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Home My WebLink About008-190-00-0100-LUP-2004-079 L— 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 witl�in 1000'of a `� flowage,lake or pond or has any of the above waterbodies located within �y the property's boundaries. �� CONSTRUCTION SHALL NOT I3ECIN UNTIL ALL RR.QUIRGD PCRMITS HAVG BGCN ISSU�D. PRINT—USE[3LACK INI<OR PEIVCIL � �u� d-�'��-��.�, p��,��e,� ��f'.(�.��rms��-�-��f,��-� G � Owner �— �-� 13uilder a O �� 1 dkJ�r �� G ,�?d ��n+'(A-l/��/t/� CD�lW-� �� Mailing Address Mailing Address. � p � ��s�� (��, S3SS� 'I`�Ca�.f u.l,�rc� Lc�; s�/��3 � � City,State,Zip City,State,Zip " � ��n�-�l�f�-so�s �—y�s= ��y- �3�� Daytime Phone Daytime Phone � ,�., lh Additional Information: Zone District: �� i i � z Lot Dimensions: JI9C> >/�Gj D � Date lot was created: Ct��(i�1oLrJi� Acres �S/Q G/"� '�'�S' Is there wetland near the proposed structure?If yes,l�ow faz o ;�,, Building Land Use Floodplain:( )Yes (�No G � (�New O Filling Chippewa Flowage:O Yes ( No n — O Addition O Dredging Driveway access off of a(Check one): � 'E' ( )Alteration ( )Grading ( )Private Rd �Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy °O � ) � ) � S Primary Structure Accessory Building Addition o ,��. ¢�Dwelling (�Garage-attache etached ( )Deck � ��Year round (�#of caz stalls ( )Porch �;, �j ( )Seasonal ( )Storage Building ( )Enclosed � �Cf Frame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured (�Od�er� � ( )Bedroom � ( )Other primary structure ( ) /� x3n �Pe.��t+�t ( )Relocate/enlarge g ( ) ( ) ( )#of new '�19 AdditionalInformation: -� ' � A � N ('] Type of Construction: w �Frame ( )Log ( )Pole/metal ( )Block ( )Conccete � � ( )Other ^ y Construction Cost:Primary Structure$ �(�3,��n ro � Accessory Building:$ `(��,�.�n Addition:$ � Gj :° �� Deed:Vol _�, /(.- Pg `(i`� CertifiedSoilTest# /`� - :1'i'7 � z CSM:Vol Pg Lot# Sanitary Permit# t`7y nJrl td�%. "'' � Plat Envelope Or: o, ,y� Condo Vol Pg Year Installed: r,, "Loads and Flows": Vol Pg Owner When Installed: co � � i �� Previous office approvals/actions: � a Variance:# LUP:# SP:# CUP:# \� � Inspection Report:# Change of Zonc District: 'f$SS Describe the construction using these columns. List the dimensions of each strnch�re in a sep�r�te colmm�. List e�ch story, each addition, e�ch alter�tion in a separ te coh�mn. #1. �ouse. #2. �-�� e #3. Pc� #4. Size� ft. wide � ft. wide ft. wide ft. wide �ft. long 3 C� ft. long ft. long ft. long Floor area S �sqf�`t� yp s ft. s ft. sq. ft. �i-- 9� � '�_ Q• i Hgt,from giade `oZ� to peak_ ��.c/ fr. l�gt. ft. hgt. Pt. l�gt. f Stories / ��— ��stories stories stories # of bedrooms � ;-_�,___ T �l.p./Pnn.1Ti��....,...�/Aiyrr�C4..�.�m �?m,,.� . —' .. ._. . :� . _ . ...,.�_.,.._—_ _. p ^'��., _ _� - ._.. �a � � h�-�-C��lc,`�-I�� - I 6 0 `-- �J \ � �OC � � � \ � � � �\` � � 1/ �' �-`� �,r ' \ \ �i •�e0. �bUye � Q I __ ,�•- � i 3�� ; � �, � •- — �5`�` � �/ ! � ��' ��,� � ' I v� � N�fi -I o >� Ai� � . � �-I l�0' m � - - - - - - - - � - - - - - - - - - - - Fire Number and Name of Road��` �a4i�ti �� ' 1. �nter lot dimensions and indicate north by arrow. Signat r of Own r o uthor' ed Agent: 2. Indicate the]ocation and size of the requested construction 7 '{._ �, 2 �Signature activities. � � /� u�� - Pnnt Name: /� ( /S 3. Also, indicate the locatiott and distance to the well, The atwve difes that ihe listed intormation and intentions are inie and correct., Ihat ail work shall be pedortned In compllance SeptiC tank and dralnfleld, wetland 2Teas, lot lines, with ihe requirements of ihe Sawyer County Zoning o�dinance and Ihe laws and regulations of ihe State of Wisconsin, and i( CCOtCi�IriC Of t�7C i02C� al7C� WBtCT�IOC�IES. acting as owner(s)agenL has ihe permission of the owner(s)in peAorm �he work requested on ihis application. The abovr. personsls here6y give permission for aaess to the property fo! onsite inspection. Pei7nit fee: $ ' � �� °� Total land area within 300' of the waterbody: (A) ��(,�, �y� Total impervious surface area [including this project� (B) �'� �� (B)/ (A) x 100 = % Used �D�d (Shall noL �xceed l5"/o[or 25% �vith a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Reqnired? � Yes O No �/ , o 0 April 20 , 2004 �j(/ ° Issue Date Signature of Issuing Agent � April 20 , 2005 0 50/o Rule: Aver�ge Road Setback: �xpiration Date Office Comments: � SI30RELAND P12ESERVATION AGREEMENT � (Shoreline Veeetation Protection Areal "— Land Use Permit No.�_ � 9`/ 7 To be entered by the Zoning Office) Iudex No. �"y - d?� C w WHEREAS, (list all owners)�p u q L/.}S m �LL/JC� �NQ C —� � S��2iz , �-��v�� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and O 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 O3S landwazd from the ordinary high-water*nark ef the wa,e:body. The owner(s) hereby agrees to comply with thc 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(sJ fiirther 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. 7'his authorization sha11 terminate on the date of expiration of the land use permit. However,the owner's obligation to maintain the SHORELII`'E 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 Pemut 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 Descri tion of Property: �-{' d�,, N.� , ,S ;�,,� � � a �� -� l ��f t � �ee_ �7 2 �4� � Ces G�S - D-pa _ o� Dated this�day of��j�,��(f�_ - /j�@r ner) — e (Owner) �/,' �. J� % � � � ' �� -��— (o�e� (o�er� . _ � (Owner) (Owner) This instrumen[was drafted by: Sawyer Counry Zoning O�ce T 'd 69E9-bE9-STL �awo�sn� panje� eLb � OT 40 6D �eW i � 2 � 3 � � N 4 m 5 ^ � � 6 0 � � 3 _AC 7 0 � PugC/C b AccE.�'S e WOODHAVE N 8 � TOG✓N OF EDGEWATER. M � SEC. 3¢ Th�P 36 N. R. 9 G✓ b FofZ DETA/� fD PLAT MAP �D ENYEGOPE T6 /N REG/57"E1 9 � DEEDS Off/CE