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Home My WebLink About006-440-18-5103-LUP-2004-669 Application for Land Use Permit o o • �--�— County of Sawyer N � PO Box 676 -Hayward WI 54843 715/634-8288 �� The undersigned hereby makes application for a Land Use Permit and agrees that all work shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance , � and the laws and regulations of the State of Wisconsin. ' NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMTTS HAVE BEEN ISSUED. -Z 1 �;) Q� PRINT-USE BLACK INK OR PENCIL C�'F.F � � L[�F �IGL� /i��frf-/ c � a Owner Builder <' � yG�1� 5,��f� ��'' �9�c c6:�. �� s� � o Mailing Address Mailing Address � � , 5 y��9� Zo,c.Er�� 1�, s y�5��— � '� Le�crTl-3�— City,State,Zip City,State,Zip �71s' �- � � S�� 7/S ��2�(v y�� ,, Daytime Phone Da}rtime Phone �� Additional Information: Zone District �Y-/ � Lot Size � � �,� �1 Acres �`� � �� Is the property in a Shoreland District?(within 1000'of a lake or pond,within 300'of a river, creek or stream) If yes,how far from the shoreline&water name: Is there wetland near the proposed structure?If yes,how faz � � Building Land Use I G ( )New ( )Filling Floodplain:( )�'es ( )No # � ( )Addition ( )Dredging � � 0 ( )Alteration ( )Grading Chippewa Flowage: ( )Yes ( )No � ( )Moving On ( ) r � � � � Driveway:( )State ( )County ( )Town Rd. � � Primary Structure Accessory Building Addition ( )Dwelling ( )Garage-attached/detached ( )Deck ( )Year round ( )#of caz stalls ( )Porch ( )Seasonal ( )Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured �Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlarge �' _ � � � � ( )#of new > � � � Additional Information: ,�y � ,� :? Type of Construction � ( )Frame ( )Log (�)Pol meta ( )Block ( )Concrete � (�Other �2QV1�IID �:: Construction Cost:Primary Structure$ �a` t-�' Accessory Building:$ Addition:$ �C` I ` z 7y Vol �%' � Pg j 1� of Deed Certified Soil Test# 99•Z/R 0/-�3/ CSMVoI�TPg Lot#l� SanitaryPermit# O/-/b3' 6/�/(c�/ �-� Plat Envelope Or: �� Condo Vol Pg � Year Installed Aff of ex septic Vol Pg� Owner When Installed: :� _ \ Gard Gazebo Vol Pg � ` 02•57Z � 95•59g I, , � Previous Variance: LUP: �3'/Z!a Inspection Date: �,1 � �300 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 area �_ sq. ft. sq. ft. sq. ft. sq. ft. Hgt. from grade to peak ft. hgt. ft. hgt. ft. hgt. stories stories stories Stories ' # of bedrooms Lot Li o Lake/River name: " ., �,• , , ` � '� � . � 1 J � ' -� . y ,/� � '. .y� �� { j •� '� ! �, � . S� r �' � : � - �________—_ � � �,; � ,�� ., � ' � . + � � ��1'�'�� '� a;s}a►,�c.� So P"'�y ��^� n ..l `k. ..�. ' t f�% . � —, - • � u� .r �4 ..., � ` 1�`� ° 1� '' �-�(�p � ` � `_�la`�t�- ,', ! /� � i� C f� f, -- �1i5�,Q�x.�. �,�, �'S�'�� , �/�� i � . ;, . , ., � �r eb't �� ; �--- r %,,'` '' � � f�(� �v��..� ,f i �---- , � / V , � � ` � �; o (a�c�� `� �� ,��, p�� j�l�', CS � . , � �,��. R� � �s� �=��' �; . `,- �'� � w �� a ti � �. �>> a.`�'4"�� roa.a' a `a � 1?� �, • ; f?� �., � � i �� 1 �- , �� '� � � ! ah v __._. � - .� � � ,. , �----____.—:__ � �` Fire Number and Name of Road �� `2 , • i - -� � - 4 �`� 1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate location and size of existing and new structures. �;, �� `j j �; �� ,� 3. Indicate location of well, septic tank, drain fie l d. 4. Indicate distance to existing structures, lot lines, septic system. 5. Indicate distance to the ordinary high-water mark of any lake, r Print Name: �% � �L Lv �` t-�` pond, river, stream, creek, and name the body of water. The above certifies that the listed information and intentions are 6. Indicate any grading or clearing in excess of the construction site. a�ess%cne p�e�y foons t�ns�eccnoneby 9��e perm�ss�o� tor 7. Indicate distance to any wetland. Permit Fee: �-,, �;r - � % November 29 , 2004 - �- Issue Date Signature of Issu nt November 29 , 2005 ' Expiration Date y • , , ;, ��;�� ,; ;,� ; � � Office Comments: I' � Inspection Date: 50% Rule Applies: Avg. Setback: ' Restrictions and other information: SHORELAND PRESERVATION AGREEMENT (Shoreline Ve�etation Protection Area) Land Use Permit No. _Q�� (To be entered by the Zoning Office) Index No. �y -_�� WHEREAS, (list all owners) �.L�� %� �� r.; � '}'� ��> �i°! C.-�� l.-"J ��C f-' , 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 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 � the date that the land use permit is issued by the zoning office. The owner(s) fi.uther 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] �T 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 3 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. ? -� Q Legal Description of Property: � �•� ` � y , .� �= i �� , eS � � � L� � � �� ; .� Dated this / ,�' day of l'� u i.�` , �� G �> '� „ (Owner) . ,. ;� (Owner) :; r ,: �, ' r� �. /�,.:...'�,4°�`b�(�` r�- � V�� 4 J _ p (Owner�f '> > (Owner) � r ; c� , d �' ( C`.t - � � , � � � � ` F (Owner) `" (Owner) This instrument was drafted by: Sawyer County Zoning Office I � I i , � '� I \' ��` �C�.� �I � �,�� I I .� I ____ _ '_' __-��_.�_._._" I i I ` � I � � �� i'. N �e. � 1e y � � � _� �- �.�.o � I �� 8 I � 1� � .o � � � ' N �b � � -- - � �� --�---� � , --------------_ � i _____.. S � 0 ,I �iDOSF � I . . � - � W � � i i � •/8 � ie %' -�', .o ` . .� I --� I 8 _ N .o � � •� �' �= � �— � ��. �_ 1 _ � , ; � � __ .. F��_T�AP_ �.��---- ,, W �------- -- _---- _ _- -- � - \ /AGE -- \,�8 i8 i °j ,�.o �' :o I ( � i I �I i i IE Ar� � �