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HomeMy WebLinkAbout010-941-26-3105-LUP-2004-300 Application for Land Use Permit(*Shoreland*) � r a �County of Sawyer ° � ,� PO Box 676 -Haywazd WI 54843 715/634-8288 � � *Property that is located within 300'of a creek,river or stream or within 1000'of a a flowage,lake or pond or has any of the above waterbodies located within � the property's boundaries. � � CONSTRUCTION SAALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � aA�.BA'� S. �srr�r.�. � K�e�--/ .s�l'iR/ziF.� �orusr. .T�� c � Owner Builder a C is3sPw �,,.�/f� �9r� iio��•v.f�z.�y .c'�. o: Mailing Address Mailing Address � p .�N�/lvftRD , !�� SX��3 {/yt1.v.Qf10. Gr�/ •5��/3 � City,State,Zip City,State,Zip �P � ��, %/S-63f<3739 9�S- y�z-939/�'''��-d 73� � Daytime Phone Daytime Phone � �*� Additional Information: Zone District: /7`/ y C� Lot Dimensions: � Date lot was created: Acres: .7`f •11 Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:O Yes O No � O New O Filiing Chippewa Flowage:O Yes O No c�^� Oc)Addition O Dredging Driveway access off of a(Check one): x ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � o a N � Primary Structure Accessory Building Addition o 0 ( )Dwelling ( )Gazage-attached/detached ( )Deck � ( )Yeaz round ( )#of caz stalls ( )Porch �;, ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse �j Living room � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen " �,,� ( )Mobile/manufactured ( )Other ( )Bedroom p ( )Other primazy structure ( ) ( )Relocate/enlazge O � � ) O O#ofnew ' � Additional Information: � i � � Type of Construction: � � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other � Construction Cost:Primary Structure$ �8.�°0 � ro Accessory Building:$ Addition:$ ?�p CCC.°" � � � Deed:Vol 63/ Pg 5�73 Certified Soil Test# 9�-ai9 ,� � z CSM:Vol Pg Lot# Sanitary Permit# f`-l�f7 °4 � Plat Envelope pr. � I� Condo Vol Pg Yeaz Installed: /9?G �, "Loads and Flows": Vol Pg Owner When Installed: � � � �.�c�-�' � . "y��office approvals/actions: .p LUP:# Qa- yy I SP:# CUP:# � eport:# Change of Zone District: �1, ��� � �a P39 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. �-1 � "14 du� #2. #3. #4. Size Z 6 fr. wide fr. wide ft. wide fr. wide 2 Z ft. long ft. long ft. long ft. long Floor azea ti 5'O sq. ft. sq. ft. sq. ft. sq. ft. Hgt from grade to peak fr. hgt. ft. hgt. ft. hgt. Stories � stories stories stories #of bedrooms C' Lake/Pond/Flowa e/River/Stream Name 5����� D � Fire Number and Name of Road �53,5� Cf//Pf�'t�f} 7,�![_ 1. Enter lot dimensions and indicate north by arrow. Signa�ur�pf Owner 9r�ori�gent: 2. Indicate the location and size of the requested construction J�C�--�--,[� SignaNre activities. PnntName: S� ��-'� K ► 2i�y 3. Also, indicate the location and distance to the well, The above ceNfies Ihat ihe listed information d intentions are We and cortect.,that all work shall be peAormed in crompliance septic tank and drainfield, wetland azeas, lot 11nes, with me requirements ot the Sawyer Counry Zoning oNinance and the laws and regulations of the Sfate of Wisconsin, and if centerline of the road and waterbodies. aceny as owner�s�aqe�c, na5 me�e�nas�o� or me ow�e��s�to perform �he work 2quested on this application. The above persons/s hereby gNe permission for access to the property for onsite inspection. Permit fee: $ � 75%�' Total land azea within 300' of the waterbody: (A) (� � L� J Total impervious surface azea [including this project] (B) (p� � �� (B) / (A) x 100 =%Used q v 3 � �u (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? �O Yes O No June 28, 2004 ��,��.,��j /yf��i�� Issue Date Signature of Issuing Agent June 28, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: �}-�Sessed Uct�U�° o � d�J (01, Yvo = . 495D = �t �1, 708 5D % ob ��, 8°� = 30,400 3c,c� �� :-- � r, rs�,c = y 9 , s `7d , � �� � f . 1 �- ���� � , � � � � � � x � . 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IT � SW—NW � ����ST�NEO BADDITIUILIL FOR MMPING 010-941 .e,•a .v RESEARCH/SURVEY VORK MAY BE RE�U[RED. -26 2403 1 � 010-941 � -26 2403 1 •z I { SE—NW �•°�' I � �+`} ' g LAKE HAYWARD ti6 I ,, i �p,p�1-pO�' O i i � .� o � � � � � 010-941 ' -26 2401 �----1-� ` ___.��-. -,:zs�. _ _�. ���, � .R-�....�.. , �� s�:�< - �` � � �� , �,.,�� o�� � �� z�,A� �\ 03AC. I 01�9�1-26 4209 'I `\ 010 941 .02AC. � -26 E106 N I \ I � NOTE� CSM N852. VOL.1. PG. 345 I i �\ I �n 010-941-26 LAKE w�VYnRD. 3107 IT VAS POSITIONED BY BEST IT F `\ b NAPPING PURPOSES ONLY. AD ITI01 s 37q� NE SW RESEARCH/SURVEY VOftK MAY RE01 Ot0-9�1-26 010-941 .taAC. �i `� `�y��. 3105 1� -26 376nC. �26 3103 _ \Q�O`94,_ t.atn�c. 010-941- 0 I Q �\ ?6 3j� 26 350 3 OtOC941 i NW—SW � }.98AC. ` ` �rE, o�fQ ` � -26 3104 >' �o� o���s�10. fXlST � � m Q .9t�. II���RCH�31p2�26 jlaE'TyffN � I O \?61�\ ����'QFA SW�fY�� 010-941 �26 I -26 3102 � e t � �`+ 010-941-26 .5t nC. 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' 010-941-26 3402 11 01AC Q —�___�� SW—SW SE—SW i 010-9�1-26 3403 28 42A� CITY OF HAYWARD � �0 4 r�f �/o�f� i� SHORELAND PRESERVATION AGREEMENT (Non-Intact Shoreline Ve2etation Protection Area) � Land Use Permit No. Qy-� (To'be entered by the Zoning Office) Index No. �- Z� WHEREAS, (list all owners) v%�U� /�- � ��, E � � Jq�l'� K I ��� �1 � , owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and a 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 � the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance with the Mirigation 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 ve etative buffer re uirements of the Sa g q wyer 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 inspect the structure(s) or uses authorized by said Land Use Permit and to detemune if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will i authorize, in addition to other penalries and relief required under the Sawyer County Zoning Ordinance, � injunctive relief, restotation of said real estate, the revocation of said Land Use Permit and the removal of all Q strttctures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the issue of said Land Use Pernut. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. I,egal Description of Property: Dated this �� day of ��(/✓l� , � (Owner) ��. ' ` (Owner) ��-C I��Y�-�-+, (Owner) � (Owner) � � (Owner) Y (Owner) This instrument was drafted by: Sawyer County Zoning Office F'� � , - , _ , ,,.: �._ �� �' � i - � ,.� . :� - . - �- `� � U �����; ' ' �� , '��� # .'f� � . ;:=c �:. �� � ��,� ; � _ �.�- �� ��,,...� .��� :, y^ r-'- � `'' � _� „ * J � �.,,y ,_ � i �.. X � �-a .. . � r :�,r ;� - , z �:-; �* '�. � ;}(�y .;,�..: ,:� -�.hi `� � '�` ?���a�.. ..� st.� .D. '-av .f ,. .� 'S '' }- � ' ` � �• � � �� � I ��1L� �j 2�s*t, y � �' �_y E � �h��C . � �j . _�, ,¢. :r` ...�. z �:_:� t* r.: y � ��' t Y •Y�� y�p','�` ��.���tJi � R �},;� `t K. . . ,. �� . F�`� ' `a -.�. �. , 4 , - _ '� �\ �"�`" -'''?�i,�� _ ae�'"�� �.�, ' � \�-�.,_ r � .._R�. �.... r `*�xi ...sl _ _ _ � � � �'If ' r � y y, a tS] r +� . _' t '�'+>r`%" � �'t i� t� r�� .�a r ^C, + �'- ?� ,..'y� j� � � • ;i ' k �. 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