HomeMy WebLinkAbout002-940-01-5105-LUP-2004-413 �
Applicati�n for Land Use Permit(*Shoreland*) o 0
County of Sawyer �, � �
PO Box 676 -Hayward WI 54843
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 REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT—USE BLACK INK OR PENCTL
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Owner Builder a
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MailinL Address Mailing Address � O
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City,State,Zip City, tate,Zip
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Daytime Phone Daytime Phone
Additional Information: Zone District: �� -
�r� ��, �G�'Z-- Lot Dimensions:
��ls �y ���0'S^,3
� '� /C��U —�" s' `�•.li�
Date lot was created: Acres: �
Is there wetland near the proposed structure?If yes,how faz �G' � o
Building Land Use Floodplain:O Yes (�No �
(�New ( )Filling Chippewa Flowage:( )Yes ( ) No �
O Addition O Dredging Driveway access off of a(Check one): � �'
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � f
( )Moving On ( ) ( )County Hwy ( )State Hwy o �
� � EO"2s✓Y � � N �
� r
Primary Structure Accessory Building Addition o °
( )Dwelling �'iarage-attached/ tache ( )Deck N
O Year round (Z�k of caz stalls O Porch �
( )Seasonal ( )Storage Building ( )Enclosed �,
O Frame built on site O Screenhouse O Living room �;
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom O �
O Other primary structure O O Relocate/enlarge p
� � � � ( )#of new 4�
r
�
AdditionalInformation: � p
� �
m
0
ype of Construction: �
�j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
�
( :Other I •-3
Construction Cost:Primazy Structure$ ,� .,y �
� �
Accessory Building:$�����g� Addition:$ �
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Deed:Vol Z�Pg_�_ Certified Soil Test# O c�j—J7/� cc z
6c �
CSM:Vol �y Pg /z � Lot# � Sanitary Permit# ��'O�'- � -
Plat Envelope Or. �` }�
Condo Vol Pg Year Installed: N ��
�
"Loads and Flows": Vol Pg Owner When Installed: �
Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:# �
Inspection Report:# Change of Zone District: g'zl p J
�
�,(�'7 a-
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 �� fr.wide ft.wide fr.wide ft.wide
�ft.long fr.long ft.long ft.long
Floor area � sq.ft. sq.ft. sq.ft. sq.ft.
Hgt from gacie Z�to peak ft.hgt. fr.hgt. ft.hgt.
Stories z stories stories stories
#of bedrooms .1/
Lake/Pond/Flowa e/River/Stream Name
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Fire Number and Name of Road /�SCr� �af'f �'� ���
1. Enter lot dimensions and indicate north by arrow. ignature f 0 er or Aut o i ge t:
2. Indicate the location and size of the requested conshuction . �
s�9 �
activities. ��-� ��
PnntName:
�. Also,indlCate the locatlon anG�dl5tance to the Well, The above cefifes that Ne listed into ation and intentions are
We and conect.,thal alI work shall be pedortned in crompliance
Septic tank and clrainfield,wetland areas,lot llnes, wim the requirements ot the Sawyer County Zoning ordinance
and the la.rs en^_regulations of the State of Wisconsin,and if
Centelllne of tlle f03d 2Ild W8te7bodles. acting as owne:'(s)agent,has the permission of tha ownels)to
peAortn Ne work 2quested on this application. The above
oe�5onsls hereSy pive permission for awess to the propeM for
onsite inspection.
�
Permit fee:$_�r"
Total land azea within 300'of the waterbody:(A) �/70d C/
Total impervious swface azea[including this project](B)��r�J
(B)/(A)x 100=%Used ��: (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Acea:Mitigation Required?O Yes Q�No
Y
A�gus 9 900L -
Issue Date Signature ofIssui A e t
August 9, 2005 50%Rule: Average Road Setback:
Expiration Date
Office Comments: �C� �f-L1=�-i.�� 'L'v`��''��- �-�''�- �e.lt�.es� �N�. /
�
--, '
� PI�ULA CHTSSE:R
�• SAWYER COUNTY, WI
REGISTER OF DEEDS --
316619
io/zs/zoo3 9:zo an
RECORDING FEE 13.00
APEX
SURVEYING
15614Windrosel.ane,Snite330 paqes z
Hayward,WI 54843
715�634-3435 Fe�c:7I5-934-2739
SAWYER COUNTY CERTIFIED SURVEY
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Vpt,zS P�69
SHORELAND PRESERVATION AGRF,EMENT
(Shoreline Vegetation Protection Area)
Land Use Permit No. O N— �I l� (To be entered by the Zoning Office) Index No. Q�-�,�
WHEREAS, (list all owners) f �'� /'�"� T ��� �L�%�.r/=
�
�
� 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 estate is intact to a minimum depth of
9 35' landwazd from the ordinary high-water mazk of the waterbody.
,� The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section
d 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
Q- representatives of the Governmental Unit to enter onto the owner's property at the following description
3 between tl�e 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 Pernut 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
T Zoning Office.
O Legal Description of Property: __ �"SZ��tl' ' d�t � E 2 s:C� � 7�Q/J � —/�Q ��
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Dated this Z l s F day of _1 v f.-� „lp0`F
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�'wner) � (Owner)
(O ) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning O�ce
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DRAWN BY : DATE : 12- 29 -8o INTENDED TO SHOW CONCLUSIVE
COLON ( : ) 1 �1DICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS