HomeMy WebLinkAbout010-841-36-5711-LUP-2004-510 09iO3iO4 13:07 MRRKETPLRCE HAY � 6988313738 N0.073 Da�
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Application for Land Use Permit(*Shoreland*) o o '�-
County of Sawyer y �
' PO Box 676 -Hayward VJI 54843
715/634-6288 �
•Property that is located witiun 300'of a creek,river or stream or witivn 1000'of a �
flowage,lake or pond or has any of the above waterbodies located withiii
, the property's boundazies. �
CONSTRUCTION SHALL NOT BEGIN UNTIL r1LL REQUIRED PERhTITS HAVE HEEN IS5UED.
PRINT-USE BLACK INK OR PENCIL A
' Ra�a,>1� -.d i�c,,.l; F{c•-�.�=� rCC9� KJ�7'� r'� e
Owner 4 Builder fl- `
5�-, -,� st � ��0�.2 ��era�wd l.�.o:
i Mailing Address Mailing Address � � O
wn,, ,«�c�r y:z s ss°� , s-�ow e �41�'Q w� �4&'?,� �
City,State,Zip City,State,Zip �
i _Gc6 $�v- 3zly � rca�l�� `r/S" B�S� ��J��
0
' Daytime Phone Daytime Phone �
A�dditional Information: Zone District:
Lot Dimensions: p
s
Date lot was created: " Acres: • 9 3 Q
t
� Is there wetland neaz the proposed siructure?If yes,how fat o =
Building Land Use Floodplain:O Yes O No c N
(�New ( )Filling Chippewa Flowage;( )Yes ( ) No ^
, O Addition ( }Dred�in� Driveway access off of a(Check oae): �
� ( )Alteration ( )Grading ( )Private Rd QQ Town Rd. �
5�
; )?v?eving On { ) ( )Cowtty Hwy ( )State Hwy �
� \ � \ � N .�F
I Primary Structure Accessory Building Addiuvn o 0
i ( )Dwelling �Garage•�/detached ( )Deck � I
( )Yeaz round (,�#of car sta(ls ( )Porch W N
( )Seasonal ( )Storage Building ( )Enclosed
O Fzame bult on site O Screenhouse O Living room ce �
( )Modular/manufachued ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom � 6
� ( )Other primary stivcture ( ) ( )Relocate/enlarge 0
' ( ) ( } ( )#ofnew � �
�
; Additioual�nformation: � „-
w rn
r rf°'+
Type of Construction: ,q �
(�}Frame (�Log ( )Pole/metal ( )Block ( )Concrete J
, � ���, y
Conshvction Cost:Primary Structure$ � ,.� 3
! Accessory Building:$ j3. 5"�� Addition:$ � �
� Deed:Vol 73.Z Pg�_ Certified Soil Test# � z
' CSM:Vol � Pg�3 g Lot# 2 Sanitary Pernrit# °O �
Plat Envelope �Z��y Or: o� �
Condo Vol Pg Year lnstalled: �:,
U �
"Loads and Flows": V'ol Pg Owner When Installed: �
�
, ..
i
Previous office approvals/actions: `�
Variance:# LUP:# SP;# CUP:# �
Inspectioa Report:# Chango of Zone Districi: � j b
���y
119N�
99iO3iO4 13:07 MRRKETPLRCE HRY � 6088313738 N0.073 D03
Describe the coastructiae using these columns.List the dimensions of each structure ia a separata
eolumn.Liet each story,each addition,eech alteration in a aeparate cotumn.
� #1. v� � #2. #3. #4.
' Size ft. 'de ft.wide fi.wide ft,wide
�_ft.long ft.long f�.long ft.long
� Floor azea�sq.ft. sq,ft. sq.£�. sq.ft.
�' I�gt�gade �� to�esk ft.hgt. ft.hgt. ft.hgt.
i Stories stories stories stories
#of bedrooms
���'J'�e Ra`""i� �r�P � N
Lake/Po /F'lowa ' e /Strea�,. e
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Fue umber and Name of Road Q 7 � S^Al C�,�L s e yv `,q,/t/�o
1. Enter lot dimensions and indicate north by arrow. ' ��ure oi Owrler or Authorized Agent:
2. I»»dicate the location and size of the requested construction ,�s�t-',7�-�-
r� SlgneW�a
activities. -
PMt N2me:�i c,h d,. �,; ;,t c�vi
� 3. Also,indicate the location and distance to the well, ma aowa�,ue�s Ihet ihe Ibled infnmm6on and intentione are
We 8�d mrtd�.,Mat e0 wark she6 be pe�lormed in mmpllanw
septic tank and drainfield,wetland areas,lot lines, wllh Ne�equlremenb af Ine Saryer Counry Zonl�D�dfnence
eM are iews end regubtlona o11he Sfam of Wismnatn,and tt
centerline of the road and tvaterbodies. �^a�+��191 eae�,n�,n�cerm�ro�or me w„��ta1 m
pBllOrtll !hB WOIk RqUBJIBd On 1hb aOPll�on, The aCoVO
,' parsonsls neie6y BNe pemilssion lor ea�evs m Ihe pm0eny for
, onslte Inapa�on.
, Permit fee:$ �D(7• (?v _
Total land area within 300'of the waterbody:(A) 3 0`a o O
Total impervious sutface area[including this project](B)�N G Z
(B)/(A)x 100=°/a Used �(Shall not exceed 15%[or 25%with a wnditional use permit).)
Shoreline VegetaHon Protecdon Area:Mitigation Required7 O Yes ( No
��ptember 15 2004
iTssue Date Signahue of Iss g ent
september 15, 2005 50%Rule: Average Road Setback;
Expiration Date
Office Comme�s:
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GRAPHIC SCALE TAX ASSESSMENT PURPO;
soo o soo wo aoo ieoa Informat�on contained on this
advisory. Map accuracy is lin
quality of the pu6lic records
wos prepared. It is not �nten
( IN FEET ) substitute for an accurate fii
1 inch = 400 ft.
� n.
Repirter'� O[fice t 18.9 4 � 4
.
Sawycr CountY f �
Rec=c'-ivei �or icr,ocd thE � � aaY � �,�' ��_
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09iO3iO4 13:07 MARKETPLACE HAY � 6088313738 N0.073 D01-
S1�OYtELAND PR�SEI�'VATION AGREE1Vi�NT
(Shorelinc Ve�etation Protectioti Arca)
Y.and Use Pcrmit No. (�J�/� (To be entered by the Zoni.ttg Office) Index Nu• Q�-J���
�WHEREAS,(list a11 awners) �,•-•d�t1 5 �� '�•p.� �••d i�5�a-- 1 c. � 1-t� �-,-�.�
owns rea�l estate within 5awyer Courity thaC is subjeat to the Sawyer County Shoreland Regulations, and
� V►JHERE�4.S,in order to securc a Land Use Permit.
�N'��tl', THEREFORE, the owner(s) hereby certifies that, as a cc�adition of issue of said Land Use Perm�it, that
� the SHORELINE VEGETATION PROTECTION AREA oa said real estate is inta�ct to a minirnum depth of
3 5' landwatd from the vrdinary high-water mark of the waterbady.
a
._, The ovvner(s) hereby aprees to comply with the shoreland vegetative protectioa area requirements af Sectian
'' 4.410 SHOREL�ND VEGETATION PROTECTIaN ARF.A, Sawyer Couaty Zoni�g Ordinance, i�n effect on
Zthe date ihat the land use permit is issued by the zoniag office. The owner(s) further agees to allow authorized
� representatives of the Governmental Unit to enter onto the owner's property at the following description
�� between tt�e hours of 8:00 A.M. and 6;00 P.M. (Sectiott�9.13(1) POWERS, Sawyer County Zoning Ordinance]
(x to inspect the struct�u�e(s} or uses authorized by said Land Use Permit and to detetmine if the SHOIZEY.IINE
_VEGETATION PROTECTION AREA exists and that it is being preserved. This authaciz,ation shall temlinnte
� on the date a£expiration of the land use pernut. However,the owner's obligation to maintain th�SHOI�ELINE
a VEGETATION PROTECTION ARF.A in accordanc.s with Section 4.410 SHORELAND VEGETATION
Q PROTECTION AREA, Sawyer County Zoning Ordinance remains in effec� Violation of this Agreement will
-� authorize, in �ddition to other penalties and relief t'equired under the Sawyer Couaty 7raniag �'di.nance,
injunctive reGef, restaration of said real estate, the revocation of said Land Use Permit and the removal of ali
structures approved by the issue of said Land Use Permit and the revocation of any other us�s approved by the
� issue of said Land Use Perm.it. ALl parties agree that this Agieement sha11 lae filed with the Sawyer County
� ?oning Office.
V , Vol 9 a e 439 in Gov't
; � Legal Description af Property: �o-� Z C 5� �o `�y P
� 7, SW SE, Sec 36, T41 N R8W Town of Ha ard
� 010-841-36-5711
Dated this I o�"�'` day of �e�.,�°��Q"r , �-p°`�
� ,
i tOwner) (Owner) .
� -bCa� � �-�-
� _ ,
' (�wner) (Owner)
i
I
�
� (pwner) (Owner}
� This inshument rv�as dcaCted by; �
— � Sawyer County'Laraing O(�ice . _
_ . i . _ _ .