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Home My WebLink About012-740-03-2203-LUP-2004-062 ,;� 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 — 5 the property's boundaries. =- , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �`� �qq e f�p�,;>>, PRINT-USE BLACK INK OR PENCIL � ��'� 2.�s� S�J � � � Owner Builder a ��7� l.� �o ��.,..i ►� °� � Mailing Addr ss T� Mailing Address � O I (�' �.i� 3_t�6 �S� c�o ity,State,Zip City,State,Zip �� _ c��f�' ' Daytime Phone Daytime Phone � / Additional Information: Zone District: /Z R-/ � Lot Dimensions: /� v Date lot was created: Z�1��;�K�"_ Acres: � � i��., � Is there wetland near the proposed structure?If yes,how faz ��J � �}" o Building Land Use Floodplain:O Yes (�j-No G �New O Filling Chippewa Flowage:O Yes (�L�„No �o O Addition O Dredging Driveway access off of a(Check one): � t ( )Alteration ( )Gxading ( )Private Rd ( )Town Rd. ? `� ( )Moving On ( ) (�County Hwy ( )State Hwy °Q � � ) � ) � � cn r Primary Structure Accessory Building Addition o 0 (�J Dwelling ( )Garage-attached/detached ( )Deck � (�Yeaz round O#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room � � �1 Modulaz/manufactured ( )Greenhouse ( )Kitchen ", � ( )Mobile/manufactured ( )Other ( )Bedroom O ( )Other primary structure ( ) ( )Relocate/enlarge ' ( ) ( ) ( )#ofnew �, Z z Additional Information: a � � Type of Construction: l (,�Frame ( )Log ( )Pole/metal ( )Block (�Concrete •.�,,; i'`� ( )Other " , � Construction Cost:Primazy Structure$ �(�, d o 0 4�?' � Accessory Building:$ �7 Addition:$ U � �.� � c Deed:Vol `/`� Pg v � Certified Soil Test# �`-� - U c�i.5 � z CSM:Vol��Pg l;r, :� Lot# 2 Sanitazy Permit# ��l� Q4 %h Plat Envelope � ''�`� Or: b, � Condo Vol Pg Year Installed: i;, "Loads and Flows": Vol Pg Owner When Installed: rn � ci Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# �.a Inspection Report:# Change of Zone District: �,'�I� I��8� Describe the construction using these columns. List the dimensions of each structure in a separate colu�y�►. List each story, each addition,��ch alteration in a separate column. , ' #1. Lit - rv� „� #2. l t- c�. #3. #4. � Size_�ft. wide Z- ` ft. wide ft. wide fr. wide C.�"Z ft. long ��Z ft. long fr. long fr. long Floor azea /(JU ' sq. ft. / ? sq. ft. sq. ft. sq. ft. Hgt from gade ? � to peak I �� ' ft. hgt. fr. hgt. ft. hgt. Stories � � stories stories stories '_., #of bedrooms�_ •r � Lake/Pond/Flowa e/River/Stream ame \ ' � < I � � , � . .. �a ��y � , : �: !3��a(' / I �;nC �J� � ' yr,� I � � f�� .. ; L._....--.. /y4t--'...d—�.z� ,:: __ 2 1 � � � N E ��Z--� � � �r� ��, � , 3 � � ti � .k� , . � �I� � � -�-'- , �i , 1� � i z x �� +r,,./�,� � _ � `_ � ' 3� � -�' I7J..SC Ja !zE {t��o.N:<�; �-- �'1 'i, �- Fire Number and Name of Road l 0 d� ?7 �J � D �i v�-/ � 1. Enter lot dimensions and indicate north by arrow. Si e of.Ow[�er or Authorized Agent: 2. Indicate the location and size of the requested conshuction �� Ca }-g' SignaNre activities. ', �\ Print Name: �J �G��1,� �� C 3. Also, indicate the location and distance to the well, The above certifies that the listed iniorma$on and intentlons are irue and corred.,ihat all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requiremenLs of the Sawyer County Zoning Ordinance and Ne laws and regulations of ihe State of Wisconsin, and if centerline of the road and waterbodies. a��y a5 owner�s�a9eot na5 me Pem��s5�o�or me owoeq5)io perform Me woAc requested on this application. The above personsls hereby give pertnission for access to lhe property for , onsite inspedion. t Permit fee: $ '� ��°v � Total land azea within 300' of the waterbody: (A) � l� S� 0� Total impervious surface area [including this project] (B) / C . • (B)/(A) x 100= % Used � �"� � ` (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (K)No April 15, 2004 � Issue Date Signature ofIss i A nt April 15, 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: d�C'� �('�1��'2- '�m'�`��'� ��OJ'eC�' � ��"11�'� r 3 SHORELAND PRESERVATION AGREEMENT ,a (Shoreline Veeetation Protection Area) • v Land Use Permit No. Dy'�J(no? (To be entered by the Zoning Office) ?r..'es No. ��- Q(�j� � /� I n p `\ WHEREAS, (list a(1 owners�,Qtw�hH'>l �p�,9._ � ( � ',czc�x..ol f� 7�1�� :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. � NOW, 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 is intact to a minimum depth of � 35' landwazd from the ordinary high-water mazk of the waterbody. Q -� The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section V 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) further agrees to allow authorized 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] 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 VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION 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 celief, 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 agcee that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: O jo� � 7 y�= C>� -��D-� Part of the NW NW of Sec. 3 T 40 N, R 7 W, Town of Hunter Sawyer County, WI also described as lot 1 of Certified Survey Map recorded in Vol 24 page 162 as document number 308149 Dated this ��I-��-c � day of , C��.s_�n �t�� o _ (Owner) (Owner) ��9 R a c�s _ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office i � . � i� � N �n qpgister50'��u l � DOCUMENT NO. I� Sewy �Y J .ti " 0t CW� w, i p ReceiveE tar record ih:s — a�Y LL O dOck � �-p�AD 20�?at�a:�� • � M aM�ecadBtl in vW.�,� APEJC Iw o ry��Surveysonpac,elo�� 15614Wi draseLane Suite330 30814y y� � p f A. KA,�Q�er Hayward,WI 54843 � 715fi34-3435 Fa�c:715-9342939 c ��, SAWYER COUNTY CERTIFIED SURVEY �oc+� TEa ,N r�lE f-�Acrt�ouA� Nva`�y • �w��l � se�To�J -3, THou - R�u� , To�vu o� ��TE� , SAwyER co. , Wiscor�sf�. N�,J coR. sec,3 1�Y eoR.��.3 �T4o1J'R7kJ ' - - , -t�4o�-K7'J1 �✓09�33- 23�c 2585. /2 O • e— / �S�oT' , �' ' -�4 c-f. °(3� ��1Q�ABLE �VJ --��-i o0.07' � � _ S88'-s3'-2s�E' S66.S2 �iI�R ' SoUTF� Llu'c Co . F+Wy. 'g" P.O9. � sm r�n� ys�+oo P.i. w �w �o'T�� ,(� LoT 1 _ �; N � � z Pr � ' �1 .�••��gconjs,,, 5.72 AcReS N 1- � � o� � '�,; � a � 1^ n�1 :'�?.............ti , 2y9o( � S4 FT. a` � 2 ' � o(/ �y � :� FREDERIC '•. � (n � �I � � _*'• 215�ZW �:�'_ J f 2 =�'. Hayward ' � ��. Wis. : � ;/L�'SURVE�: --,,,,,�, 1,11'„�� 3 �� V i -�� y'uU"�E� , to � 661•`l9 wEs-(" l AUDS � 3EI�R�uGS �EF. 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