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Home My WebLink About008-937-17-5116-LUP-2004-261 Application for Land Use Permit(*Shoreland*) o 0 County of Sawyer �, � L 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 `�" flowage,lake or pond or has any of the above waterbodies located within �l the property's boundazies. F � CON3TRi�CrT�IO�HALL NOT BEGIN UNTIL ALL REQUIRED PER�I�H�A'VE BEEN�S�UED. `\ W i� PRINT-USE BLACK INK OR PENCIL �r F� w71 G!r �E� � a u, A- fi�f_e✓ �L,i h / �O-e a�z �n n s� � ' Owner Builder n n�. Q /� v /ry N� � /�OV� U�h Z'i..� C.-ir � R/✓� �� Mailing Address Mailing Address � p i�o m.�o ri, l L.� Z�L , (o u yy��s�o��<',h�7�.,�-�. , w,- �`Y7�� City,State,Zip � City,State,Zip �l� � s'�7 -7y�9 7/5=�� o.�>G �(( Daytime Phone Daytime Phone �' � Additional Inforxnation: Zone District: ��-� R Ur0�r5 /fQln-� -,Q�rc.�,wra�.� p��- ay� �- � � Lot Dimensions: 7/, -.3�y-33�� Date lot was created: Acres: .�y�C f - - Is there wetland neaz the proposed structure?If yes,how far �j��T0 /�� o � Building Land Use Floodplain:O Yes O No � �l Ik1 New O Filling Chippewa Flowage:O Yes O No � � O Addition O Dredging Driveway access off of a(Check one): x� ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � `� Primary Structure Accessory Buildin Addition o 0 44 Dwelling (f}Garage attache etached O Deck � � �Year round ,�#of car sta s ,2 (�a-Porch �;, ( )Seasonal ( )Storage Building (�Enclosed � �Frame built on site ( )Screenhouse ( )Living room co ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge \ ( ) ( ) ( )#of new w Additional Information: J � � � J � Type of Construction: � �,Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ( )Other .� Construction Cost:Primary Structure$_��00� � b Accessory Building:$ Addition:$ � � Deed:Vol (�4o Pg �y� Certified Soil Test# 9�-Q$/ � � z CSM:Vol �y Pg 19 Lot# 7 Sanitazy Permit# d y- /'j/ °4 7� Plat Envelope �3y a� Or: o, I M Condo Vol Pg Year Installed: �;, I v, � "Loads and Flows": Vol Pg Owner When Installed: �o � Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# 6� Inspection Report:# Change of Zone District: bIBI��I l�v �53� r 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.��//te_ #2. N,� ,/�f�� #3. /.� a'rc4 #4. Size y(j ft. wide ,>2�' �'ft. wide _j�fr. wide ��i�'�,�..1 ft. wide �fr. long �_�ft. long �ft. long fr. long Floor area/ Q(J sq. ft. Sy3, ky sq. ft. �G sq. ft. sq. ft. Hgt firom gade to peak fr. hgt. fr. hgt. ft. hgt. Stories_� �_stories , �_stories stories #of bedrooms�_ � Lake/Pond/Flowa e/River/Stream ame � / j ��;: 7 -� L�/�C - -- '�, �� ' �l� T � �� zd 4 . //�� , ti � ��_L� � �� ; ` ii�.�� _., � _ ;�,� � ; 1 , Yo i 1 ��,� �� -9 �� `�� '�� ' I � 3�� a� ! � ; , , �y� ,z , / Fire Number and Name of Road i r/ � ✓ � S l�r. D� j C/y 1. Enter lot dimensions and indicate north by arrow. Si e Oyvpe o Authorize gent: 2. Indicate the location and size of the requested constnzction � Signa acrivities. /+ T,j�o �G� �'o!� s/ Print Name:C- �� h 3. Also, indlcate the location and dlstance to the well, The above certifies that the listed info a6on and imentions are true and conecL,that all work shall be performed in compliance septic tank and drainfield, Wetland azeaS, lOt 11ne5, wim Me requirements of the Sawyer Counry Zoning Ortlinance and Ne laws and regulafions of the State of Wisconsin, and if centerline of the road and waterbodies. a�u�s a5 ow�er�s�a9eot nas me�e�m�5�oo or�ne owoeqs��o peAortn me work requested on this application. The above personsls hereby give permission for aceess to the property for /� onsiteinspecUon. Permit fee: $ 0�0 SC� (�, �� Total land area within 300' ofthe waterbody: (A) 3(p � (aSg Total impervious surface uea [including this project] (B) aac,y (B)/(A) x 100 = %Used (o°Jo (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�No June 10, 2004 _ Issue Date Signature of Iss 'ng ent June 10 2005 ' S0% Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shorelinc Vegetation Protection Arca) � Land Use Permit No. OS��OI (To be entered by the Zoning Office) Index No. �� -ZcO � WHEREAS, (list all ownecs) � i G�ctrd ��-t la 1 ✓ � � ��ld ir, � ��e r � 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. 3 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 mazk of the waterbody. � yThe 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 I 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 O 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 structutes 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 of Property: L oT , 0�° GD ufi �o�/ �-�c . /� TCr:H 3 7� � � � fi �.� �,� �� fi Y ('��B - 937- !7 -S//!o _ � Dated this (o ' 7 "�� day of „�D � �' , (Owner) �/ (Owner) �' � HLo� "�l,t/((�,rr�c i — —T ( er) � (Owner) ` �-�-�.,,�� C�. � _� (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office . � ^ ^ . . ��(��E� hO�Y�Y MAP C9Y{ Ok �oacvNw��n� (�ok i , �Ic�kIDK I� '10U��lh�ilP 3"( �oY(vl, K9NqT G5{, 'tD�1N oY �i�pGU1��GV, h2Wu�,l�IS. �v� 2 e� C.S.M.f3fDV �Vo�.i9 ;.y�� 1�{inK��r G�� v \ I � � . t ��`��o'S\ �� j�' ui ia•E-m.�� -� titit+�\S�. � ..� j57.4r: � 7o.r 79�>.l' � � 1 � \ /� �b�P ^+. . ? � � ` �odnb t"o.p. �YOK �i�G an 2 ��,�� `�. � / /1 li�at e� 61'�.t tl�c�'+c oK dt4a wbP y � P.c.B. 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