The URL can be used to link to this page

Home My WebLink About002-940-28-5303-LUP-2004-380 Application for Land Use Permit(*Shoreland*) o o <--- County of Sawyer �, � PO Box 676 -Haywazd WI 54843 � 715/634-8288 � *Property that is located within 300'of a creek,river or stream or within 1000'of a � N flowage,lake or pond or has any of the above waterbodies located within V+ � the property's boundazies. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT-USE BLACK INK OR PENCIL _ �QfI�yA and � � =j•��c e. ��o n\�\°W ��,�o r-1-�,��o� 1-r��,�S-�c c Owner Builder � �9 s��t l'� T�� N. s' Mailing Address Mailing Address � O t-4 c'"�`r'`-`� `u's - 5`-��3 �.-� �,--; ",Q.,ti� 4J;s -- �'i� y 3 � City,State,Zip City,State,Zip � Zt`�� 4� 3`{— � II� � l �i - � 3 �l— '�`��^` " Daytime Phone Daytime Phone f Additional Information: Zone District: T�,�" � � Lot Dimensions: 3 r Date lot was created: /�-�5-`3 C Acres !� . �S Is there wetland near the proposed structure?If yes,how far o � ' Building Land Use Floodplain:O Yes O No � � (�New O Filling Chippewa Flowage:O Yes O No � � O Addition O Dredging Driveway access off of a(Check one): � � ( )Alteration ( )Grading (�Private Rd ( )Town Rd. � � (p�Moving On ( ) ( )County Hwy ( )State Hwy � � � ) � ) � `,� � t� P*imary Structure Accessory Building Addition o 0 � .Dwelling ( )Garage-attached/detached ( )Deck � O Year round O#of car stalls O Porch W � ( )Seasonal (�Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room c� �� ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen •" ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlarge ;;f � � ( ) ( )#of new � I AdditionalInformation: w" A �; � � � 0 I Type of Construction: N � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �' � ( )Otber w .� o � Construction Cost:Primary Structure$ ,�'�' � �; Accessory Building:$ `t 3 �� ` Addition:$ o -r =° � c � Deed:Vol y��' Pg��C Certified Soil Test# �Q-�7�{ � z � ,� CSM:Vol_�__Pg_�, �z Lot#�� Sanitary Permit# 9 9-0 5'7 � Plat Envelope Or. � _0 Condo Vol Pg Year Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � W Previous office approvals/actions: �z-I 3� ` W Variance:# LUP:# q9'C�(0 SP:# CUP:# Inspection Report:# Change of Zone District: �y b o�� ' �.-� 3�(c� 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 � 1 � fr. wide fr. wide ft. wide ft. wide 3 ° � ft. long ft. long fr. long ft. long Floor area�� sq. ft. sq. ft. sq. ft. sq. ft. HgG from giade \ �.` to peak ft. hgt. fr. hgt. ft. hgt. Stories � stories stories stories # of bedrooms C� � Lake/Pond/Flowa e/River/Stream Name � �>�l�/ � S�� m�,�� _ _ � . `�� S\w' 'Y - �� 33 � �� - .� r' -' — � � G�e9h � � �� - �,.��---1.( �S� r� Sr� a� r J � �"1 ` ^ � �� —� �� "_� Fire Number and Name of Road 7 9 � `j !� — �T� �, t-✓ t-��-.a 1. Enter lot dimensions and indicate north by arrow. Signature,Q[Qwner or�_ Au�horized Agent: 2. Indicate the location and size of the requested construction -�` .}c��r�v�J Signature activities. .. Prinl Name: �'�`�`—� K �' �`��N 3. Also, 1ndlCate the IoCatlon and d1StanCe to the Well, The above certlfies that the listed information and intentions are true and coned.,thal all work shall be peAortned in compliance septic tank and drainfield, wetland azeas, lot lines, � W� �e �quiremenfs ot the Savryer County Zoning Ordinance p and the laws and reguWtlons of ihe State of Wiswnsin, and if centerllne Of the road atld waterbodles. ..7n-��^=� �"' i�� acting as ownet(s)agent, has the permission of the ovmer(s)to perform the work 2quested on this application. The above ��C �� personsls hereby give pertnission for aaess to ihe propedy for � �i,;_ � �� onsite inspection. Permit fee: $ �j5 . �q a o Total land area within 300' of the waterbody: (A)—' �y ,,� Cc(� Total impervious surface azea [including this project] (B)r' /qZb (B) / (A) x 100 =%Used .3„ Z °70 (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �Q No July 27 2004 - Issue Date Signature ofIssui A e t July 27, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: � , . " P 40 N . R . 9 W�. � I . I LAKE s � '�'" :2 .5 ,.,r '2.� � r' z` I N DI� :��i :2.10 , c.y: , �.�� a - s'� : 2 •`t r.:c :2 . � :2 . 2 _2 .3 � 2.9 � .Y2 2./1 S!/f : 2•� . � .� :2.8 s a-r 3. 2 �r y.y� l , ;�.4 ,� �.Ts :3 �3 �� ya — � � ,, HUB '`�s' �7. I � 3 . I � LAKE � � � 5 . 1 = 4 . 1 . I 6.3 � 6. . 15 . I ( 6.6 16.2 16 . I � 16. 7 � � . 15.2 . 16.4 i� Q � ^ � m 5i, ♦ 2"i � �s f ` �� y,`6z �o. D . %y�6 ��` ~ � s m �, s.s. � �y b:. ♦ � m e ��' � ��o 2 s'�a 9�\ yi 1 F. oz I �i 29 J /4�ti 2 -_ u / / • ,'� / . ,i I �, / /�1 �� : N m$r ; V^�Q �/m w'"o $�A � rr� 1 / �� i. = g � I >u-1 N {� / , m g � � °� N�m � m� D� p �_ /N'Yo � ' m'6 m oJ i�/3a� '+N � _ m * L6 y3M o m� : r�, ------- :��o� � � � `:1 �'—'w �,E �� iH3-__ "'�,J1� �N\ I �di��b ---, 1 m „ \ 3 �g' - ��e .LO'OOB N N oox . I.�K alm C3` H�66.VE. v.� o1N o I. H . .. Ix O H a.� i•. o ��.. _ r c� s,aao.`oo..� \ . � � n o EH 40'35'E 0 � ae�:m�<omw 4 0� , m sawvm cauur }� 2 2.0 7 7`y � • d 4�� Rmci.1v-ed[or cecord�ha �.; day d . . /��.ec� AD19`)�_oabcY � . � orded tri I �; � � tl (d� l' C J..-_„'E. �� . . _�.�'� � �Tr— v Rep�rti ��_ CERTIFIED SURVEY MAP LEGENO HEART OF THE NORTH PAqT OF GOVT.LOT 3, SEC. 28. O SET 3/a'x72'ALUM N/CAP SURVEYS INC. ocT. iz. i9so �SET 1'x2a'IP XT/1.13 RT. f0. BO%251 5310-f03 T 40 N, R 9 N, TONN�F BA55 LAKE, HAYWAPO, XSSC. 5<ed3 SAWYEfl COUNTY, HISCONSIN. J15-fi34-2da2 PAGE 1 OF 2 3aa� .�s� SHORELAND PRESERVATION AGREEMENT � (Shoreline Ve¢etation Protection Arca) Land Use Permit No. Dy- �8O (To be entered by the Zoning Office) Index No. Qy__- c�3� WHEREAS, (list all owners) � C- -'��e �-C� r \L, sn(' 1 n C� 11�C r i i ✓� �rl EY ��Q IT > owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and aWHEREAS, in order to secure a Land Use Permit. a 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' landwazd from the ordinary high-water mark of the waterbody. 9' The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section j 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on L 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 t between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(I) POWERS, Sawyer County Zoning Ordinance] 9' to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE Y VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate � on the date of expira6on 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 penal6es 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 O 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: r Dated this 1�o --, ` �day of J � y , �, � — h��:�� J (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office �