HomeMy WebLinkAbout014-941-10-5201-LUP-2004-517 Application for Land Use Permit(*Shorelasid*) r y
County of Sawyer � � 0
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 boundaries. '
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRIIVT-USE BLACK INK OR PENCIL
��l V'�Y�-� �i L Y\�-e� LC.Ci fz^�rff�iY�'�f-�r.�`l� � �
Owner Builder a: _
S
115� 3 � cun�v /� � ��1N.c'o��n�✓ �+� E ��
Mailing Address Mailing Address � O �
/I � � �
lttwal�az� IN;f �Yl�'y;_� ,�`:�:,.,�:��.:' - �y=%Y� �
Ci�tate,Zip City,State,Zip ,
;�s� �;3� �,?�%/S" C�3`/ 3�`l�l
Daytime Phone Daytime Phone
Additional Information: Zone District: ��— I
Lot Dimensions:
Date lot was created: Acres: 3.3��_i.`J5 ,
Is there wetland near the proposed structure?If yes,how faz o 1
Building Land Use Floodplain:O Yes (�)No �
(�ew ( )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 °Q
� ) � ) � `,�
tn t"
Primazy Structure Accessory Building Addition o 0
( )Dwelling �iazage-attached/detached ( )Deck � �
O Yeaz round O#of car stalls O Porch L,
( )Seasonal �Storage Building ( )Enclosed =
( )Frame built on site ( )Screenhouse ( )Living room co
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primazy structure ( ) ( )Relocate/enlazge �
� � ( ) ( )#of new ,
�
AdditionalInformation: � a
I �
�
Q �
T e of Construction: 1 �
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �
( )Other �3� � T O �
Construction Cost:Primary Structure$ �v`���LC �� harG¢>%�A�S �1'�����t ro
Accessory Building:$ Addition:$ � s
�
Deed:Vol (n�3 Pg z y� Certified Soil Test# �; z
CSM:Vol Pg Lot# Sanitary Permit# `�' �
Plat Envelope Or: ? -fl
Condo Vol Pg Yeaz Installed: c� �
"Loads and Flows": Vol Pg Owner When Installed: �
�
Previous office approvals/actions: eJ \\
J\
Variance:# LUP:# SP:# CUP:# �
��
Inspection Report:# Change of Zone District \
�')8(s 3
Describe the cons ruction using these columns. List the dimensions of each structure in a separate
column. Lis eac story, each addition, each alteration in a separate column.
#I. #2. = - #3. #4.
Size � . wide �, fr. wide ft. wide ft. wide �
. long �ft. long fr. long ft. long
Floor azea �: sq. fr. �,�� sq. fr. sq. ft. sq. ft.
Hgt from grnd � to peak �;�`, ft. hgt. fr. hgt. ft. hgt. '
Stories � stories stories stories
# of bedroo �
Lake/Pond/Flowa e/River/Stream Name
- F''��'��� IM�
� �.,�-�������. . . ,..
, _ � � �- �,
�5�
� ��
r��
��� U�
� . ��
;
,
\ � "_._.._.
�1 U���L` �� � �
�1�� _ �-:::=�::J ,!�--',�'
.'\ � \
:* � �r,
�:;,� � � �'�o��f j;`�
,� ��H�._. ,
\
\
\
�
\
Fire Number and Name of Road I`J� 3 C • / T
1. Enter lot dimensions and indicate north by arrow. Si e of Ow er or A rized Agent:
2. Indicate the location and size of the requested construction � ,
Signature
activities. ��� � � �
Print Name:� / i c �
3. Also, 1ndlCate tlle IOCatlon and dlStanCe to the well, The above cer6fes that ihe listed intormation and intentions are
true and cortect.,Mat all work shall be performed in compliance
septic tank and drainfield, wetland areas, lot lines, with Ne requirements of the Sawyer County Zoning Ordinance
and ihe laws and regulations of the State of Wiswnsin, and if
Centellln0 Of tlle Toad BIId wBteTbodles. acting as owner(s)agen4 has the permission ot ihe owner(s)to
peAorm Ne work 2questetl on this application. The above
personsls hereby give permission for access to the property for
onsiteinspection.
Permit fee: $ ��Q
� z � :
Totallandareawithin300' ofthewaterbody: (A) �7,�00 �ses
Total impervious surface area [including this project] (B) �2 �f �r�'�'
(B)/(A) x 100 =%Used ?�5�, (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? Yes O No 3� ih-t" n��(�:r � '—
September 16, 2004 � —
Issue Date Signature of Issuing Agent
September 16, 2005 50%Rule: Average Road Setback:
Expiration Date
.. /''� � �
r
l, fr z ���
Office Comments: .� J �! 4 �C � ��i(_�C.�� �� ' t ' ` (� v'"�-f-� � �- { c _
�., � v � �"'�Y` ,
.
��\\, \
a7 - r x ,-, .r�;r� � o y � .
_ �.._��,�,9�\ .
. � . y�i Sd,� '
�F 4j��� � 1 t.
� ���. �.. , , , •'_�
� ,;, „ _, __,. 10.61AC.
�
014-941-70 5107
�'�� . � . � 014-941-10 \ Q
SMITH LAKE 5,05
35A0. �
\ 2 W
a
� t � . . .. 01459�4�-10 .� �\ 014-947�10 5106 �
a � - . .06AC. . � �
�i0 VI
10'
, `'� G. L. 1 �<� N�
=�n��.��� t o,4-s4, � � � w
�'C. -10 5304 � � 014-941-10 � � 0 2�i '�Z
014-94 � � � �� 5103 \ � �o�W 014-
-10 53 1J6AC. .O6AC. W�K
i.n�c.3 � . . : . � . � 3
014-941 � � . � �� � h \
-10 5308 � '.„,,:,:.� . . . . �
4 � �, Y� � . 10.29AC.
10�� O 30' ORIVEWAY . � � � \ 01h441-10 5107
7pSL�� ESEMENTS � I
014-941-10 `
2 s��+c`�s 5103
.03AC.
���yt ' . 014—
����� 947' Q O NOTE� S. LINE
- .sanc.l0 5104 � SURVEY N10415
3
1.52AC. �.0 B O C P
/ � O 7.22AC.
��'S a�.n�c. p/h941-10
^M�v�"� 014-941-10 5201 I 2.oa�c. 1301
0 3.ss�c. O1h941-10 5202 014-941-10
�
3.SSAC. 5203 O
\ O I�
1
, G. L. 3 I
� 2.B�AC.
014-�41-10 5204
I� G. L 2 b.2,��.
014-941-10 5302 �
� I 014-941-10 5205
1 A � NOTE� PARCEIS IN G. l. 2 VERE
� 014-941-10 5206 � ROTATED TO THE MOST RECENT SV
I � 2.s�t. SURVEYS FOFi MAPPING PURPOSES.
0
� � � D Oth
m 01h941920�5207 $
n 1 � � 01h941-10 5208
� I � 3.66AC. �
014-941-10 5210
O 2.42AC. '�
� � 1 m � 2
n
� O �r'N ti aN Oth941-10
.s6�c. Ot�-Y41 i �`m�OO�n a � '� 5214
� -10 5212 m �♦ +±�o
014-941-10
� 5211 si� " o� o i E i.�o�c.
� ' � � 014-941-10 C 1/4 L�C/
1d03 OF SURVEY
_—' '—_ _ _ _ —_' _ ' .72AC. 1 .36AC. (�` FOR MAPPII
014-941 014-9�1-10
-10 320/ 014-941-10
5°"c. 3202 3 3
1.3�7t .
Oi
O1h911-10 3203
0 15.70AC.
n �
o ��
' ~ NW—SW
0
a �;
' .5�"` NE—SW
� N
014-941-10 310
a 014
�
�
N
16.91AC.
� 39J9AC.
014-941-10 014-941-10
P 3ypg 3205
O .87AC. �
014-941-10
3208.�s�c.
1
01h941-10 3308
DRI VE WAY 6.94AC.
EASEMENT �
2
014-941-10 3306
5.81AC. O
P
3
DRIVEWAY 014-941-10 3301
EASEMENT } 4.1SAC. �
n 4 ,�/ C JL�JI. V
S .t �J� � •
� 014-941-10 3307 7a2�C. 014-941-10 3401
� 014-
n
� 39.99AC.
1
f
°'j 014-941-10 3303
w 5.53AC.
O
SH012ELAND PR�SERVATION AGREEMENT
(Non-Intact Shoreline Vegetation Protection Area)
Land Use Permit No. (� y s/7 (To be entered by the Zoning Office) Index No. �-5! 7.
WHEREAS, (list all owners) Richard Richter
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.
u 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.
s
�f The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply
with all shoreland vegetafive buf'fer requirements of the Sawyer County Zoning Ordinance in effect on the date
� that the Land Use Pernut is issued by the Zoning Office. The owner(s) further agrees to allow authorized
representatives of the Govemmental 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
C� VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will
1i 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 Pemut 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
Q Zoning Office.
LegalDescriptionofProperty: Gov't 2 Section 10, T41 N, R9 W Town of Lenroot
SAWyer County, WI 014-941-10-5201
Dated this � day of ��-- , p �
�,�� ��_
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner) —
This insWment was drafted by:
Sa�ryer County Zoning Oft�ice
�