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Home My WebLink About008-130-00-1602-LUP-2004-173 Application for Land Use Permit(*Shoreland*) r ,� . 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. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL -��c7S 1'�Gr,.� ' � � /�'�ASa� Q3eouc�z �i�, Ln/r�s L L.C. � � Owner -� Builder a �3"73— 12�� ST. ./3 5�.�/S�.,r�T t3e�ui �%�7>;.� a: �I Mailing Address Mailing Address � p �;��(��,J a �([S. ��ETb Y,.�C!i o o d� ^Jo �7�$�7 . � City,State,Zip �� City,State,Zip �. '7lS` �Z��-_��zs'- �/�`�/9/ `a//9 z � � �Daytime Phone Daytime Phone Additional Information: Zone District: �/L r z Lot Dimensions � .,--, r- Date lot was created: Acres: , 5 '� r, � � Is there wetland near the proposed structure?If yes,how faz '` o �^� � Building Land Use Floodplain:O Yes �'No � 1 ( )New ( )Filling Chippewa Flowage:( )Yes No � � (�Addition O Dredging Driveway access off of a(Check one): x� � ( )Alteration ( )Grading ( )Private Rd (�j Town Rd � � ( )Moving On ( ) ( )County Hwy ( )State Hwy �" � ) � ) � � Primary Structure Accessory Building Addition o � ( )Dwelling ( )Gazage-attached/detached ( )Deck � O Yeaz round O#of caz stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed �, O Frame built on site O Screenhouse �(Living room rn ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen v ( )Mobile/manufactured ( )Other �Bedroom ( )Other primary structure ( ) �Relocate/enlarge � ) ( ) ( )#of new AdditionalInformation: � p , cn � � 0 Type of Construction: J, � 1(�Frame O Log O Pole/metal �Block O Concrete � ( )Other ��, ,� Construction Cost:Primary Structure$ ,.ti � � Accessory Building:$ Addition:$ L/,�� OOD, � � (�,1 � �t Deed:Vol -5 S Pg�� Certified Soil Test# � z CSM:Vol Pg Lot# Sanitary Permit# � � Plat Envelope Or: b� Condo Vol Pg Yeaz Installed: N ~ U �' "Loads and Flows": Vol Pg Owner When Installed: � ci Previous office approvals/actions: � Vaziance:# LUP:# SP:# CUP:# � � �� Inspection Report:# Change of Zone District: 5�f� � �1 Ce 9(o � S�a� � �.�� ir�T . �K��~ b'��- , 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. ►��a�� #2. #3. #4. Size�ft. wide ft. wide ft. wide ft. wide �. `��ft. long ft. long ft. long ft. long Floor area��sq. ft. sq. ft. sq. ft. sq. ft. Hgt from giade�_to peak ft. hgt. ft. hgt. ft. hgt. Stories�_ stories stories stories #of bedrooms� ��c:/ 3 �,C s_ Lake/Pond/Flowa e/River/Stream ame e� '. �8 .P '�.�` _T�a_c___ _.-- CDG_ �'v` . �a�r �� 73d �'7- ..2-M�w � e� � �Fir J� ��-�� — �,� �- ,��,� Ca�'��r�7� ,� , -�- 3 9 --� z f�`- /�l�a r-�-� . ,�,� {,/�vse � r a D.-r �ec[ . ��`'r S�A�� -,�,-� "�`�'' 1v �5�� v�+, S'z�'7~ ��' � Fr � �- ;Z�-t ��` O�3 ` t � t✓t�(� P� 4 ��" � � �r � � � a Fire Number and Name of Road L �587a w 1. Enter lot dimensions and indicate north by arrow. ' nature of ne�9 Authorized Agent: 2. Indicate the location and size of the requested construction \ Sig ture activities. �}� b��t � Print Name: / li� /"ra�' 'l d 3. Also, indicate the location and distance to the well, The above ce ifies that the listed information and intentions are true an d corre c t.,t ha t a i i wor k s ha l l be pe rforme d in comp liance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. acn�9 as owner�s�a9e�t,has the permission of the owner(s)to perform the work requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. C�, Permit fee: $ �S Total land area within 300' of the waterbody: (A) ;,z'7�"� Total impervious surface area [including this project] (B)� �,'�L'L_ (B)/ (A) x 100 =%Used �,,� (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? (' Yes O No . May 11 , 2004 ' _ 1 Issue Date Signature of Issui A en May 11 , 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Ve�etation Protection Area) �.., Land Use Permit No. [�J� � � (To be entered by the Zoning Office) Index No. ��_-��_ WHEREAS, (list all o�vners) �"�_(.��y'� �� Et,✓ a � a � , � owns real estate withi.n Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Permit. .. c � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that the SHORELINE VE�GETATION PROTECTION AREA on said real estate is intact to a minimum depth of � 35' landward from the ordinary high-water mark of the waterbody. � The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section 4.410 SHORELAND `�EGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on j 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 expiratio�n of the land use permit. However, the owner's obligation to maintain the SHORELINE VEGETATION PR07'ECTION 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 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 Description ofPi•operty: Lot 18 of Haye ' s Hermitage of the Woods Subdivision located in Section 4 , T37 N , R9W , Town of Edgewater , Sawyer County WI ated this `� _ d y of , L. � (�wn (Owner) � � ��=� � (Owne'r' (Owner) (Owner) (Owner) This instrument was draft��d by: Sawyer County Zoning Office G,�_� �� LAK E ��—��— C H E ��'�_ -1_ ��_.�_ -Z_ �� --'�'�.r��1_ '�_� i 24 23 2 2 21.2 20 19 I 8 17.2 16 15 4.2 14; 13 12 II 10 9~' � � � � �E 1 A KE C ETAC DRiv� � , � 23. i E I 5'LOT 18'LOT 17. I � 21.I ( � 25. 2 I TOWN ROAD � 2�.4 I GOV'T LOT - 2 I Q � � 25.3 I pN�� l / � �P G \ y� 1� � � � > 1�5 � � �9 _ _ � `1S 30 FIAY'S HERMIT, �� S ORE CONDO. WQI SEE EAST H j SUB OF PRT G� 12 4 '` GOV�T LOT 4 � � I� 3�} v > > a J/ 36•< < = SEC. 4 TW � 35. � 36 / ) 37 /./ •