HomeMy WebLinkAbout020-105-00-1701-LUP-2004-552 . ��
Application for Land Use Permit(*Shoreland*) o o -
� County of Sawyer �, �
PO Box 676 -Hayward WI 54843 � V �
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. � 1
,� � PRINT-USE BLACK INK OR PENCIL
N.�-�t ct.�t;� � �
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Owner Builder a �
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Mailing Address Mailing Address � O �
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City,State,Zip City,State,Zip � �
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Daytime Phone Daytime Phone �
9Xo-Yzl-s738 -='r,':: - ,� � Z
Additional Information: Zone District: �(�-I � �
Lot Dimensions: �O L��x (n�� + � �
Date lot was created:7,� - I°1 i� Acres: 1, �I�t `
Is there wetland neaz the proposed structure?If yes,how faz o �
Building Land Use Floodplain:OC)Yes O No G L
( )New ( )Filling Chippewa Flowage:( )Yes (�1 No ^
O Addition O Dredging Driveway access off of a(Check one): x�
( )Alterarion ( )Grading ( )Private Rd ( )Town Rd �
O Moving On O (�j County Hwy O State Hwy tl0 �
. . o 0
�t'� �y?�.,.>�. ( ) __._ _, w
� N S
Primazy Structure Accessory Building �Addition o �
( )Dwelling ( )Gazage-attached/detached Sj<T Deck �
( )Yeaz round ( )#of car stalls ( )Porch �;,
( )Seasonal ( )Storage Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room �o
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ",
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlazge Q \
� � ( ) ( )#of new �
Additional Information: a
✓\
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0
Type of Construction: �
( )Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete ►
( )Other O ,�
Construction Cost:Primary Structure$ ,.d �
Accessory Building:$ Addition:$ ��d �����-� � � �
x�
Deed:Vol 7�3 Pg 38 I Certified Soil Test# �q-� ; z
CSM:Vol�_Pg 32(v-� Lot# '� Sanitary Permit# ��� �''�-�%`1 ��] /9��' '�
Plat Envelope ' �� Or: � �
Condo Vol Pg Yeaz Installed: n� �
"Loads and Flows": Vol Pg Owner When Installed: �
�
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Previous office approvals/actions: �
Variance:# LUP:# ��, �OL�r, SP:# CUP:# �
Inspection Report:# Change of Zone District:
����1��
Describe the construction using these columns.List the dimensions of each structure in a separate
column.List each story,each addition,each alteration in a separate column.
#1. 17��� A��,�,i,o�� #2. #3. #4.
Size 1=' ft.wide ft.wide ft.wide fr.wide
�_ft.long ft.long ft.long ft.long
Floor area sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.from gade to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#of bedrooms
G1� � P�E�.�� �.����.,�� �
Lake/Pond/Flowa e/River/Stream Name ' ��o,�A�z ,�-�t ,v:�7•.�. �
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Fire Number and Name of Road�I � 2o c� (��� r,_� �. ;-+; � =.,-�
1. Enter lot dimensions and indicate north by arrow. Signatu e of Own or Authorized Agent:
2. Indicate the location and size of the requested construction _� �
Signature
2Ct1V1t105. prinWame: f�^ ��'�' � ��
3. Also,1ndlCate the loCatlOn 8S1C1 dlstance to t�le well, The above ceNfies that�he Ilsted Information and Intentio�s are
true and corred„that all work shall be performed in compliance
Sept1C t3llIC and dralnf eld,wetland 8T'eas,lot Ilnes, with the requirements of the Sawyer County Zoning ob'nance
and the laws antl regulations of the State of Wisconsin,and if
CenteTllne of Ylle r0aC1 and wateT'bod10S. acling as owner(s)agent,has the permission of the owner(s)to
perfortn the work requested on this application. The a6ove
personsls hereby give permission for access to the property for
onsite inspection.
i
Permit fee:$��_______
Total land area within 300'of the waterbody:(A) �� � �'L�='
Total impervious surface azea[including this project](B) Z�J��'j
�
(B)/(A)x 100=%Used � �lo (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No
October 5, 2004 -
Issue Date Signature ofIs gent
October 5, 2005 50%Rule: Average Road Setback:
Expiration Date
Office Comments:
T DWN OF OJfB
sEC. 3 TW P. 38 N. fi
ASSESSORS I PLAT
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Rusk Surveying Ltd. , Ladysmith, Wisconsin
SAWYER COUNTY CERTIFIED SURVEY MAP N0.
Subdivisian of Lot 17 , Assessor ' s Plat No . 2,
.- Town of Ojibwa, Located in Sect . 4, T3$N ,
R6W
SCALE: 1" = 100 ' � C.T.H. " G"
-ic S.BS°-53�-31�� W.
0 50 100 200 'O 201.22 R-200
— — — — iD, 100.61� 100.61� � �
J �
�' b
A
a
LEGEND:
0 1�" Iron pipe , found b
�
• 3;4"x24" So1id iron rod, set tO
R- Recorded as
O 2" Iron Pipe , found w LOT I LOT 2
N
� 1-1/$n x 4$n Iron pipe, set -� `•...�..: ' : -,•
N -� o
1'� o �J 3 b y 1,56±acres 1.49tacres
Bearings Re£erenced 3 0
to the East line of �� . � N
Lot 17 as N . 2°W. �~� � �/ -o z
o te a�lir /M,•
i II Li� ��t(f:�� N
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� CA1r�PDE1L = o�'+
" S- 131$ �
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SURVEYOR'S CERTIFICATE
I � Ronnie G . Campbell , Registered Land Surveyor, do hereby
certify and state that I have performed said survey by the
direction of Mr. Bob Biller , and that I have complied
Continued. . . . . . .
Ca�titiad b'� ''� ' � 3 � �
•9"t - -----
SHORELAND PRESERVATION AGR�EMENT
(Non-Intact Shoreline Ve2etation Protection Area)
Land Use Permit No. -55 (To be entered by the Zoning Officc) Index No. �y -�
WHEREAS,(list all owners) �)�.,�����L,,n�,J�a�� �.L.L� n� _
�
�
� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
�y 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 shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Depar[ment.
3 The owner(s)hereby agrees that at all times in the future,the real estate subject to this Agreement shall comply
C with all shoreland vegetative buffer requirements of the 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
p 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 detemvne if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved.Violation of this Agreement will
c� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
l� injunctive relief,restoration of said real estate,the revocarion 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 parties agree that this Agteement shall be filed with the Sawyer County
� Zoning Office.
Legal Description of Property: C S� � �2�qT_�,i rp_j P �2(n-��� L,�T Z
� 020— �,�5— r�� - ���
Datedth�G 2;` dayof f�"�14-,3:2 > �u� ��
--;�
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(O�yner) (Owner)
�.�7".-n..i���c_r-.,���� �L'CJ�t.-ri.�
(Owner) (Owner)
(Owner) (Owner)
This instrument was draf[ed by:
Sawyer County Zoning Office