HomeMy WebLinkAbout014-942-35-3405-LUP-2004-036 \
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Application for Land Use Permit(*Shoreland*) o 0
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. 7'S �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. a
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder a�..
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Mailing Address Mailing Address � p
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City,State,Zip City,State,Zip � �
l-7i� - �7�- 3 �y.6 /-7�5- 37y�3yy6 �
Daytime Phone •� ��-��;�� Daytime Phone �
Additional Information: Zone District: � I�- ( �
Lot Dimensions: � �D t S c'�
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Date lot was created: Acres: �• �r, �
Is there wetland near the proposed structure?If yes,how faz o
Building Land Use Floodplain:( )Yes (�Q No G
( )New ( )Filling Chippewa Flowage:( )Yes �Q No �o
�Addition O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Grading ( )Private Rd (�Q Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy "°
� ) � ) � `�
Primary Structure Accessory Building Addition o ,��.
( )Dwelling ( )Garage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls �Porch W
fj�,Seasonal O Storage Building )Enclosed
OFrame built on site O Screenhouse O Living room �u �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen " n'�
( )Mobile/manufactured ( )Other ( )Bedroom C3 �
( )Other primazy structure ( ) ( )Relocate/enlarge � '�
� � ( ) ( )#of new � �'1
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Additional Information: p
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Type of Construction: '� �
�F'rame ( )Log ( )Pole/metal ���lock __j )Concrete w � �'�
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( )Other � � ��
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Construction Cost:Primary Structure J �� �� ��� d
Accessory Building:$ Addition:$ � � �
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Deed:Vol �y� Pg � Certified Soii Test# qC- O 7,5�- ��'/o2j �, z
CSM:Vol Pg Lot# Sanitazy Permit# ��- �S �— 0 l'��L' 00 �
Plat Envelope Or: � �J
Condo Vol Pg Yeaz Installed: N �
"Loads and Flows": Vol Pg Owner When Installed: o �? .
�hOP2IMd �f'�Senxi�+on by-036 X o �;
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Previous office approvals/actions: � �
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Vaziance:# LUP:# SP:# CUP:# �;�,
Inspection Report:# Change of Zone District: ��c;,, �",
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Describe the construction using these columns. List the dimensions of each structure in a separate • '
column. List eac story, each addition, each alteration in a separate column.
#1. et #2. #3. #4. �
Size ft. wide ft. wide ft. wide ft. wide
,�. (o ft. long ft. long fr. long ft. long
Floor azea ��o � sq. ft. sq. ft. sq. ft. sq. ft.
Hgt from gi�e i Z � to peak ft. hgt. fr. hgt. ft. hgt.
Stories �6��- stories stories stories
# of bedrooms
Lake/Pond/Flowa eBiver/Stream Name /v�
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Fire Number and Name of Road / � � � 7 /t/ (,U 2 p /1 e✓ C ! h C ��
1. Enter lot dimensions and indicate north by arrow. Si Itatu e of Owner or uthorized Agent:
2. Indicate the location and size of the requested construction �,r�,�,� /J �cc/�<,--�
Signature'
activities. /� ' 1
PrinlName: rl r T�f1l,(� �� - 'S'�k�"�"—`
3. Also, 1ndlCate the location 1I1C�disY211Ce to tlle well, The above certifes that the listed intormation and IntenUons are
We and covect,ihat all work shall be performed in compliance
Sept1C t2Tllt 111C�dTaiIlfleld, Wetland 3ieas, lot llnes, with the requirements ot the Sawyer County Zoninq Ordinance
and the laws and regulations of the State of Wiswnsiq and if
centerline of the road and waterbodies. a��s as owner�s�a9enc, nas me Pe��ss�o�or me ow�e��5�ro
perfortn �he work requested on this applicatioa The above
personsls hereby give permission for access to the propedy(or
� onsite inspection.
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Permit fee: $ ��
Total land area within 300' of the waterbody: (A) �r 9i �� l�r �
Total impervious surface area [including this project] (B) • �?'�l(c a
(B)/ (A) x 100=%Used �(Shall not exceed 15%[or 25% with a conditional use permit].)
Shoxeline Vegetation Protection Area: Mitigation Required? 'Yes O No
March 3, 2004 - �
Issue Date Signature ofIs u g nt
March 3, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
ARROWHEAD CONDO �
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SAORELAND PRESERVATION AGR�EMFNT
� (Non-Intact Shoreline Veeetation Protection Area)
Land Use Permit No. ���!-O. (To be entered by the Zoning Office) Index No. Q�-.���
�" WHEREAS,(list all owners) Arthur � Dawn Sax�
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� 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 shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department.
OThe owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply
� with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the ciate
� that the Land Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized
Q representatives of the Governmental Unit to enter onto the owner's property at the following description to
inspect the shucture(s) or uses authorized by said Land Use Permit and to detemvne if the SHORELINE
VEGETATION PROTECTION AREA 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 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
issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
Zoning Office.
LegalDescriptionofProperty: Part of the SE� SGTy Sec 35, T42N, R7W
See Warranty Deed Vol 742 'pg 1. parcel #'s 014-942-35-3405
014-S42-35-4316.
Dated this_ � day of J'��� ,r e�� �c�c�`-�
u-��
ier) � (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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