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HomeMy WebLinkAbout008-937-08-5312-LUP-2004-310 Application for Land Use Permit(*Shoreland*) o o . , County of Sawyer , N � I�- PO Box 676 -Ha azd WI 54 �-," - � .� �'` ��' `� V � Y�' �E �..t��.•.,:: �.,.., i 1n k:!�a � 715/634-8288 m � *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 boundazies. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL � �2ih h0.Y�� �Pu2ti �F- J�CA�+�� GW�.2r � � � Owner Builder a 3°13-7 ��edo��l �.v�e o: � Mailing Address Mailing Address � O � �Q„_ C lq�re� l,U 1 5 4 703 N a City,State,Zip City,State,Zip 3? �1 ����� R39 -oea� � �l Daytime Phone Daytime Phone o � W P Additional Information: Zone District:_�Z � � J Lot Dimensions: �b(D X 1 9� � Date lot was created: /U�3�- 7�3 Acres: •y 7 `6 c ro Is there wetland near the proposed structure?If yes,how far /�-/0 -�'+, o Building Land Use Floodplain:O Yes (X�No c QQ 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 � � ) � ) � `� Primary Structure Accessory Building Addition o 0 ( )D;velling Q�Garage-aib�ed/detached ( )Deck � � O Year round (3)#of caz stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room cn �W O Modulaz/manufactured O Greenhouse O Kitchen v I ( )Mobile/manufactured ( )Other ( )Bedroom p _ ( )Other primary structure ( ) ( )Relocate/enlarge C � ( ) ( ) ( )#of new `� � w AdditionalInformation: ;' p o �, x � Type of Construction: t� I QQ Frame O Log O Pole/metal O Block O Concrete W P� ( )Other r � � Construction Cost:Primary Struchzre$ � � Accessory Building:$ �000 . OO Addition:$ � � :° rJ � Deed:Vo1 (,G CP Pg NYS Lo+z Certified Soil Test#__94=�/`/S � z CSM:Vol 3 Pg q Lot# yy(o Sanitazy Permit# oo-oy3 tl4 7y Plat Envelope Or: o, .-P Condo Vol Pg Year Installed: �;, "Loads and Flows": Vol Pg Owner When Installed: o � � Previous office approvals/actions: w Vaziance:# O -D�D LUP:# t)O'b� SP:# CUP:# N Inspection Report:# Change of Zone District: \� �\a\17�V` �aa� � 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 . �aYc�2, #2. #3. #4. Size�ft. wide ft. wide ft. wide ft. wide 3 O ft. long ft. long ft. long ft. long Floor area g9 cA sq. ft. sq. ft. sq. ft. sq. ft. Hg� from grade 1�� to peak ft. hgt. ft. hgt. ft. hgt. Stories ( stories stories stories # of bedrooms � ak /Pond/Flowa e/River/Stream Name �-e�0.�- � � oc� ' ��Ciiti��`� ��G �� k � x ���►�o, �ov�s-2 �g � — — � '02� ��X ,.�j .- 1 �K i-���..�� h-e �k �ka, w c��l -d- CJ�c�S a�.�� � �� � � S`^7 � �G`�p��P d� m cJc..Ya�-Q �' I� 3 �l � � . �f ( A-o c�e�. �e.r 1 i ,..�e o-G' �d �rro w 4�� �.c�.�..�e. � U Fire Number and Name of Road �lp �-I y � LU �Yraw��2c�� �c��.� l. Enter lot dimensions and indicate north by arrow. Si tG e-3f Owner t or ,d ge : 2. Indicate the location and size of the requested construction Signature activities. Print Name: ��V2.�n � . �2��.�Cl�r� 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct., 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�c��s as ow�er�s� a9e�t, has the permission of the owner(s) to perform the work requested on this application. The above persons/s hereby give permission for access to the property for onsite inspection. Permit fee: $ IOZ� a Total land area within 300' of the waterbody: (A) oZ � `i�S a -��' a Tota� impervi�us st�rface area �in�luding this project] (B)�3 �d� � (B) / (A) x 100 = % Used ^_ I. y , �`�?o �- a (Shall not exceed 1 S%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes (xl No � � June 28 2004 .��h� r L6� Issue Date Signature of Issuing Agent June 28 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: ��p!h �S �Wn.e_ l S �8�� � �� ���f"���t ��G�' � �� �'� / / -- , � l'�- z �� p. G�'�.. �/ , ' € � SHORELAND PRESERVATION AGREEMENT � � (Shoreline Ve2etation Protection Area) t Laud Use Permit No. �y-3 /D (To be entered by the Zoning Office) Index No. Q�-��O WHEREAS, (list all owners) �{ .t���., nr� ��-evP-ti a�. r�. JkC� � 'Nn � � � 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. z1- jNOW, 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. L` 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 c 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 Q VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall teaninate � 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 a PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will Oauthorize, 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. Ali parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: C�-ov-� o t '�Jr t n� �F-� S2c, g . �wv� 3 oZ N 1� 9 l.0 �.o-�- � 5�,,�r.�� v� e�oa GSM � � � � �aa q Co��,. �Y #- ooR - 437- � g- t�ia �i- .��el # • 3 la Dated this � day of , �O O . (Owner) (O er) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � ^ /� _----- 83�n;d,�..o � / �QT 1 �L�� / 1•�Z� S�p s „ P_4Hr� 0 � .�,/3 e� ,� e � /Noiqr /� Gi a1'Oa iaa° �%� Z �`�- I@CNfb P� oo �.. � � ,oAR�< p� �� � H f \ � I �/ 32�eo' io,°a�.~ � � A � � O� 'A /�/ '°L ? 'c . �' � =cs�r. �,`,* . �,f�� , Y�' N � � sf� so J o / � � �. � / O , ' `� � / S95° �w `' . iai•%jaa' " f. S \ '� w �� . / �� �y s� l.a� �a.6, 6oVC .. e'_zc� m �'.1sKF+� w� ei/ �'�' Gai��a u r Z �+ �+. � v iv 4i� bi9/+ rv��c✓ - w ao�tR.o v � w ,.�� '� o°E��` � Z � �N '°�1.�' � A G m i � N�, op G � c� ti 6' :ti�°�s �-_ 0���� �. u � GcRTir�cn Su►Zvc-Y vov�T. LoTs z � 3� s�a. s; T. 37N.� R. 9w. TowN or L-avr-waTr-�, sawYr-rt Go. �SaBoivisioiv a� GFr�Ti�=iFo Sur�vc-�' Vo�, /� PHeE ioa � /�an monr�?/cn�� {iunc�- O i'xao".�.�P.p.a ii3/6s/�1-. �eo�in9s v�-a o�surn<� r<�erreq��e r�ca�r/eq� baarin9t ��{���ie P/o� v{'/ndaH Beoc�i Poi�. 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