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Home My WebLink About020-638-09-5304-LUP-2004-198 � • . . Application for Land Use Permit (*�-shoreland*) o o � .-- County of Sawyer � � - PO Box 676 - Hayward WI 54843 �,, 715/634-8288 � r *Property that is not located within 300' of a creek, river or stream or within 1000' of a �"� flowage, lake or pond or does not have any of the above waterbodies located within � the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. -� / PRINT—USE BLACK INK OR PENCIL �tC�`��! c'��z� , v� �l-��i� L[.��/zE+� ,ti��y��k- Co C.1`�.� z� sZ a �� Owner Builder <: � � � 7 c.; �7�`- `��- '� r t�:%'-�� ,y7/7 t% o. (,�; 'C 7 rL4 C ��r:i�'K (l.',�+'� L�/ i,`,, M - t � Mailing Address Mailing Address O � � � .�a� r� �:� 7`r r-� z �,J`�� ;� �;•;,_ �.��"Z- � � City, State, Zip City, State, Zip � � � � •7l � z�� C:�� `� �/ S �< < � L35 � � Daytime Phone Daytime Phone � -c A Additional Information: Zone District: ,�e ( � � tiZ� � Lot Dimensions: �z f� Date lot was created: Acres: S• �7,�C.' n '� 0 Is there wetland near the proposed structure? If yes, how far � � Building Land Use Floadptain:( j I�es (�No �+ � ( )New ( ) Filling � �,Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd O Town Rd. o ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy N � ( ) � � o S � r Primary Structure Accessory Building Addition � ° ( ) Dwelling ( ) Garage-attached/detached ( ) Deck W Porch " � ( ) Year round ( ) # of car stalls ( ) � ( ) Seasonal '� Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom r A ( ) Other primary structure ( ) ( ) Relocate/enlarge ; \ � � ( ) ( ) # ofnew �' �,� Additional Information: � � �� Type of Construction: �/`j Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � r ( ) Other b � Construction Cost: Primary Structure $ `�(:L� � � c� Accessory Building: $ Addition: $ � � � � � Deed: Vol (L5' Pg �c`I Certified Soil Test# UQ z CSM: Vol Pg Lot# Sanitary Permit# � � Plat Envelope �r� N F' Condo Vol Pg Year Installed: (�.�;,�..,; � ,}, \�Il,.�; � Aff of ex septic Vol Pg Owner When Installed: �-' � � < < w Previous office approvals/actions: '� Variance: # LUP: # SP: # CUP: # Inspection Report: # Change of Zone District: S�l �� ao'los Describe the construction using these columns. List the dimensions of each structure in a separate �� columa List each story, each addition, each alteration in a separate column. � , #1. ii.,.�c � #2. ��,�r 5h�,� #3. �j �z,�_��t�r, , ��Q� #4. � Size '3�� ft. wide ft. wide ft. wide ft. wide �� fr. long !� ft. long ft. long ft. long • �. Floor azea > '�"= sq. ft. - �'- sq. ft. C�d sq. ft. sq. ft. Hgt.from g�ade to peak ( ft. hgt. � ft. hgt. ft. hgt. Stories � �_stories � stories stories # of bedrooms�_ Rear Lot Line /.. . _. . . �"�.; e a�—. . , 5 Ck� � �,��:� r�� sl ��.��, - ��`�� — - �.-_- i� �• ° a� ' � � ��dl�(, �pil � —� ' �� .._. _�— G , __ � � Y� , l _ � � / � �` �, c�c� I li (X�!1 S T" � �G �L� ��,�� ,,�c+-�` �� dw d�o � �33y j ��snum� 3 ,;. c ,�� ° lC'E�� S' , �` -"c '�,��9 r`(��tie�o.k;�� t��l ,Ara�t.��£ ,. c Fire Number and Name of Road � �r� )� ��'' �� f '-" � � ,� ,� � % � ' '��- 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 f�j�:2;� /J�i"� SignaWre activities. PnntName:�ilki�� '� � � L'� �L 3. Also, indicate the location and distance to the well, rne above certifies tnat the listed intormation and intentions are true and cronect.,that all work shall be pedormed in wmpliance septic tank and drainfield, wetland areas, lot lines and to the with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the Shate of Wiscronsin, antl If CeritCLIlI1C Of tI1C I03d. acting as owner(s)agent, has the permission of the owner(s)to peAorm the work requestetl on this application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee: $ � � May 19 , 2004 Issue Date Signature of Iss 'ng ent May 19 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: '�.� , .:�.-- : �_ � TOWN 0 � OJfB �'� = , ;�� :r.3 SEC. 9 T WP 3 S N, R. � � 5 A- B ^ C HI PP IFW A Rlvc� : � .� : i.z � :�i.4 :3.�i :3.s .3� N :z3 ;3.6 r M :4.i :a:z �: A ;�F,7 STATE NI � HWRY 70 ;3,g 5 �o01PI �J :4.5 :3.3 ;4.6 :3.2 :3.f _ \ 7 � � � —.^� � � ` � _ � / ,� �/ �,� '� ` �..` — ^ . � � _ / ` `~ � � .� i � / / � .7:�2 � 7 � .8.i C � � (. T.l � . � ! . 4 ` ' r � .� r �� \ / ' � . � _.,. � �� j r % % % / ,lo.l .9.1 /� /� /� % /, ,'% ,/ .r,. •,� � .�i.. .l i.l .�z.i ��14 SHORELAND PRESERVATION AGREEMF,NT (Shoreline VcQetation Protection Area) Land Use Permit No. ��- /9 Q-� (To be entered by the Zoning Office) Index No. 6�- /9� WHEREAS, (list al( owners) Y 1�t�lRf� �<, �� iLk-E� � _ �L��2_C;� � , — � — �� 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 1 the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of � 35' landwazd from the ordinary high-water mark of the waterbody. � The owner(s) hereby agrees 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 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 � i VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate a 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 4A10 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement wili 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 paRies agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: ,�(,�;)j}-L9 �a- O�/- �,305', S Q� ��1�',�U 2(o Ce� ��/teeC fJ " 3, �f �rvv'f Loa 3. � Dated this / �7�1 day of /��y ��j� , -�'1T� � - (Owner) (Owner) � (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer Coanty Zo�ing Office