zone District: L,}�v �v` 3 8 y? 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.l�' �� ,» #2. #3. #4. Size �'[`- ft. wide ft. wide ft. wide ft. wide � � ` ft. long fr. long ft. long ft. long Floor area � �i-% sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade S � to peak ft. hgt. ft. hgt. ft. hgt. Stories ( stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream Name �� /-'� `. � � ; �: � `l'��:''�� .` � t � �C" �i �� '��!i)��=" � � `\I V �% �� (V�� ; V'i � �� ,� � � r y, � �' �v (,c;��;>�,,�v�� '- „� -�v�, _ , � � � v � �� , � ��% � �_ y � I �—�- � � �� t � —, < --- {�%�' - ' _ _ I t _ . � __ _ _ .—� �� I< , � �� _ .. - �' �� P)� '� � �� ." -- � I ,..1 � 1 �;�� ' �;�� ; y9a ; w� � , � � ' ' - -- — � � _ � - `� ;. �.j , ,' '� _ � �, �, ., � ` _ � � , \�, \ a.9 � .�� ^� �� ; � , �, ,,t : ;P,+' V V i � \ j�2; � \ -- � I i \ �l' � 1.01 �ti�tr. Fire Number and Name of Road i 1. Enter lot dimensions and indicate north by arrow. Sign�t,� of wner or iTBrized Agent: 2. Indicate the location and size of the requested construction ! � '�< �'� L _ - . Signa ure activities. � r Pnnt Name: I %I��.; ''.j'r� ��.a '.n ,' '. - 3. Also, indicate the locafion and distance to the well, rne ano�e cert�ee5 u,ac me r5caa mror,r�aso� a�d �oie�soos are .1 _ . �� We and conecL,that alI work shall 6e peAortned in compliance septic tank and drainfield, wetland azeas, lot lines, w�m the r��reme�is or me sa�,�yer co��y zoom9 om��a�ce � and ihe laws and regulations of the State of Wisconsin, and if CenteTllne Of tlle r03d and WatelbOdles. acting as owner(s)agent, has the pertnission of the owner(s)to peAortn the work requested on �his application. The above persons/s hereby give permission for access to the property for �onsite inspeclion. Ov Permit fee: $ 7 S Total land area within 300' of the waterbody: (A) 39(�po0 Total impervious surface area [including this project] (B) ; ' - I + 1 D 7a (B) / (A) x 100 =% Used � ��p (Shall not exceed 15%[or 25% with a conditional use permit].) Shoxeline Vegetation Protection Area: Mitigation Required? O Yes O No April 29 , 2004 - I Issue Date Signature of s ui g gent April 29 , 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: SHORELAND PRESERVATION AGRE�MENT (Shorcline Ve�etation Protection Area) � Land Use Permit Nm�/J (To be entered by the Zoning Office) Index No. �-��_ WHEREAS, (list all owners) ��U ( 1 C ��l'Y)�� '��'� �2- �-��'Vl/q Yl1 _ -9 � � a owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and �o{ WIIEREAS, 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 ei the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of T35' landward from the ordinary high-water mazk of the waterbody. J The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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 hours 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 SHORELINE VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of ttus 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 Yhe Sawyer County Zoning Office. Legal Description of Property: /�� %`� �� L ��/ �L—c � �i� �(� � y �.�J —� Dated this ��'`� day of 6U�- , �D� (Owner) (Owner) GEti� G�� _ (Owner) (Owner) �� ' - (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office t: x� �� • T 5 � ` �(: /[ � � _' �' . . �� -=i i� � �� . � , r '@I �+ �1 ti �. - . ��`:a� � , s -�r � � .'y I x3.94: -t �'A�., �Y �r."`� � ��9 � � � W y � r !` �1 � � '�M�. _ � �l a�rj y �. � 1 �L� .� yr � ._ � � � ' � �,' _'� *; _� �F � � � � `� �*'�j �� •. 1� q � �S' •r� }.� 4 A }' '� `� y � ��'� � -,�,,,,. . ��_ � � ,:� �� ,, '"�b _��' '�.:,�,�'•_ >:13 �,�' �ar �' rt � � e#'tr �#� ,f : .:1/` � ' � ' ' = �i `��`'� ap) �/ 2 � � 1a ��1 T � .• � � . ' �, �� rc^, ,,,��: i � a. � .. �yr �� , ,��'�. _ . •_'`l:: V �, -.•.�::.�.�y- [ �`s�. �.-` � .: '` r � � � :� ��}N "�� l � '1'r�. ;t ..� �� .r,- . . ... . . .. .� � . � . r -r/� _� r � v , -, .� �.�,- .� �.... i .� ��-� y � . . ` a". �a�`,��` * �� i � � � 10. 1 9. 1 9.2 .14.1 13. 1 102 9.3 NK RpAD I I .I .12.1 .15.1 .16. SGALE: IINCH= 400 FEET FOR ASSESSMENT USE ONLY NO DRAWN BY: DATE : INTEN�ED TO SHOW CONCLUSIV COLON (:1 INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR