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Home My WebLink About002-840-17-5312-LUP-2004-578 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 ISSUED. Sv�ee l�ar✓tsd PRINT-USE BLACK INK OR PENCIL - p��d �► Yc+.r'cr�5io � � � � Owner Builder Q- < �' o' Mailing Address Mailing Address � � � �� City, State, Zip City, State, Zip Daytime Phone Daytime Phone - Additional Information: Zone District: � ' Lot Dimensions: Date lot was created: Acres: Is there wetland near the proposed structure? If yes, how far o Building Land Use Floodplain: ( ) Yes ( )No � ( )New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � OAddition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy �fQ � ) � ) � � � r Primary Structure Accessory Building Addition o 0 (�;,Dwelling ( ) Garage-attached/detached ( ) Deck � ( ) Year round ( ) # of car stalls ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � � O Frame built on site O Screenhouse O Living room ' � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � j� Mobile/manufactured ( ) Other ( ) Bedroom ( ) Other primary structure ( ) ( ) Relocate/enlarge N � � � ( ) ( ) #of new ,� s AdditionalInformation: � A _ � i � Type of Construction: �'� ( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ( ) Other � � Construction Cost: Primary Structure $ ,,b � Accessory Building: $ Addition: $ � � c� Deed: Vol_ �{0( F'g �(D� �ei�;�eu 5:.:� '.''�� /- 3� � � ` g � Lot#� Sanitary Permit# O`/-3�7 �"' 7� CSM: Vol �I P _�� Plat Envelope Or: ��,�'�� o, Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Owner When Installed: � � � .� Previous office approvals/actions: Variance: # q�(-�`�� LUP:# SP: # CUP: # Inspection Report: # Change of Zone District: /Q�� o�i a�-�3 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. #3. #4. Size ft. wide ft. wide ft. wide ft. wide ft. long ft. long ft. long ft. long Floor azea sq. ft. sq. ft. sq. ft. sq. ft. Hgt fivm gzde to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream ame � �;�;r:�,_ � � ' ! �Gu�:.ca � E�:s�:�g� , I — � - - - - . . ?c:�� eE � � � � P � � ' £av 1'� Ey��' , 4 i i: �) \ < � ' � �/ � �' �� tue(l C I � O il W Fire Number and Name of Road 1. Enter lot dimensions and indicate north by arrow. Sj �yture of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction ��y E;��ti /�j </c��c./L-%�-i' SignaWq� activities. u PrinWame: 3. Also, indlcate the locatlon and dlstance to the well, The a6ove certifes ihat Ne listed infortnation and intentions are We and corred.,ihat all work shall be peAortnetl in compliance septic tank and drainfield, wetland areas, lot lines, with fhe requiremenis of ihe Savryer Counry Zoning Ordinance and Ne laws and regulatlons of the SWte of Wisconsin, and if centerline of the road and waterbodies. ac�ny as ow�er�5�a9e�c, nas me Pe��55�0� or me ow�eq5��o perform the work 2quested on this application. The above personsls hereby give permission for access to the property for onsite inspedion. Permit fee: $ �00 � Total land area within 300' of the waterbody: (A) Total impervious suriace area �;ncla3iag t::is greject; (B) (B)/ (A) x 100 = % Used /, ��/U (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes O No Oc`oher 1�. 2b04 (�/ -D� A �/�"+�� Issue Date Signature of Issuing Agent October 13, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMrNT (Non-Intact Shoreline VeQetation Protection Area) Land Use Permit No. n�—5']� (To be entered by the Zoning Office) Index No. Q�- 5 7� � WHEREAS,(list all owners)�e,a�� (� V �Id S S O � ' k�.��i d �� ,r gco 7 , / �j � ,nr v� t/ /'V C Co _ owns real estate withm Sawyer County that is su�ect to the Sawyer County Shoreland Regulations, and -o WHEREAS,in order to secure a Land Use Permit. ,� j� 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 shall be restored in accordance ✓i with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Depar[ment. w -o � The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply L with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date �9' 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 to � inspect the structure(s) or uses authorized by said Land Use Permit and to detemune if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved.Violation of this Agreement will L authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, �j 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. `�J I,egal Description of Property: oc+ La7` � Sc�cy' /� Turu 9 a n� t� s��v � � Dated this / day of_ �t � , Zqp 5/ ��! / � 7��.FS�i d� /l`J//�dSG (Owner) � (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was draf[ed by: Sa�ryer County Zoning Office � 3g � � _� � a � � ►a 0 \ 66 b � ' a n 1 a q C Po i��dia � �� i,o� ,�pe — — o s �� oo � � � � a , � 96 Py� 3 / � y � ,�� ro Q N o ,� �go °� 3 ° e y� � � � � � o , ,, � r;�6 � .� `��, o g o � ►5 � ��, s � u 5g ° �'- �� a .� S a ti os �L � v v \ Fd. l"dia. � p �' ��, �J�j � � v � iron Pio� � �/6��3 a, � a vl a o '�j t�. n `� A , 6 � 0 � s�o . 1�° ` �0 �>" h�ohb �/ry�. �o� 5 Oy 'o , <V � , ° , $CALE 1��=100� G� " \a. , � , '1� g\ ;� r UMENTS�SET 3/a��X 36�� IRON ROD �/ '', �� 30 / � ,��2 � ; �FOUND "' � � 6 � 20 /�\ / 6 p BEARINGS BASED ON SOUTH LI NE OF �1 ,y �.O � y�°h ,� '�' r� GOV 'T LOT 3 ASSUMED TO BEAR �' �',�� 5 � �'o'a� N69°50'S4�� E Q oo\a ` p y°hry �y�,° s � 2 0 0 � 0; � 2� '��\\a. .. �a\m � 2�° 1� \ ��y�� 'J�'\ � pJ� p 3�2 ��c�J CA i � ` � AU6UST 23 , 1975 i,' �" � `�°� ' , y'� ' �'�, � o � t �' 056 � ��,�p 3�� 550 j1�o2?�qSN ,,/� " n a 0 \ � �wi �0' � .��,a� 9,� ';°•� °, �z�'� �_ :—" y � �5co�y� � a�,9� � -m � � �. � � , -� i s. � RONAI� L . \ \\9 \� , : ° ),I \ _. _. _ JQ°�s�. ��',o\ ` c.nn N. . 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