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Home My WebLink About020-638-04-5508-LUP-2004-346 Application for Land Use Permit(*Shoreland*) - • r y � County of Sawyer � �� ' PO Box 676 -Hayward WI 54843 O 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 boundazies. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS AAVE BEEN ISSUED. � � PRiNT—USE BLACK INK OR PENCIL ��,�`'�� }-�j� ��y� (;;� rf'`J�- C�,;',;; i� � � � Owner Builder � la IR� �(�� " �� "r��1� ' � �t�t o� � Mail ni g Address Mailing Address � O N�t(�� ,1�7 Z� �� i y,St Zip �� City,State;Z� Daytim Phone � Daytime Phone Additional Information: � , Zone District: (�Q�� ' Il l ��;''; ,. �?' . - Lot Dimensions: pr� �977 i� Date lot was created: � � Acres: �e �� " Is there wetland near the proposed structure?If yes,how faz o �.y Building Land Use Floodplain:O Yes O No � �. ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No � � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ' ( )Grading ( )Private Rd ( )Town Rd. � �( g ( ) ( )County Hwy ( )State Hwy °Q Movin On�'�"� � � ) � ) � S � r Primary Stnxcture Accessory Building Addition o 0 ( )Dwelling ( )Garage-attached/detached ( )Deck � � O Year round O#of car stalls O Porch W ( )Seasonal (�Q Storage Building ( )Enclosed �, O Frame built on site O Screenhouse O Living room c� ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom � � O Other pximary structure O O Relocate/enlarge ti � � ( ) ( )#of new C i Additional Information: p � � Q " Type of Construction: � I� �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � �� ( )Other � � � Construction Cost:Primary Structwe$ ,.tiy � Accessory Building:$ �2'v L� Addition:$ � x Deed:Vol (C�09 Pg� Certified Soil Test# �— /�� 'z oa 7y CSM:Vol Pg Lot# Sanitary Permit# � Plat Envelope Or. � � Condo Vol Pg Year Installed: C`� ) i� ` �1Ct�`�i il� N � "Loads and Flows": Vol Pg Owner When Installed: � 0 Previous office approvals/actions: � Variance:# LUP:# SP:# CUP:# (1� Inspection Report:# Change of Zone District: D"� �\�� i ` • � ' � � Describe the construction using these columns. List the dimensions of each structure in a separate colum Li each story, each addition, each alteration in a separate column. - #1 .� �" #2. #3. #4. Size_� ft. wide ft. wide ft. wide ft. wide �� ft. long ft. long ft. long ft. long . Floor area r�� 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 _ ) Lake/Pond/Flowa e/River/Stream Name •_ ' , f � `I�, � t f ' '� • i � `. � � �� , -" � � . , �,� � � . f / �Z ;�' . �r 3� ' �� t s � 23 � , 3 � � ; � �� ; ,o z , �� -� � � . � . k. <�� , � .�� _-� : �,,� �.� � ,a � � � � ; �e( I -� r . �! ( ``:' ,�%l�� F�,' vy �. , � � - _ __ � � _ . -�__� ,., Fire Number and Name of Road ��'� `�l�-� � '`� 1�._. l. Enter lot dimensions and indicate north by arrow. Signatur o 0 rized Agent: 2. Indicate the location and size of the requested construction �--� 19�% ��`� activities. � Print Name: 3. Also, indicate the location and distance to the well, The above certifies that the listed information and intentions are We and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. act��s as ow�er�s> a9e�t, has the permission of the owner(s) to perform the work requested on this application. The above personsls hereby give permission for access to the property for �� onsite inspection. Permit fee: $ � n � �1 Total land area within 300' of the waterbody: (A)� � Tota1_ impervious s�arface area [inc?uding this project] (B) ` �� (B) / (A) x 100 = % Used � �`� (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes No _7 July 12 , 2004 - ' Issue Date Signature of Is in gent July 12 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: .b.l ,5.1 �a .7. I yd� .8.I �'s 0 Z T� .Vii 6. d .� J aW �i/// � al(N ./// � �� /// �VN � L .I0.f .9. f .•rn �!t 91 �u�' = .i(d � :5.1 :4.i :4.6 ;g.4 I �� P �D � � —� ;4.3 :4.2 � :5.5 :5.3 :5,4 :5.2 :4.7 :4.6 � 5 � 8 � �N�.2 � OWNCRSHIP UNFtNOWN RE : Ak" RI L pNOTO L13 C `'S - 1970) SCALE: I INCH= 4oD FEE U,5• G 5 . R ,¢ o trs So N�C� U �D (i q7'7 2� COLON B)• IND GATES GO SHORELAND PRESERVATION AGREEMENT (Shoreline Ve¢etation Protection Area) Land Use Permit No. Q y-3 y�o (To be entered by the Zoning Office) Index No. �-y� WHEREAS, (list all owners) James and Patricia Allen � , a owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and c� 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 2j 35' landwazd from the ordinary high-water mazk of the waterbody. w � 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) fucther 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] 4 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 on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE �q 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 � authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, i �- injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all Q 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 parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. LegalDescriptionofProperty: Part of Gov't lot 5, Section 4, T 38 N, R6 W Town of Ojibwa Sawyer County WI 020-638-04-5505 _ e is D � �� , � �`� — (Owner) (Owner) i (Owner) (Owner) (Ownei) (Owner) This instrument was drafted by: Sawyer County Zoniag Office