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Home My WebLink About014-942-27-1312-LUP-2004-145 Application for Land Use Permit(*Shoreland*) o o . County of Sawyer � -. PO Box 676 -Hayward WI 54843 .x 715/634-8288 � *Property that is located within 300'of a creek,river or stream or within 1000'of a f�r flowage,lake or pond or has any of the above waterbodies located within Z� � the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. Q �� PRINT-USE BLACK INK OR PENCIL � � �1��L [. �-Q� C� C�t�1/�1 �i2 � ( Owner Builder a ZZ21- l`7��J� o: �' i�ia:l:ng.;ddress Maili^.b Address � O S�1C22�� - (oIZ�( � �-:� �ity,State,Zip � City,State,Zip � 30�� 7��- 3��, � �� Daytime Phone Daytime Phone � �� Additional Information: Zone District: �.12-� � ` I I�I.2S X I 3S.•-/7 x r� � Lot Dimensions: /v0,O� X Z`/2.3S � Date lot was created: Acres: .S� f "— �� Is there wetland near the proposed structure?If yes,how far f.S� �r t T n 0 B ilding Land Use Floodplain:O 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 � o � � � \ � N .C. � r Primary Structure Accessory Building Addition o 0 ( )Dwelling (�Garage-attached/detached ( )Deck � -- ( )Year round ( ) #of car stalls O Porch W U`' ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room co � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom Q \ ( )Other primary structure ( ) ( )Relocate/enlarge ( � O O#ofnew � '(\ AdditionalInformation: —9 „ � N � �T pe of Construction: }J (v Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other W � Construction Cost:Primary Structure$ C' � Accessory Building:$ �d��O `C�` Addition:$ � � u N Deed:Vol o'�� Pg rJ9� Certified Soil Test# � 3 ` � � O � z CSM:Vol �S Pg �� Lot# �� Sanitary Permit# � �3 � � � � °Q 7� Plat Envelope Or: o, �.Q Condo Vol Pg Yeaz Installed: i;, I � � "Loads and Flows": Vol Pg Owner When Installed: � �� Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: N/�9�� 8Ho3 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. ��9'R.h�c'- #2. #3. #4. Size 3 C� ft.wide ft.wide ft.wide ft.wide �j� ft.long ft.long ft.long ft.long Floor area �i�� sq.ft. sq.ft. sq.ft. sq•ft• Hgt.from grade�to peak ft.hgt. ft.hgt. ft.hgt. Stories � stories stories stories #of bedrooms O Lake/Pond/Flowa e/River/Stream Name �l.��G�S�'Iv' I��LLC �,-. �� `w� �' ��o�� ' 1� I � � �xrsi�,w� ,. f I��QSC� �_s_-C�N , � C�:4RA�� ' / (�° (��,�v� 3� 7C 3� ,� '� - - —_� . �/ Lo� L�n�� , l0� � � � `'�� (LO� �OfF�7 � - ' � G �Sj-�J 1r� �}� � � rr ;� Fi� C�2�4J�=L C7RPr��— �Gi i�o�t� - �� c7vs� `��:�C� � � �E�� i.� 4�— � �a..� Lo�"5 t��5� ��=-. �E�� FireNumberandNameofRoad f�(� Z�� t.3 �fF�i�cxic�f%� L�E 1. Enter lot dimensions and indicate north by arrow. Signatyr�of_0�r or Authorized Agent: 2. Indicate the location and size of the requested construction � � lure 2Ct1V1t10S. PdnWame: ��J� ` �. ��'�� 3. Also,Indicate the�oCatlon 3Tld distanCe to 1.ile Well, The above certifas ihat the Ilsted Intormation and intentions are We and corred.,ihat all work shall be performed in compliance SeptiC tat11C and dralnfleld,Wetland azeas,lot 11nes, with the requiremenGs ot ihe Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin,and if CenteT'llne Of tlle road 3Cld Wate2bodles. acting as ownef(s)agent,has the permission ot the owner(s)to perform ihe work requested on this application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee:$ � O�� Total land area within 300'of the waterbody:(A) Z-2 1 ��o Total impervious surface area[including this project](B) Z� �� (B)/(A)x 100=%Used I /c�_(Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required? Yes O No Mav 5 2004 Issue Date Signature of Iss g g nt May S, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: _ENROOT 42 N. R. 9 W. 2 3 �.s3 .Z.l � 3 � 9 \ �� i � i� � i i. � 3.�' Go / s •��I � /.�r � '� Y � 7 �.Yl �GS .3.9 2 _/.1� /.t � Z /t . : jY as .3. / �'0� �t 13 I IS N .31 .3.3 313 8.2 .3.�( ,�� f _ _ .3.1 .4.1 i � `.2.�:3.� '3 7-�,g .3.5 .3.14 s 2fs 1.oc T G ..7.� /.e,f 3 p',� 7s y r� ,.,i I 4 i ,'� " .13.1 4 72? io z YL I/ L.SY /L L.Z( 2 3 i.oj i.�c z.�y I5. .16.3 .16. . (.16� � SHORELANDPRESERVATION AGRr�MENT (Non-Intact Shorcline Vicectation Protection Area) Land Use Permit No. V7_l')CJ (To be entered by the Zoning Office) Index No. �- �� WHEREAS, (list all owners) �f}-� �CL �, ��nr C� /�� fl U�/+-RS�A--2 � I� Lon= v 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. The owner(s) hereby agrees that at all tunes 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 date that the Land Use Pemut 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 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. 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. Ali parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: s� ��y f f� � �¢ S� 2 � 1�.J n� �� Z N I` 1 �`� �-a'� t� lt.��,�,�m�� d[t�� /i).� Dated this 2 (� day of � P 2 � L , Z O ti � (Owner�� (Owner) (Owyer� (- �� (Owner) — t��,y-� �s_uf.�x � (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office 'Y �~ �r "�� rr , f�i�r ��" $�; � � �' . i� d y� �t.py�r ; , �� '�� a,� �}� � �. . ��- /`�� #. " `"s, . j�` y,a-� rl' �� F �.�i'k ti�y� , �¢(�'�' � i�r ti��` �� '!� ` •� 4L l.. ' � �T• • � 4' �� 7 i '- M� a ��. 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