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Home My WebLink About008-190-00-0100-LUP-2004-080 _ ' ci Application for Land Use Permit(*Shoreland*) r y ' . County of Sawyer o � O PO Box 676 -Hayward WI 54843 �__-: , i_� l;�� 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 RF,QUIREP PERMITS HAVE BEEN ISSUED. � PI2INT-USE 13LACK INIC OR PGNCIL �-�{ �,�v ��a�i��an'� r�.cc�cictr.��aNc��f�c� � � �¢� �-e��.0 /�' � � Owner �� I3uilder �o�. S�1�3 `T��N f,� � ,�'� /�c��,��,�c�uw-�— y: Mailing Address Mailing Address � p � ��s�� LI�, S.3SS9 'I`��u.�u./r�v� Cc�� S�f�5�3 � City,State,Zip City,State,Zip � � (�O�—H`f�— Sb/S l'hfs= �3`/— �3�� Daytime Phone Daytime Phone � ,�., ��'� � Additional Information: Zone District � � i i � S Lot Dimensions: JI9C� ,(I L�D � Date lot was created:C�nJ�C itloWi� Acres �57a c.r��s Is there wetland near the proposed structure?If yes,l�ow far o Building Land Use Floodplain:( )Yes (�No G (�New O Filling Chippewa Flowage:O Yes ( No ry O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd �Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °O � ) � ) � � Primazy Structure cessory Building Addition o ,�r. Dwelling Garage-attache etached ( )Deck � Yeaz round #oF car stalls ( )Porch �„ � )Seasonal ( Storage Building ( )Enclosed � Frame built on site ( )Screenhouse ( )Living room co odular/manufactured ( )Greenhouse ( )Kitchen v )Mobilehnanufactured (�Other� � ( )Bedroom ( )Other primary structure ( ) /� x3n �nPe.al�c��t ( )Relocate/enlazge g '~ ( ) ( ) °.�"�a r,� :�,b:x�. ( )#of new J9 AdditionalInformation: —+� � • A � � � Type of Construction: W (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other '� �..��r� s Construction Cost:Primary Strucwre� L��v >,-'T'�`r�' „d d Accessory Building:$ �QQ— Addition:$ �p�� GJ :? p� � Deed:Vol �, j� Pg 1 7t' Cerlified Soil Test# � z CSM:Vol Pg Lot# Sanitary Permit# °Q 7y Plat Envelope Or: o, ,v� Condo Vol Pg Year Installed: r;, "Loads and Flows": Vol Pg Owner When Installed: � � v �� Previous office approvals/actions: p.�� Vaziance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zonc District: '�kSS Describe the constrnction using these colamns. List the dimensions of cach structurc in a sep�rate column. List each story, each addition, e�ch �lter�tion in a separate column. #1. Dus� #2. �'r #3. c � P6��Yc�='- �i+l�v.�L�� Size o� ft. vide � 't ide ft. widc ft. wide `� . long 3 � . lon� ft. lon� _ ft. long Ploor area �0 sq. rt. y�l �sq. ft. � h C' sq. ft. _ sq. ft. i Hgt.from '..Z.� � to peak_�` �f't. hgt. ft. hgt. _ft. l�gt. r Stories � ��-= � stories _ stories stories # of bedrooms 2. Lalce/Pond/Fiowa e/River/Stream Name h�C�- ��,c,`�-I'�� — � C�O �._ l ` C�J � � \ `� � � � � a\ f (,� r d��_ 1 � .S — — �i�, _ , � , •��u deu» 7 G �r' � � / �bo �,/.,rSe� GA r � � ' �c' a�b�'�� p� � N �` � e'� -4 o sc ale a. `�' --I(00`-- — — - - - - - - � - - - _ �-- _ _ _ _ _ � Fire Number and Name of Road , � � � ]. Enter lot dimensions anci indicate north Uy arrow. Signat�re of Own r or uthor' ed Agent: 2. Indicate the location and size of the requested construction ��,�/� � ,�_ -Signature 1C11V1t1CS. Print Name:_ ' r� �c�n-�is 3. Also, indicate the location and dist�nce to the well, The above difes tnat the listed intormation and intentlons are true end r,orrect, Ihat all work 5hail be perfortned In compllanco septic tank and drainfield, wetland areas, lot lines, w�m me �ea��ameo�s or me sawye�counry zo�in9 obma�� and ihe laws antl regulations of ihe State of Wisconsin, and if centerline of the road and weterbodies. acnng as ownel(s)agent has the permiss�on ot uie owner(s)to peAorm the work reques�ed en this applicalion. The above persons/s here6y give permission for access �o �he pmperty for onsi�e inspection. Permit fee: $ ]5, �� Total land area within 300' of the waterbody: (A) � ��, ��y t� _ Total impervious surface area [including this projectj (f3) � (��s y (I3) /(A) x 100 =% Used (Shall nol e::ceed I S"/�[or 25% with a conditional use permit].) Shoreline Vegetation ProtecLion Area: Mitig�tion Required? (� Yes O No J � �- April 20 , 2004 � Issue Date Signnturc of issuing Agent Apri1 20 , 2005 50% Rule: Aver,igeRoadSetback: T'xpiration Date Office Comments: 4: t Q SHORELAND RESTORATIOI�'/PRESERVATION AGREEMENT _ , WHEREAS, �� •T 1'�Cz'��1 � / viJ -: _ , - � 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 for a structure with a � nonconforming shoreland setback or Land Use Pezmit issued for structures under s.59.692(lv), Wisconsin Statutes. � NOW, THEREFORE, the owner hereby agrees to preserve or provide all shoreline buffer restoration as required by the Sawyer County Land and Water Conservation Department in order to restore andlor maintain the real estate by n/a The owner hereby agrees that at all times in the future, the real estate subject to this Agreement shall coznply with all shoreland Retum to: Sawyer County Zoning Office P. O. Box 668 vegetative buffer requirements of the Sawyer County Zoning Hayward WI 54843 Ordinance in effect at the time of signing of this document. The owner further agrees to allow authorized representatives of the TaxParceLNumber: D(��- �C(�•-� - �(C� Govemmental Unit to enter onto the owner's property at the following description to inspect the structure(s) authorized by Land Use Permit to determine if the shoreland vegetative buffer as approved by the Sawyer County Land and Water Conservation Department has been established, restored, enhanced andlor preserved. This Agreement shall be considered a Restrictive Covenant upon the real estate and it shall run with the land and shall be binding upon all future owner, heirs or assigns. Violation of this Covenant will authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, injunctive relief and restoration of said real estate_ Legal Description of Property: �-� I �� -(- /�a-� 3 S 3y �36,U ,� �� Lot One ( 1 ) of Woodhaven Subdivision . Town of Edgewater , Sawyer County Wisconsin . Dated this, v��- day of � ��,c�� , ,�� , er) (Owner) r � � � . (Owner) �u.�las J�l . C2e� �ee.� (Owner) Sh� y A . Re'.r�e� (Owner) � (Qwner) ACKNOWLEDGMEn'T: STATE OF �,.�..% �,�,�,�-,,,�,,� - COUNTY OF�C�-,.:�. ss: The foregoing instrument was acknowledged before me this �_ day of ��;,,•�,�� i�� ti1! ; ' ri�,�� i�\ �) ��` p. . � ��i ` � • G. " � � he � -,- � .A/�� . � �E ��`\ �� 9''✓Q/'%. ,,� � � �`�.1oTA:�y�'•� ' _ This instrument �vas drafted by: _ ` `_____ •; _ Sa�vyer County Zoning Offce otaly Pub1iC � � �'UBLiG :�� \ My Commission Expires: � �,,.. � _� _� ••. . � , �� .,��! �,�..,,......••��,.`� . "S1 ,N i . d B9E9 - �E9 - S i L �awo�sn� Pa� i eh d T E � i/D��"bDwS�Q`��JeW C LAKE � � . .,s �� Cf ./. :�.� I '�•¢ � � r I r _..� CHET,4C �'p � . :?,, :z., .�� ,_ � �•Z�� e_ V ��.-[:�#Z .?.Q S N�� ?� � .1� :?.3 � � � � .'2.S � w � v .Z.6 ' � '?7 � v. :2.8 •� �2.12 � ✓'' {�y000H,4�/EN SUBD � l/OL. 7 PG. l4 � - .32 ENV. 76 � :3.� r�� I � :3� J� 1 ,� •¢6 ¢� .¢� .¢� -�T .fg .g C S , :¢�. Z � �41 3' :`f.2 �s q �. -� ./S. .. ... .n SCALE: I IaCH= �DD FEE DRAVyAI BY:��A [ . COL4�J (:) 1MDICATES G(