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Home My WebLink About002-940-22-5705-LUP-2004-414 � - Application for Land Use Permit(*Shoreland*) � o County of Sawyer N � o 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 ,�'r � flowage,lake or pond or has any of the above waterbodies located within � the property's boundaries. � � CONST�n cTI�O�N�HALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � �v PRINT-USE BLACK INK OR PENCIL _ >n�1ZD d DaNNA 1�^-EY:�K Pc�TFR Cet�S,fRuCl'I6N � _ Owner Builder � <' 5�1`�11J 6�IIGu�zNE Ra 7i2o � ST�AVENS �iD o� Mailing Address Mailing Address � O +lAYwaR�, Wz 5't8�{3 CuuDF�AY� Wz Sy�32� a � City,State,Zip City,State,Zip C7�5) (�3�i-�t.13 (1i5) 945-259� � Daytime Phone Daytime Phone � 96 Additional Information: Zone District: ��'� IRREGc[.AR LotDimensions: 5E� CSM Date lot was created: 12�2/19$1 Acres: 1.9 7 r� Is there wetland near the proposed structure?If yes,how far yES S53 FT o Building Land Use Floodplain:O Yes (i/jNo � ( )I�ew ( )Filling Chippewa Flowage:( )Yes ( No � (i%lAddition O Dredging Driveway access off o a(Check one): � ( )Alteration ( )Grading ( )Private Rd (�own Rd. ? ( )Moving On ( ) ( )County Hwy ( )State Hwy "° � � � � N � U r Primary Structure Accessory Building Addition o 0 ( )Dwelling ( )Gazage-attached/detached (✓jDeck � ( )Yeaz round ( )#of car stalls (�Porch �, � � ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse (•y�Living xoom c� ( )Modular/manufactured ( )Gieenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom p �, � ( )Other primary structure ( ) ( )Relocate/enlazge rr','��°„ ' � � ( ) ( )#of new ' � �t O C. Additional Information: �,,,� wz�ncws , Doo2s, 53�zuG 8 (ZeoF �''� • , ,� � N �x'ISTI.�Yb S�RL�7�RE -�ro � � � cCDi ��vt Type of Construction: �� N (V�Prame ( )Log ( )Pole/metal ( )Block ( )Concrete v�u1 ( )Other ,� Construction Cost:Primary Structure$ ,.d �� Accessory Building:$ Addition:�$ �S�i9.Qo � n ° �2EttoDF1 � Deed:Vol 7 l 7 Pg y'7 l Certified Soil Test# pz,-(789 ; z CSM:Vol_�_Pg 3`n` Lot# / Sanitary Permit# 02- /0l � %`� Plat Envelope �i� � ° � � Condo Vol Pg Year Installed: 2CO2. e� "Loads and Flows": Vol Pg Owner When Installed: � � n ci nAJ'�TJ g DJVNA IbEJtF/�' �—�l � Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# ir � Inspection Report:# Change of Zone District: �,�� VN' 3 S SS 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. #L A D�zTIo N #2. ��C K #3. Pe RG Ei #4. Size 2 � ft. wide lZ ft. wide �_ ft. wide ft. wide 2� ft. long ��. ft. long S ft. long ft. long Floor area 5(�Z3 sq. ft. �`� Z sq. ft. � sq. ft. sq. ft. Hg� from grade 21.7 FT to peak ft. hgt. ft. hgt. ft. hgt. Stories �. stories stories stories # of bedrooms p Lake/Pond/Flowa e/River/Stream Name / ,,' ; . � ,,. � i / � ,/ �✓ �J �'�i�' _` `� � ` ... .�"� �� N / a ` ` iT �' a � • •� � 300 � .�, �� '� p� w / ` • o '� / �d J, /� . . � � N /' \ _ Y � ` � s i � tJ� �+� �O - � � � __ _--- -- rt `'---- ,�,�. - s- Fire Number and Name of Road SS1'�1`� 1-lI-GN L.INE RD _ 1. Enter lot dimensions and indicate north by arrow. Si ature of Own r o Authorized Agent: 2. Indicate the location and size of the requested construction � �/. �e.e.�-` Signature activities. Print Name: �A�D �- �� 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t��s as ow�er�s> a9e�t, has the permission of the owner(s) to perfortn the work requested on this application. The above persons/s hereby give permission for access to the property for � onsite inspection. Permit fee: $ `�J Total land area within 300' of the waterbody: (A) d 5� &5 aY �z6 5 tc�.1� 1�, ga�+r' Total impervious surface area [including this project] (B) 3,'��ia (B) / (A) x 100 = % Used yo-lv (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes � No August 9 , 2004 � - 7�" Issue Date Signature of Iss 'ng ent August 9 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline VeEetation Protection Area) Land Use Permit No. O�I-�I I�l (To be entered by the Zoning Office) Index No. Q�- yl y WHEREAS, (listallowners) ,-1�.��;�1 cl �onna �Roekecr > 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 � 35' landwazd from the ordinary high-water mazk of the waterbody. [ � The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on T� 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] (� 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 Y on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE � VEGETATION PROT'ECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION a 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. Q Legal Description of Property: Dated this day of , (O er) (Owner) ,� � �.�.� _ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office .s�., � � SA�;:ER. COUPITY CERTIFIED SURS'EY 2SpP N0. G EGE�V� O FOU�/O /,PO,!/ P/PE • sEr,��4"xz4'iP wr.i/,9<<rr/f`i. Re�ish�r'e OtHcern � � �h,� � � 3 s � ph S � rCa rY �7 �4 VZ N p ; ' r r I t;ia oC � c1aY oI W o o�^-Rt✓ , �� ls�< < //�°,�r�,�:k �' ��' ( --- A � r., rrde,lin , $ fl.//4"LP. � hrj y C� ' g � d'p /ei ut l,Fn�- du� on pn0^ c��0 .C/BB°30"!a.' 4 Q 4 _ . .___.._ __ ' __'_ � � � So.sB' �e •a �M --� . ----. ��,-p-.— ,� m x,.,'.s::i �'J N 9 _ — -- ,y i � e� �- SCAL �.' /"=Sd' aA h m e . . —� Jr. �k' o � SURVEYOR�S CERTIFICATE: � � �?9. � � I� LYLE L. ELISOTT1 re�istered land sur;eyor t:ereby s+;�. � 0 certify that by the direction of LEROY SOBIFSKI� ` �o I have surveyed and mapped the land parcel which is ;� � oa��' represented b3� this Certified Survey i✓,ap: � V �";tio That the exterior boundaxy of the land parcel surveyed � ` 3 � o� and mapped is described as £ollows: o � T � h �y i1 part of Government Lot 1� Section 27� and part of y J � .° '' �(:orernment Lot '7� Section 22� To�,mship L�A North� � � u�..�c o ..roc,u m ..;.. nr nas� L CO•,n�,• r � R _ . � .O. _ d�:'v^� _ y O� 3:+PJ e='f ry State of Wisconsin� and more particularly described as ,� fO11.OW5; 1q�r 1+3 Commencing at the Southeast Corner of said Section 22; O i`e' thence 5.0� 08� 30��E. along the East line of said Section � �° 22� 24.00 feet; thence S.89° ;1� 3�"4I. 100.00 Seet to an iron pipe being the Point of beginning; a� � thence N.0° OSt 30��E. k0.00 £eet to an iron pipe; � a t thence N.BB° 30�W. 50.58 feet to an iron pipe; � a Bs,98 s s.� thence 5.49° 53'W. 64•51 feet to an iron pipe; 5 thence S.0° O8� 30��E. 633.17 feet to an iron pipe; thence 5.16° 16�j•7. 98.19 feet to an iron pipe OII �3g°25'jO'• the shore of Windigo Lake; thence S.25� 18' f+0"E. 200.00 feet on a meander �p' � a =W line of said Lake to an iron pipe; '' \ b' ry � 0 thence N.5° 4�� 20��E. 2']8.I,9 feet to an iron pioe; \ a y thence N.0° 08� 3o��w. 633.17 feet to the point of \ � beginning; said parcel contains 1.q7 acres� more or less� � v, including all land between said meander line and the ^ U�N water+s edge� and subject to any easement of record, Z _ o That I have ful�y complied with the procisions of Chapter � \_\_ 23�34 of the Wisconsin re�.�.sed Statutes in suz^reying and o � mapping same. � � n ,., \ �� L T� d urveyor a � Wisco ep.strat� �13� � w , , m Date� ��:�J _ �� . , ;�..- - -30— F/ = : s. .. . r. ,•' _ �.�� ": =_ _ ; . y � - j . ,: : , .� �. , � _ �. . 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