HomeMy WebLinkAbout010-941-23-3204-LUP-2004-596 Application for Land Use Permit('�shoreland*) o o � x
County of Sawyer � �
PO Box 676 -Haywazd WI 54843 �
715/634-8288 �
*Property that is not located within 300'of a creek,river or stream or within 1000'of a �
flowage,lake or pond or does not have any of the above waterbodies]ocated within �
the property's boundaries. � '
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
PRINT-USE BLACK INK OR PENCIL
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Owner Builder N'
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Mailing Address Mailing Address �
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City,State,Zip City,State,Zip �p F/ �2`jCo 6/0 7
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Daytime Phone Daytime Phone (� �
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Additional Information: Zone District: /2� �{ �
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Lot Dimensions: � �
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Date lot was created: 11-9- 9b Acres: /.U 7�/ o �
Is there wetland near the proposed structure?If yes,how faz � �>
Building Land Use Floodptain:� j 3'es O No =° �
(�New ( )Filling �
�
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration O Grading O Private Rd O Town Rd. o
( )Moving On ( ) ( )County Hwy ( )State Hwy �, �
� ) � ) o �
r
Primary Structure Accessory Building Addition � °
(�Dwelling ( )Garage-attached/detached (�Deck W
O Yeaz round O#of car stalls (yJ Porch =
O Seasonal O Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room `-'
( )Modular/manufactured ( )Greenhouse ( )Kitchen , �
( )Mobile/manufactured ( )Other ( )Bedroom , -
( )Other primary structure ( ) ( )Relocate/enlarge �o �
� � ( � ( )#of new � �
AdditionalInformation: � _
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Type of Construc on: C Iw,
( )Frame ��Log ( )Pole/metai ( )Block ( )Concrete �C N�
( )Other ..d .�
Construction Cost:Primary Structure$ 7�G�O� � �
�
Accessory Building:$ Addition:$ � �
�
Deed:Vol $5,3 Pg�O� Certified Soil Test# C��I - �/'?� tlQ z
CSM:Vol -�� Pg // Lot# � Sanitary Permit# o, �
Plat Envelope #'S�� Or: Sp�"�caC�lS n� `p
�
Condo Vol Pg Yeaz Installed: � �
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Aff of ex septic Vol Pg Owner When Installed:
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Previous office approvals/actions: '
Variance:# LUP:# SP:# CUP:# �
Inspection Report:# Change of Zone District:
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Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each al�ration in a separate column.
#1. "7�ile�\'.r�`i #2. ��o�� #3. #4.
Size�-��wift de ft. wide ft. wide ft. wide
_�$_fr. long ft. long ft. long ft. long
Floor azea�.sq. ft. 3(p� sq. ft. sq. ft. sq. ft.
Hgt.from gade to peak ft. hgt. ft. hgt. ft. hgt.
Stories stories stories stories
# of bedrooms
�0.\ \hi$ � " Rear Lot Line
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�"�Fire Number and Name of Road�,Pp,��.,� ��no� 'O��u�
1. Enter lot dimensions and indicate north by arrow. Signature,of Owner or Authorized Agent:
2. Indicate the location and size of the requested construction �c ',?s'�e,,,/� i��-.
� SignaNre
activities.
PnntName:
3. Also, 1nQlCate tlle loCation and d15tanCe t0 the Well, The above certifies that the listed infortnation and intentions are
irue and crorred.,that all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines and to the w�m me �eqm�emems or me sawye�co��cy zo���9 oro��a�ce
and the laws and regulations of the Shate of Wisconsin, and if
CeritBillrie of Y.Ile Toad. acting as ownef(s)agent hes the permission of the owner(s)to
pedorm ihe work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspection.
Permit fee: $�.0�,��( a'�
October 20 �004 _
Issue Date Signature of Iss 'n gent
October 20, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
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FZ LIMITED 5457 WARBLER CT LAVALLE WI 53941 SHEET � �F 2
SAWYER COUNTY CERTIFIED SURVEY MAP NO.
LOCATED IN THE NW1�4-SW1(4,SECTION 23, T41N-R9W -
IN THE TOWN OF HAYWARD SAWYER COUNTY WISCONSIN.
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-� SHORELAND PRESERVATION AGREEMENT
� (Shoreline Ve¢etation Protection Area)
s
ro Land Use Permit No. Oy S9� (To be entered by the Zoning Office) Index No. �-�
s� WHEREAS, (list all owners) ��{�'1 �' V �������y
s
i, Hayward Evergreens , Inc.
�
0
7
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-j 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.
J
f NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
H
- 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.
�The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section
y 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) fiuther agrees to allow authorized
representatives of the Governmenta] 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]
�to inspect the structure(s) or uses authorized by said Land Use Pemut 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
VEGETATION PROTECTION AREA m accordance with Section 4.410 SHORELAND VEGETATION
9 PROTECTION AREA, Sawyer County Zoning Ordinance remains 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 Permit and the removal of all
.3. structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
O issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
Legal Description ofProperty: N W S VJ Sf C - � '-� � wV1 • �} � R . �j 1.t�
� ip - q y I - a 3 - 320� Lot # 1 in CSM vol 18 pg 277 , map # 5522.
Town of Hayward, Sawyer County, WI
� Dated this �1 day of October , 2004
x ,��(��. ,,��.
(Owner) (Owner)
(Owner) (Owner)
(Owner) � (Owner)
This instrument was drafted by:
Sawyer County Zoning Office