HomeMy WebLinkAbout010-841-36-5507-LUP-2004-220 Application for Land Use Permit(*Shoreland*) o o x
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 9
flowage,lake or pond or has any of the above waterbodies located within s;
the property's boundaries. � �- �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL ,
R�c���9 A.S����...a� R;��.a:�D A Sk���ua� °' �
Owner Builder a
� �
�'�5��( I.J ��cQ�b o•
Mailing Address Mailing Address � �
N . ,rd� �%s sa�r3 � O
City, tate,Zip City,State,Zip �
i
�7r S� 1�3�i-4r4� �
Daytime Phone Daytime Phone A
�
Additional Information: Zone District: �� � a
� �Lot Dimensions: �`I�X I 4:c�
Date lot was created: Acres: ���� �
Is there wetland neaz the proposed structure?If yes,how faz�P� �o.1�-a� � ��7-S� o �
Building Land Use Floodplain:O Yes (�)No �_ �
O New O Filling Chippewa Flowage:O Yes (xl No co
�Addition O Dredging Driveway access off of a(Check one): sk
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �
( )Moving On ( ) {�l County Hwy ( )State Hwy � �
� ) � ) � �
_' in t�
Primary Structure Accessory Building ddition� o 0
�}Dwelling (1C)Garage-attach detached (�Deck � �
O Year round (z)#of caz stalls O Porch W \
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room c�
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactuced ( )Other ( )Bedroom p
( )Other primary structure ( ) ( )Relocate/enlazge o �
� � ( ) ( )#of new �',
r
Additional Information: T���� r;�,F�,«+�w. �� ��'or c� a���`�„"" 1'� a.,, ew�s^���S � p
p � �
q����ke� ����35�'pth�, �i s�.l� de�k µ&t���«„ �t� �1-�v ert.s-1-��5 Hawse_ ' �
�
Type of Construction: d `'�
�Q Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other ,�
Construction Cost:Primary Structure$ ,.�y �
Accessory Building:$ Addition:$ yOoU��,...,� ���d cle.k � -�
7-C`Ig �
Deed:Vol�_Pg`�� Certified Soil Test# � � z
ri,o
CSM:Vol_% Pg S`�G� Lot# � Sanitary Permit# �5�-OY� � �
Plat Envelope Or: � "�
Condo Vol Pg Year Installed: n� I
"Loads and Flows": Vol Pg Owner When Installed: � �
ci
Previous office approvals/actions: ��
Variance:# LUP:# (,�u DY� SP:# CUP:#
Inspection Report:# Change of Zone District:
s��_/oy
4��
I�9os
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� I�r�A���w. #2. ��[� #3. #4.
Size�_ft. wide f� ft. wide ft. wide ft. wide
�0 ft. long I'S ft. long fr. long ft. long
Floor area ��L sq. ft. fr0 sq. ft. sg. ft. sq. ft.
Hgt from giade /� to peak�_ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms O
,
Lake/Pond/Flowa e/River/Stream Name
��fGS� See ct ��a �.��p�V S�e�EL\ .
Fire Number and Name of Road /����-/ W C� �.,� (�
1. Enter lot dimensions and indicate north by arrow. Sign�$ure of Owner or Authorized Agent:
2. Indicate the location and size of the requested conshuction �c'GC�,,�yr��,.�
SignaNre
activities.
PrinWame: ��� ���4vd� �, �Li.u �
3. Also, 1ndiCate the loCatlon and d15Y�.i1Ce to the Well, The above certifes that the listed intormation d intentions are
true and correct., Mat all work shall be pedormed in compliance
septic tank and drainfield, wetland azeas, lot lines, with Ne requirements of the Sawyer County Zoning Ordinance
and ihe laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. acn�9 as ow�,er�s�a9e�t, na5 cne Perm�ss�o� or tne ow�e��5�to
perform �he work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspedion.
e�
Permit fee: $ �5
Total land area within 300' of the waterbody: (A) �{ �D�`� �� Z '�'
Total impervious surface area [including this project] (B) �+� 3-3lcL�
(B)/(A) x 100 = % Used ,��_(Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Axea: Mirigation Required? O Yes O No
May 25 , 2004 � r � ��� ��.�� �
Issue Date Signature of Is�in � gent � �
May 25 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
Round Lake
n'
_ , ___ - __, 40,
�Existing D ck
Septic Sys eM
j Proposed Deck 80 q,f��-. o �
`\
;
-- - ------ Flouse 864 sqft ` '.
250-
Driveway (Gravel)`
Garage 576 sq.ft.
�
67'
Propased Addition 480 sq.ft:� �,, ;
` J
%
8ae' N
160'
Pole Building 1440 sq.ft.
200'
Cty Rd. B
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BEARINGS BASED ON THE Z 'c� `�
EAST-WEST I/4 LINE OF o I
SECTION 35, ASSUMED TO z
BEAR WE EAST.
� FOUND MONUMENT
• SET I V4� DIA. IRON PIPE
��y�,( C� �.�-eu:�,..L �
DECEMBER 17 , 1980.
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' /' � � 176.11 RpW. � LINE
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;. ' �� FEiS.030N �� i RR��R�o9f'� / C.T.H. '�%s•�,�M B $'ie.mb�
�, , HAW✓ARD 5%� �' WEST , 174.00� sPiK�� S89°38�ifi W, 162.00�
�� WIS. / ,
' '�� !�Q / �AST V4 COR. SEC. 35
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� �I' r`'� �'� 35 36
DRAWN BY �.GORUD
����"�`� �""�`'� ��^����L) PAGE I OF 2 PAGES
SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
� Land Use Permit No. Q - � (To be entered by the Zoning Office) Index No. Q�-__��Q
� WHEREAS,(list all owners) ��8„���,yv�vi �d ��- �T�
�
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
� WHER�AS,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
� the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
3S landwazd from the ordinary high-water mark of the waterbody.
� The owner(s)hereby agrees to comply with the shoreland vegetative protection azea requirements of Section
CL 4.410 SHORELAND VEGETATION PROTECTION AREA,Sawyer County Zoning Ordinance,in effect on
c�r� the date that the land use permit is issued by the zoning office.The owner(s)fiuther agrees to allow authorized
� representatives of the Govemmental Unit to enter onto the owner's property at the following description
(� between the hows of 8:00 A.M.and 6:00 P.M.[Section 9.13(1)POWERS,Sawyer County Zoning Ordinance]
to inspect the struchue(s)or uses authorized by said Land Use Permit and to determine if the SHORELINE
O VEGETATION PROTECTION AREA exists and that it is being preserved.This authorization shall terminate
� 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,
� 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.
LegalDescriptionofProperty: Lot 2 of CSM vo1 8 pg 59 hein�part of Gov't lot 5
in Section 36, t 41 N, R8W in the Town of Ha ward Sa er County WI
Dated this Z� day of May 2 0 0 4
���-�� -
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zo�ing OtTice
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