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HomeMy WebLinkAbout006-440-09-5706-LUP-2004-124 Application for Land Use Permit(*Shoreland*) County of Sawyer ° � L� PO Box 676 -Hayward WI 54843 715/634-8288 rl *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 ISSUED. � ��R� � PRINT-USE BLACK INK OR PENCIL r l7�(`.11:�tCl� l��cs{1'�y q IaVU�I_—,. �ETC2 ScN��� � N�r� � '_ , z ° � Owner Builder a � 3/��, S. /�� �,.��, : ,-_. Mailing Address Mailing Address I� O r` I ��.� 1 _ �� t 7 � �t.'� _ �n City,State,Zip City,State,Zip - 7 y�!- ��%4,�, ; �. � Daytime Phone Daytime Phone c- _ 7 = Additional Information: Zone District: ,� � -'� � ;}-' . Lot Dimensions: /S y�� ���� � ��`� � Date lot was created: Acres: `� `�,� ;: Is there wetland neax the proposed structure?If yes,how faz /�"=�' � �''���`���'^ " �-�' 0 2 Building Land Use Floodplain:O Yes (X)No �v .� v ( )New ( )Filling Chippewa Flowage:( )Yes (�} No � (1' � Q�Addition O Dredging Driveway access off of a(Check one): � ( )Alteration (�Grading �Private Rd ( )Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q 4� � ) � ) � S v, r primary Stn�cture Acce�sory Buildi:g Addiliui; o 0 ( )Dwelling ( )Garage-attached/detached ( )Deck � I O Year round O#of car stalls O Porch v, r� ( )Seasonal ( )Storage Building ( )Enclosed � � O Frame built on site O Screenhouse O Living xoom � � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured �Other ( )Bedroom p ( )Other primary stnzcture (X)�F�� ' ��Dr'� ' '�� '�'�'� � ( )Relocate/enlazge ( � ( ) ( )#of new � �� Additional Information: p � � 0 � Type of Construction: '� , (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � U ( )Other 0 � Construction Cost:Primary Structure$ � � � Accessory Building:$ Addition:$ 30� ' ' w � � :° p Deed:Vol � �a� Pg 8y Certified Soil Test#Q�{�� � z CSM:Vol Pg Lot# San:tary Permit# n�-O�,� � 77 Plat Envelope Or. o, �r Condo Vol Pg Year Installed: �oo j �, I� "Loads and Flows": Vol Pg Owner When Installed: �c '. �, r o �r�. �� � ... o Previous office approvals/actions: -� Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District �h, \�.4, a�� :, 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.�c� :°��c #2. #3. #4. Size �/ ft. wide ft. wide ft. wide ft. wide � ft. long fr. long fr. long ft. long Floor area /y'; sq. fr. sq. ft. sq. ft. sq. ft. Hgt from gcade i� �7'� to peak ft. hgt. ft. hgt. ft. hgt. Stories / stories stories stories # of bedrooms O /River/Stream �:'= ' ', /< ����'�"�'n 2 �� � // $o � '.___ � ti ! u �,� -\�\ v . J C �� ��� e �. p _. � (9 S�sS' N '� �-� —� , ...--'-�----� o r� � t�. .r- .._._.___,.....____._...._ _. ..__ ..._ I _ � yG „ � C?� !� G�"� � .. ;� �J� I��i 1 O� �� �. ���` ! - �� � �� i ' : ` � h J j 5 O � � �� ; I jJ �� d�l� � / � � 1 i. � I � �� � 1 � � j � j -• I �' i -� i � � ( �� /sa ' � J � �. i i �_ i JZ. __.,< ---��-c�-'r i �_ I /J ,: � � � s� � o � ; I �� � ( 1 : � i—' .� C . .%�•5 6 ' �a - � , � � ,� � � � � - �. . �..._ _ �; i � f ; " " �� � '.? 4 '� �, -s _ � � 2 � ` � �Y,(�� si . Z� 7(' ��U � V � � � � � , . _ �. �{ , , _ , � Z � —�--�-- --.— J,. T� Fire Numbec and Name of Road �7� g V✓ �� �-� �-' �� �� " L Enter lot dimensions and indicate north by azrow. __gj�ture of Ownej o` uthorY i��Agent: 2. Indicate the location and size of the requested construction ` y�C.�1 S � � Signature activities. � Pnnt Name: ��c=�L--I` �� `� ��� ''� � 3. Also, lnc�lcate the IoCatlon and dlstance to the well, The above certifes that the listed infortnation and intentions are We and covect,ihat all work shall be pedormed in compliance Septic t3I11C anCl C�ralnf1e1C1, Wetland 2leas, lot 11nes, with the requirements ot the Sawyer County Zoning ordinance and the laws and regula6ons of the State of Wlsconsin, and if centerline of the road and waterbodles. acting as owner(s)agent, nas ihe permission ot me owner(s)to perform �he work requested on this applica�ion. The above personsls hereby give permission for access to the property for onsiteinspection. Permit fee: $ ,i��. _- "? Total land area within 300' of the waterbody: (A) �1 Cr; 1°=' �'�.' ' Total impervious surface azea [including this project] (B) zo %� s<< i- (B) /(A) x 100 = % Used �/, S • (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�J No May 4, 2004 — Issue Date Signature ofI in' gent May 4, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: _ _ _ l _ _ ' 1� �, � �_��� �� � � � _ � %I A,A i �- , • � /:�-.� �� � � , '� : q .6 � � � � . ;� . ,� ; , � ; , ; � � ��� �� � ,S � � ' � ` , ( \ � : �'.�' 1 � ��-`� / O ,' , �i-. � i 1 L� ,�; .� � ! /; ! -4. 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SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) � Land Use Permit No._Q'y-fz�/ (To be entered by the Zoning Office) Index No. �- /� � .Q WHEREAS,(list all owners)�cTc-,ti �c rf u_�� �•.S,q,r�! S'�,-�u�T z f�n�n/F �����r/1� � �cr�i=ytT V�a/�l�n � �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. (� 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 a 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 I 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance,in effect on a the date that the land use permit is issued by the zoning office.The owner(s)further agrees to allow authorized �representatives oF the Govemmental 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 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: E �3- v� ��3. v`� w /.z d�Go✓T ��%� 7� ��`C- 9 la�n�s/� '�7�6 NonTtl l��G-c `� LlJ Oo ( -�f�/O "�9 �5 70(� oo(, =�/Yo-o�j �`�c��' Dated this���day of�'J2� L. , �-O D� (O r) �c���� (Owner) — � � �-"b — (O er) ( ne� � � �� �, �- ��L�� (Owner) (Owner) This iostrument was drafted by: Sawyer County Zoning Office S ��� � � 4^�� �� �: '��- '� ,�� .� .• �� � +�" ' � `.w-v.{ � _.` � �>� 3 . � �,3L, t � ,. ,�_ , � ;.�� c .. S� 4, ; `: �"� � �. � t~� � 'v��1� K:j�� .:�� � ��d•�� ..,_ � ��a 9 � ►� F _ n� . �`? * '~H`. � � ' I . .r ;�,'. � \ dy'` ' �( � �.f�.�"� :�� �7 � ,f• { ��� a � � ' �,�� � � `{ � ..��. ^ "rs ' ..?' �i � � ; � . .'� ".;: y� .�f r '`. � _ . .. _ r � A'f. � ta.. � :.' 1 :� '.! _ + y` �; _ _�4 ,� ° �i.. .� � j � a � ri;t s : -, , , 'i � � , .��t ���• �'. -< , . 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