HomeMy WebLinkAbout012-740-06-5212-LUP-2004-690 Application for Land Use Permit(*Shoreland*) r a � �
County of Sawyer ° � .
PO Box 676 -Haywazd WI 54843 �
715/634-8288 O
*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 UNTTL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
� PRINT-USE BLACK INK OR PENCIL
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Owner � ��— Builder �� � �
��2 g�i'���c� �1.� �l 11 i��'�?. .S�ir,� j�c�. /� o�
Mailing Address Mailing Address � O �
��c�������l�Z� 5��/ �.��, c��,�e. ����y��� a
City,State,Zip City,State,Zip � �
�r,�-��`��fo �� - �fi'a-�-/r,yn "
Daytime Phone Daytime Phone �
Addirional Information: Zone District:��-� �
Lot Dimensions:���_�5_`7��5�� � a
Date lot was created: �--��Q.3 Acres: �o �� � �'
t �
Is there wetland near the proposed structure?If yes,how far /\�('> o �
Building Land Use Floodplain:O Yes (�No SSG6Y/�izSt3 � �
(�1 New O Filling Chippewa Flowage:O Yes �j No �
O Addition O Dredging Driveway access off of a(Check one): x�
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °Q
� ) � ) � o
ci, r
Primary Structure Accessory Building Addition o 0
�l Dwellina ( )Garage-attached/detached jic)Deck � �
O Year round O#of car stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room m
( )Modular/manufactured ( )Greenhouse ( )Kitchen °
( )Mobile/manufactured ( )Other ( )Bedroom p
( )Other primary structure ( ) ( )Relocate/enlazge �� `
O O O#ofnew �
�
Additional Information: p
t �
0
Type of Construction: �
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �'
( )Other
f �
Constrtzction Cost:Primary Structure$ �7�,�j ) �
_ � ro �
w
Accessory Bui�ding:$ /(� Addition:$ � �
�
D e e d:V o l P g C e rt i f i e d S o i l T e s t# p��t�/O �
� z
CSM:Vol�5 Pg_�Lot#�� Sanitazy Permit#�Jy- SU7 Q4 7�
Plat Envelope N�(o(pSC� pr; � �
Condo Vol Pg Yeaz Installed: �,
"Loads and Flows": Vol Pg Owner When Installed: o �
�
Previous office approvals/actions: e
�.
Variance:# LUP:# SP:# CUP:# 1V
Inspection Report:# Change ofZone District: Z�I�`�
��I �
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1yq31
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.� �e ` , #2. �-D-� #3. �S�h`� #4. �JE'�-!1
Size Z wide �ft. wide �_ ft. wide `� ' ft. wide
��ft. long �ft. long ft. long 2-(i � ft. long
Floor area �I i o� sq. ft. 19 Z sq. ft. ��sq. ft. ? f.�i r sq. fr. ' �
HgC from gade to peak ft. hgt. ft. hgt. ft. hgt. �
Stories � � stories stories stories
# of bedrooms�_
/ -�/ Lake/Pond/Flowa eBiver/Stream Name
,'
— ��e � � ��'�� c 11��d� ..�
�,�r.a , ;, -; �c�� ��-'} - /�'9�
.�, � .
Fire Number and Name of Road G'
L Enter lot dimensions and indicate north by arrow. Sig tuce of ner o Au orized Agent:
2. Indicate the location and size of the requested construcrion �-y�, ,����
Signature �
activities. f
PrintName:_h 1 (U�R��Y ^ ,�,� ������ 1���
3. Also, 1ndlCate tlle LoCation and dlStanCe to the Well, The above certifes that the listed infortnation and intentions are
true and covect,that all work shall be peAormetl in compliance
septic tank and drainfield, wetland areas, lot lines, wnn me �����emeo�s or me sawye� co��ry zo�m9 o���a�ce
and the laws and regulations of ihe State of Wisconsin, and if
CenteTllne of 1.Ile T'oad 3rid WateTbodles. ading as ownef(s)agent has the permission of the owner(s)to
pedorm the work requested on this application. The above
persons/s hereby give permission for access to the property for
h �n> onsiteinspection.
Permit fee: $ O�G� �'�S'� O���
Total land area within 300' of the waterbody: (A) 30 �'�
Total impervious surface area [including this project] (B) ,C59�
(B) / (A) x 100 =% Used Jr .3 �/� (Shall not exceed 15%[or 25% with a conditional use permit].)
Sboreline Vegetation Protection Area: Mitigation Required? O Yes �No
December 27, 2004 �,Vv�� IlI P 'P�/ -�� Z1�—
Issue Date Signature of Is in gent � �
December 27, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
, W,
BRASS CAP. / ��' P O.B.
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OSPREYLAKE �\ � I
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� SHORELAND PRESERVATION AGREEMENT
c1 (Shoreline Ve�etation Protection Area)
�- Land Use Permit No. Oy� ��lO (To be entered by the Zoning Office) Index No. �- [n 9C�
�
� WHEREAS, (list all owners) T R of LaCrosse / West Salem Development, LLC _
�
0
�
7
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� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
l WHEREAS, in order to secure a Land Use Permit.
3
W
� 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.
d
3 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
Nthe date that the land use permit is issued by the zoning office. The owner(s) fiuther 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]
1 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
oc' 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
tr' structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
`9 issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
TZoning Office.
O LegalDescriptionofProperty: � �°7 C$D'✓� �5�/9 �' (ob�o Section 6, T 40 N, _
R 7 W, Town of Hunter, Sawyer County, WI 012-740-06-5212
Dated this 21 day of October , 2004
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by: �
Sawyer County Zoning Office
PAULA CHISSER . '
— SAWYER COUNTY, WI ' •
REGISTER OF DEEDS _ �
315401
09/1�/2003 1:20 PH
REWRDING FEE 13.00
Paqes 2
SAWYER COUNTY CERTIFIED SURVEY MAP
LOT IOF CSMOl617,LOCATEOINGOVEpJMEM LOT 7,SECTICNI 6,TION.R7W.TOWN OF M.MER N+D�Np-LCYNG AN
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