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HomeMy WebLinkAbout012-740-06-5214-LUP-2004-558 �\ 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 boundaries. �� � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL, �" 1 � �,, I, , � �, _ ��'•�(/ ~i�l��..__� � ��u.�C.pu�J"- ~�y�� � � �Owner` Builder a ���� � ��� �� � � � o� Mailin Address Mailing Address O A . �i.,r.Gf-. �' ,y• ;�� v;� ' _ �o ,: � � � City,State,Zip City,State,Zip 1 - .r._ ' / ; - . . . � ,� i�;, � �� Daytime Phone j_���I� �'7�� Daytime Phone lS � = Additional Information: Zone District ��`` � �' _ c, � I,ot Dimensions: .i �� /�%'� � ' Date lot was created: ����;:, Acres: ' �� Is there wetland near the proposed structure?If yes,how faz i��� o Building Land Use Floodplain:O Yes O No 5=�^ / oy S-!3 � �f New ( )Filling Chippewa Flowage:( )Yes (vrNo � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °O ` O O � S � r Primazy Structure Accessory Building Addition o 0 �,Dwelling ( )Gazage-attached/detached (f)Deck N ;� �� (�Yeaz round O#of caz sta(]s (�C)Porch W ( )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 � � � ( ) ( )#of new N i AdditionalInformation: � A � � � � �T e of Construction: � Frame ( )Log ( )Pole/metal Q(S Block ( )Concrete `' ` f` 7U ( )Other y Construction Cost:Primazy Structure$ � ,S� � �' ,.d � Accessory Building:$ Addition:$ � � � 3z�/Si9 � � Deed:Vol Pg Certified Soil Test# �� -��� � z vo �� CSM:Vol�Pg��i.ot#�_ Sanitary Permit# (�� -�� � � � Plat Envelope ��� Or: � � Condo Vol Pg Year Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: ;� 0 Previous office approvals/actions: 1� Vaziance:# LUP:# SP:# CUP:# � -.� Inspection Report:# Change of Zone District: ��t�d�— I�q33 � . � Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each add}'tion, each alteration in a separate column. #1. f%, , #2. l�: � #3. �: . ; #4. ��"- r '� Size ' t% ft. wide %�' ft. wide ; � ft. wide �e ='� ft. long �;�ft. long � J fr. long c' � fr. long Floor area /� '- sq. ft. --� � sq. ft. ���- sq. f[. = ' `� sq. ft. HgC from gzde .2 `� to peak / � ft. hgt. �� ft. hgt. ,.,�%� ft. hgt. Stories c�' stories stories /� stories # of bedrooms � � � Lake/Pond/Flowa e/River/Stream ame � �� �sT� ��'�- , a� �� x . � i� yo , _ � i -�,� �� i, ,� ��,� {- ,y._ � ,I �o✓s� i�� P���— ; y r', � I R�� � �� _ , � �� ; ��� �� --i �� i:;:i�l�� � �'�p `-�" `� �.. ,� 'z 5 Z 2� � /y� � l �y� , I , __ __ _ i�N��,N j Fire Number and Name of Road_ ���Lrr��l�a� � -' � f/ � 1. Enter lot dimensions and indicate north by arrow. Signa ure of Ownec or Authorized Agent: 2. Indicate the location and size of the requested conshuction �/1��.,}-�,�7.s-� // Signatu . --- acrivities. �� �' Print Name: 3. Also, 1ndiCate tlle loCatlon and distanCe to the Well, The above certifies that ihe lisled informa6on and intentions are We and conect.,that all work shail be performed in crompliance SeptiC tank and C�Talnfield, wetland azeas, lot 11nes, with ihe requiremenLs ot ihe Sawyer Counry Zoning obinance and ihe laws and ieguWtions ot ihe State of Wisconsin, and if CCnteLIlnC Of tlle TOad and w3te7bOdles. atting as owner(s)agent, has the pertnission of ihe owner(s)to peAomi the work requested on this application. The above personsls hereby gNe pertnission for access to the property(or onsite inspection. Permit fee: $ �� S� Total land azea within 300' of the waterbody: (A) 3� 1�s / Total impervious surface azea [including this project] (B) �`l��� (B) / (A) x 100 =%Used y, � `70 (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �j No October 7, 2004 - Issue Date Signature of Iss i g ent October 7, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: � � �� � � � � � � SEC . 6 TWP. 4C� N . 31 ,� ; _ � ; 40 _ � �, � , . . - , ___._._ � � d .� /.� A ' f �� , � � � .._,_.__ � I . � / .F� *l :! .._ _ � �. � . . • � � � 7 i � L. ' . ' _ _��� : . , ' � , . . . --r-- -- i ; � ,� ir�. �_� __ ___.__ . r�- _ --- _.� ____. _ . � r�, l � i1�� �� . � L _i __ _ ,_ p � i .. - � r, � , •, .. , . �:. .�'� � . �' • �= _.. .__--�-�,_. _. _ _. 91 ...i� ' � "i 1 �_' . _..._ ..�_....__.. ..... � y:. , r '�.) � �' � � � , ._. . . .. . i -� � i � ��y =_. t� -- � ___ _ �4� � _ • � �+ ` 4 �� ` I ,9, . .:�� � 7 n r,. � �� ,� n �� ��� � � � ♦ �"� � _-.-----;:::-� { , C� � � . �:. 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M :�.�::�.:•.�.�.�.•;.•:i,.i:•??iii.. ...:•:. ..,:.�.�:.:.�.�.�. :.•.•.•:��'::>�•:� N :>i i:=:>:�: :;>: •:'t��:�».: :::. ;[`:?;.':.:.:.:.:•`:;}}::}i:�;:>:�:�:�:�:•....�.:�:�:�:�>i:�:�:>`':':""':':'>:i'%:`'%:;:�:�:�;::::::<:»:�> . . .. � ':�,}:{..::.•.•.::} � 'v:i:v.. . , ..�'.'. .ii'<•' . .'Cti•i::i.�'!• :}::.... ........ i't:i}i}}i.ti'.'iiii:i}ii}.'.'.'.':i}:}}}.'.:.:.•.!:i:{i}.:._._._.,i..C{•ii}}i'ri}.•i.!�:iii}}}}.. .... : .: ��:�•iiY.•i}i'.{{!{•.::' i:i.�. .. / . � � � � � SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Areal � Land Use Permit No. Qy�7 S� (To be entered by the Zoning Office) Index No. �y - c558 WHEREAS, (listallowners) �j e J�]� ��r'�t � /��)p� ����p�� �q�j�Li � 1 � yowns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, �md � WHEREAS, in order to secure a Land Use Permit. � 'y NOW, THEREFORE, the owner(s) hereby certifies that, as a wndition of issue of said Land Use Permit, that L-- the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of r 35' landwazd from the ordinary high-water mazk of the waterbody. d �y The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section _ 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on d the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized e representatives of the Governmental Unit to enter onto the owner's property at the following description � between the hours of 5:00 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 i 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 Q 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. Legal Description of Property: Part of Gov' t lot 2 Lot 19 of the Shores of Osprey subdivision located in Sec 6 T 40 N R7 W Town of Hunter , Sawyer County , WI , Lot 19 CSM vol 25 pg 19 , # 6656 . 012-740-06-5214 Dated this zy day of Sp�� , �G�"��-� (Owner) (Owner) �-- -�/t— — (p � (Owner) (Owner) (Ownex) This instrument was drafted by: Sawyer County Zoning Office