HomeMy WebLinkAbout008-190-00-0400-LUP-2004-085 . _—
Application for Land Use Permit(*Shoreland*) o 0
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 within 1000'of a � �,
flowage,lake or pond or has any of the above waterbodies located within
the property's boundaries. P �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
KQ,�,�,r y n cE. PRINT-USE BLACK INK OR PENCIL
��re.l Thomras' '�wner � 1
Owner Builder �:
a l��5 Co ��� C�-
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Mailing Address Mailing Address I� �
f�'�i C0.n ��� W� J����P.3 �- io
City,State,Zip City,State,Zip o n
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�is-y��)- Ss�B S-
Daytime Phone Daytime Phone 9 0
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Additional Information: Zone District: � � -� �'
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Lot Dimensions: ��� �� 7 �
9
CC 1
Date lotwas created: Acres: �J� (�
Is there wetland near the proposed structure?If yes,how far Y�c� o
Building Land Use Floodplain:O Yes (xl No G �
O New O Filling Chippewa Flowage:O Yes (� No c��,
�'Addition O Dredging Driveway access off of a(Check one): � •
( )Alteration ( )Grading ( )Private Rd (XJ Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy b0 .
� ) � ) � `�
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Primary Structure Accessory Building Addition o o
( )Dwelling ( )Garage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls O Porch �,
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse �Living xoom rn
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom G -
( )Other primazy sYructure ( ) ( )Relocate/enlarge � �
( ) ( ) ( )#of new �
�
AdditionalInformation: c p
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Type of Construction: L �
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(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete o
c3
( )Other
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Construction Cost:Primary Structure$ ro �
Accessory Building:$ Addition:$ �'U 6 0 � Cv
:° �'
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L�eed:Vo! �N 5 Pg �g�J Certified Soii Test# �l�-?�3� � Z
CSM:Vol Pg Lot# Sanitazy Permit# �� -�73�1 I -171 °O 7y
Plat Envelope #*��o Or: v o, �
Condo Vol Pg Yeaz Installed: �;,
"Loads and Flows": Vol Pg Owner When Installed: � �
ci
1
Pxevious office approvals/actions o
Vaziance:# LUP:# 99`�13� SP:# CUP:# -L
Inspection Report:# Change of Zone District:
y/'�Y
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 !I-�, ft.wide ft.wide ft.wide ft.wide
`��>� ft.long ft.long ft.long fr.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�_
Lake/Pond/Flowa e/River/Stream ame
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F- c�� e bi�� ���� � ��. C�
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Fire Number and Name of Road�(01 I �.u t'r �hc rt �r i�L
1. Enter lot dimensions and indicate north by arrow. Sig �u�re of �er or t�Agent:
2. Indicate the location and size of the requested construction
SignaNre
activities.
PnnWame: l�CA r[.� ��r. Thn�nG S�
3. Also,1ndlCate tlle IoCation and distanCe to tlle Wel�, The above cer6fies that ihe listed in(ormation and intentions are
Vue and conect.,that all work shall be performed in compliance
septic tank and drainfield,wetland azeas,lot lines, with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State oi Wisconsin,and if
CCnterllne Of YZle Toad and Watelbodle5. acting as owner(s)agent has the permisslon ot the owner(s)to
pedortn the work requestetl on this application. The a6ove
personsls hereby give permission for access to the property for
onsite inspedion.
Permit fee:$ �5� ;�S ���3
Total land area within 300'of the waterbody:(A) �
Total impe:viacs sm•face azea[inciuding this pruject](B) ���y
(B)/(A)x 100=%Used '"I �� (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No
April 26, 2004
Issue Date Signature of Issui g nt
April 26, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
:,
SHORELAND PRESERVATION AGR�EMF.NT `��
(Non-Intact Shoreline Veeetation Protection Area) ' -
Land Use Permit No.,��'��J (To be entered by the Zoning Office) Index Na Q�-Q�rj
WHEREAS,(list all owners) VJ0.re�� � ��p.rr,0..S
�..�„�,,� h �omc�r
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 shall be restored in accordance
with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Depar[ment.
The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply
with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
that the Land Use Permit is issued by the Zoning Office. The owner(s) fiirther agrees to allow authorized
representaGves of the Governmental Unit to enter onto the owner's properiy at the following description to
inspect the structure(s) or uses authorized by said Land Use Permit and to detemune if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved.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.
LegalDescriptionofProperty: Lot 4 of Woodhaven Subdivision, Located in Section 34,
Township 38 North, Range 9 West. Town of EdQewater Sawyer Counr�, 4TT
parcel �k 008-190-00-0400
Dated this �� day of_ (�P�,E Q, , a���-{
(Owner) (Owner)
(O er) (Owner)
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(O er) ' (Owner)
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This insWment was draf[ed by:
Sawyer County Zoning O�ce
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