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Home My WebLink About014-942-34-1301-LUP-2004-111 Application for Land Use Permit(*Shareland*) o a �j 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 Z � flowage,lake or pond or has any of the above waterbodies located within � ��S P1�� the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT—USE BLACK INK OR PENCIL �� 'Qawn a.�nd (�R�c� �V�v^n2RNV�as� � Owner Builder a: �l�"?� �. S(�tv4`i � �-� /_ �. o� Mailing Address Mailing Address � O C��11�1�'2��U.i \ S�-Fl�O � City,State,Zip City,State,Z'p � � � � p -7i� �t�tS-31t�c� � Daytime Phone Daytime Phone G�' _� l l� Additional Information: Zone District:� � 3�3(3qi� x��a��l��r l � a Lot Dimensions: � Date lot was created: �`�� Acres: ��5� •8� �M Is there wetland near the proposed structure?If yes,how far �O o � Building Land Use Floodplain:O Yes ".�Q No � �New O Filling Chippewa Flowage:O Yes � No c� O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading �Private Rd ( )Town Rd � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � o � r Primary Structure Accessory Building Addition o 0 '�Dwelling �l Garage-attached/detached ( )Deck � �j,Year round (�#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed � "�.Frame built on site O Screenhouse O Living room c� y/� ( )Modular/manufactured ( )Greenhouse ( )Kitchen ° n ( )Mobile/manufactured ( )Other ( )Bedroom _ ( )Other primazy structure ( ) ( )Relocate/enlazge � � ( ) ( ) ( )#of new 'C � � � AdditionalInformation: s� p C,� � � � Type of Construction: R, � � �,Frame ( )Log ( )Pole/metal ( )Block ( )Concrete o CN ( )Other_ � Q � Construction Cost:Primary Structure$��`�C ��i 17�� ro � Accessory Building:$ Addition:$ � :�. � � Deed:Vol 85b Pg {9�0 �6Y a Certified Soil Test# (�3—C�C�L� � z CSM:Vol l� Pg�,�3 Lot#3`t�5`� Sanitary Permit# �''i�—Q rJa °Q 0 7� �Sae�a'3' h�, :-•� Plat Envelope r: b, �J i Condo Vol Pg Yeaz Installed: . �;,�3 ��,� � "Loads and Flows": Vol Pg Owner When Installed: �f;� � I �� Previous office approvals/actions: � 'C Variance:# LUP:# SP:# CUP:# v��,�j `�, Inspection Report:# Change of Zone District: �. � 0 a�� '(aoCn 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. #3. #4. Size 5�de �_ft. wide ft. wide ft. wide '7�t.� ft. long f�`� ft. long ft. long ft. long Floor area �-\�� sq. ft. _. �i�(r' sq. ft. sq. ft. sq. ft. Hg[.from giade 1 to� to peak fr. hgt. ft. hgt. ft. hgt. Stories �- stories stories stories # of bedrooms � Lake/Pond/Flowa e/RivedStream Name V"J�z� ; 1-E�v� Nsc « 5c�� N``� \ /� 7 --�� a�� -� �c.. -UaA,�� • _ � _30, ' '�- t � �-----� ��' � -�- � \ \ � � � , � G ,� � � � -� ��-__�,� �� 4 ; � ' 6 � �� , � � � �c' , � � ; ,, 4:� (___� �;� t�� ,�--_ _ � } �� . �—��_5 � —� E,�,.?- �a -J � �� > Fire Number and Name of Road ro� �.�2b,i�`( �l R`� �n��4�=:�� L Enter lot dimensions and indicate north by arrow. Si ature of 0 I'or Authorized Agent: 2. Indicate the location and size of the requested construction � Signalure activities. Pnnt Name: '�vC13 NVJ1c�2 M�(a�i_ 3. Also, lndlcate the loCatlon and dlstance to the well, The above certifles mat Ne �isted intormation and intensons are true and correct., Nat all work shall 6e performed in compliance Septic tank and dTainfield, Wetland azeas, lot lines, with the requirements ot the Sawyer County Zoning ominance and ihe laws and regulations of the State ot Wisconsin, and if centerllne of Ylle road and waterbodles. acting as owner(s)agenL has the permission ot the owner(s)to pedortn Me work requested on this application. The above personsls hereby give pertnission for access to the property for onsite inspection. Permit fee: $ v�.5 C' � S�� 30C� a Total land area within 300' of the waterbody: (A) 33,�11� PC Total impervious surface area [including this project] (B) 3 �� (B)/(A) x 100 = % Used �l�_ � " (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes No April 29 , 2004 - Issue Date Signature ofIs in gent Apri1 29 , 2005 0 50% Rule: Average Road Setback: _ Expiration Date Office Comments: �l OF LE N ROOT 4 TW P. 42 N. R . 9 W. ' 27 , : 1 � .i .i N E LSON � AKE , ' .� ' s • 7 , .5.8 • . ]. 2 � .8 � 8.1 � . s � .s.� 5 � .8 .g.� ° .3.1 , . .9 � .3.5 . 4. 1 . � .2 .8. 10 2 ,3 <, � � .3 6• - ,, �.H.15 I .3.� •8 .7 .3. � 3.i4 � ,s .8.16 •3./0 � �� , •3.11 '� .3.15 .8.1I .3.t� ! �T . .3.12 ,.y. - .3.IT '' _3.3 , . 4.2 i.sc .3.18 i � n.L-� � � .13.1 ✓ 13. 3• J ' � ✓ . . � � 3. � � , " SHEET'2 � , � . 3. 13. � - " 13. . 14 .1 ✓ , � � -� ,. 13.9 � � � . . ,,� � � . . � � �, . � " • :� ' .13. .� . � " .13.! ' ' " . , .13.13 ` .13'�5 , . '�. .14 � ..� . � y - > SHEET 3 ,T . . . I ' . 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"`.�w,:�,,,��e ,�/ �� 1�1u.� 1 0� 2 010�e t oYz ,+.�.,m,�, � • _�.� ,�_, J�^t-� SHORELAND PRESERVATION AGREEMENT (Shoreline Ve�etation Protection Arca) � Land Use Permit No. O y—I�I (To be entered by the Zoning Office) Index No. C�� - Gl'I � WHEREAS,(list all owners) T�UC� � r� fl�wT]� i��m(�� R a � 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'landward from the ordinary high-water mazk of the waterbody. N The owner(s)hereby agcees to comply with the shoreland vegetative protection azea 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)further agrees to allow authorized i representatives of the Govemmental 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 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: Q7�(tc� O l�} —Q+�}a.—34 13�\ _ � ��+� N�n/��F `�'��3 CwtJ � �. �n��c�� — 1--�7� a-- Dated this �-\�� day of , , ,p � wner) i (Owner) �, � , �.,.� _ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office