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Home My WebLink About010-840-25-2109-LUP-2004-128 Application for Land Use Permit(*Shoreland*) r a � � � 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 any of the above waterbodies located within T � the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � ,�;1�Te� ��rai.�L��S Se�� 'i.��a SeAh„� � � Owner Builder a: N �� 5ro ��c�c�e�;�e� C�xL1e o: Mailing Address Mailing Address � O �, 1�A-vr�e1 r��r� �i53ye � � City,State,Zip City,State,Zip c�u O -�63 a�`a 9s�3 I i�� -E-� uo��, Daytime Phone Daytime Phone Additional Information: Zone District ��`�` C� � Lot Dimensions: � Date lot was created:�•,�s,�,��a ca� Acres: , `S"� [1,e v� Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:( )Yes ( )No ,SSG.sqt stO°+3 = �New O Filling Chippewa Flowage:�O Yes O No � O Addition O Dredging Driveway access off of a(Check one): � O Alteration (�O Grading O Private Rd (X)Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � ) � ) � 0 0 N � � r Primary Structure Accessory Building Addition o 0 (X)Dwelling (x)Gazage-attached/detached �l Deck � (y�Yeaz round (3)#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed �, O Frame built on site O Screenhouse O Living room cro, ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom O � O Other primary structure O O Relocate/enlazge � � � ( ) ( )#of new � � AdditionalInformation: � a R� � � Type of Construction: � SL, (�Frame ( )Log ( )Pole/metal ( ) oc��-k-��Concrete p Ul ( )Other y Construction Cost:Primary Structure$ \'�O.O�c� - _ ,}y � w Accessory Building:$��Lv�c c��_�,Dix� - Addition:$ � ..� �3�ao�a � � i Deed:Vol Pg Certified Soil Test# ��`/ ��%'� � z CSM:Vol�Pg 6 3�a Lot# � Sanitary Permit# �' �/ ��,�i � � Plat Envelope ��yy Or: �� p Condo Vol P g Yeaz Installed: N I� "Loads and Flows": Vol Pg Owner When Installed: � ci Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: _ �\r J lo"iNo f \. 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. ��r #1. iuci�r� #2. 2r�a #3. hc�o� t po�t`^#4. 6T�_ Size '�� ft.wide L� ft.wide Z.�3 ft.wide `� �3__fr.wide �ft.long 2.0 ft.long � o ft.long �� _,ft.long : Floor azea �`Z sq.f[. ��',��_sq.ft. \\2� sq.ft. sq.ft. Hgt.from gade to peak ft.hgt. ft.hgt. ft.hgt. Stories � stories stories � �' stories #of bedrooms�� -�n,g�.,z� � (p� Lake/Pond/Flowa e/River/Stream Name -�� \ ) � 1�' 3�1B�b`1 �; ►5� 5� i � g6 F� > /��o �`a9� � � C t 3� � � 0 9� • �" 'L'��1 ZS' � 3 �J.:� «c.-'_ � 1'C i C�'� �P,� ,(.,4 t ^/Z' 1� Fire Number and Name of Road C�b t�1. S � 1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Aut�orized Agent: 2. Indicate the location and size of the requested construction SignaNre activities. PnntName: 3. Also,1nc11Cat0 t}le locatlon and CI1StanCe to the Wel�, The above certifes ihat the listed intormation and intenlions are We and correct.,tl�at all work shall be perfortned in compliance septic tank and drainfield,wetland azeas,lot lines, with Ne requiremenGs of the Sawyer Counry Zoning Ortlinance and the laws and regulations of the State of Wisconsin,and if Centerllne of Y.�le road and waterbodles. acting as owner(s)agent,nas the pertnission of the oxmer(s)to perform ihe work requestetl on ihis application. The above personsls hereby give permission for access to the properry for onsite inspection. 6� Permit fee:$ a�� Total land area within 300'of the waterbody:(A) �{i ,�S� Total impervious surface azea[including this project](B) ' (B)/(A)x 100=%Used �� c (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?�Yes O No May 5 2004 — Issue Date Signature of Iss g g nt May 5, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: / � SHORELAND PRESERVATION AGREEMENT (Non-Intact Shareline Ve2etation Protection Area) Land Use Permit No. Oy�ag__(To be entered by the Zoning Office) Index No. Q� -� � WHEREAS, (list all owners) , )�,,r,��z� �. (1�j ��. .� \��Z( � �. . ��-�S a � � � owns reai estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and r 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 Qthe 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 � 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 Q representatives of the Governmental Unit to enter onto the owner's property at the following description 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. Violation of this Agreement will authorize, in addition to other penal6es 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 Zoning Office. Legal Description of Property: �3 G�}b �� Q,�1 Lot 1 of CSM vol 24 page 136, # 6544, located in the NE sec 25, � 40N, R8W, Town of Hayward, Sawyer County WI. Dated this � �3- day of (�� , �G (Owne.-) (Owne:) � � , ��M„ " ��iY'E—' �i — � (Owner� � �� (Owner) � 1�� O (Owner) ; (Owner) This instrument was drafted by: Sawyer County Zoning Office qcgis�er's OTca � Sewyar CounN a <a��ea iw�«oro m�s IC�'� c�y�x APCv �AD 20 �3 aIg1�Q cc!'": , G�� /k M and record'eo in��ol a� StJRVEYING o� eNIieCSurveyscnC�S91,3(�C,3� 1561d Windrose Lane, Suite 330 �� G� C -�� , HOyward,WI54843 �ugiser 715-6343435 FAX: 715-934-2739 �„� . 307302 SAWYER COUNTY CERTIFIED SURVEY MAP �oc�TEt� iN -�-t{t NEY� -Nwi� , ,Sec7o� 25, T'�'on/- RBuJ ,To �ti oF �{nyu�R�-D , sqwyt� �o. , W15 . St1tcT 1 oF2 /�789�'`�8'12E � 2536.00� _ . �� EX. 2%z 8RAs5 c^� uliTCoR� �W �oR. sE�. Zs � To r.�Y�fcoR SCc.Zs -r4onl-RBw � TyoN -RBW eX 3Yz' AC��n.[AP �� C�icNT:�AkFSNoRf .�E�EIoPMENT .�56/ o= EX�Sr�rJG 2��2��STEE�- PiPt :�� vu�cSS DENoT�D �lZJec."T 1�0. 3ooS ob o = sET '-+�B'X�6" Scz. sTEEL 6AR o p�� WT 1.33'k�FT yGl� gEl1R��J6S SZEf. Yo Y!'�E �o�T({ � LiuE NwY� SEc,25 qsSaMED / SdIZJeYo,e'S NoT2 �AiR oT5 RRE /} � /✓I/NiMJM OF A /Oc� ' A T R16NT iQ�1JG'GES / p��n AS �/ff9�3`/-17E� � `.. , �-jE 7oa.52 --_"�""'� o$ t / f N08 - y9'� __.--__'_ lANO � GSKL 551y . P. ry2 /�� ' - - 5-_ / NSB` 5�9= 5'7 � ==ti v�! � � — — — `�e7c.a' 'srft 37 .67` o/ � 329.85' S y3 �[ihR T �PL �° if L�T � � � 0� �� N'C� � �'�'CI��E � -�00 — — _. — �9� N U� 36ioot5F� % p O , o.83t Ac. � i GRAPHIC SCALE \ y tG F1g8-`19-52�L' �So3 � 247.25' i�p � l�� ` � Q nb' � I. n y LD-(' 2 a �� 3Z600L ?F� a= 1� a o�75 t q c. � 0' S0' t00' 200' � � ,✓88-w9-47t /�`� � �� F E E T i z56�So ' �y bs� rn °/ry . � N �o-T 3 �o, z09oo SF. �' � �� b 0 0.66t Ac. �N \��i �7 � � a �J80-v9-Y�E /3oY' �i �i��i��r, / �`"�5 N�'' `�5�. CO �� , o\ P y35.75' . . S?,, � ,� h LoT � ��j `` �' FREDEAIC�'• = � Y95 N 23400T SP. o ' ' W. : = � 0.5`�• � AC. '�: 21FTLOW ' - ;r: 5-92� :�_ /�A-882.Ez1 215.Oo / ,yti Hw a�d :'��: o�\._ / � ; S�'''f9�'36�� W-.. ��'�' j��S�RVEy�' izt //' \� S90�49�-36�uJ 1097.82� � ��,,//�„� /�J � �qN�S ��,��i w��.r- � .J�f'N. iy , � SJRJ'eyoRS �oTE: TN�S P2oPERT�/� � S �7-I{e $�qcK aEqR LoDGE AND EXIS-fiN6 B✓i�DiNGS NoT sNown� qR6 TogE K�=fAWED Certified Survey No. 6 5 4 4 \M� c� 4 P�° 1 `3 6 rv+. State of Wisconsin \ DEPARTMENT OF NATURAL RESOURCE� Hayward Service Center Jim Doyle, Governor 10220N Hwy 27 S. Scott Hassett, Secretary Hayward, Wisconsin 54843 WISCONSIN Wiliiam H. Smith, Regional Director Telephone 715-634-2688 - DEPT.OF NATURAL RESOURCES FAX 715-634-9232 May 13, 2004 Deb Hammerel Permits Secretary Sawyer County Zoning P.O. Box 676 Hayward, WI 54843 Dear Deb, I have reviewed the building pernut application submitted by James and Tracy Otis to construct a new home and garage on property identified as parcel # 010-840-25-21091ocated in the NE'/a of the NW'/a of section 25, Town 40 North, Range 8 West, Town of Hayward, Sawyer County, Wisconsin. This property is not covered by a Chippewa Flowage buffer zone restriction. All other county and state codes and permits apply to the subject property and must be applied for and adhered to. Please contact me if you have any questions. Sincerely, ' li'�� `f � _ /�!!!�� Neal Kephart, Chippewa Flowage Property Manager CC: Steven Bade - Ashland DNR Town of Hayward Paul Bruggink — Woodruff DNR G c�_ ,, •; .; r r;� www.dnr.state.wi.us Quality Natural Resources Management � www.wisconsin.gov Through Excellent Customer Service P��ad�� Fecyr,led Paoer TOWN OF HAYW� SEC. 25 TWP 40 I�. � R .5.f 5.7 , d b /7* S.8 q � � 5.9 }-I�LI�F' .5.15 2 2 .5.10 .6.� .5.1:� .5.2 3 .5.1I � 3 .5.14 4 .5.12 .5.3 I 5.6 .5.4 5.5 � .7.I .8:I � I .io.lo .io.i o.z .IQ .10.3 9.I �, ; , ��.� , �a � I .10. .10.6 10.4 .i�.i i ''I.3 -_ � v' J 1.4 I1.5 ��.2 •�2•� ' ,/ I