HomeMy WebLinkAbout020-639-12-2301-LUP-2004-202 � '
Application for Land Use Permit S�1o��.���� � �
County of Sawyer : < .
PO Box 668 - Hayward `�'I 54843
715/634-8288 O
The undersiQned hereb makes a lication for a Land Use Permit and agrees that all work ` �
� Y PP —
shall be done in compliance with the requirements of the Saw�yer County Zoning Ordinance D— �
and the la�vs and regulations of tt�e �tate cf �'Jiscensir..CONSTRUCTIOr' NIAY NOT ]g
BEGI;�i UNTIL THE PERi�IIT IS ISSUED. �
�.�� ��,� PRIrT — USE BLACK I�K OR PEI�CIL �' �
. �
I ��i S C_ C�►t�is`Tv � e��crJ �e f-� y
�
wner Builder o
C� �
I I � �A,�c��r NL �
Mailing Ad ress , , Mailing Address
�� ���� �I , S� 7� 3 �
�e . �
City, State, Zip City�, State, Zip •
�7 �� �� ���� � -�
Daytime Phone Da �time Phon� �� �� a��p Q �j
�'Iued Plct�n �')'la.P 5 �
Building Land Use ��
(�'e«� ( ) Fillin� Zone District � �� �
( ) Addition ( ) Dredgin� � ,,,y� 1 p��� �q�� � �
( ) Alteration � Gradin� Lot Size ��J 4 / ^ S�
�
l� \ `i�s,'; n,"; ( ) g j�ob �j � ^ I�
/ �.. ••T' -� , ��
\ � \ � 8����y ACCZS t � I �
l `�
_ C
Primary Structure Accessory' Buildina Addition �'� �
(i.�b�vellina (�arage-attached,'a,a� ('�'6eck �, ��
(�"ear round O r of car stalls O Porch � i,� �
O Seaso►1a1 O StoraQe Buildin� O Eilclosed � � ��
O Frame built on site O Screenhouse O LivinQ room �I��
( ) ��lodular,'manufactured ( ) Greenhouse ( ) Kitchen � ��
( ) ��lobile/manufactured ( ) Other ( ) Bedroom � � , _
( ) Otller primary structure ( ) ( ) Relocate/enlarge ;!. _
� ) O Ottofne��� �
I �
Type of Construction � �=
(i�'�rame ( ) Lo� ( ) Pole/metal ( ) Block ( } Concrete Q �
� � �
( ) Other "
� �
�(700C�� qcc,�ellrN� , " I
�
Construction Cost 5_L��c) ����1e� ='
�
Vol�Pg ,j �� of Deed Certified Soil Test # �7"��� I� I�
. �
C�'�1 V� �}-� Pg�_ �,�}�' � Sanitary Permit # �.�-��{j�, � z
Pla�Env�lo e Or: � �
P �
Condo Vol Pg �'ear Installed
Aff of e� septic �' P O���ner ��'hen Installed: �
�I ��lb�
_ _ - � , ,� � �
Application for Land Use Permit — Page 2
Desc �be Constt-uction: List dimensions of each structure, story, addition, or alteration.
#i. ��� ' ��i�%�� #2. ��.�. �3.��RY e #4. ���
Size �� ft. wide � ft. �vide ��' ft. wide �� ft. wide
y� ft. lon� ' c�-� ft. long �� ft. long �� `� ft. long �
Floor area � � � sq. ft. ' 33b sq. ft. ��� sq. ft. sn. �}. �
Hgt. fi-om grade .�C� to peak� ft. hgt. � 3 ft. h�t. ft. hgt.
�
Stories � Z � stories �_ stories stories
# of bedrooms � n � �
C�,-�' rear lot line or ���aterline of ��P��� I� (J�'��/river �
(�I7'o�al �l� �
In the box sketch in: (',h� �+r} �11�-�.'
Location and size of all �� � �
existin� and proposed stnictures. , ___�._ 5�
tz(
Location of septic system. I�Q(7��1L ' � ��,�.� ��,
Indicate distance to: � �' ��, �� �
��-aterline!`Vetlands �'� �Q'
Road
Lot lines ��
���� ��
Septic systemiprivy � �. j
«'el1 � �,�� %
.� ' �
Distznce behveen stnictures. ��� � ����
Indicate tiorth. � ` {' �
?
� '\ �
Fire \umber` �PS;,�.��`�n
C�. � �� �'1
• J -�-m�e�r v���..� . �..�c
� qc�.4� y,C,c
' c�� �a�c�
a-� �""-� -
—I P'e�2.ce 11 �i�c, �'
� ����1 c����t �C>�qoc,.
►gnature of O���ner i�(cY:-'- (����°� =
Tlie abo�•e certifies that the listzd �� �p5' °7a
i�iformation and intentiotls are true and
correct. The abo��e persoiv`s-hereby
��i��e permission for access to the
properry for onsice inspeccion. - - -- centerline of �'IVI�I �i t'oad-------
��
� '� ' -ti,. �� ' � /-�T�2� 1�}I C.
Issue Date May 21 , 2004 Expire Date May 21 , 2005
Officc Comments: L%�Z,'�"`�/,�,-, � �
�--'����T,��in�}
S1"II�lIUI"C Of Z011lll�� f1dI111I11SI1"�I�O1'
' ' TOW N OF ��
�;
SEC. 12 TW P 39 Fc. b
2 � �'�
�► '
�� .s.2 �
�2
.6.3 �
'3 `
"_,�
.6.4
'4 � .5.1
.6.5 d
� � �
� �
_. .6.1 �
�6 7
6.6 '� �
z
�
6.7 s7
✓
72
/
,¢ .7.1 �
,,
IQ
� .7.3 � .5.1
ii
_ .7.4 �
b �2
• � .7 5 �
I�
.7.6 �
:2.1 .9.1
�
�
�
�„
,_,.
a � �
� \ `� :3.I .�_ „`„ .._,,
— .12,1
:1.2 =
:14 3 \
;1.3- • Z �
Wapner Surveying Associates, lnc.
26145 Lakeland Avenue N.
P.O. Box 89
We6ster, Wisconsin 54893
715-866-4295
CERTIFlED SURVEY MAP N0.
LOCATE� IN THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER, SECTION 12,
TOWNSHIP 39 NORiH, RANGE 06 WESf, TOWN OF OJIBWA, SAWYER COUNTY, WISCONSIN.
CHIPPEWA RIVER
------�,�---
U � N
O�e� �A ,ZS�ZO f0 N N 01•J8'24' E µ
:r.y H OCLOZ 200.09 N i{•2)•16- w
% _ � � �----- 2p3jg`E
N ,� � l
A T Z 9 � Z
— � 6 ��
� �� — �
Noi �
� m 'a
m � Z
� � o
rn c
� o Ih
� ly
Ih �ry
I"�1 z i Z �n
Itv m s� m m (n ly
I u m rnc� V °' � a m � !n I�
m � �' Am m m ?�o � I
�y 4 !� A� V ,� u J�V m y NN r^ m U IC
�' i m ' � m i m0 U : JO W � q I
Ik f F �y� F r�iv, e � �.�'.
ib I . � . � I . � � i.
�� �o u �A m I�
� H I �.
�b U m ?I ur � �v
I� J a Q � �N
N I I
� � I�
p� I
�r„ i GJ �.N.��OOWi,
ui � y , n�3
ai a� �� �!z��
m =winZ
� � �y ��` N§�'�3 n8
� �
--------
�
0
go 4 2oa.to � � ioa.it u ----- —� —__� r„ a
2ao.to
S Ot•32'51' W — fipp, 7 —
N Owi
YAP OF SURVB'Y D.K. PLSOCSR DAT3D 11—f0-81 os+��b � =
------------------ C� 's's�� F
BEAWNGS BfSED OxN THE NORTH L1NE ^�Q 1 S�` a� Nz
OF THE NORTHWEST OUARTER SEC.12 r�+p
ASSICNED 5 66'36'31' E
�"��p�111111n1u�uulqN/y� yw�msy � N g n
���p°`,d'� � z�•••g n.o.rwa a wmd��ea a
a O� �i �L AD tf9.9.t ��L o'mit
'' � f �i N� _tl—M W wmbO ti wl. 1—
�� � Nm�yp �� dC�YMAn�m � "I
.A � �mmyx ��
G p �"m 2�
�i s
;�Y ���:
�9 �' / ��1�
///"//irroinn�nummm�o�N�'��\"`\``.if�IBd$IIfYBy N0. {�OI�
n.a. 1 «�_
! J �
H � .
��,u � -
�� � `!�\ � � 6 �
._.... a .
�.� / \� ��� ZONE A >
s� ,-�� �
�� �286
r � .���:, � x � EAST FORK CHIPPEWA RIVER � �
��, � (� .o �r'
\\ - ' � � �'
�� �= ,:..` . � ,� za5 � �
` �•.,�;�;
` ��
�� � � � ' s ..� � �a
u � �� �� -
�
. r
� �
� x
�. ; � �f I
J
ZONE AE � �� 'a __�HIppEWA RIVER
,-
�. ,�
\\ ,� � , �Qs
� � � �
A �
�
��� �� ���l
� � y 1g
I � i 1
I � f�:� ;
_____
___ _._
� Yr � _ ��____� -
�' ',,�" ��,za2 --
ZOR�E X . ;'
I �q� ZONE X
r . ti
�-���r fZ �
y��_ -� 12
� �' /
� � � ;�8�
� �
�
f �� � .
� ,.�
� � � . �
� .:���x ,�
�t , 2so
Y
i �_�
= 2�;9
'a
� � 1
� .. ( ' �
�"'---'' ,e�`":r ,^�%4 .�. ,,�'' �` '�' J
�` �'`. ,.--"" '� ,` ' /�
�
r�p,� � � s ,' ��
a$�r,. 1✓'� ` _ •' �,'
s�,� ..� . 1
�'
,
i� \
��� � 4
�''' r
---- ,� �
.
� '��s � �17
� 1
� �"��
�` �' �` .�::— --ZONE AE
��. ,�
� � "` ''' i 2�6
�
� '�
� �� , �
� �`f
�
� i
�` 18
�� ia:
� �. � �
�r�, 13 zoNE x
2>5
� � ` ��� .�� p�� .�
I /� F� �
� ;k�
�1Q � �
�J�`� ` �CHIPPEWA RIVER
�'� �` �� �
;� �, �
/ ,�
./ ��`��,. R .
1273 �
% ,` ° �\�� �,J}
f � �J ,��
��,,,, ,,, � �s
�" - .: , - ZONE A �
.
/ �
//>� .
/ �t�. ; �,��:?,r
� �
/�� "`� ` �
-� .,,� 6� p�: �
�� �' .
// j 4
��`J (°l _ � ? u�
Yi Y 6
l,r�l L72
��'�� I
-.�
. �
SHORELAND PRESERVATION AGREEMENT
(Shoreline Vegetation Protection Area)
Land Use Permit No._Qy�OZ (To be entered by the Zoning Office) Index No. Q� -�G�
WHEREAS, (list all owners) ,4 ( jJN t S � . �hres l G�l�e�s��
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 SHOF,ELI:vE VE�ETATIOIvT PR�TECTif3N �4t'tEA on said real estate is intact to a minimum depth of
35' landward from the ordinary high-water mark of the waterbody.
T'he 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
representatives of the Governmental 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
I 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 Ordinan e remains in effect. Violation of this Agreement will
authorize, in addition to other penalties and relief requ ed under the Sawyer County Zoning Ordinance,
injunctive relief, restoration of said real estate, the revocatio of said Land Use Permit and the removal of all
structures approved by the issue of said Land Use Permit and t e 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: �� '/'I !v W f/�- � � �- � � � /U ��j �
.
(�bl �/ � /7 �l 60�Y�
Dated this 0/ �i day of � L�
(O er) (Owner)
( wner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office SaW�er cOUrity Z0111I1g f�dT111ri
PO Box 676
Hayward, WI 54843-0676