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010-840-25-2112-LUP-2004-468
Application for Land Use Perinit(*Shoreland*) o o ( County of Sawyer � � PO Box 676 -Hayward WI 54843 715/634-3288 � *Property that is located within 300'of a cxeek,rivex or stceam or within 1000'of a flowage,lake or pond or has any of the above waterbodies located wiChin t � the pxoperty's boundaries. ,� . COIYSTI2UCTION SHALL NOT BGCIN UNT1L ALL R�QUIR�D PERMITS HAV�BEE1V 1SSU�ll. �/ YRINT-US�6LACK INK OR PCNCIL � n � /AIFoS cvP J�i��✓+1,0�n.✓7� ���^r�i�1c/ (�i�s�i- �'ion� � Builder a' � Owner S /1�7.��ja �/0 �.T/ /✓7''do �/� `'R S� o� Mailing Address Mailing Address � � � �Lrc y�ov�lc,/ c.�� S�/7s � Fu� /�Io�,Jd r.�r .s's��ay i � City,State,Zip City,State,Zip � 7/S- P79- S%7% 7�s f195' �l7 F � � Daytime Phone Daytime Phoue Additional Liformation: Zone District: ! 2"Z. U � � Lot Dimensions: w � Date lot was created: /-�Y-'3 Acres: S`� 3 C] Is there wetlaud near the proposed structure?If yes,how far /✓O o Building Land Use Floodplain:O Yes (�C)No55�54! a/°O a G (xj New O Filling Chippewa Flowage:(X)Yes O No c; O Addition O Dredging Driveway access off of a(Check one): � Private Rd {�Town Rd. � O Alteration (R)Grading � � y State Hw o 0 O Moving On O Count Hwy O Y G� � ) � ) N � Accessor Building Addition o ° Pcimary Stiucriu�e Y Deck �' � OO Dwelling ( )Garage-attached/detached � � #of car stalls O Porch w (�Yeax round � � ��)�nclosed � ( )Seasonal ( )Storage Building � Screenhouse (X)Living room �, (Jv Frauie built on site � ) x Kitchen � ( )Modul�rhnanufactured ( )Gxeenhouse � ) p \ Bedroom ( j Mobile/manufactured O Othex � � �Relocate/enlarge o ()Other�rimary structure � � � )#of new � � ( ) � !� ` AdditionalIvformatiou: U �, � � 0 � I� Type of Construction: Coiicrete � � t�Frame ( )Log� ( )PolehnetaL ( )Block (� � � ( )Other � Constructiou Cost:Primary Structure$ �� U`� ro � � Accessory Bi�ildiug:$ Additior.:$ = co 0 :� Certified Soil Test# � 99-3��7 � �Z Deed:Vol Pg -a8 •Q�'� � � CSM:Vol �'/ Pg 6dG-Ia7 Lot#___� Sauitary Permit# � � � Plat�nvelope -%/S�!'f �r' ' Year Installed: `�' � Condo Vol Y� "' Owner When Installed: `D "Loads and Plows": Vol Yg � 9'7-U17 9c�-t83 Previous office approvals/actions: �5�v'76 Variance:# LUP:# $9-OC8 SP:# CUP:# Inspection Report:# Cl�ange of Zone District: �Z3�0`'� lo��f3 Describe tlie construction using tl�ese columus. List the dimensions of eacL structure in a separate e colwuu. List eadi story, each addition, each altexation iu a separate colmnn. �� #1. ��s� #2. S'vN�� �� #3. ,/�-�-u�. Size__?�_ ft. wide � fr� wide i u ft. wide ft. wide , . _e�, n. long (�F ft. long �F6 R. long ft. long � � Floor area /o sq. ft. / 6 Sq� �• �lGo sq. ft. sq. ft. Hgt.firom gi-ade � G to pealc 2 o ft. hgt. ___�_ ft. hgt. ft. hgt. Stories f �i� I stories �_— stoxies stories � # of bedrooms __t�__, Lake/Pm�d/Flowa e/Rivcr/Stream Namc � j'J/o-f- /�LA,J Pire Number and Name of Road �'o �� u �'"' �`�� 1. �nter lot dimensions and indicate north Uy arrow. $j at re of Owne or Auth�d Agent: 2. Indicate the location and size of the requested constructiou SignaWre aCt1V1t10S. PdntName: �Un19Gr+ �L�i 141—��J The above cedifes fhat the listed mtormation and mtentrons are 3. Also, indicate the location and distauce to the well, �e and wrrecf., lhat a11 work shall be pedormed in compliance � with the requiremenls of lhe Sawyer County Zoning Ordinance septic taiilc aud drainfield, wetland areas, lot lines, and ihe laws and regulations ot Ihe State ot Wisconsin, and it acting as owner(s) agent, has lhe permission o(the owner(s) lo CeRL0111Re Of 1110 YO&d arid Wat�rbOd10S. pedonn lhe work requesled on this application. The above personsls he2by give permission for access to the property for onsite inspection. Permit fee: $ 'I'otal land area within 300' of the waterbody: (A) � 2�'�/�'o Total impervious surface area [including this projcct] (B) // 3 G .5�= - 0 (B) / (A) x 100 = % Used 7 /a (Shall not exceed 15%[or 25% with a conditional use permit]. Shoreline Vegetarion Protection Area: Mitigation Required7 O Yes (� No - �_ September 1 , 2004 � Issue Date Signature of Iss g nt September 1 , 2005 50% Rule: Average Road Setback: _ Expiration Date Office Comments: f � � �. �'� � '.•iffll .' J,� �,SI — '.- .. .�j " - nc.,,.<:�.'rz:- . �, � . � :Jq?o . �I�j n3i`t e�T� %lx . 'i�� im�m, 11?icn,�.qfrt� T...� ��� �1�� �m`il� • ' `" ^^ir,�/�1i' . � m. ��� n* - �' '=��^_��, '{%{ _> � !, �n �� ��'� � �;?� � ,,.`, ��,.. e�. P .. �-„ ii� . .�:;�. � i��i' '� �)1I �jIP� � iP�l+�� ti� ��� ,�, � i �� I 7l1�V 1 ,r � �/ . .����1'I ���y� �p �1 '� nr ' - � �r s ��� v 2 , -` , ( '{I, _ i{u�� �, ^,a,,i�a ir�i n m�qin y � , . I��lyi , A�1 I 31ryT.7��.�liR1rtll�r��,Hl��!,t'C�Ipp���' J�� ���� l��lifl'tA `]�{i'.I' qf����f�!',�� �61�[� nl�'��Imp�, 'N1� -�y {l']) � �I l I� 'I � bi l � �.� �A�NC'.�1D ;Y I If � . . 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( .5.7 , A b /.7� .5.8 4 � I 5.9 .5.15 2 2 .5.10 .6.( .s.�:� .;�.2 3 .s.�� � � .5.14 4 5.�2 ' .5.3 5.6 � .5.4 5.5 �� � .7. 1 .8: 1 L4Keslwo'� i�e �e.1�'�"`�" . O O � � .1010 .10 I �.2 .�0 .10.3 .9. I ��.•j i �•Y �r .�O Jes � '8 f I .10.7 . 10.6 10.4 .� �.i i ��.� � v` .I 1.4 .��.5 .II.2 .12.I � ,� � Raqis�er's O!nce \ - SewyerCounly � � F cervetl Iw recortl I��s �(o- Cay@ � - APEX �AD 20 03 aig'.�D c c!'"k /k- M nnd recomxa in��ui 3`F - SURVEYING o�s�,��s��aY��,c�;91 Zl�-/.37 1561d Windrose Lane, Suite 330 �,- �� � -��� - Hayward, WI54843 wgister � � 715-6343435 FAX: 715-934-2739 �,�,, � 307302 SAWYER COUNTY CERTIFIED SURVEY MAP �ocl�T'E�j tN �"Nt NEy�I - Nw�� , SecToN 25, T'�o,d- RBuJ ,To �..�n� oF F{nyu�q�.D , sqwyEP. Co. , W15 . s�1tt-r i or2 N89�Hfl'I�-E A 2536.OD� _ _ �� o - ` � eX. 2%z BRr�ss cq� u1iT.CoR� �,1W coR. sEc. �q � To NY4coR 't'yo�.1-RBw sac.�.s / 7Yo,� -RB w . EX� 3Yi AC✓m��Af• �� � CLIENT� �flKESNoRf .�EJELopmeNT .t�76/ ocQXtSTiN62Y2STEELP�Pr �\ V4LCSS S�ENOT�D �RJEoT No, 3ooS pb�/ o c SET S�B�XlB° Sa. STEEL QAR 0 0�j WT 1.33��FT- y5% YjE/�RiU6S REf. Yo 71-�E }�o�TH � LCIJe NWY� 56c.25 I{SSUMED / S�RJeYo,e's No-T�-e �A�R �Ts R�eE' /� � /yli.viM�M oF A ioo ' A "T R�6F/�T iQ.flG'Gf5 ���a A 5 /✓�9'S`/-/7E� � N98�y9-y'7e 7oasz ----�___ � , /_. ---=JqNos_ ` �SKi. ss�y_ �_ P.. ry2, /�/` � NSB` 5'9= ��7 E`.. ,=J v��! � � — — — 3z9.85' .s y,A�ex.�'y6AR� 37 .6"7` a� � �� T P o LoT � m r CjC/,C-.E � =f00 — — -'� `�?t�`N U� 36ioor �F. � 0� % \�m �s� � o.83c Ac. . , � GRAPHIC SCALE �y ti d88-`19-52'c /So� 277.25' i� � !+ � • �i. n � Lo"'(' 2 b. . n N 3Z600i SF. o/a f� ° o�7s r qc. � � I ��;� 0' S0' 100' 200' '/ � ,J88=y9-`17t /�`M / �� v�. F E E T � z56�5o ' M 65� fn °/N . Lo"r 3 ��o� '� N z89oo fi SF. o N ��C � r -m � 0�66'tA�c. %N / �� i � a �/80=49=Y1e 30'� � i uuinn y.., ,�, � o� . zss7s' / !.��gCO�ySA�, / P '."V�� � h �.oT � ��j � :� FREDERIC�'• % ; 49.5 N 234002 SP, p ' ' W . = � 0.5�(. . �c. / / =7iI'i Zier�oW .' ± � c c'i s-ezz '7�'° 862_6Z/ 215.00 ?vti. Hw"e .%Q-c �� — — — gb" l,�J, ..''.� O '��........y0: � — , � se3`-49' _ / suRVE � , •j " �_t' , \�S8B=99�-36� Io97.92 � /��. LAN�S � Y7AZG�3 - ` . _ J�f-/✓. i SJpJ"cYoRS t`�oTE: TN�S Q2oPFR�"y iS -rr{E 1��/{cK aERR LoDGE ItND EkIS iiN6 B✓��D�N65 N�T SNowN AR6 To$E RFI(KilEp Certified Survey No. s S 4 4 l� �j 4 p� 13 6 •vti. 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 ,.o; . . �.��� u...�F .���..� cr y ���m-�4 August 27, 2004 � �� � ` - _ �� ``� � ���� � /t,� :.5 i E� t1�� F .: J _: � a �` �. �.� _ � � t�,���� t � Deb Hammerel ` =� '-'�' ._�� {----�;T.�,,y.-�,.�.�) �/ r:.�-- � � Fh"c+Ti41 ! Permits Secretary Sawyer County Zoning � � '°�` M ��� P.O. Box 676 Hayward, WI 54843 Dear Deb, I have reviewed the application submitted by Lakeshore Development to construct a house on property identified as lot #4 of CSM Vol. 24, page 136-1371ocated in the NE '/a of NW '/a of section 25, Town 40 North, Range 8 West in the Town of Hayward, Sawyer County, Wisconsin. The property is further identified with Sawyer County tax id # 010-840-25-2112, parcel # .51.2. Tl�is 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, - �^� �F (�, ' i Neal Kephart, Chippewa Flowage Property Manager CC: Steven Bade - Ashland DNR Town of Hayward Paul Bruggink— Woodruff DNR www.dnr.state.wi.us Quality Natural Resources Management � www.wisconsin.gov Through Excellent Customer Service Printedon Recycled Paoer SHORELAND PRESERVATION AGREEMENT (Nan-Intact Shoreline Veeetation Protection Area) Land Use Permit No. �y ylo 8 (To be entered by the Zoning Office) Index No. G�- � WIiEREAS,(list all owners)�p/c.�P/te���_I 6 r.r,t�Q�,� 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 the SHORELINE VEGETATION PROTECTION AREA on said real estate sha11 be restored in accordance + 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 Q with all shoreland vegetative buffer requirements of the 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 � representatives of the Governmental Unit to enter onto the owner's propedy at the following description to q�i inspect the structure(s) or uses authorized by said Land Use Pernut and to determine if the SHORELINE � VEGETATION PROTECTION AREA e�cists and that it is being preserved.Violation of this Agreement will authorize, in addition to other penalfies and relief required under the Sawyer County Zoning Ordinance, L injunctive relief,restoration of said real estate,the revocadon of said Land Use Pernut and the removal of all � structures approved by the issue of said Land Use Pemut 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. � LegalDescriptionofProperty: Lot 4 of Certified Survey Map in vol 24 page 136 —1 map # 6544 located in the NE 4 NW4 Section 25, T 40 N, R W. 00 � Dated ttris 23 day of Au st 2004 � O (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office _ 0 O P� O� ... ' �� � • D . O ROAD - ;.•'�;,;.::''• GREEN - ' °i ` LAKE : ��::'' : V•: I NN 15::;?`��::':? 14 13 , �::��,�:;'. �.::� • :�:�:�:�: , ; ���:ZON E�A:�?�:�:�`����`��'� ---- — - HOAD --,'ri;-:tiw:�r;j;�?:::;�'rri`..;�'r,'r:;'r •:: �•:?:•.•.•: �.•' .•::}}}'.': � ,.:�:::?::�::�:::;::;;:;:;`:>::::;{:<`� ZO N E A : ;'.O N E X\ ;::::::` �� ,� .`;.i:: .: 22 23 i 24 � � �j�r�•'' J •t.�`..':' INDIAN LAKE . <.:;:.:.:E:;::::.�`. ,��::�:�::�::�::�: �:::::;�'�� :::: ZONE X :,,... �'� � � ����:<?`;����;t?�':::: ��4 � / ;:;::::i�(:;;:::: � .' 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