The URL can be used to link to this page

Home My WebLink About002-840-17-5110-LUP-2004-576 Application for Land Use Permit (*Shoreland*) o o . ' L•_ 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 PERMTTS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL � � /�17'l � ��l L C 1 �� 1 rY\ 1 q�-C( �O/1S�r. C � Owner Builder � .�5�� C►`-�-sfmoo� �<ivt W 1335 7owr, �...►, ,c �� o: �� Mailing Address Mailing Address � � ��QQ �' Vt�y �\�Z�� . �J �ds �1 l. J�'ttG� W� i .��g�� . City, State, Zip City, tate, Zip �F �.s /- �3�- �� o � �ls _ 63��- ��.�/ � � Daytime Phone Daytime Phone � Additional Information: Zone District: I�.Q.�' � � � Lot Dimensions: �j� � �( o? Q a R�r o, Date lot was created: 1�„u 1► � o Acres: /. 3 g � Is there wetland near the proposed structure? If yes, how far h o o t�� Building Land Use Floodplain: O Yes (�'No55G�541 dlao,$ � (1�'�1ew ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � ( ) Addition ( ) Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd (v�Town Rd. � � ( )Moving On ( ) ( ) County Hwy ( ) State Hwy aQ � ) � ) � � � r Pri ry Structure Ac essory Building _ _ Addition o 0 (✓rDwelling (�Garage-attached��e,tache� ( ) Deck � (�Year round (�# of car stalls O Porch W �' ( ) Seasonal ( ) Storage Building ( ) Enclosed � (��Frame built on site ( ) Screenhouse ( ) Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom � C ( ) Other primary structure ( ) ( ) Relocate/enlarge Q A � � ( ) ( ) # ofnew , AdditionalInformation: d � ti � � � T e of Construction: ' (V�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � O ( ) Other ,� Construction Cost: Primary Structure $ �I'€.�'G, C"� � � ' ,.d � Accessory Building: $ Addition: $ c, '`- � L Deed: Vol 3sa Pg�.� Certified So 1 T� �y��.� � Z CSM: Vol Pg Lot# Sanitary Permit# !i `� `m 7� � Plat Envelope Or: � Condo Vol Pg Year Installed: N "Loads and Flows": Vol Pg Owner When Installed: �? � � �., Previous office approvals/actions: � Variance: # LUP:# SP: # CUP: # O Inspection Report: # Change of Zone District: q�►3 0`� � � So . \ 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. LSti'sr�„<.-�s' #2. (Ylu�,, i-i��r #3. S�rYy„ Po�.h #4. C'�l�a�c Size s�/ ft. wide S y' fr. wide �G ' ft. wide �6 ,�ft. wide yo� ft. long Y� � ft. long /6 � ft. long �ft. long Floor azea 17�'8 sq. fr. /788 sq. ft. �s6 sq. ft. �?X sq. fr. Hgt from grade � to peak ,30 • ft. hgt. �C � ft. hgt. !` ' fr. hgt. Stories �2 stories 1 stories � stories # of bedrooms 3 �Y,c:nas�lon�c l.ak� Lake/Pond/Flowa e/River/Stream Name I�o �7 � a1� F - k - �6 i.� aw 6-,�' ' � z ' - ' — ----- � - _ _ IS �� p�S� � `' ��— 3y . � 7'� 6' _ �� 10 - CI / . y,�cll a;j0 �V . ,$0� �8/� � \`� �E " �1 9�,rn�c� _ � � ��E 1 s �;� i � � a�� , �� 9� , � ` I � , Fire Number and Name of Roa Jy06 fN C=,,., I R d 1. Enter lot dimensions and indicate north by azrow. �;��y��Owner or A ' �d" ge�tY` 2. Indicate the location and size of the requested construction � /� , �� .� �Signal r activities. � i� ` PnnWame: ;y/'I 3. Also, indicate the location and distance to the well, The above ceNfes mat the �isted intormation and intenuons are true and conect., ihat all work shall be pedortned in crompliance Sept1C tank and dralnfielcl, wetland azeas, lot 11nes, with the requirements ot the Sawyer Counry Zoning O�dinance and Ne laws and regulafions of the SMate of Wisconsin, and if centerline of the road and waterbodies. aca�9 a5 owner�s�a9ent nas me��55�0�or me owoeq5�m peAortn me work requested on this application. The above personsls hereby give permission for aaess ro the property for onsiteinspection. Permit fee: $ �5 Total land azea within 300' of the waterbody: (A) �l1�5 o v• -- Total impervious surface area [including this project] (B) ,� %/� . (B)/(A) x 100 =%Used �'� ,S�.�e (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? (vj�Yes O No October 13 2004 — Issue Date Signature ofIss i nt October 13, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: SHORELAND PRES�RVATION AGREEMENT (Non-Intact Shoreline Ve2etation Protection Area) Land Use Permit No. �/-$�f"(a (To be entered by the Zoning Office) Index No. � -c5� WHEREAS, (list all owners) �m d �r� r, ( r r 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. c � � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that 3 the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance � with the Mi6gation Plan and Implementation Schedule approved by the Sawyer County Zoning Depaztment. � �j� The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply � with ail shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date � that the Land Use Pemut is issued by the Zoning Office. The owner(s) fiirther agees to allow authorized � representaUves of the Governmental Unit to enter onto the owner's property at the following description to � inspect the structure(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. 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 Pertnit 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 Sav✓yer County v Zoning Office. OLegal Description of Property: �GLCS �G} lC } ��-c r �o��1��, ��- 1� � t I �SY� I � Tw n vo �� - sko - l - //v Dated 's � t3 �\ a � ✓l� (Owner) � (Owner) �1 � -�,Gli ' (Owner) (Owner) (Owner) (Owner) — This instrument was drafted by: Sawyer County Zoning Office . TOW N OF 6A� � SEC17 TWP 40 N 8 G RINDS roNE CHRISTNER LA KE ;�,� G� •5.I � Z :i.2 , v :I.b �+ � :1.7 p ,.., � � Z :�.q a : I.4 :1.5 :1.10 :1.$ i G = .Z.7 1 � .2.� :I.0 ^ � :2.4 :1.12 • i :I.IA �� :i.i3 � ~ .3.1 :2.5 . :1.3 � CSM VOL 2 PG 279 '2'3 �2.6 � � � �8 :2.2 � ✓ :3.i4 :3-2 \ DELL•'TG-'O § V M � :3.2 Z t •3.Z.� :` :3.9 :3.7 �st '3.8 `'° � :3.1 C..S,M. VoL. 2 PG ??Y :s.� s,, � '� � GRIND STONE � :3.�0 , :3.5 � �3.1� LAK E :a.�z � \