HomeMy WebLinkAbout010-941-23-3206-LUP-2004-316 Application for Land Use Permit(*Shoreland*) r ,� �
County of Sawyer ° �
PO Box 676 -Hayward WI 54843
715/634-8288 L)(
*Property that is located within 300'of a creek,river or stream or within 1000'of a � O
flowage,lake or pond or has any of the above waterbodies located within �;.�
the property's boundazies.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUER �
��n�'� ��p� PRINT-USEBLACKWKORPENCIL
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O r Builder a �
���I lo � 1 l� �."n r_Y��I. I�anJc ��,
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Mailing Address Mailing Address � p �
'r,(�� �, ���i�:���1, (,�'�;_ .5�/�'�/_3 � �
City,Stp�,Zip City,State,Zip
��iS 9��l S y/�
Daytime Phone Daytime Phone �
� `
Additional Information: Zone District: � � � �
�
Lot Dimensions: (s`�� ����i
�
Date lot was created: Acres: i�, `� �-
Is there wetland neaz the proposed structure?If yes,how faz,;�2 `I G�.�r�u��d..�1 Lk j o
Building Land Use Floodpiain:(J)Yes (y��)No �
(�)New (�,)Filling Chippewa Flowage:O Yes ��) No �
O Addition O Dredging Driveway access off of a(Check one): s� �
( )Alteration ( )Grading (�)Private Rd ( )Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °' '
O O � S
Primary Structure Accessory Building Addition o 0
( )Dwelling ( )Garage-attached/detached ( )Deck �
( )Yeaz round ( )#of caz stalls ( )Porch ,;,
( )Seasonal (�l Storage Building ( )Enclosed =
O Frame built on site O Screenhouse O Living room � �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom O
( )Other primary structure ( ) ( )Relocate/enlazge `
( ) ( ) ( )#of new � �
� t_
Additional Information:
�
�l1 �
�
Type of Construction: ,,
( )Frame ( )Log �)Pole/metal ( )Block � �'
( )Concrete i�; �,,�
( )Other
�
Construction Cost:Primary Structure$ �
b
Accessory Building:$ (5�(:(`jp Addition:$ �
so� isz � '
Deed:Vol '.��y P 5� Certified Soil Test# '�
g 5 (�.�, �,�3 �, z
�
CSM:Vol�_Pg �l? Lot# }5 � Sanitary Permit# C � �'�� °Q �
Plat Envelope Or: �, ,^.
- �n
Condo Vol Pg Yeaz Installed: i;,
"Loads and Flows": Vol Pg Owner When Installed: � �
ci
Previous office approvals/actions: �"
Variance:# LUP:# UL-U'l3 SP:# CUP:#
Inspection Report:# Change of Zone District: J 1p�
�1���,
��s�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. --C'A'Q r,n
#2. #3.
#4.
Size_ ft. wide
_
— _ f1 ,,vc _
ft. wide __
ft. wide
3 LQ ft. long
—
ft. long
_ ft. long
Floor area _ sq. ft.
, _
_ 'rear lot line or waterline of
lake/river
Hgt. from grade to peak
_
P
Stories
# of bedrooms
as'
r�
O ,1.
id
'Vy�qq
1 / /
c�arag� /
1k
centerline of `TQu)31 Nn& S t ir'j Cj %t-k id ro
Fire Number and Name of Road J Ln � 1 U N 7G�X\ W
1. Enter lot dimensions and indicate north by arrow.
2. Indicate the location and size of the requested construction
activities.
3. Also, indicate the location and distance to the well,
septic tank and drainfield, wetland areas, lot lines,
centerline of the road and waterbodies.
Sig �ture of Owner or Authorized Agent:
TTllll'l�'.�,Li,q
if
SlgnatA
Print Name:
The above certifies that the listed information and intentions are
true and correct., that all work shall be performed in compliance
with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
acting as owner'(s) agent, has the permission of the owner(s) to
perform the work requested on this application. The above
persons/s hereby give permission for access to the property for
onsite inspection.
Permit fee: $ /CO6
Total land area within 300' of the waterbody: (A) GrwJLQr '&V\ 300'
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SHORELAND PRESERVATION AGREEMENT -
(Shoreline Ve¢etation Protection Area)
Land Use Permit No. _Oy-3 I�o (To be entered by the Zoning Office) Index No. �- �/�_
� WHEREAS, (list all owners) ✓ty/IZ�n_ ��XJ��,����Ylc�� ��C�(�{�� _
d
�
/�
9, 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.
O
�'' 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
� 35' landward 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
�.. 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) fiuther agrees to allow authorized
q� representatives of the Governmental Unit to enter onto the owner's property at the following description
Q— between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance]
qto inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
�d� 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, Sawyet 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
QZoning Office.
Legal Description of Property: � , a �J � L/� N R �9 (.� f\1 W�S l,J
c� io- qyi-,2 3 - �zo� —
^ ., —
Dated this r� � day of �(,f,iJ 1� , r>'C�'J��
U
(OwneY / � (Owner)
j I
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
��.