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Home My WebLink About002-184-13-0400-LUP-2004-339 , i Application for Land Use Permit(*Shoreland*) 0 0 1-- County of Sawyer �, � PO Box 676 -Hayward WI 54843 715/634-8288 O *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 w (� the property's boundaries. 7< (�� CONSTRUCTION SHALL NOT BEGIN UNTTL ALL REQUIRED PERMITS AAVE BEEN ISSUED. �- PRINT-USE BLACK INK OR PENCIL � i-��FP,,-n�y ff i>D /w.a.S 5- t c T� 1 Owner Builder a (� � /y/5 TL��LfiC'a�,4 �9�/F. a. Mailing Address Mailing Address � O � 4Ui5 �/f�i�� (�ti/ ��/9�/ � � City,State,Zip City,State,Zip ` �/�-yo7�/- �?�g � Daytime Phone Daytime Phone � Additional Information: Zone District: �' 1<�� . n, Lot Dimensions � � � Date lot was created: Acres: . �g � � T� Is there wetland near the proposed structure?If yes,how far ��o� � Building Land Use Floodplain:O Yes (�No �� ;, O New O Filling Chippewa Flowage:O Yes (� No �c; ry �Addition O Dredging Driveway access off of a(Check one): �� ( )Alteration ( )Grading ( )Private Rd (�Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � � ) � ) � S r Primary Structure Accessory Building Addition o 0 (�Dwelling ( )Garage-attached/detached (�)Deck Nf�✓ � O Yeaz round (�)#of car stalls O Porch W (�Seasonal (�Storage Building E�' O Enclosed � O Frame built on site O Screenhouse O Living room �o ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge � ( ) ( ) ( )#of new J � Additional Information: p � � � � � � T e of Construction: W � ('�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other Q t`� `3 Construction Cost:Primary Structure$ ,ti I� w / _ Accessory Buildin � Addition:$ �-�% o �,[ # 3/��'�� r � h0 ✓Deed:Vol Pg `�Certified Soil Test# �; �z �,a CSM:Vol Pg Lot# '�anitary Permit# °Q 7y u°Plat Envelope Or: c, � Condo Vol Pg Year Installed: �1C(.S��n� �r�v�� N "Loads and Flows": Vol Pg Owner When Installed: � � ci ( Previous office approvals/actions: � Vaziance:# LUP:# SP:# CUP:# �y � c�l�� Inspection Report:# Change of Zone District: � �� I�S� 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._=L��;;�" #2. #3. #4. Size �t wide ft.wide ft.wide ft.wide �y i / f�.long ft.long fr.long ft long • Floor azea 51 sq.ft. sq.ft. sq.ft. sq.ft. Hgt.from giade to peak fr.hgt. fr.hgt. ft.hgt. Stories � stories stories stories #of bedrooms�_ Lake/Pond/Flowa e/River/Stream Name �' �� ` � ! � �� --a „�`+ °' (�) � .. � �� ,- -�-� y� ' ` �` ��z .0 �� ' °� �' `�"� � � � ��, y_ � � �,�, 9 ' �;� �a'-�; � �� /�c' ,�'�" „ �— Wx9 3� . r �'� � i�t,8 ��- �`y(`��`I' �5� 'V Fire Number and Name of Road �8�O �L° �' ��- �� I� 1. Enter lot dimensions and indicate north by azrow. Sig u e of Owne r A thorized Agent: 2. Indicate the location and size of the requested construction SignaNre activities. Pnnt Name:/�LTT,Q )L r�F�,Y'�� 3. Also,1ndlCate tlle loCatiOn and C11StanCe to the Well, The a6ove ceRifes that Me listed information and intenuons are We and correcL,thal all work shall be pedonned in compliance Septic tazlk and clralnfield,wetland aT'eas,lot lines, wim the requiremems ot the Sawyer Counry Zoning obinance and Ne laws and regulations of the State of Wiswnsin,and if CentOrllne of the r03d and w2tetbodles. acting as ownef(s)agent,has the pertnission ot the owner(s)to perform the work requestetl on ihis application. The above personsls hereby give pertnission for aaess to the properry for onsite inspeQion. Permit fee:$ �S� Total land area within 300'of the waterbody:(A) y�,/Z y Total impervious surface area[including this project](B) -5 l�', (B)/(A)x 100=%Used L 3"7c (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes ( No July 8, 2004 - �" Issue Date Signature of I i g gent July 8, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Ve2etation Protection Area) Land Use Permit No. O�I- '.S 7J9 (To be entered by the Zoning Office) Index No. (� - 3.3 9 WHEREAS,(list all owners) /�n,�� i )/�F�Ss,s s(1�i��s PE77=.P `T V�FI=S��S 0 � 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. a q 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 is intact to a minimum depth of �- 35'landward from the ordinary high-�vater mark of the waterbody. �'The owner(s)hereby agrees to comply with the shoreland vegetative protection azea requirements of Section g 4.410 SHORELAND VEGETATION PROTECTION AREA, Sa er Count Zonin Ordinance,in effect on 3 �'Y Y g o the date that the land use permit is issued by the zoning office.The owner(s)fiu-ther agrees to allow authorized -c representatives of the Governmental Unit to enter onto the owner's property at the following description v 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 this Agreement will � authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, T injunctive relief,restoration of said real estate,the revocation of said Land Use Permit and the removal of all O 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: GoT- � �� /�_��,�� pF ��i� /9>r/�,v��2_��-- Sef 5 T 34 N, 2 8 cJ Ke Saw �w w . Dat is day of , o�OD`� X ` (Owner (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sa�ryer County Zoning Office � ) F BAS S LAKE �%� � DED PLAT 5 �o�� c � E OF RESERVE S�,oRj�� g`g 6 TWF 39 N. R. 8 W. �P�� ^ �p,��/f ,`�e S�E��r� f/ 1 � ,,�. �/ ,,6�2 G �`' �� '� '�!� ��\��//�� `, ,N `6' '\6 g� �A R u �� \ \ � �,��p �6� 3 �{ �\�� /� "�1�� \ 1 ��6• � \ p� Z \ ` �� \6. �`6. A ��`� �� `6. / '� • .�� g 9 .�� ,��' � / ,\\a. ,`�a. I � \�� . \`aa ,`�a .��a ,�1� �� `kb � � y '�� R6? t�`�� '\�6 '\'(• \ �� 'A \ `k / \p,? i�• i�• S� OG P�� \ ��, .�9 � �� ,k. � a. / \�,, �o� 0 � � � � / �� ,��3' f G / �� P,�� / ��`� f/J � `� � G �' ��'p ``�. �/ �� l��/