HomeMy WebLinkAbout002-939-01-5207-LUP-2004-539 r
' - Application for Land Use Permit(*Shoreland*) r y -c_�
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 l �
the property's boundaries. ��i�
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS AAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL
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Owner Builder �
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Mailing Address Mailing Address � �
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Crty,State,Zip City State,Zip
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Daytime Phone Daytime Phone �
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Additional Information: Zone District: �(`'�,-r �
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Lot Dimensions: /?�-`' �� � �`rt�' `.�1
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Date lot was created: i� �� %i;•�' � �
�-'-- Acres: 7
�:
Is there wetland near the proposed structure?If yes,how far 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 (�-j Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °O
� ) � ) � �
Primary Structure Accessory Building� Addition o 0
(�Dwelling (�)Garage-attached deY h O Deck N
�Yeaz round ( )#of caz stalls ( )Porch � �_)
( )Seasonal ( )Storage Building ( )Enclosed =
O Frame built on site O Screenhouse O Living ioom �o
( )Modular/manufactured ( )Greenhouse ( )Kitchen v
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge �
( ) ( ) ( )#of new
�,-
AdditionalInformation: i �''
:? v�
�
�
Type of Construction:
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other
, ,�
Construction Cost:Primary Structure$ ,�='��'_ �' - � �
Accessory Building:$ .l��r<;�_' Addition:$ � u
0
:? `�:
x�
Deed:Vol �/��,� Pg �' '% Certified Soil Test#Oy�3y��/ � z
CSM:Vol /y Pg�_Lot# � Sanitary Permit# C�`�1-�7 R �` %`�
Plat Envelope Or: � y,
Condo Vol Pg Year Installed: �,
"Loads and Flows": Vol Pg Owner When Installed: o �
�
Previous office approvals/actions: ��
Variance:# LUP:# SP:# CUP:# „
Inspection Report:# Change of Zone District: 'L�
�°
�zsoa
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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. N�Jt #2. �n �.,�._c #3. �f-' � #4. '`�'' '� _
Size S� � ft. wide _�ft. wide ��ft. wide ft. wide
�� ft. long f � ft. long �_fr. long !` ft. long
:,
Floor azea ��?�= sq. ft. /1��� sq. ft. _� sq. ft. �sq. ft.
Hgt from grade �� to peak /.S" ft. hgt. ft. hgt. fr. hgt.
Stories � � stories stories stories
#of bedrooms�
Lake/Pond/Flowa e/River/Stream Name
��
�� c�c., f N 1�;�%
Fire Number and Name of Road loC�� ��� ✓�`� ��a�
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
SignaNre
activities. �
PrintName t�
3. E�ISO, IriC�1C3L0 Y110 IOC&t10II 3Tld d1St3T1C0 CO t110 W011, The above ies that the listed inf ation and Inlentions are
We and cronect.,that all work shall be peAormed in compliance
septiC tank and dTalnfteld, Wetl3nd areas, lot]]nes, wim 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�i�9 a5 owner�9�a9e��, nas me Pe��ss�oo or me owneq5��o
perform the work requested on �his application. The above
personsls hereby give permission for access to the properry for
onsiteinspection.
Permit fee: $ c� �> ; �
Total land area within 300' of the waterbody: (A) s� s'��
Total impervious surface azea[including this project] (B) `�7� � S�
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(B)/ (A) x 100=%Used �� � (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mirigation Required7 O Yes (-(�No
�gptember 28 2004 "
Issue Date Signature ofIssu g ent
September 28, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
SHORELAND PRESERVATION AGREEMENT .
(Shoreline Vegetation Protection Area)
Land Use Permit No.��J��' 9 (To be entered by the Zoning Office) Index No. � - 5�9
WHEREAS, (list all owners) ����r`r ` S�'s---� �--��.�--��
,
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.
q`� 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' landward 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
�„ 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on
-r� 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]
��j,,to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
`J 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
1'� 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,
� m�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
Oissue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
Legal Description of Property: �s� / C s�" �--'y� ) ''� � /�/ ,--� '``'1�
�
Dat this 7�> day of �'�� , f'='�"=`��
� —
(Owner) (Owner)
�� —
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
��. , . ,
SAWYER COUNTY CERTIFIED SURVEY MAP � ��j
GrB. t. e.a. 6� 2. g9 a.� a. 8 w., aad c.b. 2, 9eo.'i, 2. 39 x., &. 9 w. `
��. 2»$��$ scuE i" :ioo'
nso•oo�co-wa�eao�ma.aar� Foew�nniNcancnrre��� � /p p' i0D 200'
easi oFor„�nNo � nw.war.xce Racehrd4ct��p7ldr�.1/..��, d
� N0.WNESEC.1 T.lYM.R.VN. -/=�y'�I— �'�l{LSI�O��
. �Cd reCaa076 NvOL � �'S£T 3/4 ic2�F�RER W.
so�i��oe�•N pp�p S wf.I.SO Ws/A�.
� � nzaao�rwr e.r. °f�,�s„y�+`�� �'fD.i/2'�I.P.
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.� . S 95°OS'35'�E 823.42�mac. �. . 825.00'deed .
� HO°W'�9"E, . . . .. . � � � . �a� .
°'I00.73� . Si,387 at.
Ea 1.87 a, S 26°39�3Y'W � LQC
g8 , „W w�s�' � COURT
�"- � - • / OREILLES
,
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sosv�roa+s c��cex�
I� LSLTs L. SLbSdPP. regietered iend eurve9vx heret'Y oertif� thst by the direotion of EICBAFID Hh'SEE, 3 have surve9ed and maPP�
tLe laa�paxael nfaioh is rapxeaaoated by thie Certified Suxvey Map:
,The ezterior bovndariea oi the lsad paxoe2 survoyad aaS maPped Sa descs�.bed es follove:
A gart of C.L. 1, Sao. 6, 2. 39 H.� H. B VI.. aud part of G.L. 2, 9ea. 1. 2. 39�•r $• 9 W:, 2rnm of Bsas Lake,Co�Sy oY Be►ryer, 9tat� oi
Wfscoasin, ea� more �partiovlarlq dasoribed as lollovas Go�eaai:eg at �the Aorthsreat oorner eaiA Sec. 6, theace H 90°00'00^W along th�aoxth
line of Seo: i 63�6,50 feeti theace 8 0�71�'U9"K 1i20.00 Yeet to the point of ba�Enni.n83 thenos 8 85°0�'35" & 823 92 Yeet to fi3ie shos.ro
of Leo Court Os�illee; thence s 26°39'37" �' � a mesnder line oP. I�c Conrt Oreilles 167.67 feeti theaae A 65°O5'35"W 775•a1� feet;
thenae A Q°11y'09" E 100 33 feet to the poiat af be�xin3ng, said paroe2�contaias 1.87 ecres moze or leae, t,nalvding a21 lamds lram e%j-d
meaader liae to ths watexe edge, aaA sub�eot to ex�y eas�ate or reatricttave oi raooxd.
I hava il�lly oa�plied with the pmstfeions of 3ectioD 236.32� of the Wfsaaaeia revised 3tatutes aad the eubdivieion o�dinanae of SaWyer
�� Co��y in aurveying aud maPP�B aame. �S�O�$/�
I hsseby oerEliT t3iat thia survey is correct * M�•
to Ehe best o4 m�Im�rledge anh bslief. L• r � 1 Ll1E L. ,•i
D es lls�rah 31� 1992 &73pp ; a
SPOOI�R.;YI ¢ �
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TOWN OF BASS LAKE �
SEC. I TWP 39 N. R. 9 W �
GOVT LOTS 2 a 3
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SHEET 2 OF 2
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