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Home My WebLink About012-739-04-5113-LUP-2004-415 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 the property's boundazies. : � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. -S PRINT-USE BLACK INK OR PENCIL ; � ,�U/�'-/.' L/ti�j.7 4?�.��ii.�/�.�,G� ,�n�/! ��if�i,r-�� Owner Builder 0. //:�/ ,..� F;.r�,�•.�cc- /-.� /C�.i c>;7 _ C'�4!J '�o ir J � o' _ Mailing Address Mailing Address � � O yy �!'�^��iJ� '-ii u��l/ai� �i��l:J,�JC'✓ �•�1,. •rY'�'C^ � � �\ City,State,Zip City,State,Zip �� y yr- ,1 i y4 ° i't�`� ,rre�<, _ Daytime Phone Day[ime Phone `. AdditionalInformation: ZoneDistrict: %�� R�2 � Lot Dimensions: � a �� Date lot was created: Acres: y0 ^ Is there wetland near the proposed structure?If yes,how far /✓� o � �, Building Land Use Floodplain:O Yes (Xl No C v (�New O Filling Chippewa Flowage:O Yes (�Q No rn O Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd Q9 Town Rd. � O Moving On O O County Hwy O State Hwy �° G� � ) � ) � S Primazy Structure Accessory Building Addition o � QQ Dwelling (�Garage-attached/detached Deck � �Yeaz round (�)#of car stalls (�Porch �„ ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room �u < ( )Modular/manufactured ( )Greenhouse ( )Kitchen ,•`_', r ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primazy structure ( ) ( )Relocate/enlarge = '� ( ) ( ) ( )#of new U� J r- AdditionalInformation: =� „ s � � � � Type of Construction: ;L ,� �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �j ( )Other o ('� � 1— Construction Cost:Primazy Structure$ ��).��C�'�� 3� � b Accessory Building:$ Addition:$ � �i �. ^� � Deed:Vol _��'/ Pg� Certified Soil Test# �� - Z S � z CSM:Vol Pg Lot# Sanitary Permit# (��-{ � 2.Q�9 °Q 7� Plat Envelope Or: o, Condo Vol Pg Yeaz Installed: i;, "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: � � Variance:# LUP:# �'S•48� SP:# CUP:# � Inspection RepoR:# q5��90 Change of Zone District: Oz'��D bi� ��1I(�,� I�IS 7� .,,_ 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. ;�•-cr #2. �, �t'r��(•�+'� #3. ;_)c��;< #4. �`"�`� Size '�/�r fr.wide �� ft.wide ac� ft.wide /�O ft.wide �ft.long �� ft.long /� fr.long �� ft.long u Floor area �O sq.f[. � � sq.ft. �y0 sq.ft. /?�✓ sq.ft. Hgt.fium grade T? to peak /)� fr.hgt. ft.hgt. ft.hgt. Stories � �_stories stories stories #of bedrooms� Lake/Pond/Flowa e/River/Stream Name 15C"G�E�"r% c'�/�a i � ��3•�� lJ L� �-=l `l J� � ��q`",� C �' � ✓.�. �� -�'� ---__ _ �l' �' �� I i �� ; �,. , � •�� --. ,� �+�� Q � I ��, �� - � � �� J � � ��1/ � Y � IdC'U t�'�. c i .� .�,,./'�k N�` �}' '�� ce� j o r}:�•a'Su'x`r C'J""�_.'k'Z` � .) \ �/ . .` -- / � ° � c,� � �� p� � ( � Fire Number and Name of Road ��'^- % z._ � -��'K^-'�� ''? 1. Enter lot dimensions and indicate north by arrow. Sign�ature of.Owner or Authorized Agent: C, ;,_ !�^. 2. Indicate the location and size of the requested construction i E � � � L ' � Si re activities. �� c c.- PnnWame: �10/N-� /� �y/:%�C � ��. 3. Also,indicate the location and distance to the well, true andVcorteclrethataall wolrktshall rhe peAormed intcompl ance septic tank and drainfield,wetland areas,lot lines, wiN the requirements of the Sawyer County Zoning Ordinance and Ne laws and regulations of the State of Wisconsin,and if centerline of the road and waterbodies. aa�o9 as ow�er�s�a9e�t nas me�r��55�0�of ine owoer�5�io peAortn the work requested on this application. The above �� personsls hereby give permission for aaess to the property for �J.ap�-� onsite inspection. ,p�,�,�.0 F-1 W^1 Permit fee:$ U Total land azea within 300'of the waterbody:(A)� Total impervious surface area[including this project](B) (B)/(A)x 100=%Used �.(Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes (�No August 9, 2004 ��(, -[ �-r� �� - Issue Date Signature of Is, ing A ent � August 9, 2005 50%Rule: � Average Road Setback: Expiration Date Office Comments: J� � ,.�.• ______ _ Y__ � --- --. ._ � r . ; � � � _ :3`� ��; . 3 9 . 39 <:�, � � � � z..t �� •5. 1 � , . .3�. � .� .3� � �� * � �. � .�.i � .��, .71 ; , �__ __--__----------.__ _-- �; � � �� _------- __---------------------- . , � � ��' 4 61 � , — _=___�_ ' �', _. .i�.�l 7 =� — —__� _ __ __ _.._ ; , „C � „ .�._`�'- - i � � - -__--__�� l / ( ; :z .� I � :2.12. � �3 c j ; � , 39 ,� � : . . � � �� '��. , .39 ° � , :�:�� ;, t� � � _ � - ., .,� � -� o. . :za�, ---------�-`_.. � --, �� :2.i�3 _ 3 � `;x; " ��13,. ;, , _. -1 ,. i.> � � . � 1. ti � � ��:: �� . �- � .� � � ' "�� ` '` � ;:� � �� . � z � "� � ; �� ,,o_� y; � . ; -- , ,5 �R! � /' � - � .� . , � N N N � " �-�i - -�_..---- � \• /J � N N �'�, G Y� ��r-- �. .�.i _L,._. �_ . .. .�T.12. 1�L� . + ,,-- � � F � -- . _ . 14.8 � � I � .- .2.l6 :�_i5 - , ,,. ,/� ! A Fi� � r , �1D � ;�;''/ ___ _ _ _._. __----- - - �_ . _. _.��_ _.T __.._ f,..�------_ ,j-- ,. � --�-� � � < f�� .�y��..,� ,•,��y i �9 (J � � _ ,_ ... ;z . . � � . ' >� - -- ' Z' `t _' . ,.- ' _— ,��, , . � /4.� . / �'/ � ; 3g �� - � � S ✓OG 3 � C• N1 � � , � � i d '--�� •'�,�' � 39 PG .347 (d. i �; .5 /� ' i -'2�/ ---- � •�, , , �`�. f/ � �2.$ :39 ' ,_. ,3� . /3�` � , B � U � � � t-� � Y .�� L_ �!� � E �� . , �- � � � . .�� d� � : , .� ' , , � ,��` _ � ��.� � t.� % I ic�-. .-vT)) i- `` � ,.� �% `' ! �' / ' ! '� i ' , ,,-�� / '� � 3.� � �� ;/(� � ` �� (�f- �� -� i �,� � � , , t ` �� , •� � � � �� , „� { �, � � _._ t ��/ ( 'SI' . l � � �� -.�� ' � , ��,�,.,I.��' ,� � � � ' ��}- �;. �1 .39 � �'� ' ; �� \ _ i , -� �� , � L' ,�. � � � � � `. � 3 � � ; /`3� . � , ,. � �� ;; � ' �' � . � � � 1� � � � :\. �, �`�\ �,� �- -�� _ .4�•/ i. . �-� � � ` _ �•� �', ��.�;%; � " , "'7'�"`'''+� , i � - _._. ,� _s.l..,......... +��^ —^� _ -- — ' _ — �� .----�\� / _/___ ' . , ,, ; , � '�,' �.. � � � ��# � �� _ w "t� SHORELAND PRF,SERVATION AGI2�EMENT (Non-Intact Shoreline Veeetation Protection Area) ,Land iJse Permit No. {7</-�/�J (To be entered by the Zoning Office) Index No. ��- y� WIIEREAS, (list all owners) :I o f/^% < ��v�•�j �l/�//C; �i9�-C� ;C owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and �l WFIEREAS, 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 Pernut, that p the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance {"�, with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. 0 � The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply a with all shoreland vegetative buffer requirements of the 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 .L representatives of the Governmental Unit to enter onto the owner's property at the following description to � inspect the structure(s) or uses authorized by said Land Use Permit and to deternune if the SHORELINE p VEGETATION PROTECTION t1REA 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 revocadon of said Land Use Permit and the removal of all v sUuctures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the �� issue of said Land Use Pernut. All arties a ee that ttus A eement shall be filed with the Sa y P gr gr wyer Count Zoning Office. LegalDescriptionofProperty: /� �:� �� <'U� �y �r,� �� T.,H� i� �/ `l �j � � Dated this �, day of_�j v� Y �J r� G, �.� —�, • , ( wner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrumen[was dratted by: Sawyer County Zoning Office