HomeMy WebLinkAbout002-840-29-5304-LUP-2004-519 yL
Application for Land Use Permit (*Shoreland*) o �
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 PENCIL ,
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Mailing Address Mailing Address � � �
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City, State, Zip City, State, Zip �
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Daytime Phone Daytime Phone
Additional Information: Zone District: R.(�� (Z�.-�
Lot Dimensions: �1 y x /=z��
Date lot was created:�T�/ Acres: ��� � ,�
Is there wetland near the proposed structure? If yes, how far :�� o
Building Land Use Floodplain: O Yes (�C1 No 55G•Sq/ �/n�� �
(�Cj New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No �
( ) Addition ( ) Dredging Driveway access off of a(Check one): �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. �
O Moving On O (X) County Hwy O State Hwy o �
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Primary Structure Accessory Buildi Addition o 0
�) Dwelling Q� Garage ache detached O Deck � �
O Year round (1)# of car stalls O Porch �, �'°
( ) Seasonal ( ) Storage Building ( ) Enclosed �
�Frame built on site O Screenhouse O Living room h
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom .-
( ) Other primary structure ( ) ( ) Relocate/enlarge A
( � ( ) # of new
.. , -.
Additional Information: �
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Type of Construction: �'
� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete 'Q
( ) Other y
Construction Cost: Primary Structure $ �� t-�� �= ,..d �
Accessory Building: $ Addition: $ �
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Deed: Vol Pg Certified Soil Test# �� �/ -�;�'] � z �
Lot# Sanitary Permit# C.7 `/ �3�ct:) � � �
CSM: Vol Pg ••
Or: °` � � �
Plat Envelope .
Year Installed: N �� �
Condo Vol Pg �„ �
Owner When Installed: � C� �
"Loads and Flows": Vol ' Pg � �
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Previous office approvals/actions: . � C� �'y
Variance: # LUP:# SP: # CUP: # Jv � � `�
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I n s p e c t i o n Re port: �` Change of Zone District: �
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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. p,,..J,\,,. #2. .�y,�,g` #3. (Jt�K #4.
Size 5�3�-$" . wide �4 ft. wide 4 4 2(;,' ft. wide ft. wide
SS 3„ ft. long �_ft. long a �e I 2' ft. long ft. long
Floor azea ev sq. fr. 3 7(� sq. ft. � sq. fr. sq. ft. '
Hgt from gade�to peak :2\ fr. hgt. �ft. hgt. fr. hgt.
Stories� �stories i stories stories
# of bedrooms_�_ ,
Lake/Pond/Flowa eBiver/Stream Name
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Fire Number and Name of Road ��`iti C.1v � K
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction ,��
SignaWre
activities.
PrintName: ����'kS L ! l.c'nC-
3. Also, 1ndlCate the loCatlon and dl5tance to the well, The a6ove certifes that Me listed infortnation and intenuons are
irue and covect.,that all wo�C shall be peAortned in cnmpliance
septic tank and drainfield, wetland areas, lot lines, wiN the requiremenGs of ihe Savryer Counry Zoning Ordinance
and the laws and regulations of the State of Wiswnsin, and if
Cente111ne of t110 Toad and WBteTbodles. acting as ownet(s) agent has the permission ot the owner(s)to
pedortn Ne work 2quested on this application. The above
personsls he2by give permission for aceess to the property for
onsite inspection.
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Permit fee: $ .2 7Jr '—
Total land azea within 300' of the waterbody: (A) 3��
;,s.; Total impervious surface azea [including this project] (B) q�.SO
(B)/(A) x 100 = % Used 1! �3 (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes Q4No
1
September 20 2004 —
Issue Date Signature ofIs in gent
September 20, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:�-fC��"-Q- �Q� � a-�-� � �l o�L��0� ���n�
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No. �-J'��9 (To be entered by the Zoning OFfice) Index No. (.!'� -.5�
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WHEREAS,(list all owners) y�r.4S .L � i.:t„„�u /✓(� /w„�
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.
TNOW,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
� 3S landwazd from the ordinary high-water mark of the waterbody.
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The owner(s)hereby agrees to comply with the shoreland vegetative protection area reqai�entents 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.The owner(s)further agrees to allow authorized
� representatives of the Governmental Unit to enter onto the owner's property at the following description
Qj 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
Q 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 SI�ORELAND 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,restaration 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
i issue of said Land Use Permit. All parties agxee that this Agreement shall be filed with the Sawyer County
OZoning Office.
LegalDescriptionofProperty: Part of Gov't lot 6 Section 28, T 40N R 8 W and part of
Gov't lot 3 Section 29 T40 N R8W Tn h own o Bacc T.ake S�er Cotmr�,
WI 003-840-28-5602 and 002-840-29-5304
Dated this 30 day of August , 2004
(Owner) ✓ (Owner)
(Owner) (Owner)
(Owner) (Owner)
This inshument was drafted by:
Sawyer County Zoning Office
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. N Jl Z�.cP. //'\ LEGENO
SAWYER COUNIY PLAT OF SURVEY � 4 �— � o = �+o. ,� IRON PIPE
LOCATED IN GOVT LOT 3,SEC.29,T40N, RSW W E - --------7 � ��' �
AND GOVT. LOT 6,SEC.28,T40N, R8W Q Q � � �� O = FND 1 1/4' IRON PIPE
TOWN OF BASS LAKE,SAWYER COUNTY,WISCONSIN. S I I
I I �� � _ �D. ANGLE IRON
1"=100'
GRAPHIC SCALE � I �
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0 50 10o p
BEARINGS ARE REFERENCED TO 4 iO1� �SM �351 \ ��'
/ THE EAST LINE OF GOV'T. LOT 3 " 'ol'o �'�S � \� \� c�G
� SECTION 29, T40N, R8W �'�
ASSUMED TO BEAR � WI� \ �\��'�. 'pT�
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.r' �� 9.59' � sr+Eo c° w�\ �\
v/ y� PARCEL AS DESCRIBED � I � O �
, .. DEED V.591/P.306 � ' _� \ �
Gj b"� �_ 4.34 ACt � � �-� \ �
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/ 907.27, \_ CL DRIVEWAY _�'�� .7�j�w \ �
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SURVEYORS CERTIFICATE:
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1, JEFf W. MULOCK, WISCONSIN REGISTERED IAND SURVEYOR, HEREBY Sa6'30'22'E 37a.et' — I �/
CERTIFY THAT I HAVE SURVEYED, AND MAPPED A PLAT OF SURVEY --'-'-1--�'�
LOCATED IN GOV'T. LOT 3 SECTION 29, T40N, R8W & GOV'T. LOT 6 '
SECTION 28, T40N, R8W ALL IN THE TOWN OF BASS LAKE, . �
S.AWYER COUNTY, WISCONSIN. qi
THE ABOVE DESCRIBED PARCEL CONTNNS 4.34 ACRES OF LAND MORE �
OR LE55 AND IS SU&IECT TO ALL EASEMENTS AND RESERVATIONS OF , N)
RECORD.
WISCONSI�MINISTRATNE CODEPANDCTHE MAPCIHS AECORRECTOf THE `����`�gC�pNBj��i���' � NI
,•• �
REPRESENTATION OF THE SURVEY MADE TO THE BEST OF MY KNOWLEDGE �'� �EFF , :. NI
AND BELIEf. iH15 SURVEY WAS MADE UNOER 7HE DIRECTION Of SPENCE � y�J, = �
WILEY AREA NORTH REALTY. . - � p�,��OGK •��*= I APDCSURVEYING
� � �*: g-2319 , _ � � ' 15614 WfNDRO$E W.�330
' HaY'�� :�fC` . b �° �.a. HAYWAROWI54843
I ' � � � ''. W�. �` SE COR 715b343435
� `�• �E lu m� '•� `�:� 29-aa}8 715A3t2739 PA7C
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JEF MULOCK WISCONSIN LAND SURVEYOR �2 1�TE: ��q�� SU�R������ QJEM: $HEET10F1
� . 7�� APD(9900703/Z2/99
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