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Home My WebLink About008-130-00-1100-LUP-2004-512 Application for Land Use Permit(*Shoreland*) o o ' County of Sawyer � `-- . PO Box 676 -Hayward WI 54843 715/634-8288 Tr� *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 (� F� the property's boundaries. � _,` � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL �=R�anil� l.fJ A�c�,J� � �A w�� p�v,�M�,P � ( Owner �o�rN A• -'��y� Builder a SSa�F �IEL�A Lf�N� l�''f5 s - :�7�>c-, .;��F" N � Mailing Address Mailing Address � O � � �'ccKc'�,�� '� , 6llog ffpL��M�� , l�i�, �>�1:'�S � � �� City,State,Zip City,State,Zip � �r h � ��S- ��-ia3� 1is- y�� -- �'��y r- � Daytime Phone Daytime Phone � Additional Information: Zone District: R�-� S '� ., Lot Dimensions: ' � � � � Date lot was created: Acres: , ,1 57 �,. Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:( )Yes (X)No � (,1�New O Filling Chippewa Flowage:O Yes � No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading (��j Private Rd ( )Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q O O � S � r Primary Stnxcture Accessory Building Addition o 0 ( )Dwelling (�Gazage-attached/detached ( )Deck � O Yeaz round (o'�#of caz stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed ^, O Frame built on site O Screenhouse O Living room c� ( )Modular/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom o � O Other primary structure O O Relocate/enlazge rp � � ( ) ( )#of new � V� 0 Additional Information: > � � � 0 Type of Construction: � � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other ,� Construction Cost:Primary Structure$ ,.ti � Accessory Building:$ !�� ✓0� Addition:$ � � � Deed:Vol 3�1 _Pg, �'�._ Certified Soil Test# �, z CSM:Vol Pg Lot# /� Sanitary Permit# � � Plat Envelope Or: � � �� Condo Vol Pg Yeaz Installed: �i�c�e r �c 1 I(�� N I� U �" ' "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: �. Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: �j�l3�°�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 column. #1. Ficcmar #2. #3. #4. Size� fr. wide ft. wide ft. wide ft. wide .3 � ft. long R long ft. long ft. long F'ioor area �9�v sq. fr. sq. ft. sq. ft. sq. fr. , Hgt frvm grade �5 ' to peak fr. hgt. ft. hgt. ft. hgt. Stories / stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream ame d( c^ � dl� Jz.��.lL f�� YJ �C� 1 � ^ � i� �r8 � �i� � �'ob ' ��`' -��- _ ��{ _ �" �^'-.� � �a`� � - -- N ,�v� C7 !SG �,�- �p''e V � � j �o �— !/ �z �' — -- � �k C ��'-�E'�F��C Fire Number and Name of Road /SS/O D L !-��A �/S !Z D�D 1. Enter lot dimensions and indicate north by azrow. Sign of Ownel'or Au ho�iZed Agent: 2. Indicate the location and size of the requested construction y� �i�,�� (� �� SignaNre activities. PrintName: �'RA�.�K W, �h �'uD�r;- /�L N 3. Also, lndlcate the loCatlon and d15tanCe to the well, The above certifes that the iisted intormation and intentions are true and covect,that ail work shall be pedormed in compliance septic tank and drainfield, wetland azeas, lot lines, with ihe requiremenh of the Sawyer County Zoning O�dinance and ihe laws and regulafions of ihe State of Wisconsin, and if CentCTline Of T.}le Lo2d and wateIbOdles. acting as ownef(s)agent has the permission of the owner(s)to perfortn the work requested on this application. The above personsls hereby give permission for access �o the property for onsite inspection. Permit fee: $ �0 D, o o ��y�� Total land area within 300' of the watecbody: (A) ��r7�v S'%, 9 3� �� v�� Total impervious surface area [including this project] (B) 3�? SO a pyr (B) /(A) x 100 = % Used � > (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes O No September 16, 2004 - — Issue Date Signature of Iss g ent September 16, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: LAK E �� -1�-�_ .,ti ,�_ C H E TA C ��/390 i--- �J�"-� �.-� '�-�1- �"`_ l��_ 24 23 22 21. 2 20 19 18 17.2 16 15 4. 14. 13 12 II 10 g~� 1 " sv "�"� 2 � p ��* �-1 r �V AKE � / 7 6 5 4 �� C ETAC pR�y� 3 -�� 2 �( , � 25. I E I 5' LOT 18' LOT IT. I � ) 21. I S � � 25. 2 I TOWN ROAO � 25.4 I GOV'T LOT ^ 2 I '-' QOV'T L OT 1 � � 25 . 3 � � , � _ � ' _ �� / � P GoNp� l� � s�� \� � SHORELAND PRESERVATION AGREEMENT (Shoreline VeEetation Protection Area) Land Use Permit No. - (To be entered by the Zoning Office) Index No. Q�-_�_ WHEREAS, (list all owners) Frank and Judith Allen k , � -o � 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. �G NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that C the SHORELINE VEGETATION PROTECTION AREA on said real estate is inta.ct to a minimum depth of � 35' landward from the ordinary high-water mark of the waterbody. � The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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 o�ce. 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 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 lC� 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 .1 structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the Oissue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: Lot 11 of Hays Hermitage of the Woods Subdivision located in sec 4 , Township 37 N , Range 9 W in the Town of Edgewater Sawyer County , WI 008- 130- 00- 1100 Dated this C� day of ��f�T. , d��_ (Owner (Owner) r (Owne (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office