HomeMy WebLinkAbout010-841-36-5715-LUP-2004-432 A lication for Land Use Permit S horelQ� �, n
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County of Sawyer v
PO Box 676 -Hayward WI 54843
715/634-8288 _
e undersigned hereby makes application for a Land Use Permit and agrees that all wor�k � �
ill be done in compliance with the requirements of the Sawyer County Zoning Ordinan �
i the laws and regulations of the State of Wisconsin.CONSTRUCTION MA'Y NOT � M
;GIN UNTiL THE PERMIT IS ISSUED.
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ailing Address Mailing Address ,n� �
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ity, State, Zip ` . ._ City, State, Zip r �} �, �
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aytime Phone �- ��
uilding Land Use f-� � ; �' _�
�eW ( ) Filling Zone District �� � ` ' -
) Addition ( )Dredging � � 1 ��� `� � -'�
�) Alteration ( ) Grading Lot Size �' � ��` ' � I� �
) Movin�On t ).�_.�_T_-- � � -
/ �
� � � Acres / ' � � �
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rimary Structure Accessory Building Addition �
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°�avelling (�}:rar�,ge.-�,ttached�ek� ( )Deck �:`s o
�Year round (02�#of car stalls O Porch � ,
` Enclosed ; �
( ) Seasonal �''j,Storage Building { )
( ) Frame built on site ( ) Screenhouse ( )Living room �
( ) Modular/manufactured ( ) Greenhouse ( )Kitchen
( )Mohile/manufactured ( ) Other ( )Bedroom '
( )Relocate/enlarge ��`�; '
: ) Other primary structure � ) ( )#of new �
( ) � � ,��j
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.,,�, a
type o�Constru.ction '�`� �^
;� Frame ( ) Log ( }Pole/metal ( )Blnck ( ) Concrete � �
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( ) Other ; �
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_���'-�'�'��rw`J���' ..'... �`�L � .
Constructian Cost$ � � � ��=�.�' ���?='=- �
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Vol � �z Pg�.of Deed Certified Soil Test#_9_. ________gQ`/� ' �
CSM Vol W Pg�o���- I Sanitary Permit# � � � -� � o.2j'l�5 :� z
.� Or: �u� dz-�3 7 � �
Plat Envelope �'`� �
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Conda Vol Pg Year Installed ��_
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Aff of ex septic V P Owner When Installed:
1 I a K(.o
1
Application for Land Use Permit—Page 2 •
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#I. #2. #3. ' #4.
Size��' ft.wide ft.wide ft.wide R.wide
;��;``�ft.long ft.long ft.long ft.long
Floor area�(,�sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.finm gxade �'S to peak ft.hgt. R.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms '
�� �',7:�n/L� lake/river
rear lot line or waterline of L/% �� _
�:� ; � . � �
In the box sketch in: '' �t�.��}�f- Jt?�
Location and size of all
existing and proposed structures.
Cr��)
Location of septic system. 6y
yy ,.
Indicate distance to: "
Wateriine/Wetlands �y`�^
Road
Lot lines P
Septic system/privy ,� p�
Welt t�.� �,>'�F� a� �
Distance between structures. �
Indicate North. ` ` '`''
—� ,
Fire Numbet: � -'\S�,�. _%,1 ;�+ ''.F't
9 g l 5�✓ cr�-rz�soN�n/. — — _ _ _.� �_ ., -- - -�.��
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!Y �.� . _
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gnature f Owner
The above ceRifies that the listed
information and intenrions aze true and � �
correct The above person/s/bereby
give percnission for access to the �,
properry for onsice inspecaon. �'-----centerline of `✓,%>"� �G!F✓� road-------
- ��-��
Issue Date Aug�ust 16, 20Q,4 Expire Date Aggs, 7 6 �.p 5
��uJ�owS�rLaeaS, j�� 303/� �lMd 0.req ?$i535 �Q-
g �zs Not�,�r�•a,d .
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5688 �'
SAORELAND PRESERVATTON AGREEMENT
d (Shoreline Ve�etation Protection Area)
CLand Usc Permit No. O - �I J7.� (To be entered by the Zoning Office) Indcx No. �-�
v
� w�iE�As, (list all owners)�'�a\�.S �\v.�i„��\ � �`h��c�,�'� Q� ,�
a ���� P.r�. � d��.. � �'�. ��..r o� ����wn�
�
^ owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
Y WHEREAS, in order to secure a Land Use Permit.
�
a 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' lar.dwa:d fro:n the�rdinary high-water mazk of the was,rhody.
�
� 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
Uthe date that the land use permit is issued by the zoning office. The owner(s) fiuther agrees to allow authorized
�i- representatives of the Governmental 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 siructure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
i VEGETATION PROTECTION AREA exists and that it is being preserved. This authodzatiqn shall terminate
a 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 Pernut and the removal of all
I� structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
T issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
.� Zoning Office.
J
� Legal Description of Property:�0��� � ��,3`p ���� �� � Lot # 1 of
CSM vol 4 Dage 243 in the Town of Hayward Sawyer County, WI
Dated this � day of �:��
��� (Owner) � / //�
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(Owner (Owner)
This instrument was drafted by:
Sawyer County Zoning Office �
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GRAPHIC SCALE TAX ASSESSMENT PURPO`
aoo 0 200 +oo aoo �eoo Information contained on this
advisory. Map accuracy is lirr
quality of the public records
was prepared. It is not inten
( IN FEET ) substitute for an accurate fic
1 inch = 400 ft.