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HomeMy WebLinkAbout012-640-17-2113-LUP-2004-601 Application for Land Use Permit (*Shoreland*) r ,� . . County of Sawyer � � � , X 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. C �ST�R��UCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � ���.�CE-�.�L. Cc`v�-� PRINT—USE BLACK INK OR PENCIL � { �--_.. � Ll/'',%�'/? /�l , ��'�1��� � Owner , � Builder Q- CJ C����� / V, ���'��� � l!-!. C .__. � Mailing Address . Mailing Address � p ��y�v�Zr��, �v� ��'�;�'-��-� � � C ti y State, Zip City, State, Zip �' � 4 � f�J '�1F-�;� —�'�'"/�� Daytime Phone Daytime Phone Additional Information: �Lone District: � 12-Z Lot Dimensions: Date lot was created:� �� Acres: �, �� � Is there wetland near the proposed structure? If yes, how far o � �. Building Land Use Floodplain: ( ) Yes ( )No � ( )New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd (,�Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy °C � ) � ) � N � c�n r Primary Structure Accessory Building Addition o 0 ( ) Dwelling ( ) Garage-attached/detached ( ) Deck � ( ) Year round ( )# of car stalls ( ) Porch W ( ) Seasonal �Storage Building ( ) Enclosed � ( ) Frame built on site ( ) Screenhouse ( ) Living room �o ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �� ( ) Mobile/manufactured ( ) Other ( ) Bedroom ( ) Other primary structure ( ) ( ) Relocate/enlarge A � � ( ) ( ) # of new �' �`. , � , �, AdditionalInformation: . � � �� �' : . ., �, ' j �' i c/� � � Type of Construction: � ` ( ) Frame ( ) Log �ole/metal ( ) Block ( ) Concrete � ( ) Other ,� Construction Cost: Primary Structure $ � � Accessory Building: $ ��� Addition: $ � � � �. Deed: Vol_�_Pg�_ Certified Soil Test# 'Olo9 � z vo � CSM: Vol�_Pg /`�'� Lot#�_ Sanitary Permit# �q�09z � Plat Envelope Or: � � Condo Vol Pg Year Installed: N � "Loads and Flows": Vol Pg Owner When Installed: � � .., s Previous office approvals/actions: L� Variance: # LUP:# SP: # CUP: # � �. Inspection Report: # Change of Zone District: �,N „ o����. � �.l ► wc�s . - 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 columa • #1. #2. #3. #4. ��j,��g � Size ft. wide fr. wide fr. wide �( _ft. wi e ft. long yC�ft. long `tii � � sq. ft. (-y,'�y �I y � sq. ft. g�_ d� ft. hgt. � � ���,? ft. hgt. �y Stories�� � stories stories # of be� � � o� ��� �wa e/RivedStream Name . � � �. ���/ E�S' '�I4'.� � { y 1 v—pctie� /J`/J`�� Hc'J,,G�}�._� � �/z . . ', 2C'3/�iTA N A�'E P i . F � _ _ _ ; I . . � 5�9 �� /'fo' ; �o ' �y�� ,. � ' / �L' � --�la�I�— yc. �- � , � � i�x z�' ; � - : \ E Z___ PUIr� ��'� t� � T� �„� h , 1� �'oNs�r,�uC,�D m N 1 i Q �(�c° �`!" � � O � � � � � � � a r �' � � . i j /V /�/��t"' /�l�, � �1�/t� I. En � � LO�`'• Sig re of Own r thorized Agent: 2. Inc : � i construction ---�< <%��" � ����`� �,�/ Signature activit . � /'/7r re� �. �t=��8�'n 4 � PnntName: / 3. A� � e well, The above certifies that the listed information and intentions are true and conect., that all work shall be performed in compliance 1� � , Q �r ��� ,S with Ne requiremenis of the Sawyer County Zoning Ordinance SCpt1C -� � ' ' and Ne laws and regulatlons of the State of Wiswnsin, and if ^'��VcK R7� �— - - `-� acting as owner(s) agent,has the permission of the owner(s)to CCritBi �._.� peAorm the work requested on this application. The above ' personsls hereby give permission for aoxss lo the propeAy for onsiteinspectlon. �x Permit fee: $ [ � � Total land area within 300' of the waterbody: (A) �[7 �o� �_ Total impervious surface area [including this project] (B)��yU� (B) / (A) x 100 = %Used � �:i,f�all not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�jNo d October 20, 2004 h P A � �' '�A' '�—� — Issue Date Signature ofIs 'n gent October 20, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: l,l',�� ������� � � �`'��" ��"�- d"' � i � x�c� � < </�/a� 1 '\ T �1NN CJF - N � � � SEC . 17 TWP �- 0 N . �. F ,-", , CSM VoL � PG � � �� ,� .7� , 8 G �z ,���vr � � l�, _ �:� � -_ .b�2 � � � �512 5. 5. Z ��. I ;� , � � � ,, . r� � � . .5,8� � �,i�� �/3 �.-- � .�, 6.0� , � � � z.2 � .5.1► � ' , � 1�' �-' � ' �� �; �- _ ,; i r� .6.i ( � � - � .S.g .�. ►o � ,5.3 ', � , � '„� ,� �.� e' .5; q. '-- � � �. 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WILLIAM A �':� 'c e!+ � bI _ SHEARMAN - � \� ��� � = 5 - 1378 o � SUPERIO , N LEGEND �.� . $ = '• - a0 • 1" x 24" Iron Pipe Set �` � < � ' � xt • `� � � � '�� � . � Arg. Refernece to : weighing 1 . 13 lb/ft � ` � � +ir„„ ,� � � o ° � � � �� We s t l i n e o f N E-(�h 1 Q Found 1" Iron pipe ' � ; z� W � > ';, ' � W Recorded as S3° 49 E O � N W 1 �1 O 0 N 85 ' 23 � 00 �� E 76f. 50 � � � 6 322. 9 184. 0 3 o O �� � � � 73 �00 S0. FT. �a / /�P � ;�. �.4 N 85 ° 23 � 00 �� E 643.5T � y'h�� A`V N 4�� Q� ° � �� (_ � LOT 2 s52� oz'�-ae.9s�� G�� � �, 8 .�1,' o � — 64, 500 SQ. FT. g , 0• � � 34 7� 30.N� i � ! vi V S85 ° 23 � 00 �� W 606. ! 0 � P� � � SHORELAND PRESERVATION AGREEMENT ' (Shoreline Veeetation Protection Area) . Land Use Permit No. �-�lJ�� (To be entered by the Zoning Office) Index No. �- (flQ/ WHEREAS,(list all owners) /l�//1``/�'f� /�7� �(��E2 and Delores Teuber 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. 0 �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 -'a 35'landwazd from the ordinary high-water mazk of the waterbody. C v ` The owner(s)hereby agrees to comply with the shoreland vegetative protection area requirements of Section � 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)fiirther 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 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 O issue of said Land Use Permit. Ali parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property:Lot 2 of CSM vol 12 pg 197 part of the NE NW o£ Sec 17 T 40 id, R6 W, Town of Hunter, Sawyer County, WL 012-640-17-2113 Dated this 1$ day of October , 2004 (pwn���� � ��� (Owner) (Owner) (Ownec) (Owner) (Owner) This instrument was drafted by: Sawyer Counry Zoning Office