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Home My WebLink About010-840-36-5403-LUP-2004-165 Application for Land Use Permit(*Shoreland*) o o. County of Sawyer � � " � PO Box 676 -Hayward WI 54843 715/634-8288 j'� *Property that is located within 300'of a creek,river or stream or within 1000'of a `\`�j flowage,lake or pond or has any of the above waterbodies located�2thin the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �I /� E V,e�y� C•O�Ld PRINT-USE BLACK INK OR PENCIL . I� �/tMii'C.!/) �"/'��L.,t c-��_ ,.�124�v''c �l/LLLu,l�cv*1 c � � Owner Builder ,, � � � a 3vS �:,�,,�,�„� '�.`�<<� 7y7� ��.;.��1 0: -� Mailing Addres Mailing Addres � � p �� /�"->+.�e� G �;�/ai / ��,;N:� U/1' s�l,-f��3 � b City,State, ip Cit ,S ate,Zip �' �._,� ��, �v> �r - s s�y �is; �-'S a y3 j Daytime Phone Daytime Phone \�IT1 !�/' "I � C Additional Information: Zone District � � � � /�U X�� ' 3 Lot Dimensions: p Date lot was created: !��G�i Acres: �• 0 /��l`ES 1.5� �, � Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:O Yes (�No � '� (�.)New O Filling Chippewa Flowage:(y�;Yes O No R O Addition O Dredging Driveway access off of a(Check one): � O Alteration (�Grading O Private Rd (�Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy �' � ) � ) � S Primary Structure Accessory Building Addition o � ( )Dwelling (�Garage-attached/detached ( )Deck � I _ O Year round (�#of caz stalls O Pocch �., 1'� ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom O � O Other primary structure O O Relocate/enlarge o � � ( ) ( )#of new � o � AdditionalInformation: � > � � � � T e of Construction: ,`o� ('�1 Frame ( )Log ( )Pole/metal ( )Block ( )Concrete U+ � ( )Other ,..j Construction Cost:Primary Structure$ 3�av� ,ti � � w Accessory Building:$ Addition:$ � ,t s� 3�5��0 � c Deed:Vol Pg Certified Soil Test# �; z CSM:Vol Pg Lot# Sanitazy Permit# "° %� Plat Envelope Or: o� o0 CondoVol Pg YearInstalled:�fn ;n�v .j'n.�nd n� � "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: f�� _ _�I:�'-1 IU�s�`� 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�,� %�e:�� ry�:��-�;°— #2. #3. #4. Size��ft. wide ft. wide ft. wide ft. wide ,S(� ft. long fr. long ft. long ft. long Floor area S(I(� sq. ft. sq. ft. sq. ft. sq. ft. Hgt from giade �3 to peak ft. hgt. ft. hgt. fr. hgt. Stories� stories stories stories # of bedrooms , / . /l/ Lake/Pond/Flowa eBiver/Stream ame � � � (,� ( I \I , ' U � SU' � �'' i I �� ,,�� w� � o + , �. � -� �\ ��b ��._ � � � � c� 6 � vt/� - � ,,,,_ - v+ v `c"'�'�� I, � ` � ' �� l J� ' -�v. �'�,� I � � ___._—._��" - � I � ' I , � � i v V �U,J�-- a _.� � �_.�____�_____. __.�._..... _ __ __ r � Fire Number and Name of Road � a? '� � � �- 1. Enter lot dimensions and indicate north by azrow. s S' re of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction ti_ �,�....i��•,� - _ SignaNre U- activities. T � Print Name: ��-"M' � M-� 3. Also, 1nl�iCate tlle IoCatlOn 1rid d1StanCe to tlle well, The above cefifes ihat the listed intomiation and intentions are We and correct.,tl�at all work shall be peAormed in compliance Sept1C t3illt and C�Talnfleld, Wetland azeas, lot 11nes, with ihe requiremenGs ot the Sawyer County Zoning OrcJinance and the laws and regulations of the State of Wisconsin, and if CCnteI'11nC Of tkle rOad BIId watelbodles. acting as ownet(s) agenL has the permission ot the owner(s)to pedortn the work requested on this application. The above personsls hereby give permission for access �o the propedy for ..� onsite inspectian. / J �� Permit fee: $ ! �� Total land azea within 300' of the waterbody: (A) 3CJ• ��'l,� Total impervious surface area [including this project] (B) o� `�6t'� (B) / (A) x 100 = % Used �/o (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? l�j Yes O No May 11 , 2004 � Issue Date Signature ofIs 'n gent May 112 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: ,�$, G��. �� 2�'� �Gc��,tJ�.�•.�-�-.��G�.�L�P;��"� � 'u,lt'f.8"`� A�'awo-Y.° V �/ SHORF,LAND PRESERVATION AGR�EMENT (Non-Intact Shoreline Veeetation Protection Area) • C �� Land Use Permit No.�(To be entered by the Zoning Office) Index No. Q�-1/�1— d , � � (� WHEREAS, (list all owners) � .��r,?�,� ��.r � � :1 c � n9' 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. � -j� 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 .� with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date i that the Land Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized Orepresentatives 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 penalties 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. � f / Legal Description of Property: /.�."' '�=� -�•:'< Fq" y �d�rj,Q'�/Q.�SYG3 Dated this�day of p7 7 , o?Ub �_ :(4-�leF� (Owner) L��,.._.--�-� i"7.s*�-�r---�— (Owner) �— (Owner) (Owner) (Owner) This instrumen[was drafted by: Sawyer County Zoning Office -� to� �' E`Cni' �p.�c� yy5 r. l •�t �! � '�'��1R � t I��`��` F4Y w4 "�" � � 4,��Y �1� M1 . .T�„ �t p�� .� .. F � � � c . s� '�� ic }PSst� � � �+.��rD"�i��P P *' �( k+P� �� '.�'i .a' !� �F� - �}' �� . ,�� - - 11N � �$ . � �"_ �xk '�j C u�Y• rC r 3,� y � r r r� S. � S�t a `a o ��t`�M i� � � qI� F I� L� � �- • y ' C ° _ w"".�r s� ,n .�a«rt;M1F�� . �+ i�' m g�.�'.� �� '�€,. �.� ��u,� .., � �� /Jl� ' � Y � #'E" t�� '� g� *y •. 3 'r� t4�,tY r � � 'k' - `�,¥. f ye' � ;"*�►r ��gy� ` " p�" r'��Z'!�I�is� e��.�i�t1,R i. �. '' .. iw, 5 �. � � �. � -- . � '� :�4"' ,,{ �'9 �`<�' kA�*�' .�1;�`�„�ry �'`�' i. r i �e N, � s , /6 t F�*#t i 34 p �rs. i �tM�� , '�' t .�a ��- t�" ''�I * � ,� u� '� � r � r�r+. • � � � !�j� ��,�• ��k�'�� h•� �'�' � � �� ,w i. , � t � �'� " � x��'p�• . 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