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Home My WebLink About008-937-17-5407-LUP-2004-060 � � ;� ,;, c <� /=��"G-" 4''" � Application for Land Use Permit (*Shoreland*) � o County of Sawyer � � PO Box 676 - Hayward WI 54843��„�� e� � :�t> �� - `��'`''� � 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. 6/e n, 12a�rvi o�d a �e a.v1 e��T-USE BLACK INK OR PENCIL 'b �i� l�sze�SKi� �-�-� ber�- aEla�he � ,,, - _ � /� i'h L' d Owner � Builder ¢: _ c l �/l• _. . �-. .. � O. Mailing Address Mailing Address � p � � City, State, Zip City, State, Zip � � � � � ', ,• �. � � Daytime Phone Daytime Phone r � N ,--, � `� � Additional Information: Zone District: �`�, � � r � - v Lot Dimensions: `�" ` �; �� f ' �t ; rr Date lot was created: � ��;� �� a Acres: �� / '7 � � � Is there wetland near the proposed structure? If yes, how far �`�? n �� 6' � o ,.� �p Building Land Use Floodplain: ( ) Yes (,k)No � ~ R1 New Fillin Chi ewa Flowa e Yes n No � R� A � ) � ) g PP g � � ) � ') O Addition O Dredging Driveway access off of a(Check one): � �� (� Alteration ( ) Grading ( ) Private Rd (� Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � � � � � N � ci� r Primary Structure Accessory Building Addition o � ( ) Dwelling ( ) Garage-attached/detached ( ) Deck � �,,, ( ) Year round ( ) # of car stalls ( ) Porch �„ ( ) Seasonal ( ) Storage Building ( ) Enclosed � � ( ) Frame built on site ( ) Screenhouse ( ) Living room c� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom � � � Other primary structure O O Relocate/enlarge ' A �O �V E"c�' ��C�� ) � ) # of new '� � AdditionalInformation: � � � � � � � � Type of Construction: � (� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other n n. y Construction Cost: Primary Structure $ �>' ;'�� ,1 `-�� Accessory Building: $ '�' �=� %�� Addition: $ �ti� �� '�� W � � Deed: Vol 78� Pg Od Certified Soil Test# � � - 35 7 � � z CSM: Vol Pg Lot# Sanitary Permit# 7 8 - 009 `�' � � Plat Envelope Or: o, `� Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Owner When Installed: � � � .� � Previous office approvals/actions: � Variance: # LUP:# SP: # CUP: # " Inspection Report: # Change of Zone District: 3 �.�� f �. gs�o . ..' � . �`,x • Describe the construction using these columns. List the dimensions of each structure in a separate ='� w column. List each story, each addition, each alteration in a separate column. � . #l. p ' " ' �' #2. #3. #4. Size � y Y ~ft. wide ft. wide ft. wide ft. wide �L ft. long ft. long ft. long ft. long • ��` Floor area �- sq. ft. sq. ft. sq. ft. sq. ft. Hgt.from grade /k� to peak ft. hgt. ft. hgt. ft. hgt. Stories 1 staries stories stories - #of bedrooms � ��- C��' a,i.?.�.�r.—r j-, e�T"�/,'f.�'�.:.1.� Lake/Pond/Flowa e/River/Stream ame j' � � t �;4 v� 7 !a�\i ��`, �., '� ! j g ,� �� , _______��. _ . :,, _..__.�.______. _ __.__ . _.____-----__ , ��i �� / �� ' �` t'� - � � � y � � , � � � � ; ;` l;�-----�-----_ ` �: ;i - i� �� ;; I � 1 � � � <.� �, , , '' `�.'''s,, , i : �' , � � �. �,� ��- „`��' _ � � ��: � , � �;.� ` — � �' .� ..._ _...�._�v , . ___.,__.��__,, . , � r. ,��j �3 F ' � �'a �� ` � � �y� �. 1..:��✓` . , f� i' � . � N � � � �' C� T ' ; � �°` � '��, � � ' - y� � ��,,�� .� �---__, _ _ � _ _ __ _ _------ � � � o T b N � � scA � Fire Number and Name of Road 0 �: =j �� r �� L L� l.. �� /L`�' l. Enter lot dimensions and indicate north by arrow. Si,g�natur'e of 0 er'or Auth r'zed Agent: 2. Indicate the location and size of the requested construction �� Signature activities. �'a mD C G, 1.� Print Name: y /�p 3. A lso, in dicate t he location an d distance to t he we l l, The above certifies that the listed information and intentions are true and correct.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and regu�ations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t�ns as ow�er�5�a9e�t, has the permission of the owner(s)to perform the work requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee: $ �� Total land area within 300' of the waterbody: (A) '7 ybs �'I.Q�' �O a y S hc,d !0'1 _ Total impervious surface area [including this project] (B) Co8$ �88 (B) /(A) x 100 = %Used �/�b (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes ( )No April 13, 2004 ' _ Issue Date Signature of Issuing Agent April 13, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: ��..�.,�� ,,„,,� , Y� � �tk�" � �' {'�4 � . � (� � t ry SHORELAND PRESERVATION AGREEMENT �1 P� � 2 �(�� (_Shoreline Ve�etation Protection Area) � �� ----�-,� �'��r�r� 4.�#,�_'„��' �. .. . . , .. : ;, . : ,. a�'��ts�i�� <.: :,, Land Use`Permit No. C�y-(,�� (To be entered by the Zoning Office) Tndex No. -I(o� WHEREAS, (list all owners) �Ymond and Jean Glen and Dalbert and Elaine Kieliszewski. � 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 o�•dina:y hig,h-water maxk of the�.raterbody. 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 pertnit 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 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 mainta.in 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. part of GL 4 Sec 17 T 37N � ^ R9W, Start at the 'shore of Lega1 Description of Property_:, lake Chetae at the iron pipe at the NE corner of proper y, ence s er y a ong t e ort ine o property 81 feet; thence at ri�ht angles and North 72��e�.; t1�Pnce at rig.ht anales and East to the Lake Shore; thence southwesterly along the Lake shore to the place Dated this day of , `�, • ��-� , (Owner � (Owner) ' ' �� Y� . (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office = TC�WN OF EDG�� SEC. 17 TWP 37N. �4.I :4.3 �4.5 �4.2 : 2 �4.6 . .� F �4. - , y �4.19 � � ' �4. � �44 ' � �4.2 �4.8 :4.10 � �4 _ �4.9 � ° �42 �4.16 �4.18 �42 �4..z 4�� 4.1 �4�1 LAKE �4.13 °4.14 _��09 �4. �� g-3�-q �2.2 �;_ -42 � 5�� SWNSET BEACH CHETAC s�,�D �3.2 �