HomeMy WebLinkAbout008-937-19-5307-LUP-2004-174 Application for Land Use Permit(*Shoreland*)
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]000'of a � a v
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 ISSUEA ,
�pr,; Q�.yd PRINT-USE BLACK INK OR PENCIL
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,Lo t�i�ir �oi'1'� Ma,ri-��('�;�
Owner Builder a
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Mailing Address Mailing Address la O �
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City,State, ip City,State,Zip �
S(os'-.r 9/-�o51j � �
Daytime Phone Daytime Phone � ��4:
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Additional Information: Zone District: ��-/ � .*)
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Lot Dimensions: �OS"X ���0 � �
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Date lot was created: J"2b dCAO.oi Acres: , Co T R
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Is there wetland near the proposed structure?If yes,how faz ^/O o �
Building Land Use Floodplain:O Yes O No � `� '�
( )New ( )Filling Chippewa Flowage:( )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 � �;�
O O � ��
Primazy Structure Accessory Building Addition o � �,
( )Dwelling �Q Garage-attached/detached ( )Deck � �
( )Yeaz round (o�#of caz stalls ( )Porch �;, �1
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room � �
( )Modular/manufactured ( )Greenhouse ( )Kitchen v �
( )Mobile/manufactured ( )Other ( )Bedroom � \
( )Other primazy structure ( ) ( )Relocate/enlarge
( ) ( ) ( )#of new � �
Additional Information: �^ ,�
v?y�C„jl` /�P�4t�rd (�.2rc��
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Type of Construction: ;�
�j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete („ y�
( )Other W
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Construction Cost:Primary Structure$_ 4�t/i� ,.d a
Accessory Building:$ �O�G�� Addition:$ � c.J
# 3/y 9B 9' � y.�
Deed:Vol Pg Certified Soil Test# Qo1 ` 35`� � z
60
CSM:Vol�_Pg /73 Lot#.� Sanitazy Permit# Oc?-�JD(o . '�
PlatEnvelope ��°38a Or: o, �D
Condo Vol Pg Yeaz Installed: �i.,�
"Loads and Flows": Vol Pg Owner When Installed: � ` �
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Previous office approvals/actions: "�
G1�`
Variance:# LUP:# 0�- Col9 SP:# CUP:# �''`�
Inspection Report:# Change of Zone District: � �/I_,
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glu�� '��'�L� r��= lT1
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.
#l . �G� #2. #3. #4.
Size �/ ft. wide ft. wide ft. wide ft. wide
a� ft. long ft. long ft. long ft. long
Floor area 3 �� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. finm grade �S�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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Fire Number and Name of Road /��9 .� /c��� � �
1 . Enter lot dimensions and indicate north by arrow. Signature of ner or Authorized Agent:
2. Indicate the location and size of the requested construction
Signature
activities. /
Print Name: �O o�n� `���
3. Also, indicate the location and distance to the well, The above ceRifies that the listed infortnation and intentions are
true and cortect., that all work shall be performed in compliance
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. a�n�s as ow�,er�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 propeRy for
onsite inspection.
Pe .. it fee: $ f 60
Total land area within 300' of the waterbody: (A) o�.S� yl�6 S9c�`•
Total impervious surface area [including this project] (B) -�3��f��
(B) / (A) x 100 = % Used � d (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes (X) No
May 11 , 2004 ` — < <�'�
Issue Date Signature of Is u ng nt
May 11 , 2 0 0 5 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No.-o y-��Y (To be entered by the Zoning Office) Index No. �Y- /7
WHEREAS,(list all owners) _ ,�O/�a„ 4� ,(on I" f Oi�
��t ¢ G�H� �����h
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3,. owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
" o WHEREAS,in order to secure a Land Use Permit.
* �
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� a NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that
v { the SHORELINE VEiETATION PROT'ECTION AREA on said real estate is intact to a minimum depUi of
z j 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
��i 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
O 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 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 Coimty
Zoning Office.
Legal Description of Property: �J� .J /'�u4� /S Tvn r�� .7�' �i.r��
Gov't Lot 3 519, T37 N, R9W Town of �y«�J D6P_97��S��o�
r,a g�war�r�rsa—i�aGnr,a�s
page 173 doc � 6382. Sawyer County, WI _
Dated this � day of /y�vs ,_p�D(�,�__
(Owner) (Owner)
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(Owner) (Owner)
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(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
,
CER ;�IFIED SURVEY M,4P
PART OF� GOVERNMENT LOT 3, SECTION 19,
T�WNSHI�P �7 NORTH, RANGE 9 WEST, roWN
OF EDGE:WATER, SAWYER COUNTY, WISCONSIN .
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SCALE �`�N� LOT 1 26. '2� � ao
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