HomeMy WebLinkAbout010-839-01-5303-LUP-2004-465 Application for Land Use Permit(*Shoreland*) r , �� �
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 _
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.
n � C�� PRINT-USE BLACK INK OR PENCIL .S !
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Mailing Addrp ss Mailin Address � O
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City,State,Zip City,State,Zip
7/r-����-�S� 9 �iS- �/�- 9,s��
Daytime Phone Daytime Phone 7�� �y�,�-a 7 3 8
AdditionalInformation: ZoneDistrict: �'(Z�� �
Lot Dimensions: •�
Date lot was created: Acres: o��y�
Is there wetland near the proposed structure?If yes,how faz,///� o �
Building Land Use Floodplain:O Yes O No �
( )New ( )Filling Chippewa Flowage:�Yes ( ) No �o
O Addition O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �
( )Moving On ( ) � )C�°vn£�,qn,� ,?OAd HW� � o
� ) � ) 0 4�
N ,S
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Primary Structare Accessory Building Addition o °
�Dwelling ( )Garage-attached/detached ( )Deck �
( )Year round ( )#of car stalls ( )Porch � "
�Seasonal (�Storage Building ( )Enclosed �
�rame built on site O Screenhouse O Living room c�
( )Modular/manufactured ( )Greenhouse ( )Kitchen "
( )Mobile/manufactured ( )Other ( )Bedroom
( )Othex primary structure ( ) ( )Relocate/enlarge �
� � ( ) ( )#of new
Additional Information: p
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Type of Construction: W
(�Frame ( )Log �Pole/metal ( )Block ( )Concrete � —
( )Other W
y
Construction Cost:Primary Structure$ ro �
Accessory Building:$ /.��OB. � Addition:$ � I�.,
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Deed:Vol�j_'��.Pg�� Certified Soil Test#�=(L� � Iz
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CSM:Vol Pg Lot# Sanitary Permit# �9-�t rJQ 00 7�
Plat Envelope Or: o,
Condo Vol Pg Yeaz Installed: �, �
"I,oads and Flows": Vol Pg Owner When?nstalled: m �
0
Previous office approvals/actions: �
Variance:# LUP:# SP:# CUP:# �
Inspection Report:# Change of Zone District: �'O J
I
IoU85 �
' Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each s ry, each addition, each alteration in a separate column.
#1. L D �#2. #3. #4.
Size_{.��ft. wide ft. wide ft. wide ft. wide
�!/�ft. long ft. long ft. long ft. long
Floor area �2Q0 sq. f[. sq. ft. sq. ft. sq. ft.
Hgt.from gtade ,f� ��to peak ft. hgt. ft. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms
Lake/Pond/Flowa e/River/Stream Name
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Fire Number and Name of Road/�/,�jt/A�F1Li�7�N �Al�
1. Enter lot dimensions and indicate north by arrow. Si natute of Own or A orized Agent:
2. Indicate the location and size of the requested constnxction ��,� �
Signature
activities. Q�
Print Name:����✓��G• Sl�/�/�
3. Also, 1ndiCate the location and clistance to the Well, The above certifles that the �isted information and inten[ions are
true and correct,tnat all worK snall be pertormetl in cnmpiiance
septic tank and drainfield, wetland areas, lot lines, with the requiremenis of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
Centelllne of YZle road and Waterbodies. acting as ownef(s)agen�, has the pertnission ot the owner(s)to
peAortn the work requesled on this appllcation. The above
personsls hereby give permission for access to the roperty for
onsiteinsp
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Permit fee: $ �('j� �
Total land area within 300' of the waterbody: (A) J�O�y��
Total impervious surface azea [including this project] (B) �9�y
(B) /(A) x 100=% Used q, '� � (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes O No
September 1, 2004 � ,n. o �.c .C� `eu —�� �� _
Issue Date Signature of Is �n gent ��
September 1, 2005 50% Rule: AverageRoadSetback: _
Expiration Date
Office Comments:
SHORELAND PRTSERVATION AGREF,M�NT
(Non-Intact Shoreline VeQetation Protection Arca)
Land Use Permit No.�(To be entered by the Zoning Office) Index No. � -'y�_ .
WHEREAS, (list all owners) �� � � f� �p�o�i � C'C�'! C�
a.w�-`�r � L �.d��, � �
� owns real estate wrttun Sawyer County that is subject to the Sawyer County Shorela�d 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
�' the SHORELINE VEGETATION PRO'TECTION AREA on said real estate shall be restored in accordance
a with the Mitigation 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 vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
� that the Land Use Pernut 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
sinspect the structure(s) or uses authorized by said Land Use Permit and to deteanine if the SHORELINE
d VEGETATION PROTECTION t1REA exists and that it is being preserved. Violation of this Agreement will
� authorize, in addition to other penalties and relief requued 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
l� issue of said Land Use Permit. All parties agree that tlus Agreement shall be filed with the Sawyer County
J Zoning Office.
�
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?. I,ega1 Description of Property: Part of Govt Lot 3. Section 1 T39 N R8 W
� OLO-839-01-5303
Datedthis 5 dayof August , 2004
�er) (Owner)
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Owner � �
� �"�� � Owner
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(Owner) (Owner)
This u�strument was drafted by:
Sawyer County Zoning Office
State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES
Hayward Service Center
Jim Doyle, Governor 10220N Hwy 27 S.
Scott Hassett, Secretary Hayward, Wisconsin 54843
WISCONSIN John Gozdzialski, Regional Director Telephone 715-634-2688
DEPT. OF NATURAL RESOURCES FAX 715-634-9232
August 17, 2004
Deb Hammerel
Permits Secretary
Sawyer County Zoning
P.O. Box 676
Hayward, WI 54843
Dear Deb,
I have reviewed the application submitted by Robert and Pauline Roehl to construct a storage building on
property located on govt. lot #3 in the SE '/a of NE '/a, section l, Town 39 North, Range 8 West, Town
of Hunter, Sawyer County, Wisconsin. The property is further identified with Sawyer County tax id #
032-839-01-5303, parcel :.3.3.
This property is not covered by a Chippewa Flowage buffer zone restriction.
All other county and state codes and permits apply to the subject property and must be applied for and
adhered to.
Please contact me if you have any questions.
Sincerely, �� tOL��
�%���?� 1
Neal Kephart,
Chippewa Flowage Property Manager
CC: Steven Bade - Ashland DNR
Town of Hunter
Paul Bruggink - Woodruff DNR
www.dnr.state.wi.us Quality Natural Resources Management �
www.wisconsin.gov Through Excellent Customer Service Prinledon
Fecycled
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