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HomeMy WebLinkAbout010-171-00-2901-LUP-2004-694� r� , ✓'". Application for Land Use Permit (*Shoreland*) o o �. . 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 r, � the property's boundaries. -� � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. r � PRINT—USE BLACK INK OR PENCIL dC}/�/✓ ��� ���.� � ► � Owner Builder _. � S�`� .�'���� � � � �. L��� Sc��i J'/��J��c��J �'%� ����l�J � �..��t�,;��r� �� o. Mailing Address J Mailing Address �-,��irt���:a��, ��' �Q.�L;� � �� � L/� � �''//-�/,C',�� G�// .S�%f c'% T � � City, State, Zip City, State, Zip --� � �. %''S"- ;�;' .-�_��'>"G. .:s' � � C �_._ Daytime Phone >j,s= �j��j= c�� �1 Daytime Phone r z� �,: � �' Additional Information: Zone District: �'(Z- � � w� � Lot Dimensions: � -�- Date lot was created: Acres: f ��;' . r � �� Is there wetland near the proposed structure? If yes, how far o Building Land Use Floodplain: O Yes O No��Sc*Sr� �ic•r��� (;�New ( ) Filling Chippewa Flowage: ( ) Yes (...a-No � ( ) Addition ( ) Dredging Driveway access off of a(Check one): � ( ) Alteration (�Grading ( ) Private Rd (�Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy `�' � ) � ) � � � r Primary Structure Accessory Building Addition o 0 ( ) Dwelling (,�arage-attached/detached (v�Deck � (�"Year round (z� # of car stalls ( ) Porch W ( ) 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 � ( ) ( ) ( ) #ofnew ' � AdditionalInformation: ' � � � r (� Type of Construction: �t (� (z�'Frame ( ) Log ( ) Pole/metal s ( ) Block ( ) Concrete �r J ( ) Other , � ,� Construction Cost: Primary Structure $ ,� � Accessory Building: $ _�>c� _ �n c� � — Addition: $ �' � � Deed: Vol ,� I i Pg`�:� � Certified Soil Test#_��/,�:-- � , � z CSM: Vol��Pg I `�� Lot#_� Sanitary Permit# "� � � Plat Envelope Or: o, Condo Vol Pg Year Installed: N "Loads and Flows": Vol Pg Owner When Installed: � � � � Previous office approvals/actions: Variance: # LUP:# SP: # CUP: # ,.,� Inspection Report: # Change of Zone District: ` �y __... � `2.��'�j�l lovla 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. �''7r�;c�,� #2. ,�or1 #3. l�x' #4. ' . Size �� ft.wide Z: ft.wide d G ft.wide ft.wide ��ft.long �fr.long /L ft.long fr.long ' Floor area �'7U sq.ft. �7: sq.ft. �/z sq.ft. sq.ft. Hgc from grade ?o � to peak ft.hgt. ft.hgt. ft.hgt. Stories Z stories stories stories #of bedrooms C'� ak ond/Flowa e/River/Stream a e !�--��i0 LK �C N 1 n , � zoo� 3 i ` ' I D��� ��Z� I � —..__ _ — .>' _ __ � Z`' ��' -/J ------- '�— - �- �__ 2�� I I � �1{ V � /C� `�,�1 � � , � Fire Number and Name of Road ,G'/-iS6y'✓S"�iL i-� /% .��_'=��� 1. Enter lot dimensions and indicate north by arrow. Signature 4fAw er orAAthorized Agent: 2. Indicate the location and size of the requested construction _ �� � ,�y�a,�� activities. Y +J PnntName; �vv�n1 �� {�L� _ 3. Also,1ndiCate the IoCatlon and diStanCe to the well, The above ceNfies Nat the listed intormation and intentions are We and correcl.,that all work shall 6e pedortned in compliance Sept1C tatllc aIld clralnfie�cl,wetland areas,�ot 11nes, with the requiremen4s of ihe Sawyer County Zoning OMinance and the laws and reguWlions of the State of Wisconsin,and if centerline of the road and waterbodies. aca�y a5 ow�,er�s�a9e�i,na5 me�erm�ss�o�or me owne��5�co perform ihe work requested on this application. The above personsls hereby give permission for aaess�o the property for onsite inspedion. Permit fee:$ Total land azea within 300'of the waterbody:(A) 3 7,D��� Total impervious surface azea[including this project](B) 755� (B)/(A)x 100=%Used dQi;, (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes�No December 29, 2004 /i//�z%%�-�,Gf � _ Issue Date Signature of Issuing Agent December 29, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: No ���s,r�d�e, Lcv�,v6 0^ s/ee�d.rr.6 ,Qa�4 7o Be cr2�r-Y��ti � ��surq�qv.� Ld�J` � 6� ctd�,�rr rlo.u�6e a.Uc�,ua-� SI�ORELAND PRESERVATION AGREEMENT (Non-Intact Shoreline Veeetation Protection Area) Land Use Permit No. Q�/-(0 9�(To be entered by the Zoning Office) Index No. �- �9y WHEREAS,(list all owners) John and Betty Kell 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. � dNOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that �the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordlnce �with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. �The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply �with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date that the Land Use Perxnit is issued by the Zocung Office. The owner(s) further agrees to allow authorized ^�representatives of the Governmental Unit to enter onto the owner's property at the following description to Yinspect 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.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 � 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. O Legal Description of Property: �'�' ?� J�j�J �/� �j ���,.1 Lot 3 CSM vol 18 pg 147 prt lots 28 fi 29 Round Lake Park Town oi Ha.�ward �awver Count� WI 010-171-00-2901 Dated this p y day of �f� O e:) (Owae:) (Owner) (Owner) (Owner) (Owner) This instrumen[was drafted by: Sawyer County Zoning Office B & B Builders Mike Brandt 12330N Upper A Rd. Hayward, WI 54843 (715) 462-3563 December 21, 2004 Sawyer County Zoning RE: Garage/Storage building (Kell) S23-T41-R8N Subdivision Round Lake Pazk Lot(s) 3 CSM Vol 18 Page 147 This structure is a garage and storage building There will not be any plumbing There is no intent to ever use this as a dwelling 1�etlC�s is o� Fh� ads �e�e,n,�- lo�. %?'�f' /��ZL�y Mike Brandt B & B Builders License #844019 /� /,1 . 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