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HomeMy WebLinkAbout008-118-07-0001-LUP-2004-136 Application for Land Use Permit(*Shoreland*) o o �--' County of Sawyer � - PO Box 676 -Haywazd WI 54843 715/634-8288 �"�► *Property that is located within 300'of a creek,river or stream or within 1000'of a � �i flowage,lake or pond or has any of the above waterbodies located within � � the property's boundazies. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � �,p� PRINT—USE BLACK INK OR PENCIL �t :J.�X�c<-t-.�t. * .le�v_-2 �-,-�•�.2 /�i /L(S lr �s-/�-��W' .�-^�L c �' � Owner Builder ' � �� �mc /�o � �v /3�c /(o / " �;,'� Mailing Address Mailing Address � p �;, 'STa-,..� G��-�(e--, IN� S�fb'�� Sj?r,�� le-�G, lv�� Szf�7� G � ,�`:� City,State,Zip City,State,Zip �,s�- � 3�-aY 9 r- ��s--�3��- �u �j Daytime Phone Daytime Phone � � c�.. � Additional Information: Zone District: 1212-i 1, � � Lot Dimensions: �`�� 1� I O b j � � Z � Date lot was created: Acres: !•�b ��• � Is there wetland near the proposed structure?If yes,how far ��� o Building Land Use Floodplain:O Yes ( �No � (�New O Filling Chippewa Flowage:O Yes (� No �o O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (�Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � S Primary Structure Accessory Building Addition o 0 (�Dwelling ( )Gazage-attached/detached (k)Deck � � O Year round O#of caz stalls (X)Porch W ( )Seasonal ( )Storage Building (X)Enclosed � O Frame built on site O Screenhouse O Living room �o ( )Modular/manufactured ( )Greenhouse ( )Kitchen ,•", ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primazy structure ( ) ( )Relocate/enlazge \ ( � ( ) ( )#of new � Additional Information: p � _ � 0 Type of Construction: �X)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �� � J ( )Other ,� Construction Cost:Primary Structure$ 7�, u o� : � w Accessory Building:$ Addition:$ � �N � °C Deed:Vol � `�� Pg �`�� Certified Soil Test# � I � ; 'r`> �, � CSM:Vol o�� Pg o'��ot# / Sanitary Permit# OS�-�9?, °O '� l �t !�ai Csnn+�bdVo Plat Envelope ., ;'; Or: �� o� � Condo Vol Pg Year Installed: c;� (� "Loads and Flows": Vol Pg Owner When Installed: � l 0 Previous office approvals/actions: Vaziance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: �'„s��y lll°1 �1(�S� 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 colum . #1. �lc-"'_� #2. DQa-n l�ec.�L #3. �N�-L�z=D �c�r��l. #4. ,�e ��i Size Zf. ft. wide _�ft. wide j y ft. wide /X ft. wide �t o ft. long � � ft. long � `� ft. long �-z� ft. long Floor azea )04 o sq. ft. 3�n sq. ft. ��d sq. ft. 34� sq. fr. Hgt from grade � � to peak ?j ft. hgt. i S ft. hgt. �' ft. hgt. Stories � �� � � stories � stories 1 stories # of bedrooms 3 r��. 1� a /Pond/Flowa e/River/Stream Name C�s�� V�� ,f��, f \V 4U r g` � A�� ae��� '7r 3c� ' zy � i4 �Nt.tcse7�F po-�-�ti �� l ,- ,s- -� �, ' �oFT Z'' �, '� � � �\ u.�i � ��v:� h C\ � ��� ,.� � �g \ Fire Number and Name of Road /�'L A J a S T>£e i — C Dt>L- W „T�-;' 1. Enter lot dimensions and indicate north by arrow. -" Si ature of Owner or Auth�{'ized,Agent: 2. Indicate the location and size of the requested constructioL �ti+.-w. �A.c�-.��*�-� _ Signature activiries. �V' �. S`I�J�n� C'��c ti' D s i+u f{ nnl Name: 3. Also, lndicate Che loCatlon 3lld d1St3T1Ce to the Wel , The above caNnes that the listed information and Intentlons are We and conect.,that all work shall be pedormed in compliance septic tank and drainfield, wetland azeas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and ihe laws and regulations of the Shate of Wisconsin, and if centerline of the road and waterbodies. aa�o9 as owoer�s>a9en�, nas me�erm�ss�o� or me ow�,e��s�to pedortn the work requested on this application. The above personsls hereby give permission for aceess to the property(or (!J onsite inspection. Permit fee: $ cZDp �-5� o�� Total land azea witlun 300' of the waterbody: (A) `I��300 Total impervious surface area [including this project] (B) r a_3� (B) / (A) x 100 =%Used .3 °7e (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes ( No 1 - � May 5, 2004 — Issue Date Signature of Is in gent May 5, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMFNT (Shoreline VeQetation Protection Area) Land Use Permit No. Qy—�� (To be entered by the Zoning Office) Index No. �- �� WHEREAS, (list all owners) S�(l� y�Lt�L�l4�j�.�, � �� .,�,CI\ 1 , 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' landwazd from the ordinary high-water mark of the waterbody. The owner(s) hereby agrees to comply with the 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(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 maintain 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 01'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 Cotimty Zoning Office. Legal Description of Property: �ef/ CSI�1 aa f a,5►7 (yL a a�- 38-9 'JiQ�Pua:.p 0�� ��s�4 �n�^�7 u;v� � � ' �o Y.�- .ScP c`�°1�� /�'� 9G � �.r N��� k� Dated this o?a. day of �� , ��y (Owner) \ (Owner) 5� � — (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office _. rr= io.� �✓ ir �rr�{ c .-. �,, . � � nr � t -�^� � � ��.�� � i �� � �.�v �� �� t� N /.��h ? y' a-- , Qark a��� �ecur�c� l�k o��kt,�illa � o� �b u►�kc� nnb o�c� o� lat�cb ��nbs in (�.1..1, 4�c.ti'i�����1-RqW �i�w �r Co�v� ��Sc�n4in CLOVEft 5'(CL��'� L[,� ��N/ 0 r--- �DD'•22=�14"E^�3�2.4d � 1'`_. 170.��1" I I i-- 19Z.T4' � o � 9 � I � � i � I � 8. � � ; ;. ° ~a 0 0, p .^� E `n � v `� c:' I I�` ..�s N O, v � 1S' � `� ? 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