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Home My WebLink About010-118-00-0602-LUP-2004-227 Application for Land Use Permit(*Shoreland*) r ,� County of Sawyer ° � PO Box 676 -Hayward WI 54843 715/634-8288 *Proper[y that is located within 300'of a creek,river or stream or within]000'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 �� , �oa�'�r L�C',,r'�s�/s G�EG SraoRE � � Owner Builder p- /�%�'�1T1, .�arm,�.Sflo�� A /0983/✓. �EY.i/ocos �v o: Mailing Address Mailing Address � p f>A✓uls�.zb !�l// .55�85�3 ��w�,co �:( ..SJS��3 � � City, tate,Zip City,State,Zip �0_3`��9 D�o� �loo.? 5��.7 Daytime Phone Daytime Phone � � �� Additional Information: Zone District: � Lot Dimensions: /Q�);�D 8� � � � Date lot was created: �a"�/-�CC'D Acres: �JrQ AG�R6'S ( Is there wetland near the proposed stnzcture?If yes,how faz o � Building Land Use Floodplain:( )Yes ( )No � � ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No �o ln O Addition O Dredging Driveway access off of a(Check one): � ( )Alterarion ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) N � Primazy Structure Accessory Building Addition o � O Dwelling Gazag attache etache O Deck � � O Yeaz round O of caz stalls O Porch �;, ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room co ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen " ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlazge 0 � ( ) ( ) ( )#ofnew � Additional Information: „� � � � O � Type of Construction: � � (�1 Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � � Construction Cost:Primary Structure$ �ti � Accessory Building:$ g5pp'-Q Addition:$ ; � #31`l <� � � Deed:Vol Pg Certified Soil Test# 0� •33�k �, z CSM:Vol�r� Pg/(r� Lot#_� Sanitary Permit# D�� 330� tlQ 7� Plat Envelope ��'��` '7 Or. o, �Cl Condo Vol Pg Yeaz Installed: c:� I "Loads and Flows": Vol Pg Owner When Installed: � � � � Previous office approvals/actions: � Variance:# LUP:# n i-55y SP:# CUP:# �/'� Inspection Report:# q5'�' Change of Zone District: ��U`� � N3��a 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. #2. rfr��F �':f �` #3. #4. Size ft. wide / ft. wide ft. wide ft. wide � ft. long c�� ft. long ft. long ft. long Floor area sq. ft. G �v' sq. ft. sq. ft. sq. ft. Hgt from grade to peak /3�� ft. hgt. ft. hgt. � ft: hgt. Stories � stories stories stories # of bedrooms ak ond/Flowa e/River/Stream ame vtJ.�JD ( � ��,�► � _ I �� --' `� . : o� � � � � s� � i �w �� - ( � � � �. Y � �' � •�- ,� � � �" � r � � � � � �� 0 4 � d � � ay R► � , `� �f � � ` � � jr �` � � � � � � � o � � _ R� ^ � y� � � � � O � O � v' ♦ O � �. , . Fire Number and Name of Road /v1 ��8 �(/. �o�lT� ��o�C � 1 . Enter lot dimensions and indicate north by arrow. Si� tu of 0 Authorized Agent: 2. Indicate the location and size of the requested construction Sign activities. / /'-' Print Name: D,B�.Qi/� � s.�GC'sC�/Ch1S' 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are true and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t��s as ow�er�s� a9e�t, has the permission of the owner(s) to < sVn � �S_. / ], 5 ,�,, „� perform the work requested on this application. The above � personsls hereby give permission for access to the property for �� onsite inspection. Permit fee: $ � � Total land area within 300' of the waterbody: (A) ..?O ��'i�J Si• Total impervious surface area [including this project] (B) a �Ld� s.� • (B) / (A) x 100 = % Used � � (Shall not exceed 15%[or 25% with a conditional use permit�.) Shoreline Vegetation Protection Area: Mitigation Required? O Yes � No May 28 , 2004 - Issue Date Signature of Is ' gent May 2 8 , 2 0 0 5 50% Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT (Shoreline Vc�etation Protection Area) Land Use Permit No. Uy-c�c7� (To be entered by the Zoning Office) Index No. ��- c?c�� WHEREAS,(list all owners) �$E�Y�. �E,�'/C/.�� 9� Q QO 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. � -� NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that -i the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of � 35'landwazd from the ordinary high-water mazk of the waterbody. � o�. �y� The owner(s)hereby agrees to comply with the shoreland vegetative protection azea requirements of Section 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance,in effect on � the date that the land use permit is issued by the zoning ofFice.The owner(s)fiirther agrees to allow authorized �6 representatives of the Govemmental Unit to enter onto the owner's property at the following description � between the hours of 8:00 A.M.and 6:00 P.M.[Section 9.13(1)POWERS,Sawyer County Zoning Ordinance] � to inspect the structure(s)or uses authorized by said Land Use Permit and to determine if the SHORELINE T 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. Legal Description of Property: Dated this day of , (O er (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: " Sawyer County Zoning Office ��— \ - ; - .. f4 � : ys'oo � '�d . / �� '° • / • q � ;/� �/ 19 • '—��\ ♦ ` �e r � -i „ GL-2 rys~� �oo % ��0� �e ; � asoo e �H oceo aeoiz�s.ecwRva - � is n�iacnnon ar mt��r�m� eena 2EKE NI"�9'E nau�n ec /' i 200 y�epwgon�us �an�n er uswc w � 0400 Y V FR@I POMi ff' � • �� ff5T FlT YET100^ RE dEQ1I1 MT CNQ1i.(�5106) .. � MAS ffWtAL MAMOAAIIGL EAtOiS N '�'�'� 0800 u / • • 0 00 • �a cwsTnc csrs n/�eo. n/�. a/��.vo y� 4900 �� g� �0700 i/i�w�v[aEn ngnlm uSnG /u i h Hnnnr �. ! WOO � / GL-3 SIHYEYNFdiIAlION. Sl � /' LSIOCECd100 0° .. 010-118-00 � �� /'�+ f �. �..� 720j ` �Qa °� /, / �. ss 'a,» S�$ '�� \.� �o-�,yO o • s) � 5412 '�`.__ �/ 0300 /� ' � se \ »a,.� 53 �i� �-:.P 5407 5408 �i ' �\ � .�°�° �`� 5 /� '�• �.a a_ ° 5409 �4„0 � -.� e1 � � ' • ' 'san+ s�ort� Ao• u "'`' �� -/' 4• • y £ 01� a SHOYM AS E0� 1M01H fOR a� .J�.. / o- 6�0 � '�---.,�__ �, , MMRN6 PURPOSES °' 6 0 i� �'---.-.__ �. a9—.--—-—- - —/'� BaQO � /'� _4 • o,o—„a—oo s •, �• 6900 �� % • 88 j� s a � - - _ _ / GRAPHIC SCALE TAx A�SESSMEN aoo o zoo aoo soo ieoo Information contair advisory. Map acci quality of the publ was prepared. It i� ( IN FEET ) substitute for an � 1 inch = 400 ft. 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