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Home My WebLink About004-839-08-5101-LUP-2004-184 Application for Land Use Permit(*Shareiand*) G"` r .� 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 boundazies. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUEA � c,;�U and PRINT-USE BLACK INK OR PENCIL � �t ��S/',�i-r4n/S ��S�G (>/Cc�e,�% .��/� a' � Owner Builder a (�1 �l'Jv0 9�r� /�.L.�ce '�9� �'D �x y�� ; �) Mailing Address Mailing Address � p � �Sceo /G>iv �S36g S•4c'i9��, fyliv--i.�3�S' � City,State,Zip City,State,Zip -li'Sa-S��F 7-G �/�.1 7iS-�v35'��Y9S .n Daytime Phone Daytime Phone fS�'�`�7'``�8r � n Additional Information: Zone District /e� � � � � Lot Dimensions: /U(>� �� Date lot was created: Acres: �'-ro? � Is there wetland near the proposed structure?If yes,how far N�° o �^ Building Land Use Floodplain:O Yes (�)No � (X)New O Filling Chippewa Flowage:O Yes (� No c� O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (�Town Rd. � O Moving On O O County Hwy O State Hwy 00 (n)L��i�.�( > � 0 0 7� N � �, r Primary Structure Accessory Building Addition o 0 (X)Dwelling ( )Gazage-attached/detached (x)Deck � �C)Yeaz round O#of car sYalls (1c)Porch �;, � ( )Seasonal ( )Storage Building (�Enclosed � (}t)Frame built on site O Screenhouse O Living room co ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom \ ( )Other primary structure ( ) ( )Relocate/enlazge � ( )� ( ) ( )#of new �C AdditionalInformation: � p �n �, � c � Type of Construction: "'" (X)Frame ( )Log ( )Pole/metal ( )Block ( )Conerete � � ( )Other � � Construction Cost:Primary Structure$ /Sn,o��a`� � ro Accessory Building:$ Addition:$ � � ;u � n Deed:Vol 701� Pg a3� CertifiedSoilTest# Yd'a8a �; z CSM:Vol Pg Lot# Sanitary Permit# 00-o9y "� � Plat Envelope Or: ,, , ? �, � Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Owner When Installed: rn � 0 Previous office approvals/actions: p3-5(o�J Variance:# LUP:# (X)'�S9 SP:# CUP:# — O Inspection Report:# �Chan�e of Zone District: �i�� S�� 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. �n/: <<^5�=��0"`'�'' #1. /✓E�i�c�� #2. �c�*'T #3. OPr^� J[uc #4. Size a-F ft. wide 2c� ft. wide "�'^ ft. wide i� ft. wide �/�f ft. long �a ft. long '�`/ ft. long �� ft. long Floor area j�3� sq. fr. '�`f� sq. ft. 36 2 sq. ft. 3�a sq. ft. Hgt.from grade �a to peak � ft. hgt. b' ft. hgt. /6 ft. hgt. Stories / �� stories � stories / stories # of bedrooms �3 �-7 �� t<tc L�d Lake ond/Flowa eBiver/Stream Name �- ' �� 4 I b ' � � o�rN JF��c � SI � �.- .. _ � _ . � I � -L ~ t ` 7� �� Y� d ��' 1 b 7 �� io� � r �f L�F7 f1 `_�__"._ 1 � zf�` , �'r7rN/C � � �"/"/ / C � —_____ .._ _.. .._ _._ . . . . . .... .._ _—__ .. .- __. _ . J e ,✓a.✓ /L-c+.F n Fire Number and Name of Road ��a a /l� Sonan S 2d 1. Enter lot dimensions and indicate north by anow. Signature of 0�2 or Aut ori;� e� 2. Indicate the location and size ofthe requested construction ��,c.,, �t � / SignaNre activities. � ( ;�o s��u �� = PrintName: J �v�^� ��-« 3. Also, 1ndlcate the IoCatlon ancl diStanCe to the well, The above certifes that the listed infortnation and intentions are We and correct., ihat all work shall be pedortned In compliance septic taII1C anCl ClTalnfleld, wetland 3Teas, lot 11nes, -I wiN the requiremenGs ot ihe Sawyer County Zoning ordinance �v and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. acting as ownef(s)agent, nas the permission of ihe owner(s)to perform ihe work requested on this application. The above personsls hereby give permission for access lo the property for onsite inspection. Permit fee: $ � �-� r w� Total land area within 300' of the waterbody: (A) �� C�� Total impervious surface area [including this project] (B) � r` �- (B) / (A) x 100 =%Used ��t (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Pxotection Area: Mitigation Required? O Yes �No May 14 , 2004 - Issue Date Signature ofIssu' g A nt May 14 , 2 0 0 5 50% Rule: Average Road Setback: Expiration Date Office Comments: ryti y SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Areal Land Use Permit No. ,�y- / (To be entered by the Zoning Office) Index No. �- �� WHEREAS, (list all owners) J��n/ �o�q�n/S > owns reai estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Permit. NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that ��.o o r�nn� .c ��.�'�- ^"T':�P: PP.�TnC�rr(JI�: .^-.P.E:° ca sai� rea •.w ...,. • • ao ,w iv .> . �a.. iiV ET�-a. a� a 1 .�... "tC 1� :Ilw..t fC a P.:i^.:iT2'».7: ..y �^,f 35' landwazd from the ordinary high-water mark of the waterbody. The owner(s) hereby agrees to comply with the shoreland vegetative protection azea 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 representafives 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 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, injunctive relief, restoration of said real estate, the revocation of said Land Use Pernut 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 ttus Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Properry: �13.!'�-� ��, �(.� ' D�-�� — �� J � U � l�a�erna��ch� (�'�' �� cc�J-`.c�-'�La J � lU�,-�+��`i� ��ir'� `- 1` cv-�-� �3 I Ur'T ��w� E�.�i�� —T Dated this��h day of ��` , ��'�'`�y (Owner) (Ownei) (Owner) � � �'"� � ' (Owner) C� (Owner) G`•�n o�yn.rs — (Owner) This inshument was drafted by: Sawyer County Zoning Office / �� __._.__-___---------- " � � SEC . 8 TWP, 39 '�� . 5 —�, �_ . � ! — d. ///- �\} i � Y„ ,a,,, ,..a r � ' : I iZ d i : ��' � 1 .��, i� .89 � � /.2 �'_. . ..,., .�.�J � � ' 2 . /�. �� ;� r '� .��.� ) �� l� � i� .' ' �,s � ��,�� . , , 39, i , , 9 �� • i.�o �� • � I , ,.r� �,9i � .sa • � 39 . /, � � . ,� :�.�� M O ; ��.� �w � i� \ �6 � � �,:�.�8 : ► 5 i , '/, 6 J ! • , ,i� ; , ; � � 39,� 4 -r-------; _ •a �1 ..` i �.�� I\/ Y . //I � F �3 /T. �i 1'• � � . , � �.Ss � __ ) _� � �� , � 39, � . �� ' i � � .' „� ` � ' :/ �, L�3 .. . ;� � -�.. , , � 39, � '� � �� "' .,� w ' oo � ' . �� , ao 3�'00 ` , � '?�! 4 �. � � � � " p ' �' `� � : , u, � ? 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