HomeMy WebLinkAbout008-938-27-5604-LUP-2004-632 Application for Land Use Permit(*Shoreland*) o o ` �-
County of Sawyer � �
PO Box 676 -Hayward WI 54843
715/634-8288 i l")
*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 boundaries. �'
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. +
PRINT-USE BLACK INK OR PENCIL C
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Ph� l� �� ' � � ��-
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Owner Builder a: � �
c��5'� N. C�St ��10re. �.h �,'���� YU `��q�e WC�i��[�a✓r� (<�
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Mailing Address Mailing Address � O
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City,State,Zip City,State,Zip
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Daytime Phone Daytime Phone _
Additional Information: Zone District: /2 IZ"�
Lot Dimensions:�,:x:?� �--�5 �'�='.�` 'J
Date lot was created: ]-/�/-98 Acres: (, �� �
Is there wetland neaz the proposed structure?If yes,how far
Building Land Use Floodplain:O Yes O No
( )New ( )Filling Chippewa Flowage:( )Yes ( ) No �
(�j Addition O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. °
( )Moving On ( ) ( )County Hwy ( )State Hwy � �
� ) � ) , S
�,
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Primazy Structure Accessory Building Addition ��
( )Dwelling �Garage-attached/detached ( )Deck
O Year round (a�#of caz stalls O Porch +� In
( )Seasonal ( )Storage Building ( )Enclosed ��� f-�
O Frame built on site O Screenhouse O Living room �'� y-
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom
O Other primazy structure O ('r�Relocate/enlarge c' �
( ) ( ) ( )#of new
Additional Information: ` p
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0
Type of Construction: � ��
(,�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other �
�
Construction Cost:Primary Structure$ �
Accessory Building:$(OoO�� Addition:$ /`;�l��L>=� � �,�
#3i778g �.
Deed:Vol Pg Certified Soil Test# 9b•C�yl ol-2�I Z z
� �
CSM:Vol��Pg_�Lot#� Sanitary Permit# qo•03o Ol-z5(o
Plat Envelope y 5�� Or:
Condo Vol Pg Year Installed:
"Loads and Flows": Vol Pg Owner When Installed: ��
Previous office approvals/actions: \'�
�_ . �
Vaziance:# LUP:# 90-�7y SP:# CUP:# ��
Inspection Report:# Change of Zone District: �
�
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 columa ' �
#1. � #2. #3. #4.
Size �;,� ft. wide „> �� ft.�wide 3 2 ft. wide fr. wide �
•
�� fr. long fr. long _� ft. long fr. long .
Floor azea /D,Sb sq. ft. �� sq. ft. \�� sq. ft. sq. fr.
Hgt fium grade to peak ft. hgt. I I, ft. hgt. ft. hgt. .
Stories , stories stories stories �
�
# of bedrooms � � � � �� � � -� �' ��
4
Lake/Pond/Flowa e/River/Stream ame �
Lci« ��' ti�r< � � �
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Fire Number and Name of Road a`f F1 ` �'�, � 45-f � ��c �F- U: ���.4:'
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction - %�� �
SignaNre
activities.
Pnnt Name: � - � � 4
3. E�ISO, Irid1C3tC tI1C IOCBhOri aTld d15t111CC YO 1.IlE WCII, The above certifies that theiisted infortnation and inlentions are
true and corted., that all work shall be pedormetl in crompliance
Septic tank and dtalnflelcl, wetland azeas, lot llnes, with me requiremenis ot me Sawyer Counry Zoning Ordinance
and Ne laws and regulations of the State of Wisconsin, and if
Centelllne of tk1C TOaQ and W3tCibOQ1CS. acting as ownef(s) agent has the pertnission ot fhe owner(s) to
perform Ihe work requested on this application. The above
personsls hereby give permission for access to the pmperty for
onsite inspection.
Permit fee: $ � S� • G�
Total land azea within 300' of the waterbody: (A) y�� y�3 �
Total impervious surface azea [including this project] (B) (�Q7 3 , o�
(B) / (A) x 100 = % Used Iy,�' (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? Oc� Yes O No
November 4 , 2004
Issue Date Signature ofIssu g ent
November 4 , 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
SHORELAND PRESERVATION AGREF,MF.NT
(Non-Intact Shoreline Veeetation Protectiou Area)
Land Use Permit No. �—(g,�'i2 (To be entered by the Zoning Office) Index No. Q�-�
WHEREAS, (list all owners) Philip and 3ulie Perrault
d
�
howns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
„�"'
WHEREAS, in order to secure a Land Use Permit.
n' 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 shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department.
� The owner(s) hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply
j 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 onto the owner's property at the following description to
(L 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. Violation of this Agreement will
� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
� mjunctive 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
�" Zoning Office.
�
LegalDescriptionofProperty: Lot 1 of CSM vol 20 pg 80, part of gov' t lots 5 � 6
Sec 27, T 38 N, R 9 W. Town of Edgewater, Sawyer County WI
026-938-27-5604
Dated this 1 day of Nov , 2004
��� ,�'...�.-���-�--
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was dtafted by:
Sawyer Coanty Zoning Office
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SCALE: I INCH= 400 FEET FOR ASSESSMENT USE ONLY NOT
DRAWN BY: S.R.D DATE : 8/3//82 INTENDE� TO SHOW CONCLUSIVE
COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS