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Home My WebLink About008-937-08-5213-LUP-2004-623 1 �! Application for Land Use Permit(*Shoreland*) �°k r o 0 County of Sawyer v � � PO Box 676 -Hayward WI 54843 � 715/634-8288 �i "Property that is located within 300'of a creek,river or streazn or within 1000'of a �q a flowage,lake or pond or has any of the above waterbodies located within ^ � the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIItED PERMITS FIAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCII. � �, � � C oniJ c U' �nc�etl�/c�,�l LL/� JCI,i✓//r4-i �;�+ ��c�, �' � Owner Builder �: /�/�[�W i�/�c�ll�-,i! /-��/lJ (��. �✓�7ayc Gi�� 7« �- S. Mailing Address Mailing Address � O � ( ;< F_rK ra4��:.v<l. 14�; �`'��3� � ��>y i vr%�� iN! S f�" ;� City,State,Zip City,State,Zip � e3'i-��E; -i iS-$�2�,5/I� � Daytime Phone Daytime Phone � < � Additional Informarion: (.N�a�-� Zone District: 1�,�� ^� / � �-�,tiy ��r`l�J's�r LotDimensions: �� X ✓�� . Date lot was created: i��'�c/ Acres: � �� t- r Is there wetland near the proposed structure?If yes,how faz /��' o ('" Building LandUse Floodplain:( )Yes (')C)No SSos4i c3°oL3 c �C)New O Filling Ctrippewa Flowage:O Yes 6[) No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading 09 Private Rd (J Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy o � � � � � N ;�1 U �"� Primary Structure Accessory Building Addition o ° �()Dwelling ( )Garage-attached/detached ( )Deck � �� (}c)Yeaz round ( )#of caz stalls ( )Porch W ( )Seasonai ( )Storage Building ( )Enclosed � ¢�Frame built on site ( )Screenhouse ( )Living room � I ( )Modular/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom v � ( )pther primary structure ( ) ( )Relocate/enlazge � � ) � ) ( )#ofnew ��' I I _ AdditionalInformation: `� A �a � v � i Type of Construcfion: � Block ( )Concrete �`� , (�Frame ( )Log ( )Pole/metal ( ) � � ( )Other �' '-� , � Construc6on Cost:Primary Structure$ �6�i`°° .ro Accessory Building:$ Addition:$ � I�'� �i 3zb0e/ V��y��, � Deed:Vol Pg Certified Soil Test# � z CSM:Vol � I.• Pg i'E Lot# �- Sanitary Pernut# O`�y`�3 tl4 � Plat Envelope ��"� �' � � Condo Vol Pg Year Installed: N � w "Loads and Flows": Vol Pg Owner When Installed: � .J Previous office approvals/actions: . Variance:# LUP:# SP:# CUP:# ��' Change of Zone District: /D� Inspection Report:# ��I� �'a�� G 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. Z ; � #1. �'i��>Jc. #2. 5�rceni �vcl� #3. #4. ' Size .s� ft. wide �ft. wide 8. wide ft. wide �f� ft. long �� ft. long ft. long ft. long Floor area ��9 sq. ft. �� `� sq. ft. sq. ft. sq. ft: , Hgt from grade /� to peak /� ft. hgt. ft. hgt. ft. hpt: Stories � � stories stories stories ', � #of bedrooms � ' A. Lake/Pond/Flowa e/RivedStream ame } � , �ka:� / �'k� �� - �T� �—i�:-.;�� 1 �, ,� �� .� �� ,�; - � � �6, (� � y. �o� ��l,�r� Nb� � ia� `'� � � ��`O, � � 3� �` r�� hc°' ��' , , � � �� s .,,,� �;< `` 5`6 .� �� ;s' �� 1 J� �� roXiiNR '' � t �a k � . c � 5/v'' �r. �Q� � % �P /; �. , i' X Pa ' h ;�1 (� �ti � '�� ' > > ^ z r� {� I,4 N�'� ��,J�� e ras�r �,�� / r� �� k<�� Sz� L�fi� "� ,w La �t��t�� kti jc;. �'s• Fire Number and Name of Road �/��.✓h ;�,: ,i ��n'c- c,o��/+n�/a� 1. Enter lot dimensions and indicate north by arrow. Signat �QfNOw►�r r A�thorized Agent: 2. Indicate the location and size of the requested construction � lf' � �'�• signemie aChvlhe5. Prim Name: �. -�,�;. •��",I 3. Also, indicate the location and distance to the well, The ahove ceitifies Ihst the iisted infwmatlon and inbntions a�e We and torted.,Ihal all woAc sha0 be pertom�ed in comPliance septic tank and drainfield,wetland azeas, lot lines, ��;�,y��`�or w��e�n centerline of the mad and waterbodies. �s��(g)�"�^��v�""�10"or u,a wme�g�w pertam Ne wak reQueskd on tlNs applipfion. The above persansls hereby give permission fir aocess lo the pmperh for oirstta Ir�spectian. ��, -�� 7 J Permit fee: $ J✓ � Total land azea within 300' of the waterbody: (A) .3G� j�D Total impervious surface azea [including this project] (B) l ��`� /a I z L7 (B)/(A)x 100=%Used '�'J�.8 (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�No � � t ;� c, > ,�,.a � i . � _ 7�-� Issue Date Signature of Iss gent �:� i ��, � c-r y"- 50%Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRF,SERVATION AGREEMENT (Intact Shoreline Veeetation Protection Areal Land Use Permit No.O'�I-l�2.Ti (To be entered by the Zoning Office) Indea No. Oy - t z _ WHEREAS,(list all ownecs) )"i N�- /�✓�e.e/v,,�S, L l_L v �l — � � owns rea( estate within $aqyer County that is subject to the Sawyer County Shoreland Regulations, and WI�REAS,in order to secure a Land Use Peru�it. � � NOV✓,TF�REFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that � the SHORELINE VEGE'I'ATION PROTECTION AREA on said real estate is intact to a minimum depth of 35'landward from the ordinary high-water mark of the waterbody. � T'he owner(s)hereby agrees that at alI times in the future,the reat estate subject to this Agreement shall comply — with all shoreland vegetative buffer requirements of the 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 omo the owner's pmperty at the following description to �c-'inspect the shuclure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE � VEGETATION PROTECTTON AREA exists and that it is being preserved.Violation of this Ageement will authorize, in addition to other penaities and relief required under the Sawyer County Zoning Ordinance, � injunctive relief,restoration of said real estate,the revocation of said Land Use Pemut and the removal of all ' structutes appmved by the issue of said Land Use Permit and the revocation of any other uses approved by the T issue of said Land Use Permit All parties agree that this Agreement shall be filed with the Sawyer County QZoning Office. L,egal Description of Property: �o'�"�� S YN, �,�o. ��','c�: ✓t c��c� �'��/i�� GOV LT 2 Vutv�m�. 7-� �� /OG Sec 8 T37 N R9W Town of Edgewater, Sawyer County, WI 008-937-08-5213 Datedthis /%� dayof b��c6s/ �JUc� (Owner) �l�z, �tr. ia,v7 , LL�- (Owner) � � (Owner) (Owner) (Owner) (Owner) This insuument was draRed by: Sawyer County Zoning Office CERTIFIED SURVEY MAP �nvk oF ltovc�nx�aak iaF 2 hcckioK B.'(31�1•l�9W. '(owx oF �de�cwaka. h�wycr �oun�y.Wi�,wnaiK HC ESAL � I.AKE ,Nu'+iai•E - �w:t1' '"'I\. �i. Enh I x�Y '�r�'r. w�lt/� "r. t eh��r�l\ � f \. � � += J `� �J� �� ySM's,'i!��-� Y. i ...W �.,. . ni' \ ;� � 3 :a�� i3 . 7F T r P: �'§ � LOY LOT 2 � scAL6 �, �-, mo' o.l� w..p 6*s I4.♦ .° { t�y.k ss»iKF. �`�,c� ^5� e 5: ieo ue / h�' � NA. � s.�,.�e � �I -- r .., eau' _� // �o�.�i „� _ysi•.ae�a'w d—�e,a.;.,rc-��` - — � ' �i q� �� R�� `';�;�r.�5/ rf �� 6E N �/ �� j��(�,� �(kiy www �S 1 4Ub�iVi41eN �F&cWetit4�Gr��„eF4w.e � �AFt eV IwkiEicl �iurJw�1N91 z £� T �' � Buvme� tcFwenuJ koikc��s4l�Nc.�SlJy1, �' a a++uwJ k'e Bv+r Nnk�rl'.5o�n"kosl � ' w e g. A�YMIMYM l��I. ��ND A�Mnu�)�{ C.�I Wolt IiN�.f Mc}�n 1 I� I' I��\ �� 0 �LNO{U! ��Ilry GYNtY {1V1161h NOfCO • Qf.N�YS ��1"�roh lnr F�uxl � OcNoh�, l'h'o.o.X4o"inMPi��yeF�wl�i.t116s.1A. �.�!'F'"Gpry� PAVU CHISSER fj\6 SAWYER COIINTY� WI �� DAVIDF. REGISTER OF DEEDS R�DER « 325978 • S•1737 � &RCHWppD 09/30/2004 1:30 eH VJI g ( ,1V RECORDING FEE 13.D0 ��D SUN'�E ��/�.�� Paqes 2 ,t �i-1•D�I � � " "�• _ 1 V V Setef � or z a�aa,�,,�. aszo SEC . 8 TWP37 N . F , :�. �s '� . � ''F ;'1. 4 FRED THOMAS CO c�r"� , � '�.Z a C /7.C• � �2.4 \ �2.1 ,2, r :2.9 � � Zd.i � ' : :2.� � s.s, :2,12 � - 1 � ;2,�1. �2.5 .�.o �2.2 r z.io t � 5' . / ,� +7 �.�1�J �� Q �3.3 � - • � I N DI/�N BEACH PA� ' -� � . ,r � =3.12 =3{3 ,, , . 2a� �3J4� ;�6 � �3.15 /.7Y •�• �3.T ,.,, '3• 8 ,..� -y ,.�— =3.9 ... .t ,�, ., 3.10 � � ,� .�. _ m _ .., �� 5 C.l�c�o L � C D1�.-it� ' '�.. : �.3 �3. I1 � • , . �.3 � —��-q '. � IA Lo 4.2., asov� /0 Z fi C. JCA" -4 417 co N e 41AW Al 6$71 1V 11641, trod 104' -L- f 4SA # 6870 N