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HomeMy WebLinkAbout002-940-23-5117-LUP-2004-533 L _ . Application for Land Use Permit (*Shoreland*) o 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 ISSUEA , I PRINT—USE BLACK INK OR PENCIL % G� J �, �-1 � � � -('%J / � � r 'e , !�',,. ` , � ' � /-tJ� i�'f�� v/L�}r;f : i� r a' Owner Builder Q- I � c' r C! ! _ , � � -,, `� 3— S�� /u,, �. ;; -;n =. -- - r f/,`- �. ` o' Mailing Address Mailing Address � � � �'. `I'�/c,1 �;�G; . , . _ � � City, State, Zip � City, State, Zip �� - ,� .� �t:' - � �J� ���_�����` � �� `'� ��'�- �' � � � . ��,�� �� G / ��� �Daytime Phone � Daytime Phone � J��t:-,�' -; . :�; � Additional Information: �Zone District: �'r��' �� , � , ;� Lot Dimensions: //S�/�0 �' �' -'I �x' I�:"' � Date lot was created: /f%,� 'l Acres: +�-''�' � Is there wetland near the proposed structure? If yes, how far %",� 1 l' � � o s - Building Land Use Floodplain: (�C� Yes O No � (�;�New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � �� ( ) Addition ( ) Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading �::� Private Rd ( ) Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �' � ) � � � � � r Primary Structure Accessory Building Addition o 0 �.� Dwelling ( ) Garage-attached/detached ( ) Deck � Q �;�f Year round ( ) # of car stalls ( ) Porch W � ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ��Frame built on site O Screenhouse O Living room c� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom �, � ( ) Other primary structure ( ) ( ) Relocate/enlarge � � � � ( � ( ) # ofnew N , .� t�, AdditionalInformation: � � � � � : � �:J � Type of Construction: � ( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other � Construction Cost: Primary Structure $ - b � ?� Accessory Building: $ Addition: $ � o , � Deed: ti oi 'i �<, Pg `�/✓ Certified Soil Test# %�`1 -C. �% � ; �z CSM: Vol /� Pg .� 30Lot#�-? _ Sanitary Permit# � j ' O�; {�. 7� �' � �' G Plat Envelope Or: � � Condo Vol Pg Year Installed: / ��> N � � "Loads and Flows": Vol Pg Owner When Installed: � � � .S%C{�L �.c�i"� /,'k�>;��/Cl' '° \ . Previous office approvals/actions: � Variance: # %>'-�' -U/i LUP:# SP: # CUP: # � Inspection Report: # Change of Zone District: p ' <<I��'�,�. 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. #1. �����.�' ,�� #2. �i,.a ',;= �,.-�: ' #3. (���, y_,:_r.� #4. Size ft. wide �' �- ft. wide �' ' fr. wide ft. wide .� �, ft. long �j � fr. long ' '� ft. long fr. long Floor azea � � sq. ft. �6 " sq. ft. `�f sq. ft. sq. ft. Hgk firom gade ,�(c � to peak ft. hgt. ft. hgt. ft. hgt. Stories_z` stories stories stories # of bedrooms�_ � '-i,Y � � / Lake)lPond/Flowa e/River/Stream Name /I�+Y/d /'.t-;. �,'- . ; . , �7�Sni/b,.T .. . . _ ,_- -- __. A � fi >� '� � oT /3�A 3i, �ca .1�t tfi, , N � ��<� E----- 7�� 7-sc-,crc �''eA�� �i ,�,�r�z,�'rrows Su�P ! }. � i o � ��� � '_�v�r�'�Jo uSr �� � �o� T,� � �. io,�.a =iao , � No�o�v4-.� � y , � i 1 /-1a,�sF �. 774�Kr 'f �� a �J x3c = 86 y � '' /'�o2cN EvisriNy � ��� L �I ;�30ATfJaµ,SG � � ' 3 II � ia x�3 ° 230 , 36 a��3 ' � �,�'�rEw�ty AP2odu I�4--- 78 � vx �/ =rG � '°I �l I z ' ��. ,�c joTy� /, 270 � .f� /Y� � _...v 7/(sl' I i, �,� .=a�, ���,oy= �� � _._ ZZ E�s�-rn .cr —� � � �" �,li ��s y" �'� �' ..Yc-�. (�cJCTe[ Har1/� - _�— - — Fire Number and Name of Road d �f�f�� /V (�/��7 �-// ��.�1 �C�'.�'/�/'� 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 o`�., r�¢�.f'rr ,e,�!' ~ / � /� SignaNre activities. � PrintName: l/f,.E,'!� /{J � o1>k 3. Also, 1nalcate tlle loCation and CI1StanCe to the Well, The above ceAifies that the listed informalion and intentions are true and conecL,that all work shaii be performed in compliance septic tank and drainfield, wetland areas, lot lines, with Ne requiremenis of the Sawyer County Zoning Ordinance and ihe laws and regulalions ot the State of Wiscronsin, and if CCntelllne Of the r0ad 1Ild W3teibodles. acting as ownel(s)agent, has the permission ot the owner(s)to perform me work requested on this application. The above personsls here6y give permission for access to ihe property for onsite inspection. z'i Permit fee: $ ��( Total land azea within 300' of the waterbody: (A) 3�, � 6 2. Total impervious swface area �including this project] (B) / � � � _ (B) / (A) x 100 =% Used � �D (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Piotection Acea: Mitigation Required? O Yes (�No ��ptemhP*- �� �nn4 Issue Date Signature ofIssu g ent September 24, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) � . Land Use Permit No. _ � y- 5 �7j(To be entered by the Zoning Office) Index No. ��- 5 ,��j WHEREAS, (list all owners) �j,�-,,�?y� ��/�,{�k,��'.,e'/ �?���,�,t.� ,�j /3c/,�'� G 1��� � , 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. (� -c.�7" NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that T the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of d35' landward from the ordinary high-water mark of the waterbody. v _ The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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. The owner(s) further agrees to allow authorized 3 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 structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE � d 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, � in�unctive 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. Legal Description of Property: .L pT 2 e<;�1� ���T' C"�f`Q i�� ���,�� _��_ � �D14� 9 � �� � � ' / / 7, t�o� �� Z �����',U� ,;�� -�/.�� ��srr� �--�L ��,. >� � � �. 9 Dated this � day of�� , �,C%C�� �Gt�'.G� �Q. �ifutd 1�.0� — (p�A r) , (Owner) � — (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � �°- CE �QT/F/E D SUf� U � Y /J'IA � / � � , . � �qrf� ort vo✓��n.-✓Jen� �oz :'� .SeC4�a� 23, �wn.Sli,P �n �oi��ii�wiJ�e 9 kles�i 7ou�n a��qSS �a.E�, Satvy�i' �evnr���'J.•s�onsi�, ���'s ��%n9 �Sv6s✓.s%o� er"�o;�4 oell.S.nf. ib�. 3006 �ecmro�o�i� io:! /Z� Oq, 3c2- 3o5. /[. GG��t7'ltX �-G • SZ� L.E- G_E N.D .�:c/ia ra� /�. S�o��c --- -- o �ehc�e s �/"lron 6q r �u.�c� �cBp;Stcr-eU LRi7c� SG/ri/CYpr • �/'Jvr'.S Mor14Me�7f t0�/�7�JS /70�Gd. Lc1.'Seons:� .��9. iYo. 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'' � � ,,,,���,v��`� r ��/��i��' � f.na r kJ�r1C�i--- °!SN d Cernei a�aave �`� R1Chard � k er,cieaches o.36' � ` ' w S:� � Sili5 = � e, ' � B1fCh�Y00�� `1 �Yc:Sa�d 7'ai�,E' co e= . �(IJ� � �� ��7craacheS D.G3' d'- � . � ''. �.•�� � t� �s .� Q � � .,,,�y� �y,�,,, � � •.,,,�SU�R�;��,. ,�. �4. � 1 � \� h 41 � •, �t 1 �. "i J�1��./ � � � r% � --_-__ __ -__ _-_-—.__._� r - — _.:= x il. � �d Y. "� , or , . a4� "or �y,P/NDS7"DNE _�LAKE ' , __ _�_ o ° ��a; .. -�:� l�� � � a � c�� w► ,� 3 77'• 3 3 c, _ � J Sawyer County Zoning Administration r- p 0 Inspection Report '�� N Owner(s) Gary T&Sharon K.Rajkowski (H)763 434-6855 *(Cabin)634-1342 � Address 17130 3rd Street NE Anoka MN 55304 *Use this#. p AgenUPurchaser ' � Address � " � � Bldr/Plber/CST � H Address �, � Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation � 0 � � Dwelling ❑ Mobile Home ❑ Commercial ❑ Garage ❑ Addition � 7C � Setback-Lake � Setback-Road � Setback-Lot Line ❑ Soils Verification � � Replacement Dwellin�on an Existin�Foundation-Variance Required a < ,� N' o WD Vo1462 pg 413,RR-1,Acres:0.730,Lot#2 CSM Vol 12 pg 329,8446N West Shore Ln � � l�x�sr�K P�_ �' GQ�N s�u� �ar,udsra.wr `� � r �� � ��� �� �;r) I � , ��s I �s� 71' yb' � �'f� C��YF �uc� I � D` I 1� o 0 0 n/N`', �.'�r b �"" �� ' Iv' 4' Ib' 20 �'Jf^' I ID' �� ry � ���n(�� � / , y, -. \p 1y• f'" O // ' O�j IS' xt �� plJG� o0 �/ �� 36• 78' 3G' 36' n� �P�o e / �' �p,hll I �+pl�r �u�ey A ��µ u I.,.. `' UvN� 24, �' W � (7� d�� 3Y' � i� � �' I n b n'6" - �s, � !s �_ 2�-• � �,�.,r � ,�� � � `�d�,,r� — _ �-� 7 � �_ � '� 19'�{`� � 3Y _ ` �� �, � , � .�. ���` ���� I w � WeI'u4up w�T�,akn � P •o 0 "J°.� z ,�Nf�au�.� �-s�.y��"� � p�J �4�J G�lS7tNb,lOLc,�c!,�-�P�� .VA�RIwuC� Rb�f.�.cR�� �;, . bN6ern�T Rv,4� 56�7��CL�: 3O' � � . W cr�a.vD sere�clG; �f0 ' I� � Discussed with Mr.Ra'kowski Date&Time Ma 14,200 9: 0 A.M. Signature of:...,e....* �`� ��"""��`'� � F BASS LAKE :, NUT USLp � • � TWP 40 N . R . 9 W. . 16 : � .2 - � , � ,.v� : �9 Z : I :I.S :I, :�.�$ 7 , :1.13 :f.1T �1.14 � I .8 I.10 : I. I I �1.16 � :1.3 1.18 sa ' :I. I ,,.. � '1.12 � ,.: �2.8 �.� :2.3 " �2.9 �2.5 r �2.4 �2.1 � ,Z�� �2 .1 I �2.12 .32 :2. 7 �2.2 ROAD .3. I �2. 1 =2.6 '2.13 14.1 � 3. 1 �3.6 ,.; -3z I3 I 7a 3.9 .s9 79 T � ;3.3 � � .14.3 ) .142 �' �3.4 � L 3 � � :3.8 :3.5 z :3.7 2 :3.10 3 �3.1I Q,O �4. I GRINDSTONE �O � � �4.2 ,�o L AKE �Z�v�� 4 � j � �4.3 .n . r.�. � ..�N;: i! gi. Fr '-. �_ � Y .C� � �� 0 � ,.ti I ����: ,.; !�"3, ''�=: ,i' r4�1', _�` � t,... f��, �� �1 ; �`' ,i�,� ? 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