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Home My WebLink About014-942-35-3323-LUP-2004-594 Application for Land Use Permit(*Shoreland*) r H County of Sawyer ° � � ' , PO Box 676 -Haywazd 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 BEG1N ONTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL O � r-�Q�D L; `tffb/`�1�45 f-�/`�1F�'r'IG.Q�/ �D/`�/E� G �1 , Owner Builder � a°�. r � �. � 1 1�77 � S/��?Ni�l�vs7- /S��- 51 Sl /�D �� .. � Mailing Address Mailing Address � °a p ti-�-N�s��v�� .G��. �o y3 5� �/,��,�i��o 6v� �y�Y� � � ry City,State,Zip City,State,Zip 7 c�� y�y y 7 y� �� 5 C �3� s a a a- Daytime Phone Daytime Phone � Additional Information: Zone District: ��`� —� � Lot Dimensions: � Date lot was created: Acres: �, U�O Is there wetland neaz the proposed structure?If yes,how far �O � o Building Land Use Floodplain:O Yes O No v� 3` �New O Filling Chippewa Flowage:O Yes O No Y -1 O Addition O Dredging Driveway access off of a(Check one): x� O Alteration O Grading O Private Rd Q�(Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °" � ) � ) � S Primary Structure Accessory Building Addition o � Q�Dwelling �j Garage-attach /detached (j�'Deck N � � ( )Year round � ( )#of car stalls ( )Porch �„ �, � (�j Seasonal ( )Storage Building ( )Enclosed � $ `� O Frame built on site O Screenhouse O Living room �c � �� Modular/manufactured � � ( ) ( )Greenhouse ( )Kitchen (�jMobile/manufactured ( )Other ( )Bedroom � V' O Other primazy structure � E K/5 7�//�� O Relocate/enlarge 0 ' � ( ) ( ) ( )#of new � � Additional Information: - � � 0 Type of Construction: � �,'I Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �'\ ( )Other � � W � � �Construction Cost:Primary Structure$ ��S�ll �' b � Accessory Building:$ Addition:$ � 0 :° � Deed:Vol�2�Pg /;�6 Certified Soil Test# 7q-!(v 3 9q-�t-r�� z CSM:Vol Pg Lot# Sanitary Permit# ��,,�n�L-� - y�,� °q 7� P C�`�`� o, � Plat Envelo e Or: ,) Condo Vol Pg Yeaz Installed: �;, "Loads and Flows": Vol Pg Owner When Installed: o � 0 Previous office approvals/actions: i � Variance:# LUP:# SP:# CUP:# � Inspection Report:# 9$-�77 Change of Zone District � D'D� � 3 6�'1�o `�� Describe the construcHon using these columns.List the dimensions of each structure in a separate ' column.List each story,each addition,each alteration in a separate column. /� #L p�t5/% #2. (�FC/ #3. CfclC #4. !/ri/� Size � ft.wide __�_ft.wide �ft.wide �ft.wid� y-2 ft.long _�fr.long ��ft.long �ft.long Floor area �`/ sq.ft. � � sq.ft. `��'l) sq.ft. �sq.fr. Hgk from gade�to peak ft.hgt. ft.hgt. fr.hgt. Stories�_. stories stories stories #of bedrooms�_ Lake ond/Flowa e/River/Stream Name � w'r� '�R�i� 5 1 0 �r �_—__'� t,I � ` � � � Q � a �W O 1,('� /��'-- � �` r �� 5t��L / � ,� �J� 'I pN� 7 � � �� g/ ) \ i� �"s�y�� ` Y� � / / ,— � , 3 Y�� Fire Number and Name of Road �� d�„Z �� w��- �f2�� 1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction SignaWre activities. r.w-�� -��»'-"� Print Name: 3. Also,indicate the location and distance to the well, The above ceN9es that the listed informetion and intentlons are hue and correcL,Ihal all work shall be peAormed in compliance SeptiC tank and dlalnfield,wetland areas,lot fines, with�he requiremenis ot ihe Sawyer Counry Zoning Ordinance and Ne laws and regula�ons of the State of Wisconsin,and il centerline of the road and waterbodies. acwy a5 ow�er�s�ayent,na5 u,e�erm�ss�o�or me owne��s�io pedorm Ne work requested on �his application. The a6ove persons�s hereby give permission(or access to the property for ansile inspedion. Permit fee:$ �'b'( • D Total land azea within 300'of the waterbody:(A) �� 4 � � �- Total impervious surface azea[including this project](B)_ �,�n o2� (B)/(A)x 100=%Used � yo (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No n r h �n 2 OOh - \ z. Issue Date Signature of Iss ng nt October 20, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: V .11.4 .�� I II. . 1 ��.s 1 � ( \ .�2 �I ��.7 �1J,LL �� . )N ,K E �L�. � � � �11� �1.18 2 1� J 1.21 I1.13 �\ II.I 11.15 .11.16 � � \ �\ - _ - - � II.i SCALE: t INCH= 100 FT. SHORELAND PRESERVATION AGREEMENT - (Shoreline Ve�etation Protection Area) Land Use Permit No. �'y J� 9 y (To be entered by the Zoning Office) Index No. vy - J� WHEREAS, (list all owners) �—� �� /yC�/'�'L/--�..5 .� `� � 7 � ��,��'/A � S 1` �-�-1� �5 l �/l� � �� '�� 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 mark of the waterbody. � � The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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 cij representatives of the Governmental Unit to enter onto the owner's property at the following description a between the hours of 8:00 A.M. and 6:00 P.M. [Section 9. 13(1) POWERS, Sawyer County Zoning Ordinance] oto 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 d` 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 ? Q 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: ��f,� � /-� �/,L C-n`�!� O! 4 9yZ - 35 - 3 � /$ �..r + Sf,� S 4� Sec 35 - 'r 5/.Z�1I - � e u Z Dated this c30 day of �-(,lq (,(� , o - (Owner) (Owner) ✓ -�--�� v� �-'�-a�z-.c� _ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office i r-`-��/� i( ./ U ?t��' l _ � • �R: � � �� -�. �,� .'�e.�': d �V f�L�� L�/-��/