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Home My WebLink About002-840-29-5713-LUP-2004-133 1 ' Application for Land Use Permit(*Shoreland*) r ,� � County of Sawyer ° ° PO Box 676 -Hayward WI 54843 `� `� li� 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 SHALL NOT BEGIN UNTIL ALL REQUTRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL ;,/ -�/^�-` , i. �//1 l�'%�r}9,�� i1�/<L �C`'. � �,; � l i i ' l-� � ,� � Builder ,� a`r�, � � r�� /llI CC�t C�`�C �'' �� i%�1/��Z�� /'/ `� � Maili� Ad ess Mai Address � � g / � � � ( , ''C i- l� ,'l/ _. �G!/L{�;� /l�� _��/ �, � Crt State, i� City State Zip � �� _,�1,� ,�/,� ,k/11 i'/��/��,.��z' � Daytime Phone Daytime Phone � Additional Information: Zone District: ��-'� � Lot Dimensions: ,C.j�' �.1�/l ,� ' / i Date lot was created: Acres � yll' �; Is there wetland near the proposed structure?If yes,how far o y Building Land Use Floodplain:O Yes (+�No � ��'; (�New ( )Filling Chippewa Flowage:( )Yes ( No � � O Addition O Dredging Driveway access off of a(Check one): x� ( )Alteration (t.�Grading ( )Private Rd ( )Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) ( ) � S Primary Structure Acc ssory Building Addition o ,.�.r, ( )Dwelling (i,�arage-attached/detached ( )Deck � I ( )Yeaz round (�'}#of car stalls ( )Porch �„ A ( )Seasonal ( )Storage Building ( )Enclosed � � O Frame built on site O Screenhouse O Living room �o ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primazy structure ( ) ( )Relocate/enlarge ( ) ( ) ( )#of new ' AdditionalInformation: � a � rn 0 Type of Construction: "� ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete J �' � � ( )Other �-� � Construction Cost:Primary Structure$ � � Accessory Building:$ y�� Addition:$ � � s � � Deed:Vol�Pg y(�a Certified Soil Test# � z CSM:Vol Pg Lot# Sanitary Permit# °O 7y Plat Envelope Or: �, � Condo Vol Pg Yeaz Installed: �{r;o� � iR lofi �;, "Loads and Flows": Vol Pg Owner When Installed: o � ci Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: � .� ��5 �;r'IO 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. #2. #3. #4. Size��ft. wide ft. wide ft. wide ft. wide� �G ft. long ft. long ft. long ft. long Floar area .� sq. fr. sq. ft. sq. ft. sq. ft. Hgt from grade �� to peak ft. hgt. fr. hgt. fr. hgt. Stories I� � �-- stories stories stories # of bedrooms Lake/Pond/Flowa e/RivedStream ame �� /�� / — /C��'.E'✓�L��? `% ��.�� ° �� l C U ` �1 _ � � / -n \ \ - ,, �� 0- , nfl'�/��•-` � J � � \�v �/ � \\Cv�G� i� ,,�� .� Fire Numbex and Name of Road % �� 4'� � /,/./�� /�` ? � 1. Enter lot dimensions and indicate north by arrow. 5 Signatur 'of, yv r o uthorized Agent: 2. Indicate the location and size of the requested construction �� . Signature � � activities. .- � ��, /'' ��'� Print Name: i , �l b ( i ' 3. Also, indicate the location and distance to the well, The above cerfifes that the listed infortnation and mlentions are We and covect,ihat all work shall be performed in compliance septiC tanlc and dTainfleld, wetland areas, �ot 11nes, wim the requiremenis ot ihe Sawyer County Zoning oNinance and the laws and regulaHons of lhe State of Wisconsin, and if CBritBT'llri0 Of�10 L02d 211C1 W&tETbOd10S. acting as owner(s)agent, has the permission of ihe owner(s)lo perform me work requested on this application. The above personsls hereby give permissicn fcr aaess to the propeCy for l ��'� onsite inspection. � Permit fee: $ f� l� �- �� /� Total land azea within 300' of the waterbody: (A) C�G' �� Total impervious surface azea [including this project] (B) �� L (B) / (A) x 100 =% Used 6% +__J (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes No 1 - May 5, 2004 - 1 Issue Date Signature ofIss ng ent May 5, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: Rpr 13 04 01 : 52p Hrian 0 'Meara 17154664056 p. 3 SHORELAND PI2ESERVATION AGREEMENT (Shnreline Ve�atation Prnteet�on Areal • � Land Use Permit iVo.Qt%-��j �o�entercd by`ihe Zoning OtTice)` Index No.�*y� v-1-_�� WHEREAS,(Iist all owners)��¢j'�� _ ,�-� i9 /,9�'�r �`-_ e ' �� — a owns rea! estate within Sawyer County ihat is subject to t6e Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Permit. NOW, THEREppgE� �e owner(s) hereby certifies thut, 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' landwazd from the ordinary high_�,ater mark of the waterbody. � 1'he owner(s) hereby agrees to comply with the shorcland vegetative protection azea requirements of Section �� 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on the date that the 13nd use permi[is issued by the zoning of2ice. The owner(s) further agrees to allow authorized 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. (SecGon 9.13(1)POWERS, gawyer County Zoning Ordinance] M to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE � VEGETATION PROT'ECTION AREA exists and that it is being preserved. This authorization shal] terminate �.. on the date of expiration of thc land use , � VEGETATION PROTECTION AREA m ccordaneeer '�the ge�hon q,qjptiSHORELANDt VEGETA ION PROTECTION AREA, Sacvyer County 7qning Ordina¢ce remains in effect. Violation of this Agreement will authorize, in addition to other penalfies 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 a�ee that this Agreement shall be filed with the Sawyer Counry Zoning Office. LegalDescriptionofProperty; Part of GL 7, Sec 29, T40 N, R8W Town of Lake Sawyer County, Wisconsin Dated this_�4_day of ' ��,� (Owner) � /, / ��c�Q�c/ UC F�.c-t�.. (Owner) _ i 7 � (Owner) (Owne (Owner) (Owrter) 'I7�is insaument waz drafted by: Sawyer County Zoning Office — ..-----__ I L_.J � I eLOCX �o�, B�o � 9 :1.1 'f"�, �•� . . I � � � s�� - I CRfNDSTGN6 HEfCNJTS SUBD .6.1 � m I k BLOC% +f � � � � � Q1 I I O � __ _ _ _ _ _ _ `/v � _ — — _ — — — _ — _I_ _ _ — _ _ _ — I - - - �,� - - - - � . �' I I �y�CN � � j � ti�' y � I ,,� � I � � y I .�.i I .e.i � I � I � I � I � � I I � I � - - -- -- - -- � r I as. � � I rvey Maps. 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