HomeMy WebLinkAbout002-154-00-1600-LUP-2004-277 Application for Land Use Permit(*Shoreland*) o o .-
County of Sawyer � `--
PO Box 676 -Hayward WI 54843
715/634-8288 � J �
*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 - v,
the property's boundaries. � " �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �'
ry{}� {�k� PRINT—USE BLACK INK OR PENCIL (3;,�,;�r�i-o P�t��P i eU se � 1
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T�IOW(C(S r-l�(,�K�e 3'1ua�r�,a-tC�r� I,aV�S7 �dNST2UC?/0!v �Gi�Yt! c
Owner � �T Builder a
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1 g�r�uc Lr�K� c ,- � D. �3�x 3�� �� o:
Mailing Address Mailing Address � O
/�1n2-rN p��l�l �Sl�'7 �-�AywA2'� � I�v' SU�y`� G � �
City,State,Zip City,State,Zip /
�SI '�l�— �S..3U �/S- y42-478'7/ `'r��3s�1 V-
Daytime Phone Daytime Phone
Additional Information: Zone District: l� � � M.
iYrPl�,:c�bwlci,r��a ec
LotDimensions: yss'{.,�.,ftt�;�7q'iur,3',
t,so'� N 38`
Date lot was created: ����{1/,Z;;c:: Acres: �3_�c�� �
�;L�+r�we+�a.1d
Is there wetland near the proposed structure?If yes,how faz p„��„ ��k o 0
Building Land Use Floodplain:O Yes (�No G �
( )New ( )Filling Chippewa Flowage:( )Yes ( No �
�Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading O Private Rd j�Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °'
� ) � ) � �
Primazy Structure Accessory Buildin Addition o 0
�Dwelling �Garage ttache d O Deck � �
(�Year round O#of caz stalls �Porch v,
( )Seasonal ( )Storage Building ( )Enclosed �
dQ Frame built on site O Screenhouse O Living room �o
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen °
( )Mobile/manufactured ( )Other ( )Bedroom p
( )Other primary structure ( ) ( )Relocate/enlarge � �
( ) ( ) ( )#of new �
AdditionalInformation: , �
�j�n�.np U�.�' [{,l�n.i�:� �r^Oc�... bttiw. � �
� a', pc..� hci3�n o2', hc,�,p��..,f rec, ra,�.�,2 0 �
c�°i
� Cldn�h�'o,�� i.�cLkc�L WtcishEl'CLrs�t� �t.Uv�c�v��vuuc{ RJo.�n S '
Type of Construction: �-� G
(�}.Frame ( )Log ( )Pole/metal ( )Block ( )Concrete o� p S
( )Other �'� C
-�
Construction Cost:Primary Structure$ �
b
Accessory Building:$ --� Addition:$ 5 �v Doo � .�
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Deed:Vei �rs Pg ?Q� _ C�rtif:edScilTest# F}9'd.55 89-0`�
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CSM:Vol Pg Lot# Sanitary Permit# �9-p(o-� f}y-09$ �" 7�
Plat Envelope Or: �, ��,^
i ICondo Vol Pg Year Installed: �,
"Loads and Flows": Vol Pg � Owner When Installed: � �
` �
revious office approvals/actions:9 b- 88 9�
� . y-�t5
g
lJVanance:#��{-DO'�] LUP:# R4�I i9 SP:# CUP:# � ,
Inspection Report:# 9(�-Iz I Change of Zone District: ; �'
� �I I���
I 3 c�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. g cc+h f i2e c_
#1. a � Ivl /1rw+dr� 2. jnr #3. Sr_V'ee✓i �✓rl�. #4. l�tvh(�`�
Size ,,75 ft. wide ��p,�_ 2 ft. wide /� fr. wide ��_ fr. w�de
�O ft. long �ft. long �ft. long •'7' + j l , ft. long
Floo� azea /3 D sq.�ft. 5� sq. ft. :L� sq. ft. �sq. ft.
D$Cc�an, O ��w�91^+a
� Hgc.firom'�e��to peak o�$ fr. hgt. �ft. hgt. � ft. hgt.
Stories % �_ stories _� stories % stories �
# of bedrooms U —s E�U T�2 K Po t2cN
�- ac_ Ccur'F C7�'�el�Es /J' xlv � T�tc;;�� d
ak ond/Flowa e/River/Stream Name /B' ^
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a� QM�N. lo� BQJC'
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Fire Number and Name of Road � �'/7 �31-J /�i��. �avtL� /�.
1. Enter lot dimensions and indicate north by arrow. Si n e of R r A�t nzed A ent:
2. Indicate the location and size of the requested construction .� 9�����lG4�,�✓t� _ g
F� SignaNre
activities.
PrintName: �r'�clv� F- ��ac�
3. E��SO, indicate the location and distance to the well, The above ceRifes that the listed informalion and intenlions are
We and correct.,ihat all work shall be performed in compliance
Sept1C tank and dlalnfield, wetland areas, lot 11nes, with me requirements ot me Sawyer Counry Zoning ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. acany as owoer�5�a9e��, nas me Pem,�ss�oo or me owner�s>co
perform Ne work requested on ihis applicatlon. The above
personsls hereby give permission for access to the property for
` 4y�� onsite inspedion.
Permit fee: $ �.�
Total land area within 300' of the waterbody: (A) �3 CP�`5�n
Total imperv:nns surf�ce area [includins ?his prnject] (B1 /G`�[c�1 y _
(B)/ (A) x 100 = %Used ��,-�Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes ( No
June 17 , 2004 - _
Issue Date Signature of Issu' g nt
June 17 , 2005 50% Rule: AverageRoadSetback:
Expiration Date
Office Comments:
Jun 15 04 07: 03a My Computer 715-634-9631 p. 2
SHORELAND PRESERVATION AGREEMENT
(Shoreline Ve�eta6on Protectioa Arca1 CZ�.��
Land Use Permit No. � -z (To i�e entered by the Zoning O1Tice) Indez No. �-z �]rJ
WHERF.AS,(list all owners)_�h o�a S �,,,r,Q�o k Qn � N2 p �- �ru 7 p u�
�-3—
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
� WEIEREAS,iqorder to secure a Land Use Permit.
NOW, Ti-IEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, tl2at
the SHORELINE VEGETATION PItOT'ECTION AREq on said real estate is intact to a minimum depth of
j35' landward frnm the ordinary high-water mazk of the waterbody.
L The owner(s) hereby a8rees to comply with the shoreland vegetative protection area requirements of SecGon
C� 4.410 SHOILELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on
the date that the land use permit is issued by fhe zoning office. The owner(s) furthet agrees to allow authorized
L� 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) POW�RS, Sawyer County "Loning Ordinance]
� to inspect the structiue(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
VEGETA'I'ION PItOTEC1'ION AREA exists and that it is being preserved. 'I'his authorization shall tecminate
1 on the date of expiialion of the land vse permit. However,the owner's obligation to maintain the SHORELINE
� VEGETATION PROT'ECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
O PROT'ECT'ION AREA, Sawyer County Zoning Ordinaace remains in effect. volation of ihis Agreement will
auchorize, in addifion to other penalties and relief required under the Sawyer County Zoning Ordinance,
injunctive relie� restoration of said real estate, the revocation of said Land Use Permit and the removal of all
shvchues approved by the issue of said Land Use Pernut and the revocation of any other uses approved by the
issue of said Z,and Use Permit. All parties agree that this Agreement shall be filed with the Sawyer Couoty
Zoning Office.
J,egal Description of Properry_�7�,�{_G�' l,,�f � � yf So��,.n '2r �,� u^ f �n.�.� � 41��
r e--�`--�3—
47rJ # m2, rs� -o0 1�„or� i i�n i i� 7oy� f 4't 7Sr.�: }�,�i: I�� R.cl,
his l S 1y of �nrQ_ �`c'c�--
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����1' /.J�ZG(l�� (Owner)
(Owner) � L���� (Owner)
(Owner) (Owner)
This instrumen[was drafted by:
Sawyer Cowty 7,oning Officc
JUN-15-20P�R TUE 05:31qM �D: PRGE:2
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