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Home My WebLink About010-171-00-2501-LUP-2004-475 � -eland�" r ,-�',`. Application for Land Use Permit ( Shoi ) � County of�awyer � � YO I3.ox 676 -Haywar�i WI 54343 715/634-32�II � � *Property that is located within 300' of a creelc, river or streaiil or within 1000' of a flowage, lalce or pond or has any of the aUove waterUodies located within � the property's Uoundaries. � CONSTKUCTION SHALL NOT B�GIN UNTIL A]LL][t�QUlli�D P�RMIT5 HAV�I3��N 1SSULll. � ' PItINT-US�BLACK ITVIC Olt 1'�NCIL � � �A f'�ie rP �eil.o /nl�.ee�7�". � � T r lW�d l "��' ¢ �� Builder ' � Owner �• Sl� � 7 a.�d Q"lG��c� o' � �o�-S�v ��d � Mailin�Address � O Mailing Address � � �'. ,_ ,,� � vf- "y!?3 1 r—ir•� /��i v,,r/ uJ t S'v 7 8f'' ;� r—�„K-- r7o v -- � w� p L City, State, Zip City, State, Zi p� 7! � �'T S— S'�7 9 7!S — �T 9- � � ��' � llaytime Phone Daytime Phone � y � � 0 �,dditional I�iformation: Zone District: �� t Lot Dimensions: ld D �' �''� 7 n Date lot was created: Acres: G`� b � � Is there wetland near the proposed structure? If yes, how 1'ar /l�tl � I3u'lding Land Use F'loodplain: O Yes (�No ___ � Chi� ewa Flowage: O Yes �l No � b New ( ) Pilling 1� � � ) Addition O Dredguig Driveway access off of a(Checic one): � Private Rd (.�Town Ra. � O Alteration O Gi�d�g � � County Hwy O Stale H�vy � o 0 � � MOV1Ilg �Il � �_---- N � l �_--- � �__---- -�A o , . �ccessory Building Addition o '�' I rllnary Structure Decic ``' ( ) llwelling (� Garage-attached/detached ( ) � # of car stalls O Porch �; ( ) Year round �u �ncloseci � ( ) Seasonal ( ) Storage Building � ) Screei�llouse ( ) Living room � ( ) I'rame built on site � � Gieei�liouse ( ) Kitchen � ( ) Modular/manufactured ( ) ( � Bedroom O � ( ) Mobile/manufactured ( ) Other '' � � ( )Relocate/enlarge o ( ) Other priinary structure � � �#�f llew � � ) � � '�S ` .� AdditionalInformation: � � 8 `� � � 'I'ypc of Coi�struction: locic P9 Concretc (�Fraiue ( ) Log ( )I'o metal ( ) U� a � ( ) Other � � � 0 0 � ro Construction Cost: Priinary Stru tur� $ � Adc�i'?�i�: $ � �lccesso�y�3;�ilcling: $ � �u` � c^� Z Cerlitied Soil Test# G �� UQ � Deed: Vol /t Pg� - _ `� _;- .: � Lot# 3 Sanilary Perinit# ;� � CSM: Vol ��I �.�-- --- a� Ot: • Plat�nvelope N P�______ Year Installed: �, � Condo Vol_____.____ � "Loacls ancl Flows": Vol �'� Owner When Installed: � , � Previous office approvals/actions: v.� , SP: # CUP: #� , Variance: # LUI :# � � Inspection Report: # Change of Zone District: �� / ! 1 0�03 _ ., Describe tlie constru�tion using tliesc colu�nn�. List the diuiensions of eacl� structure in a separate � � coluuw. List eac�i story, ench �cidition, CIl :lItE1CAt10I1 lll A SCp:lClit colwifln. #�4 �h :' � . tlt� �, #2. /�'tJS �,JI" �3. rG . ._ #1 . 1� ft. wid /� ft. wide ,2 �( Size a g f . wide f1:. wide � � -Z �{5� t. lon c* � ft. long 1 � ft. long �G �Z� ft. ong 3d. g a- 6 sc�. ft. G s—� sn. t. 1�o Floor area Lv sq. ft. �!- g sq. ft. �� `� ft. h t �� ft. hgt. /o ft. h t. Hgt. from e � to ��ic � • ! stories �= storie � Stories � / stories `� # of bedro ms Lalce/Pond/I�'low�► e/River/Stre:►m N�me , : -� �_ G� ;'� � . . , �, �, �� ( . �� ' � , ' i _.e ! � Pire Number and Name of Road ` 1. Enter lot dimensions and indicate north by arrow. $j ure of Ow r o Authorized Agent: 2. Indicate the location and size of the rec�uested construction s;g�at�re � aCt1V1t10S. Print Name � L �y�, L� �C � d +- �� The above cerlifies that the lisled information and intenlions are 3. Also, indicate the location and distance to the well, true and correct., ihat all work shall be performed in compliance with the requirements o( tiie Sawyer County Zoning Ordinance and lhe laws and regulations of tiie State of Wisconsin, and if septic tat�ic and drainf eld, wetland areas, lot 1111es, acting as owner(s) agent, has the permission of the owner(s) to centerline of the road and waterUodies. Pe�soR„ the work requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. Oo Permit fee: $ /OD ` Total land area within 300' of the waterbody: (�) � � 00 Total impervious surface area [including thi� project] (B) �� — B / A x 100 = % Used /� �o � �+� (Shall not exceed 15%[or 25`% with a conditional use perinit].) � ) � ) Shoreline Vegetation Protection Area: Mitigation Required? O Ye5 O No ., _ September 2 , 2004 Issue Date Signature of Iss i ng ent September 2 , 2005 Sp% Rule: Average Road Setb�cic: Expiration Date Office Comments: 09/17/02 TUE 08 57 FA%_ 715 6a4 2882 RISBERG REAL EST �310 )3 ' • e.. � � • � , � � � � � � �" S y� d�9N �dE•t/U� irc�, oo ' o 0 �, �� °S�KJ �� E �, m (P m k n � v� A - t � � + � �' . . .� i (� ��= . i � � N . F S °o � 1 d� �� o �n 3, �o ; � o `?,,;.' L '� C -��- '� 3 _,.�......,... _._..._...SFc �-� � o '-1 i J � � N _ � v N '� � � � q � �q � � �� . � � b� r j �y � � o�. � 6� — — �� z� � W ` � _J �` � � r � � � �1 "� r �, I d x � _ I ,b ��D � . � ''_ � z�` � • - , � , 0 � � , � _ _ ,� � • N � ,� r I N) = � i � ��; � i . I� le ' io � � o G .- � CP ° �-� �.... � p O � � � � r A - �� r � , '.� N ,fl � � d I T� m � o <�;,�,,.� _ . - --�- �- av �I � �� v � m I - _ -' ' \i � --. 1` p „ � ' � _ -� � �� I z � � o} � � � `� � � � m � r '�— � so•` / � 3 ' m b- �: � �' �, � � r.,. � c, m � o �'� W � � N � Ri � N ,� � �' N U% � �` � E - � ,�t � � �� "'- N c � Z 7; '° � � D !�i � � c - r � % n �� •. �� _'1 � --- �o� ' N � i w �� ii ^�-- i.� _. -- f r�DO , � � I ,YVVA R D � PARK SUBD. : , 23 TWP 41 N . R 8 W. � 2 6 T W P 41 N R 8 W �q�24 �_ SCAL.E I" _ �}-00 � Z�` � -9.31.3 N ^R� Z$ � a� �2g -4.ai.t � N -431.1 �� O 3z _432 �,�` ,429 � 2b s4�b '4.2 � 933.1 . � � -92 :, �{.3'J 2h� , �y� y � � '` /, _q.34.1 39 ,�. 5 A � L �,yY 2� � � 35 .2�•A '. ;.�v � -4.a�.2 � .-435 2A� � 36 23O �}23 -4.36 � `p3, .i O g 3� 2 � � 3� .2z.� p \� �F39 �' � .� ��\ Y3 ,�2 g `�$/ � �� n� �n. �'•sb, `p39 � •Z/./ .. �,ti Z •a ,<, y�'y _J D9 Z O .�i ^ .�J „ 4.z� (� 9, � " Ay' � y� 90 - �9 . �. 9.&2I . j . -A � . y9� � �� . � . 992'� � 14 O ` y(` Y `ry ��z '?i8� � a a ! � �/ / l � � > i � 1 w �4•Cil O N a � .F 4:17.1 �� P� O�"i '4.13.2 'Z b. 4 5 � i 13 �. � 0 4.n.' -9.�r� � ^? s -4.13.t 4.Is3 ��6 a�° 72 .14 O .0 1 n � -4.u.i 4.12.1 �c -4.u.3 .12.2 �, , � -4(oZ ,9 �, \�. a .10�� .�s.z � ' B AY k'� -4.�51 "`��SJ -4.15.'t SHEET 2 oF � SE�ORELAND PRESERVATION AGREEMENT (ShoreE€ne Ve�etatioo Profection Area) Land Use Permit No. -��(To be entered by the Zoning Office) Index No. �y -��` � WHEREAS, (list all owners)�i9/�¢,r�m �P �p �6�,,,g„Q ,��- � � � Q fl owns real estate within Sawyer County that is subject to the Sav✓yer County Shoreland Regulations, and 7 WHEREAS, in order to secure a Land Use Permit. ('"" NOW, THEREFORE, the ��mer(s) hereby certifies that, as z candition af issue cf said �W�� Use Perrrut, fhat 9, the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of � 3S landward from the ordinary high-water mazk of the waterbody. .-C � The owner(s) hereby agees to comply with the shoreland vegetative protection area 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) further agrees to allow authorized � representatives of the Governmental Unit to enter onto the owner's properiy 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 structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE � VEGETATION PROT'ECTION 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 SHORELTNE � VEGETATION PROT'ECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION OpROTECTION AREA, Sawyer County Zoning Ordinance :emains 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 Pemut 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 Zoning Office. Legai Description of Property: �o �3i , eS'!`( (�o/ �J _ � � �C 7 . S..e.,C 2 a _ 4i� - P t�. t.v+ 5 �uv.a �.a.K�e l�ariC Subc1 �,��- �� -av -25or Date this 30 � day of /�ug ,�� L� ' _ (Owner) (Owner) (Owner) (Owner) (Owner) (Oc�ner) This instrument��as drafred by; Sawyer County Zoning Office