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Home My WebLink About002-840-21-5212-LUP-2004-486 � � Application for Land Use Permit (*Shoreland*) o o � ��--" County of Sawyer EE OFFlCE CQ��ME � � PO Box 676 - Hayward WI 5484� 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 PENCIL � .��v� -�-Jn v � C,t��n7e�c" ��r��{-�.�-►uc�p�'�c��:�av2� �.ana�s � Owner r��l�F��d r�Qs��I ��d��e �T�'vsf—Builder Q-: � � �►�4? -� �'�n: e �✓'�s�f�n� ( D�:�(, f-Q/��u��4�c�. �� o. Mailing Address Mailing Address � � �A-�ld,�h� (.� � S�iB Y 3 '�►�i�,t�r4-�'� (-e.�� S�1�5`�� City, State, Zip �,�J-3�,g� City, tate, Zip � I - 715 --3�� - �(�� 7I 5 - G>3�-- �� Daytime Phone Daytime Phone (� Additional Information: Zone District: ��— �--- O Lot Dimensions: 1 f�0 X �� 1��'O�SI= n � Date lot was created: �� Acres: l. ��'{ Is there wetland near the proposed structure? If yes, how far o � Building Land Use Floodplain: ( ) 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. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy °Q � ) � ) � `,� � r Primary Structure Accessory Building Addition o 0 ( ) Dwelling � Garage-attache detache ( ) Deck � ( ) Year round �) # of car stalls ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ) Frame built on site ( ) Screenhouse ( ) Living room c� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � J ( ) Mobile/manufactured ( ) Other ( ) Bedroom ( ) Other primary structure ( ) ( ) Relocate/enlarge � � � ( ) ( ) # ofnew � I Additional Information: O .� c`S, � Y � f) Type of Construction: 9(j Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ( ) Other ,..� Construction Cost: Primary Structure $ �,�j�� ,.b � Accessory Building: $ Addition: $ � � �' 317/(05 . � � Deed: Vol � �3 Pg� Certified Soil Test# q �—O�Q ; Z uo � CSM: Vol Pg Lot# Sanitary Permit# � �' ��, � ;� � ^ Plat Envelope Or: � �f Condo Vol Pg Year Installed: 13 N � � "Loads and Flows": Vol Pg Owner When Installed: �? P,��oti P��p�-�� /�,� �. Previous office approvals/actions: � —,. Variance: # LUP:# SP: # CUP: # � —�7� Inspection Report: # Change of Zone District: � �1� :�3o�--f Describe the construction using these columns. List the dimensions of each structure in a separate column. ist each story, each addition, each alteration in a separate column. #1. �:v � e #z. #3. #4. Size�(� t. wide ft. wide ft. wide ft. wide �� ft. long ft. long ft. long ft. long Floor area�� sq. fr. sq. ft. sq. ft. sq. ft. Hgt.from giade �/ � to pealc fr. hgt. ft. hgt. ft. hgt. Stories� stories stories stories # of bedrooms� Lake/Pond/Flowa e/River/Stream Name ��K �1.�� <'�rB��c`� `a4£ �— ^ 10 C`— I N ' Nti i � � E � � � � � � ��s� �� s+n,�/,� �� n+� � � �� O , � ,� � � ; , � , ,i , � �_ , � � � i � � I lc� � �' -7� - - - -- - - r i � 'o ' r.�. s-i. I�. �IbUS�" /G�ri- <,, � a!p � Pdnc-�L �7>Z V 7 N �� %U�.WCj.�h'P�� iU i � '�I 3pn5'T��>> iw C L/�PS�T L.N �I/ — 100� — Fire Number and Name of Road /'�'7-� ��P ��-sf �t/ u/itit� �j� 1. Enter lot dimensions and indicate north by arrow. Signatur Owner r thoriz d Agent: 2. Indicate the location and size of the requested constnzction �y�,�'��. � � Sigi uure�E activities. ) Print Name: ��r�-{Q��i7 ti � 3. Also, 1ndiCate the lOcation and dlstance to the well, The above certifies that the listed 'mfortnation and inten0ons are true and conecL,that alI wofrc shall be pedormed in cnmpliance Sept1C taT11C aI]Cl C�rainfleld, Wetland 3ieas, lot Ilnes, with the requiremenis of the Savryer County Zoning Ordinance and ihe laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. aa��y as owner�s�a9eoi, nas me Pe��gsioo or ma ow�e��s�to pedorm the work requested on ihis application. The above personsls hereby give permission (or access to the property for onsite inspection. Permit fee: $ �� Total land area within 300' of the waterbody: (A1 ��, ��p Total impervious surface area [including this project] (B) �j�� (B) /(A) x 100 =% Used ��,C��C� (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes No September 7, 2004 ��-i Issue Date Signature ofIssuing Agent September 7, 2005 0 50/o Rule: Average Road Setback: Expiration Date ,. i,M�-b<T�(�. ��N,a�� /�it�4 5�i.�c� :wT 6e C,e��t� �,�= �w ��- Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline VeEetation Protection Area) Land Use Permit No. Q</�518� (To be entered by the Zoning Office) Index No. �_-__y�� WHEREAS,(list all owners) David and Joyce Wenck Qualified Personal Residence Trust 9� , � 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 Pernut,that 'd the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a mnumum depth of 3 35'landwazd from the ordinary high-water mazk of the waterbody. t3 ( ~ 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 � the date that the land use permit is issued by the zoning office.T'he owner(s)further agrees to allow authorized °' representatives of the Governmental Unit to enter onto the owner's property at the following description 3 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 deternune if the SHORELINE � VEGETATION PROTECTION AREA exists and that it is being preserved.This authorization shall terminate aon the date of expiration of the land use pernvt. However,the owner's obligation to maintain the SHORELINE � VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION J 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. cov't� Legal Description of Property: �a� � s'-a�- T�4d� ��Lt� �p-ss j��e t QC��--'�y �"' �� -- ��-(7� Town of Bass Lake Sawver Count� WI Dated this 2 day of SEpt , 2004 (Owner) l�� /�� (Owner) — v�� (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sa�ryer County Zoning Office POWER OF ATTORNEY Know all Men by these presents, that I, , pro erty owner, Town of BA-ss �A��e , Sawyer County, Part of Government Lot � , — 1/4, — 1/4, S �1 T p N , R c�, State of Wisconsin,have made, constituted and appointed p�� ,u n�'i s of�OM�J4,ct� ��1�ipva �h��s in the County of SW.t.��_, State of Wisconsin, my true and lawful agent for me and in my name, place and stead to do any and all things necessazy for the application for, negotiation of, or obtaining of state, county and local permits with the County of Sawyer, Wisconsin, giving and granting hereby unto said agent full power and authorize to do so and perform all and every act and things whatsoever required and necessary to be done in about said premises, as fully to all intents and purposes as I might and could do if personally present, reserving full power of substitution and revocation, hereby ratifying all that my said agent of his substitute shall lawfully do or cause to be done by virtue thereof, In witness whereof, I have hereunto set my hand and seal this Day of , 2004. �J��.:�% G�/�� ownei 1 �n � � � L/�/in .TZiQJVl�� '��`�LC/✓�-�{� Notazy: ' ' " � � �— I State of: � l s C 6 /J S I N County of: S I � {� l� I X Personally came before me this 3 � day of ��( , 2004, The above named � �{U I D ff ��E�J CK to m to be the person who executed the foregoing instrument and acknowledged the same. � �,.,.,��,.,,, �-71�� -''�-(�vt�l0 %C �0/X I/�� ,•`` �EN E gp'••, otary Pub ic ✓ County State ��0 N��u�y��Jy��y �� f ��i � - �� ' �"N�jA/jr} : MyCommissionexpires: ��.,pUBLIC�'�� :;�1� ��'•• .. ...••'��p �.' .. ., '��w�sCO�',��. � � �_;� . ��..,� �� '� � - ��. �� , .�� ; - � � . ; . ��: ��, � � i _�._\��i ''�\ ',i;�•'�i'; �:"�' a"t�� '' � � �.� � �.5.� , � � \ � �� K 40 _`�� • • c�, oD � � �8.� � � E �O — �Q 40 / I�, °° l` �' � \',9. 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