HomeMy WebLinkAbout008-937-17-5105-LUP-2004-180 Application for Land Use Permit(*Shoreland*) r y '
County of Sawyer ° � � �
PO Box 676 -Hayward WI 54843 � `�
715/634-8288 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 ro
the property's boundaries. E
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMTTS HAVE BEEN ISSUED. gy... �
PRINT-USE BLACK INK OR PENCIL ;
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Owner Builder a �
/b/y � aAT�'-' J-�U�F pc'o r� �'
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Mailing Addres Mailin Address � p
�u �l�tn�. Cc.l� 5/�70 l �Cu ���� �(J'� ��/7 0/ � �
City,State,Zip � City,State,Zip
7/�-fr'�-S.�'�� �fo 2-�(7 L.- �/.+7/ _
Daytime Phone Daytime Phone
Additional Information: Zone District ����
Lot Dimensions: �2`t��x 21-L-
(D
Date lot was created: /0�S-8( Acres: �r lo�
Is there wetland near the proposed structure?If yes,how far o �
Building Land Use Floodplain:O Yes (�)No � �
Q�New O Filling Chippewa Flowage:O Yes �c) No �
O Addition O Dredging Driveway access off of a(Check one): � l
( )Alteration ( )Grading �,Private Rd ( )Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °Q
� ) � ) � S
Primary Structure Accessory Building Addition o 0
( )Dwelling ,�Garage-attached/detached ( )Deck � I
O Year round �'#of car stalls O Porch �, •�—
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room co
( )Modular/manufactured ( )Greenhouse ( )Kitchen v
( )Mobile/manufactured ( )Other ( )Bedroom g
( )Other primary structure ( ) ( )Relocate/enlarge
( � ( ) ( )#of new '
C�i+
AdditionalInformation: `� A
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Type of Construction: �
,�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other ,�
Construction Cost:Primary Structure$ .✓' �
�o
Accessory Building:$ '�Of/G Addition:$ ti/..4 � �
� J
Deed:Vol�Pg�13 Certified Soil Test#�5('!03 � 7
CSM:Vol�Pg 3 il Lot#_� Sanitary Permit# 95-a,�3 45'/�a � %`�
Plat Envelope Or: � �
Condo Vol Pg Year Installed: /q y'� i�
"Loads and Flows": Vol Pg Owner When Installed: � �
0
S�M�
Previous office approvals/actions: �
Variance:# LUP:# SP:#_ CUP:# �
Inspection Report:#_`{S'td.o� Change of Zone District �\�\'�
�Sac�
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 � ft. wide ft. wide ft. wide ft. wide '
Z6 ft. long ft. long ft. long ft. long
Floor area��sq. ft. sq. ft. sq. ft. sq. fr.
Hgt from gzde /� 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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__ _ L� add nr.c� 9n.o�t a9o8
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Fire Number and Name of Road '�L,.S/✓ C�/��<r,d -
1. Enter lot dimensions and indicate north by arrow. Sign re of 0 per or Authorized Agent:
2. Indicate the location and size of the requested construction �-��.����.�-- _
Signature
activities.
PrintName: TCIv i L�U S�
3. Also, 1ndlCate the IoCatlon and Cllstance to the Well, The above ceNfies that ihe listetl information and intentions are
true and conect.,that all work shall be pedormed in crompliance
septic tank and drainfield, wetland azeas, lot lines, with ihe requiremenis of the Sawyer County Zoning Ordinance
and the laws and regulalions of the Sfate of Wisconsin, and if
centerllne of the road and waterbodles. acting as owner(s)agenL has tne permission of the owner(s)to
pedortn the work requested on this application. The above
personsls hereby give permission for access �o the property for
onsite inspedian.
Permit fee: $ �00 �
Total land area within 300' of the waterbody: (A) ��j�Co
Total impervious surface azea [including this project] (B)_,�2.2QQ�
(B)/(A) x 100 = % Used �� _ � (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes �No
May 13 , 2004 -
Issue Date Signature ofIs in A ent
May 13 , 2005 50% Rule: AverageRoadSetback:
Expiration Date
Office Comments:
SHORELAND PRESERVATION AGIt�F,MENT
(Non-Intact Shoreline Vegetation Protection Area)
` Land Use Permit No.��y-I�(To be entered by the Zoning Office) Index No: �J 7 -� "�
WIIEREAS, (list all owners) •��', �j ��u�.�
�
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 condi6on 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 Department.
The owner(s)hereby agrees that at all times in the future, the real estate subject to tlus Agreement shall comply
with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
that the Land Use Pemut is issued by the Zoning Office. The owner(s) further agrees to a11ow authorized
representatives of the Governmental 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 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 Pernut and the removal of all
structures approved by the issue of said Iand Use Permit and the revocation of any other uses approved by the
issue of said Land Use Pernut. All parties agree that this Agreement shali be filed with the Sawyer County
Zoning Office.
I,egai Description of Property: �1Gn r p�' (�'o v- a� ' '
�,su�.tiry i Lo rt�zzo/Z) sE�7, �� S'-v,,- �„ ri7).
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Dated this day of ��� Q Sa�Y�y ,/7y1�
__ Y�/�i��
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This inshwnent was drafted by:
Sawyer County Zoning Office
.� � � .
SAWYIIt COUN'I'Y CIIiTIFIED SURVEY MpP Np,
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SURVEYOR+S CERTIFICATE: Q °Ip O IC Q
I� LYLE L. II1,I0'I`P � h I ?
� ,,,t ,v. �s�,o�,s��w. � N
registered land surveyor � �.b, Zi2.3B� ,.: ss.s�OE
hereby certify that by the � � '6' ���'° —Qo'.eo,00
direction of KEN BEhffS AGENCY� o . •�s'0C' EASE.HE.VT I
I have surveyed and mapped the y�o ze soc s�:
land parcel r�ich is represented � � �° �`
o ° +'' °°,
by this Certified Survey Map: N�ry , Z '� � � �,_ o ,e. Z.,
That the exterior of the land h '�'y \`�=
parcel surveyed and mapped Z" `°'� N 74'09 30��u. sz sc,,eF.•i�-ioo '
is described as follows; 3Z.9I� 2 �� 73 `=o
�ii � 5..�/°I/�ZO%c/. �4"' 9�V'j_
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A part of Government Lot 1} til� 90, G OZ S�F. h�� ���P- � z �� y t,
Section 17� Township 37 North, � ,. �N h � �y
W
Range 9 West, Town of Edge- °��' O ��'� �., ��, �,, �
water Count of Sa , "�• N--
� y wyer State �n a, o�
of Wisconsin� and more particu- Q. zo °y s��
larly described as follows: I �''� �o ��� � '�'.P
F°• �� s �,e' eo� �.,.a
Commencing at the East Quarter �`" ;��"4c;� ; ,'I�" �91 59� ��r�
�v 2J ���.o F r c?'.�. ,�, 3/ ,��c�
Corner of o d Section 17; ti, ���'.���s� .�� Za' o jO ji�qO
thence 5.85 :7'W. 1113.58 ` �� � .,� q9 �y B�`,�95"r
feet to an iron pipe being the .. � se5
point of beginning; 1
.
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thence N.22° 28� 10��W. 67.22 feet to an iron pipe;
thence N.53° 18� 10��W. 103.Ok feet to an iron pipe;
thence N.31° 37' 3�"W. 97.90 £eet to an iron pipe;
thence N.18° 14► 30��W. 82.06 feet to an iron pipe;
thence N. 9° 33� 10��E. 55.74 feet to an iron pipe;
thence N.17° 36' 30��E. 119.G� £eet to an iron pipe;
thence N.76° 23t 10"W. 226.66 feet to an iron pipe on the shore of Lake Chetac;
thence 5.10� 36T 50��W. on a meander line of said Lake 114.Sk feet to an iron pipe;
thence 5.20° 16• 50��W. on said meander line 120.00 feet to an iron pipe;
thence 5.31° kl� 20��W. on said meander Line 32.9t� £eet to an iron pipe;
thence S. 6� 25• 30"E. on said meander line of Iake Chetac 196.1�6 feet to an iron pipe;
thence 5.60° k6� 30'�E. 168.75 feet on said meander line of said Iake to an iron pipe;
thence N.85� 1,0� 10��E. 315•9� feet to the point of beginning; said parcel contains
3.32 acres, more or less, including all lands between said meander line and the water►s
edge, and subject to any easement of record.
That I have fully complied with the provisions of Chapter 23b-34 of the Wisconsin revised
Statutes in surveying and mapping same.
Reqist�ez's O[Bco �� � �� (� � (� �
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Sawyit Cocr.ty ��
kc.�i����a/�j-t�,r re;;ord thc I day oI '
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H � �cvn��� r�,;� .31L__ .` . 02T� Land Surveyor
- � �t` . = 4Jiscon ' Reg}stration S-1300
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