HomeMy WebLinkAbout010-171-00-1502-LUP-2004-595 Application for Land Use Permit(*Shoreland*) o 0
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 boundazies. � 1 '
C NSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. \ �
���` PRINT-USE BLACK INK OR PENCIL \�
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Mailin Address
Mailin Address � O
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Daytime Phone Daytime Phone � �
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Additional Information: Zone Disuict: ��`� �
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Lot Dimensions: ,� �
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Date lot was created: Acres: 0 � �
Is there wetland near the proposed structure?If yes,how faz ��/�� � o �
Building Land Use Floodplain:O Yes O No c �
( )New ( )Filling Chippewa Flowage:( )Yes ( ) No � �
O Addition O Dredging Driveway access off of a(Check one): x� �
�Alteration ( )Grading ( )Private Rd ( )Town Rd. � �
( )Moving On ( ) ( )County Hwy ( )State Hwy °°
o �
� ) 11 �
N ,`��
Primazy Structure Accessory Building Addition o ,.��.
( )Dwelling (�Gazage-attached/ et ( )Deck � �
O Yeaz round (�#of car stalls O Porch W l
( )Seasonal ( )Storage Building ( )Enclosed � �
O Frame built on site O Screenhouse O Living room �o �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen °
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primazy structure ( ) ( )Relocate/enlazge `r
( ) ( ) ( )#of new ,
G / � �
Additional Information: n�� �/// dGV S � S/G(���� 0/li�fU9fC � >
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�Y�e of Construction: �j
W Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
/
( )Other
/�7 .? �
Construction Cost:Primary Structure$ (�i/��� ��/ `�� ' �
ro �
Accessory Building:$ Addition:$ �
tk 3/3�[7�I �
Deed:Vol Pg Certified Soil Test# g�-I 73 r�3-398 �, z
CSM:Vol�Pg 2 r7� Lot#� Sanitary Permit# $y-/50 0 �-3.�' °Q 7y
Plat Envelope ��9 Or: 0 3_y 3 � pn
Condo Vol Pg Yeaz Installed: �, `l
"Loads and Flows": Vol Pg Owner When Installed: o �
�
1
Previous office approvals/actions: .�
Variance:# LUP:# SP:# CUP:# Ui
Inspection Report:# Change of Zone District: � � �t�
�d t ��
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Describe the construction using these columns.List the dimensions of each structure in a separlte
column.List each story,each addition,each alteration in a separate column.
#1. � �,c #2. #3. #4.
Size�_f[.wide ft.wide ft.wide ft.wide
�� ft.long ft.long ft.long ft.long
Floor azea �l�-C�sq.ft. sq.fr. sq.ft. sq.i�t.
Hgt from gade to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms
Lake/Pond/Flowa e/River/Stream ame
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Fire Number and Name of Road �'��/f�
1. Enter lot dimensions and indicate n rth by azrow. SianaGNe of O�i Agent:
2. Indicate the location and size of the requested construction � � ,
.�� — ��-�—
activities. �
PrintName: /Ufj�2�__�_�qi��y —
3. Alsq indicate the location and distance to the well, The above ceNfes that�listed informatlon and irr�entions a�e
irue and correct.,that all work Shall be peAormed in compliance
septic tank and drainfield,wetland azeas,lot lines, w�m me r���reme�u or me Sawyer County Zoning Ord'nance
and the laws and regulations of the Sfate of Wisconsin,and if
centerline of the road and waterbodies. aceny as ow�er(s)a9eot na5 me Pe��sS�o�or me owne�s��o
pedorm Ne work requested on this application. The above
personsls he2by give permission for access to the property for
� , onsite inspedion.
Permit fee:$__����_
Total land azea within 300'of the waterbody:(A) �Y�
Total impervious surface area[including this project](B) 5z 8/
(B)/(A)x 100=%Used �y .9 (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?O Yes No
October 20_ 2004 — �
Issue Date Si re of Is 'n ent � (J
October 20, 2005 50%Rule: Average Road Setback:
Expiration Date
Office Comments: There should be no habitable area in the garage.
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DOCUMENT NO. w a�������K�yYs L3� dayot �
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15614 Windrose Lme,Suite 330 312118 y qapwtar
Haywxrd,WI 54843 �
715fi34-3435 Fnx:715-934-2739 � pyyy
SAWYER COUNTY CERTIFIED SURVEY
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� e1��. Ori inal Drawin Date: 12/2
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�' Company: Point North Mappir
Drawing File Name: PM2341
Disk: NETWORK
Tax Roll Date: 2004
Current Controller: LAND REC
Latest Revision Date/Init:
OCT—�4 —�E��14 11 : 6� pM 73G376 634rc:3F.9 F• . ��?
..�..ti.�....�w.+�'w"'�. . -. - -- - .
SHOI2ELAND PI2ES�RVATION AGRCI�.Mf+:N`I'
Non-Intact Shoreline Ve�etation Protection Arca)
Land Use Permit No. Oy- �_��Z (1�o he entcred by the 7oni��g Ufiicc) rndex No. Q y_- �_�_
WHEKEAS, (list all owners) - ---���'�-_ t � �2.C�__ --------____ -------�--------
1
,
owns real estate within Sawyer County lhat is subject to the Sawyer (;aunty Shorelat�d Re�;ulations, and
W�iERI�AS, in order to secure a L,and Use I'ermit.
�c. NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
a the SHORELINB VEGETAI'ION PRU"TECTION AREA on said real est<<te shall be restored in accordance
Qwith the Mitigation Plan and ]mplementation Schedule approved by the Sawyer County 7.oning Depariment.
`-The owner(s) hereby agrees that at all times in the future, the real estate subjc;ct to this Agreemer�t shall comply
Twith all shoreland vegetative buffer requirements of the Sawyer County Zoiun�; Ordinance in effect on the date
� that the i.and Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized
�� � representatives of the Gov�rnmental Unit to enter onto the owner's prope��ty at the following descnption lo
inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHURELINE
VEGE'TA1'ION PROTEC'i`ION AREA exists and that it is being preserved. Violation of this Agreement will
authorize, in addit.ion to other penalties and relief required under the Sawyer County 7.oning Ordinance,
� injunctive reiief, restoration of said real estate, the revocation of said Land Use Pezmit and the removal of all
� structures aQproved by the issue of said Land Use Permit and the revocat�on 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 Coutaty
T Zoning Office. 010-171-00-1502
-__-- � "�,� �j�Gt, � /fJ n/ QG�
O Lega1 Description of Property: __ ���/ `�"� �` L L��7---- 5�'C: �_ � / � 7/ /Y � l� --
Lot 2 CSl�i VOL 24 PG 271 map # 6609 in Section 23 , T 41 _ N�I�$�1�____—
—_� __.__----- --- --
part of lots 15 � _ 16 , Round Lake Park Subd , Town of H�arci___SawyerCo.� WI
—�--
Dated this _�����day of�_ �_�_—, � .___ _. ___ __
r Q�Il1C
(Owner) b ��� y /� ��� � ( _
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(Owner) �� � (� "�, (Owner) , � �.
.
� � ---_- � _ __ _ ��_� --- -
(Owner) (Owner)
--11ais i�istrwi�ent was clrafted t�} .
Sawycr County Ioning Officc