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Home My WebLink About002-839-05-5418-LUP-2004-185 Application for Land Use Permit(*Shoreland*) o o: �_. County of Sawyer � • PO Box 676 -Hayward WI 54843 4 715/634-8288 *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 boundazies. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT—USE BLACK INK OR PENCIL „ (L.e,k�ni�i tc�,st� _ F �s� ��.a,�� ^ �-C) .)C'rnr�ie� �--��n�er5<-n �,tv� + Ik.�� ^��Is � � Owner Builder �_ ¢: / � �t i�17i �v�� Pi�� , w i��er�� Q�� o: v► Mailing Address Mailing Address � O � Q �(9"St' �,�� s`�� i�.l �n,'\ ��-(8y`� � City,State,Zip� City,St�e,Zip "�1�_�Lo�3�y �"1 I�; Daytime Phone Daytime Phone Additional Information: Zone District: K�y� Lot Dimensions: Date lot was created: Acres: � � �3�h'J- Is there wetland neaz the proposed shvcture?If yes,how faz o � � �; Building Land Use Floodplain:O Yes (�No G (�.)New O Filling Chippewa Flowage:O Yes (,� No � O Addition O Dredging Driveway access off of a(Check one): �� ( )Alteration ( )Grading (�Private Rd ( )Town Rd. � .7� ( )Moving On ( ) ( )County Hwy ( )State Hwy �' r o � �k�' � ' �'f '�l� � � N S Primary Structure Accessory Building Addition o .��, ( )Dwelling ( )Garage-attached/detached ( )Deck � � O Yeaz round O#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed �, O Frame built on site O Screenhouse O Living room rn ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured (�Other ( )Bedroom C` ( )Other primazy structure ( )�,��he'<l ( )Relocate/enlazge � "r � � ( ) ( )#of new � AdditionalInformation: � a -.0 � � � 0 Type of Construction: � ( )Frame (�Log ( )Pole/metal ( )Block ( )Concrete � � � ( )Other W � ,.� Construction Cost:Primary Structure$ „d � Accessory Building:$_`��>G " Addition:$ � Uy = -�q a Deed:Vol �Jo2 y Pg ia��7 Certified Soil Test# pJ-30� ; z CSM:Vol Pg Lot# Sanitary Permit# DI " 30y °C � Plat Envelope Or. � � Condo Vol Pg Yeaz Installed: c:> "Loads and Flows": Vol Pg Owner When Installed: � � � e Previous office approvals/actions: ��-5y7 � .L Vaziance:# LUP:# 4y'S8� SP:# CUP:# G� � Inspection Report:# Change of Zone District: ^`� y3i3o 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. �o� c, �, #3. #4. Size ft. wide 1�f ft. wide ft. wide ft. wide _ ft. long {� ft. long ft. long ft. long Floor area sq. f[. ` ' sq. ft. sq. ft. sq. ft. < . . Hgt from grade to peak I c; ' 'ft. hgt. fr. hgt. ft. hgt. Stories stories stories stories #ofbedrooms (, � , ,�.,,�,� , . `�`� Lake/Pond/Flowa eBiver/Stream Name , , , . , , � v i . .r � ,+, 'lP:� � , ; �u� _ . .. L--- �'�. , �' �� h` a LU — k - "� ; � _ 2. L _ I/ / '_ Lh� �\ !i �pJY�' - _¢' „taiA. , � j4I �, o I �� 26• � � � � --�---� . �� -- '-��S - > �k,�� \ Q - 1-y i � � , '< � � p� 'y'�� _ e� �_ ] Ie �Q°+°� ,�y �h� S { `�.... I�� . I f�. � .; �1 . ,:' ' , . I ! �' l 1"1" ; ' � Fire Number and Name of Road ' '],�,// j�J � �.�r G y�t �a c�� .�C�o�f` 1. Enter lot dimensions and indicate north by arrow. Sign e of Owne�r opr A orized Agent: 2. Indicate the location and size of the requested construction .��—� U/ � ) �.�-� ' nature activities. PnnWame: �ii"�n � � \ i i M ` 3. Also, 1ndlCatC the IOCation aTld cllstallCe to the Well, The above ceNfies that ihe 6sted informatlon and intent�are We and conect.,that all work shall be pedortned in compliance septic tank and drainfield, wetland areas, lot lines, w�tn me ��emems or tne sawye�co��ry zoo�oy om��aoce and ihe laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. acn�y a5 ow�,er�s�a9e�t na5 me Pe�m�s5�on or me owoe��5�a pedortn the work requested on this application. The above personsls hereby give permission (or access lo the pmperty for ansite inspection. � Permit fee: $ %`��O �> Total land azea within 300' of the waterbody: (A) �, �� Total impervious surface area [including this project] (B) -'a ` ; � � (B) /(A) x 100 =%Used a�� ' (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �,No I May 14 , 2004 - Issue Date Signature of ssu Agent May 14 , 2 0 0 5 50% Rule: Average Road Setback: Expiration Date Office Comments: � SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) ' Land Use Permit No. ��- J � (To be entered by the Zoning Office) Index No. G�- ��j_ � WHEREAS, (list all owners) ;�� .r�� C-t1 �� , �� ; ��1c3 ��-�� U � 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 esta.te is intact to a minimum depth of � 35' landward from the ordinary high-water mark of the waterbody. <, � 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] 1 to inspect the struchue(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 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. Legal Description of Property: ��,�,�. �,f � S�c , S � ��r� : 3`� � �4�' � � �r�,��r�-�.� - s�� -�s�--5��cs ► � 0 5 P��4, , � : � . � ��. � Dated this r 7`� ay of N��,�u , ,�� , d�U..i-� wner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � � �. _ - , �� _ / .. �\ _ ��';�� a u� � Z O �, \� � � ,.. � �o �� . 7 G H �-F � � � � � �' �� M -d tff , .� yti7 � � V� 3 - � � � J � � � am � 3 i, � !'� C 7� nt , ,'�, � n � T � � �� Q � c \ � C � o � � � � , � � � ° � ca � n r, � �, j; `. �_� ---{ � � � .�C ' i — ,— �n L-- —� �— � � �-� � cn � � �� / � � . � , � ;�; � ; ;� \ �,�� j� , �'��.r .`°'/ �:. �� `�� :'� �; ; �., � ��, � �, ; �,:�=-J" - � l� �� :� �� --I �+ N � r' _w� � - _ i /,y�� 8.� � ' ! �� a)�' � � ; �� % �' /� �� -1 � � .�., ' __ r , � � , . g , h�.�_ . ,.. c_,�, ----- --------— ___�_. _____ _-- =�-- � --�` - —� i N/ '' � � �� I f \ \ \ � � � � \ � � � ; ,, � 4, -�/ � �:� \ � r � . - .. / " � �� .� , , V / �; G, : ��,N iD S _. :;� �- j A £3 ��,� •�, �� \\ �j� ---- ---— ---— f�\ ; � _--� . � �'^ �, r,s� � .o r; -- _ _ __ _ __ _ ---- __ _-- ,� �) � ;� _� �� -� �� j � . � �� , _ , _ : . . 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