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Home My WebLink About010-841-35-5119-LUP-2004-546 Application for Land Use Permit(*Shoreland*) .3/�� County of Sawyer ° � PO Box 676 -Hayward 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. � PRINT—USE BLACK INK OR PENCIL P � � Cy�,2r�� iTir,�,�� ae,r,E.z.�k.� �o�� SE nno.✓ � Owner Builder � � �l�''� �FLC�o s L-,✓ o. Mailing Address Mailing Address � O � n1�r P2:.�5 p�T i� ��,�:s� � City,State,Zip City,State,Zip � � $�� S- (ov� 7iS h9 i -S/%�5� > Daytime Phone ��_��c�/ ) Daytime Phone � 0 Additional Information: Zone District: �Q-� L� � Lot Dimensions: � R Date lot was created: Acres: , (� � Is there wetland near the proposed structure?If yes,how far o � 3 Building Land Use Floodplain:O Yes (�C)No � � O New O Filling Chippewa Flowage:O Yes QQ No n j° � O Addition O Dredging Driveway access off of a(Check one): � � ( )Alteration ( )Grading (Jcj Private Rd ( )Town Rd � _ ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) N � Primary Stru�ture Accessory Building _, Addition o 0 ( )Dwelling (�Garage-attached detached� ( )Deck � � O Yeaz round (�)#oP car stalls � O Porch b, ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room c� ( )Modular/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom ,-� ( )Other primary structure ( ) ( )Relocate/enlarge \ ( ) ( ) ( )#of new Additional Information: a � � , cc Type of Construction: � � (,�Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete i � ( )Other �� Construction Cost:Primary Structure$ ro � Accessory Building:$ �� o o� �,o,—,� Addition:$ � � `, :° � � Deed:Vol L G� Pg (" _ Certified Soil Test# C�-05"/ �; z CSM:Vol �/ Pg z�':3 Lot#� Sanitary Permit# OG-Oh'� "� '7y Plat Envelope ��"a�`� Or. o, Condo Vol Pg Year Installed: n, � � � "Loads and Flows": Vol Pg Owner When Installed: cc � a. Previous office approvals/actions: � Variance:# LUP:# (,�=3-��y SP:# CUP:# � Inspection Report:# Change of Zone District: �j��/ i�-�a� Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each addition, each alteration in a separate column. #1. ,y)p�, ; �� #2. #3. #4. Size C� ft. wide ft. wide ft. wide ft. wide �a ft. long ft. long ft. long ft. long Floor azea yyC� sq. fr. sq. ft. sq. ft. sq. 8. Hgt.from giade to peak ft. hgt. ft. hgt. ft. hgt. Stories stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream Name � I ' ` f�' IS � ��'4n ga� � � �*r—..��.. _. . ____. . . I ___._ j lS.'� ..._._�_....� '.�W € a,�r d u- `':... � , � � � i � � ko"S i w` � _ , IL� . l i �'---j--�+, �D � r , � J ��' S`cpr� c . . �� R, , ^ _� 'V . . .. .--- � � - � Fire Number and Name of Road /00 �/;o A/ ffi¢�.�d�� 1. Enter lot dimensions and indicate north by arrow. Signature �ter or Aut orized Agent: 2. Indicate the location and size of the requested construction � � � SignaNre activities. c�.r.r�.> > ��r�� -e r� k, Pnnt Name: TR-✓�c c il a-�-,E��r�K. 3. Also, indicate the location and distance to the well, The above cenifies ihat the listed iniormation and intentions are We and correct, that all work shall be pertortned in compliance SeptiC tank and dTalnfielQ, wetland areas, IOt 11ne5, with the requiremenis ot me Savryer Counry Zoning OMinance and the laws and regulations of the State ot Wisconsin, and if centerline of the road and waterbodies. a�u�y as ow�er�5�a9e�i, na5 me��5s�on or�ne owoe��s�to pertortn the work 2quested on this application. The above personsls hereby give permission for access to the property for onsite inspection. �� Permit fee: $ �,j Total land area within 300' of the waterbody: (A) .�3�, r 9 v Tota1 impervious surface azea [including this project] (B) 3, (o�f 8' (B) / (A) x 100 = % Used %�, � o (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �No September 30, 2004 ' - Issue Date Signature of Iss n ent September 30, 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: GE.e�' V�� jo.N�,29-r-k, / � � �G /�/ /fA-�FJ o.�.d /�g y uJFI-2O G.rS - ,// - �f'Y� a 7. 4 S y- �O '7 7 G S = �2 - 02 3. 8"a� �T is/. 7S >- /3a.vG = a81` �i =� = i�a. a<, sWT �23. 8..zSFr x i�f� .aoSii = 3 3a�8. o3 �f s�. :-r- �� /1`/. i r �a� . 4- - .3c:3. 7 =� _ /P/. � r �T ��.�5 `T x /a3, f,r�T = /� g3o . SL7 S7. �t � O �G� (oo t Sj� _ /i � = 01 _ S7 Gi %� 3. Sr f- iob = ozu9. rS = � _ �0 }�, 7 �r �r S7 Fr x iu�-� 7s"<r" = s�y�.� . i� � s�.. Fr r-� T,r� s � F� - ar� �go. � � G ir�� _ �aa � . � . C. 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SI�ORELAND PRESERVATION AGREEMENT (Shoreline VeQetatiou Protection Area) Land Use Permit No. Qy-J�y�D (To be entered by the Zoning Office) Index No. � �'� WHEREAS, (list all owners) G�/t�yp � 7i�y�c� �( pm,s,egc,�, O1 u �G , d 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. � -c9 NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that S the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of � 35' landwazd from the ordinary high-water mazk of the waterbody. G� — The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section �G 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. T'he owner(s) fiu-ther agrees to allow authorized L 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] f� to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE (-� VEGETATION PROTECTION 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 SHORELINE 9 VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION T PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will LC� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, � mjunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all 7' structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the 0 issue of said Land Use Permit. All parties agree that this Agreement sha11 be filed with the Sawyer County Zoning Office. Legal Description ofProperty: ��o -a�5`/ - 3 S- Ti/ �^ �u� 7 Lo T � %y S-�. 3 5 i u�,v v i N /c' g- U/ _ Dated this „?� day of ��T o �� (Owner) �Q�� :��/rt _ �% (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer Coanty Zoning Office �