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HomeMy WebLinkAbout012-740-04-5302-LUP-2004-679 / , Application for Land Use Permit(*Shoreland*) r ` 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 REQUIItED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL ��Fi��'�✓ ,�k.N�i fTZ &SHircLEv ��.M E I Z ,4',a K�,i.: C-a,csTK����jnti� c � Owner' Builder o,�°�- ,.Z 3�1 N M�IZTn.� �vE' IOC;�t8w CouN�' 2e � � Mailing Address Mailing Address � p h�n�<_"�c��� ,�'LLINoIS �-1550 �-�,-�iYtc��,uh��� (,.v�. -5 �I�'�/_� � � City,State,Zip� City,State,Zip � � �_ '/ .� F��� l IC��. l `I 15� y�2-`17�/� ��l Daytime Phone Daytime Phone _ Additional Information: Zone District: �I�./ , r�, � � �;� ��� � � �� Lot Dimensions:1 I y X 3oy�k�'7C X�17' � r Date lot was created: �Q`)R Acres: �.�// ` Is there wetland near the proposed structure?If yes,how far �;G o _ Building Land Use Floodplain:O Yes (x)No G � O New O Filling Chippewa Flowage:O Yes O No n (�Addition O Dredging Driveway access off of a(Check one): ,t � ( )Alteration ( )Grading ( )Private Rd (�)Town Rd. � �� ( )Moving On ( ) ( )County Hwy ( )State Hwy tlQ � � ) � ) � � Primary Structure Accessory Building Addition o 0 QQ Dwelling ( )Garage-attached/detached ( )Deck � (Xj Year round O#of caz stalls OC)Porch �„ "' ( )Seasonal ( )Storage Building ( )Enclosed � (}C)Frame built on site O Screenhouse (�)Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge �' `~ O O O#ofnew Additional Information: p � � � Type of Construction: ( )Frame (�)Log ( )Pole/metal ( )Block ( )Concrete -L ( )Other � � Construction Cost:Primary Structure$ _ „ti � Accessory Building:$ Addition:$�GC[ � _ � ' Deed:Vol Pg " I:. Certified Soil Test# 7S-3 y� �; z CSM:Vol - Pg �'1 I Lot# `� Sanitary Permit#('►�.��� r�'--�'�CI � � %h Plat Envelope �'S�� Or. b, � �� Condo Vol Pg Yeaz Installed: N "Loads and Flows": Vol Pg Owner When Installed: �c � � Previous office approvals/actions: Vaziance:# LUP:# 9'y� SP:# CUP:# � Inspection Report:# 7 hange of Zone District: ,�� z�j,1 ��8tia Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each addition, each alteration in a separate column. � �; , #1. � ;� �� -- � � � #2. � , �� � �,, ��_ � � �� P��ti #3. 4 �. ,_ �; #4. `, � r� , ; Size 3ti ft. wide ! ;� ft. wide ft. wide ft. wide � ,� �-�- ft. long i � � ft. long ft. long ft. long � � Floor area �'.1� sq. ft. :� ;� 1 sq. ft. "�- `�1 �' sq. ft. sq. ft. Hg� from grade to peak ft. hgt. ft. hgt. ft. hgt. Stories i stories � stories stories :, # of bedrooms . ° 9 �C� � ��� � Lake/Pond/Flowa e/River/Stream ame i � ' 1 � � � , � � ' � � J �`. � � , � � � � � , :�� � / `. (^ � 6/O_."`..,� �l � �` � �8/ ��r�� /�. �7, `�O/S, � i � G� ��l��i ��v i N� R M C � , �� �� �1" qDDlTioti> /gASE�h6.v7� \� �.....\ � �� � ` ` /� �oRcH � �� C ��� rjRSEn�NT AooiT�eN � ,� ��pITIO�i� l�e�� (.� aDER Dw�tl�,�� \ �I i \ �� �� �ek'N� ° _.� ' ' ,<y ' \ 'I o � .�`��...,, Z�� � � �� � \ � ` � r �1'S p� � T M�C ��_ -_ ; \ G NT a . �� y^I �C \��'�\ ��1. � ���� � ` �'`� ���z� ti . �5�, ; j , � � I ~ \ � \ I \ ``''� ' j� 133 y � �� ,, ��, , ., 5 \ � � l0 7lc s�> �� �y�,, o � , \ c�, � \ �'y '�� Fire Number and Name of Road ' ' ;' r 1 : . : - � ,. l. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction � `� �_ �l , '; � ;-?; �'� � r Signature � activities. . 3. Also, indicate the location and distance to the well, Thet bove.certifies that the list$d information and intentions are true and correct:; that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requireme�lts of the Sawyer County zoning Ordinance and the laws and regulakons of the State of Wisconsin, and if centerline of the road and waterbodies. acting as owner(s) agent, h�as the permission of the owner(s) to perform the work requested on this application. The above personsls hereby give permissibn for access to the property for onsite inspection. Permit fee: $ �S � Total land area witlu'�0' of the waterbody: (A) � `� SoC� - , �_ , , Total impervious surface area [including this project] (B Za/0 (B) / (A) x 100 = % Used �, ��� (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes (�) No December 14 , 2004 _ Issue Date Signature of Issuing ge t December 14 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: SHORELAND PRESERVATION AGREEMENT � (Shoreline Ye�etation Protection Area) Land Use Permit No. �/ — � rJ 9 (To be enteied by the Zoning Office) Index No. �y - � 79 WHEREAS, (list all owners) �E i<� r- y �� . �ti�� = 1 �.,' � �; H i r.' z �-/ I� . M c:i« , 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 mark of the waterbody. V � The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section � 4A10 SHORELAND VEGETATION PROT'ECTION 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 sha11 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 �q issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County i Zoning Office. � Q Legal Description of Property: To u> >J < y i P o �' �n .� � /1, G pvT LaT � S E c �i T w N �I 0 N R � t�J ' � �� UTE �< � o � z � y[� a�! < <a;L __, � : 3 . �. i- i=� � ` EL Dated this zo day of Oc� � , ,ZGY�`1 (Owner) (Owner) 0.. �ti'� - (O er) (Owner) � � . .s. (Owner) Q (Owner) This instrument was drafted by: Sawyer County Zoning Office � .-� �-, iri� \+ 5. •/.4.JE 279.00� SOJ3 2L3. 63' 05 . � 90 `�,�s. � N. � ���23/'/3' VP ;,��N NI" � n s�'I� REE� � ��g•oo.S� q 6 � g'%o° °' �—� A �1�% I�� O ?'� SCALE /" =/OOFT o y'j y a���tJ' ` �;.. OSTAKE /N PLACE j�aoo Q x.� N' �3 � O � STAKE PLACEO �'' [ 9�u�, \ �y e, O Z ¢ �'�,, p� � � •� (31'i1.3 ^ 0 . M z o ro -0 � O � • � 3 ' � � ,i �.OIySf,y, R �, N 3 .;;..... ': ��ROBEAT A � h '7� Sl9ANSON u`: W x�rw�,yp, � S, wc i � � A %,'�o, qot,,��. � 3 ,a' Surie�a' � •�.,.��.���.... ' y �i�-��� .�,�^'�+�-c"" .SG 0 � �k� � L -29-74 a o � � ., ky5 \ 1�A �o. 't. . /SS�89' p.o.8. /✓. 89• �i..T'W. zoZsS" 2/.E3� �/ / // �I0 z/I�" �✓�Lc,utl,�e�'� WJo � yr q...�.,_. o .,�u.,�,.y-,�, ��'_ �`�'�.-�, p 0 k'�ge 1 eY 2 paga• Z 5.E. CoRNER 6ovT LoY 3 �'�i D SELT/oN q.-go-7 -4valr . ` " C:enil�d Swoa'1�',�".�t T C� `���` � ,� � � � ,,� , _ . <'" ' . SCC . 4 � `�/v' P 4 � N . " :s.� �� : � �q;; �� --_ -- � _ _ � r� ' b. 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