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Home My WebLink About008-938-34-5408-LUP-2004-606 Application for Land Use Yermit(*Shoreland*) v y County of Sawyer ° � ` PO Box 676 -Hayward 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 a�iy of the above waterbodies located within � the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ��c� Q,� PRINT-USE BLACK INK OR PENCIL ( �r �r ��i' ��'et' dc��v� �2 � � Owner Builder a � ►�' C �aq�n i p � Mailing Address � � ) � Mailing Address �. p � "fio'►71ct� UJr 5`/��U � � City,State,Zip City,State,Zip G��.��3� � Daytime Phone�� Daytime Phone - -� _� Additional Information: Zone District: ��-( � � Lot Dimensions: � Date lot was created: �-/Z-'7q Acres: t �/ �'' ;` Is there wetland near the proposed structure?If yes,how far (J n '� o � Building Land Use Floodplain:O Yes O No C ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No � (vv� �Addition O Dredging Driveway access off of a(Check one): � v �( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )CounTy Hwy ( 1 State Hwy °Q � � ) � ) N `� Primary Structwe Accessory Building Addition o � (�Dwelling (')Garage-attached/detached ( )Deck � ( )Year round ( )#of car stalls ( )Porch �„ � ( )Seasonal �Storage Building `�Enclosed � O Frame built on site O Screenhouse �( )Living room co ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen V ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge � `� ( ) ( ) ( )#of new AdditionalInformation: ,� „� �� Type of Construction: � ( )Frame ( )Log �Pole/metal ( )Block ( )Concrete -� � ( )Other U � y Construction Cost:Primary Structure$ � � !",7 Accessory Building:$��'a, " Addition:$ '_�,)L�C�,'�'� o a4 ,�ISSr'7 � , Deed:Vol Pg Certified Soil Test# �D "3'�Z � z CSM:Vol�_Pg�i,ot# :� Sar:t:r;�Penni±# $( - /!(0 00 7� r�iz r y Plat Envelope Or: b, Condo Vol Pg Yeaz Installed: i;, � � � "Loads and Flows": Vol Pg Owner VJhen Installed: cc � Previous office approvals/actions: "` Variance:# LUP:# $1-lzo SP:# CUP:# ,xy Inspection Report:# Change of Zone District: _ �' I��rl � �� c-�� llescribe the construction using these columns. List the dimensions of each structure in a separate ' , column. List each story, each addition, each alteration in a separate column. #1.� ;1�,�.�y� #2. _ ,_..�,,�. � • ,i,�` #3. #4. Size �v �de 1 �`- ft. wide ft. wide ft. wide .;it� ft. long �_'�' ft. long ft. long ft. long Floor area � �-;(-' sq. ft. _�� sq. ft. sq. ft. sq. ft. Hgt. from grade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream Name �--�� ` � ..... . t . � � � � t t .,..„ : � r '�' , , . � � � ___._._._._�_. _ . _ _ . . _ \ � i , �' G�C ` �� p� , �3 �, � 1 �r�� .�.._-----� _ � ; _ ,�flor�� , �-�- �� -� � ��`� i�,�a� k �.::- f�v , ; <, -�'?� ��.,. � , _,� . /�� i- �a' �' � , -�% ; C : � 7 "=- , , ; � � ,� �Iz� €� � (71�� t �J �+II��--- .�t� '� � �``,,$ : . ��,�_____� � _ � , ,�^� �1�-as, - ��--��.8, .ao ��. � �, a�� UC�.rttC�P„ . ',� �'$' .�(�, , ,� � °��, � �� '� • t �«' � � 1 - --- �--- ��ra Sed r ��. �:� � �a �cr��-� 't1�G1 � �,�t� �'�r-�` � -- �� ; �--.� , .5ze ; �'' -�---- 1 �f �L�r,,.�"` c��`��.�,� C.� T F�Q�' �. �lc�cl�,. �Sa +�o��e� i 7�� _ . , ,� , "'�' � , s._ l��, '�",-�' r'� ,. 1 ,_:i, _..._ . , _ ._ _ _ . _._ _. „�r` .... ....... .._. _-_____-- f'�". �, r} _. � i ; �' _ ;, �.. . , : /�,�. _ � _ �. � Fire Number and Name of Road � � l. Enter lot dimensions and indicate north by arrow. Signature of Owner oriAuth Jized Agent: 2. Indicate the location and size of the requested construction ""� f� ; A� ' 1 '� Signatur activities. Print Name: � � (� � ' , � � 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are ` 7� tnie and correct., that aii work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, L�` � with the requirements of the Sawyer County Zoning Ordinance 5Z and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. �{z� '7� C acting as owner'(s) agent, has the permission of the owner(s) to ��-r� ��. E-- perform the work requested on this application. The above �`3�0� __.-----'""- personsls hereby give permission for access to the property for ��" `�� onsite inspection. �'i� ��% i/ �� Permit fee: $ `� I c ► " -- Total land area within 300' of the waterbody: (A) �Z ,,5 ``��'��1 �' —�-- Total impervious surface area [including this project] (B) .-� �CC � (B) / (ti) x 10G = % Used (Sh��I not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes ( ) No b Q� � ., � � — --a- �w ' t»`' Issue Date Signature of Iss 'ng gent �� , ., ;�•_ �" �`j � 50% Rule: Average Road Setback: -, ,� � �`�, � � �•^. ' ��` ',�, Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Area) Land Use Permit No. � '�O�D (T be entered by the ning Office) Index No. �y -GO6 . WHEREAS,(list all owners) 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 condition of issue of said Land Use Permit,that d the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of -�i 35'landwazd from the ordinary high-water mazk of the waterbody. c � 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 office.The owner(s)fiuther 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 913(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 temunate 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 � authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, a 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 Pernut 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 T Zoning Office. 0 Legal Description of Property: Lot # 1 of CSM vol 6 page 194 map number 1214 as part o€ Gov't lot 4 sec 34, T 38 N, R9 W, Town of Edgewater, Sawyer County WI 008-938-34-5408 Dated this 7 day of October , 2004 (Owner)�I , � , (Owner) — (��7P;. / l,d�'titLy (Owne� , (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office n '� �� >'i� �. (�c -�� ^ _ NORTHGATE ASSOCIATES, INC. RICE L�KE, WISCONSIN 54eba CERTIFIED SURVEY MAP N0. uraTen r:: x;•r. uT a, S�mT�t: 3a, T3aa, r.s�r, rc:r.� �F rnsr,rarF�, sa;��= cu ;�, ,arscx.:u^rt: 168580 {yy��'�CY� 1 SE CORNER ��y f LAT OF WQ00 XAVEN p.o...,�.�.0 1=� °°+' � /."r-;..� AD�%%a �' odock N85�0T`E V.O.& I �Mm�dr�—z- r 6fi awu. �a�� —�x:� zr. � uzi� �oA w d�—' . .1�.P. ��G-, e� _ �.. � Wp. o a LOT 4 BEARINGS REF- Deputy q EflENCED TO THE � 173°3BId' SOUTH LINE OF p ; THE PLAT OF y� o �y WOOD HAVEN AS q Ne6°00� ��E g �� ARINO NBQ°07� 83t 162.20 M �a I o n� m u m 2 173°2'f5�� n LOT3 , _ o n I a o �,6 a9�Poq ss' 3 y8� N84°4529�E 3 V �, �� 200.02 ,.� e / �Q, SB_ �.� p,�� h 0 � (�/� `f?s N �� V 170°46�14� °� �/ E%ISTIN LOT 2 � ry3 _�E G E N D NOUS � '��j ^� � 2°PIPE POUND '� � ti O 3/9��X24 IRON flE-BAR SET ryN IA°II�54 °� MIN.WT.I.bOLBS/LIN.FT, N p 3 • 7/4�%30`IROd RE-BAR SET �CL� S u10 NIN.WL 1.30 LBS/l1N.FT. �� = ry,�y �30 �(/ / —^fl�GHT-OF-WAY Q� 9 � y0o\� 'y6�W `t� q� p_� QU RECORDE� A9 a�= i�ve 160.�8 o S/ • I PIPE FOUNO 'l �i �' .oJ �� `W 9i `�\\\\IlielilP//�/ m ��, c�G ONS'�•,� ''„ LOT I m," / a`�� '� �'. a"o' e '� = DEAN A. \ � 0 ° ' JESSE ' N � /��o °j ��! 51063 �X}= 01 � � �9 �r RICE LAKE, +�4 J Bg, $ yp�ONSIN r 6 147. i�w� ♦ ��e` SB6^3657W qg �i''yO`��,.•i�,,� 1R198T^N � CSM VOL.4 PS � �� SUR��•`° e � ;,�i9 REGSTEREO ND SURVEYOR I hereby certify that I have surveyed the property �_ at�_ �(y ehown on thia plat and that thia plat is a correct �Q '�.`fp�� ' � � repreaentation oi said aurvey to the best oi my knowledge e-nd belief. - _ � n � caNi�.. �A�� 1�= 100� PAOJECT NO.: 1452 .i; }::'��..� N�:. �_„J?`y. �, .. / � — — — — - G 0 V T L. 0 T 8 UO� -T'� S C �,. L. � � . �SEE G S M.' S ��' LAKE ''� . t .�f Cf •/. �.� ' \ '�•� ' r— � CHETAC ��'9 � " :�,, :z.� �z.� ,� � .z.i ^ _, �"`� .z.p 5„ " �. .z¢ :a.3 ,` � � .'z.s '' � � :2.6 � :?7 � v :2.8 .� �2.12 � ✓" -. WDODHAI/EN SlJBD. � VOL. 7 PG. l4 � :32 ENV. 76 � :3.3 a .� I � :3� ti .t� �'f.p :¢.7 •f/ :f3 •�8 :ts � :¢,. z :41Qrr :9.�2 9 � .�5. . n SCALE: I INCH= �00 FEE nRawN sv: s'�r� � �. ,, �,� :;�;�! �.•.. �``t� ��,��:.._� �,,� .;�:r , � { . r-) J., i � .�� I •r-