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Home My WebLink About008-210-00-0100-LUP-2004-388 ' 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 ox stream or within 1000'of a ' � flowage,lake or pond or has any of the above waterbodies located within if � the property's boundazies. C CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �}- , PRTNT—USE BLACK INK OR PENCIL � � � �,r�4'fi �� -� ►�, ��11 e� � � O er Builder � �� i�� °� �D ling Address �� --I'�� Mailing Address � O �, ✓� � � City,St e,�,7ip City,State,Zip � 5 - �90 ��' � Daytime Phone Daytime Phone � Additional Information: Zone District: �12-� s Lot Dimensions: � Date lot was created: Acres: .3 /,Y9 Tv�o I � Is there wetland neaz the proposed stnzcture?If yes,how far o � Building Land Use Floodplain:O Yes O No � ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one): � fJCf Alteration O Grading O Private Rd O Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °C � � )�5a��7 � ) � � � t� Primary Structure Accessory Building Addition o 0 ( )Dwelling ( )Garage-attached/detached ( )Deck � O Yeaz round O#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed �, O Frame built on site O Screenhouse O Living room ;o ( )Modular/manufactured ( )Greenhouse ( )Kitchen ° ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlarge `� � � ( ) ( )#of new � d Additional Information: � o � 0 Typ of Construction: � (�rame ( )Log ( )Po1e/metal ( )Block ( )Concrete � �� ( )Other ,� Construction Cost:Primary Structure$ �� ,.d � Accessory Building:$ � �j Addition:$ �i�L'�� 8y3 z�s ,� Deed:Vol ��Pg y�_ Certified Soil Test# �; z ciaa ,� CSM:Vol Pg Lot# Sanitary Permit# � Plat Envelope Or: � �� Condo Vol Pg Yeaz Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# '� Inspection Report:# (93"C�l5 Change of Zone D:strict: �I 2��,Q`� '7qi5 � / Describe the construction using these wlumns.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 �✓Z- 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.fi-om grade��to peak ft.hgt. fr.hgt. ft.hgt. Stories_�_ stories stories stories #of bedrooms oZ, Lake/Pond/Flowa e/River/Stream Name �.G�� C��> �IC�IUG� /� � `f1Jundu, D� �'' �!' �' F�l�� - � , , � � �� 7 �� Fire Number and Name of Road � 'u � 1. Enter lot dimensions and indicate north by arrow. Si tu4e wne r/�uthorized Agent: 2. Indicate the location and size of the requested construction � — i ature &Ct1V1t1ES. PtlntName: �� 3. E�,�SO,Irid1C81e t11C IOC3hOri 3TId CI1St3riCe t0 YZ1C W011, The above ceNfes that the listed information and inte o s are true and cronect.,that all work shall be performed in compliance wifh Ne requiremenis of the Savryer County Zoning Ordinance septic tank and drainfield,wetland azeas,lot lines, a„a ma iew5 a�d re�wac'�oos or mB scace or w'�g�o�s�o,a�d a Centerllne of tlle road and waterbodles. acting as owneY(s)agent,has tne permission ot the owner(s)to pedorm the work requested on this application. The above personsls hereby give permission(or access to the pmperty for onsite inspeclion. Permit fee:$ Total land area within 300'of the waterbody:(A) (oy{90`� Total impervious surface area[including this project](B) 55�L5 (B)/(A)x 100=%Used 8,5°J� (Shall not exceed 15%[or 25%wiYh a conditional use permit].) Shoreline Vegetation Protecrion Area:Mirigation Required?O Yes O No � Tnl� 99 �nni. Issue Date Signature of Issui' A e t July 29,2005 50%Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protecfion Arca) Land Use Permit No. ��- J��B (To be entered by the Zoning Office) Index No. �-�_ WHEREAS, (list all owners) mQi}�`rV1 C,(, VJ � Li/��=��,�.£� //`�� - owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and y WHEREAS, in order to secure a Land Use Permit. � � °� 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. �,U � The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section C- 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 o 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 expiration of the land use pemut. 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 County QZoning Office. Legal Description of Property: S '� � t� / lU � G � GYJB �/G -60 �Q/Qd �''/ � rl 1.,�- � — o� �' �,c-� — Dated this �day of � � , �i/D� //�� /z-u'`t^--- — (O er) (Owner) � � — (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � . � � � �` � a 7 � � � � �i� i � 7 �g v" l� a0 �9 — � �. • � � ,.. � � �- °-� v� � � a � -� � s . h y�. �, � ? 1�• � � � � ��/ : ` /,� � 1 . o '� � N` � �� : � �! , �.� s" � °° . � .�T�� , j• ``• ` � � • . - • a'' ( `r c�t j"'`s r.9 . —� M � � �� .� � ' . _ ap S � � �: � � � — = �—�. . . . . . . . � � . . q � � ' � r� ��+ � �� / � � � ( `�� `� � ---, � / r pO -�- �r � I f � � � � `�(o"' Q p O� � l � p� � �i �,,,� n ` _' �L/ 1 �� . ' • • � . . . • � ,, v) 070 Q � ' � �� . . . . : . . . � , �,� � � . � l , � ' � . ; � �.. . . �� • �� • �ry E` J • . � � � �� s � . � ... . .�: .s�►/ ' . � � � �Q b�b v / � • • / w • .t . 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