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Home My WebLink About008-130-00-0900-LUP-2004-107 L-- Application for Land Use Permit(*Shoreland*) o o . County of Sawyer v � A PO Box 676 -Hayward WI 54843 �� [ � 715/634-8288 � o �n�� "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. � n CONSTRUCTION SHALL NOT BEGIN UNTII.ALL REQUIRED PERMITS AAVE BEEN ISSUED. -�— r PRINT—USE BLACK INK OR PENCIL � y�!✓L /�if'qQO�.(�1� L.L�� Cl'<.��4'it (_(�,✓./�j�/.f(.-�rC'N C � Owner Builder a � �� ir. " . � /, � � /6�i c�� ln/vo�l�:�,� /l i.vc rj'r'� ,I t. y. 0 Mailing Address Mailing Address � O � ��.� r�vs��l l�r �`18y3 E+k ��2c��.��1. d�/i S�i%�i r � City, tate,Zip City,State,Zip �il�- �'3Y—:i6� �7i�= ��3�- 5�� z Daytime Phone Daytime Phone � (`' Additional Information: Zone District: �f�-� � � ,R Lot Dimensions:l��'�x �y�'�-f//�'`x�!7 � Date lot was created: �d��!'��'�'� Acres: - �'� �� Is there wedand neaz the proposed structure?If yes,how faz /�v � o '� r B�g Land Use Floodplain:( )Yes (✓SNo �G �. (: New ( )Filling Chippewa Flowage:( )Yes (v�No � O Addition OJ�redging Driveway access off of a(Check one): � ( )Alterarion (�/j Gtading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) (✓f County Hwy ( )State Hwy °O � � ) � ) � � P' ary Structure Accessory Building Addition o ,�.r. (✓�Dwelling ( )Garage-attached/detached ( )Deck � �, (✓jYeaz round ( )#of caz stalls ( )Porch W ( )Seasonal ( )Storage Building ( )Enclosed � (✓)Frame built on site ( )Screenhouse ( )Living room cc I ( )Modulaz/manufactured ( )Crreenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom ,'.� A ( )Other primary structure ( ) ( )Relocate/enlazge �;, � � ( ) ( )#ofnew �� Additional Information: � ':' „� w � �, i � � � T of Construction: � �J � (�rame ( )Log ( )Pole/metal ( )Block ( )Concrete -�� :, � ( )Other " ,� Construction Cost:Primary Shucture$ /�r, Jc� � �v Accessory Building:$ Nf� Addidon:$ /✓�- � �w �- 3�05l5 `�, � � � I • Deed:Vol y o5 Pg I I Certified Soil Test# �-C�/ � z CSM:Vol .aS P /�` Lot# � Sanitary Permit# U y '�l`f °O %� Plat Envelope �': ?� � Condo Vol Pg Year Installed: r;, "Loads and Flows": Vol Pg Owner When Installed: � � ci ! Previous office appmvals/actions: "� :t� Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: a`�,5�� '1(�eS Describe t}►e construcNon using these columns. List the dimensions of each structure in a separate column. List each story, each add�on, each alteration in a separate column. 1-c-f r - #1. /1��v � #2. c��-l� #3. �'• (�- #4. Size ✓ ft. wide �'/ ft. wide _�� / ? R. wide `�`� ft. long �� ft. long �f6 ft. long •�ft. long ,�`1 � o� � Floor area %G'S E sq. ft. d� sq. ft. / t� sq. ft. ��- sq. ft. Hgt.&omgade :�3 topeak �/� ft. hgt. /✓�-' ft. hgt. ft. hgt. Stories �� +�� stories N/T stories stories #of bedrooms r- L/��k� �a 3 ya Lake/Pond/Flowa e/River/Stream ame �l'� ��t� f /'kc CG,�-lz� /�• 5 r� A .L p i �� u i \ �— � � �,u b � , �,�^ �"� � � ,c, �� h ' �,` �� 3 �, e. � �. a � � ^� �� o y� � �� ` $ �V � \ k'� ,� ��,�' Y j�1 ,�'. v� ��' _ i _�/�- ' ! /�c� � A" Fire Number and Name of Roa �F` �� 1. Enter lot dimensions and indicate north by arrow. Slgna �of er �Autho�ized Agent: 2. Indicate the location and size of the requested construction (]J1"�� SgneWre i � I aCtivities. Print Nmne: r n/�� -��IL/.;c N 3. Also, indicate the location and distauce to the well, The s6ove oertAes thet Ihe kted inlortna6on and Inbntions are true and cortect,that a9 wark shatl he perfom�ed in oomptfance septic tank and drainfield,wetland azeas, lot lines, ��'��"o��°h'd'e�� centerline of the road and waterbodies. ecane as owner�s�ayeo�,nas me��sw�or me ame�g�m peAorm Ihe wak requesEed on Nis application. ihe a6ove Dersonsh AereEY 9rve pertnissbn for access to Ihe Property tor orisile hupectiori. Pemut fee: $ O�UO. � � n Total land area within 300' of the waterbody: (A) �%-1%� Total impervious surface area [including this project] (B) /, �l v (B)/(A)x 100=%Used . h '% (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required?( ) Yes (�No April 28 , 2004 - Issue Date Signature ofIssu g ent Ap r i 1 2 8 , 2 0 0 5 50%Rule: Avenge Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Intact Shoreline VeeQtation ProtecHon Area) Land Use Permit No.��/- /O�7 (To be entered by the Zoning Office) Index No. Uy - /�17 WIIEREAS, (list all owners) ./�n,� {��R�i.��,� `LG owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WI�REAS, 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' landwazd from the ordinary high-water mark of the waterbody. 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 Pernut is issued by the Zoning Office. The owner(s) further agrees to allow authorized representatives of the Govemmental Unit to enter onto the owner's property at the following description to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE VEGETATION PROT'ECTION 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 Pernut 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. Ail parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: �o � � O F �/z'� �,1 �/��} �'1?� iyp. �7��y �; c,�-� o.�. - �a�, CS�D 6f �i�tJ �-/ri��i ? o� -�,,o �l/DoA ii✓�a 'T ��a G��e,.w�l� �—_�,, Dated this�day of_ �y-�pi, � �°`� -I�i�n- /'1?t.�1ou�J Ll.G (Owner) (Owner) _—�?; ; B✓� (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office c ��-►-� � c �� s �,trzv �Y M�� Yk ok l�ks q t to ia�c �ruorac� oMk � (�oy3 E�r,�w�i�se,T o��c I�oobs . tc�a�c� irt (�.L.i. �u��N �t-'(3� r(-��iW, h�us�Cr �O_�x�u. 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