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HomeMy WebLinkAbout022-739-09-5311-LUP-2004-315 Application for Land Use Permit (*Shoreland*) r ,� County of Sawyer ° ° � �, � . PO Box 676 - Hayward 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 BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. .] ���,y,� �ti� PRINT—USE BLACK INK OR PENCIL .,.---�F , � �� �- � lr� �. /�'�l� f!f r`f f/s� . f, r= • , '�°•°"�'''" � Owner Builder a �l %..,.��/ �� �`�,/ p. ��r t. s;✓ . :� �. Mailing Address Mailing Address � p � k �, f '�,�t=�r "�X L li vet. :t;� ,!;j; _, 1 � Z d � City, State, Zip� / City, State, ip �` � % r � •-�'� � � � � � f' �. �� 1 - l�.{� � �� 71 �� � aytime Phone Daytime Phone Additional Information: Zone District: /�.�`'� Lot Dimensions: � Date lot was created: Acres: y,U Z, 2 Is there wetland near the proposed structure? If yes, how far o Building Land Use Floodplain: ( ) Yes (�No � ( )New ( ) Filling Chippewa Flowage: ( ) Yes (� No � , (v�ddition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading (�Private Rd ( ) Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy "� � ) � ) � � � r Primary Structure Accessory Building Addition o 0 ( ) Dwelling ( ) Garage-attached/detached ( ) Deck � O Year round O # of car stalls O Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � � ( ) Frame built on site ( ) Screenhouse ( ) Living room c; ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Ot%er ,--.� ( ) Bedroom � ( ) Other primary structure ( )L f� � � `` '`� � ( ) Relocate/enlarge � ( ) ( ) ( ) # ofnew ' V (� AdditionalInformation: '0 � � � � � � Type of Construction: W ( ) Frame ( ) Log ( Pole/metal ( ) Block ( ) Concrete � � ) Other S�i;��;� i:, ��":� w �- .. � Construction Cost: Primary Structure $ /]/v' `-�" � �d Accessory Building: $ Addition: $ � GI CD �p� Deed: Vol �US Pg� Certified Soil Test# �- (�?�CP � � z CSM: Vol Pg Lot# Sanitary Permit# -�'jz f3 `� 7� � Plat Envelope Or: � ,� Condo Vol Pg Year Installed: �, "Loads and Flows": Vol Pg Owner When Installed: � � � .� Previous office approvals/actions: � Variance: # -p LUP:# QZ- � SP: # CUP: # � Inspection Report: # �� -03z Change of Zone District: a D� �\� �3 oa 8 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. #2. #3. #4. Size��ft. wide fr. wide ft. wide fr. wide 2 S ft. long ft. long ft. long ft. long Floor azea� sc�. ft. sq. ft. sq. ft. sq. ft. Hgt from gade 8 � � to peak ft. hgt. ft. hgt. ft. hgt. Stories ! stories stories stories #of bedrooms Lake/Pond/Flowa eBiver/Stream ame , `r:r.;` ..��_(. � . _J` _ ' � 1 , o i /y�l e ., �'� % D ,,� /=- , _._ � �( / \`� l' /66 � � ' � �� N� � � � � , '(--=� �v 'r.�,2�.� / . �� . ���K�D�_-�'� � W� \ ��� �I ;� � \ ✓���a�/Xg /�,�\i� ������ �....��U� � � � �� �� � V f � _v� .r-^.-�"i_.,^�._.....�_._._ / 3 `�? S_ � - ��� � 1 , , , -� ,� ;P' � ✓C' : 1 +- %',�'y �� , L"`Y � i4� z� Yyo � 4� yYvz '. ,�:.c.�'� � � Fire Number and Name of Road /%"i; v��� /�� �F v �/� � , 1. Enter lot dimensions and indicate north by arrow. �tu of Ow��horized Agent: 2. Indicate the location and size of the requested construction � 8CY1V1t1C5. Signffiure Print Name: 3. Alsq indicate the location and distance to the well, The above cenifies that ihe listed information and intenfions are true and conect., that all work shail be peAormed in compliance Septic taz11c and clTalnfield, wetland azeas, IOt 11nCS, with me requirements ot the Sawyer County Zoning Ordinance and Ne laws and regulations of lhe State of Wisconsin, and if CenteT11n0 Of YI1C LOad 1Ild WateI'bodles. acting as owner(s)agent has the permission of ihe ovmer(s)to perform the work requested on fhis appliration. The above personsls hereby give permission for access to the properry for onsAeinspection. Permit fee: $ �5�� Total land area within 300' of the waterbody: (A) /U y �50 Total impervious surface azea [including this project] (B) yypZ (B)/(A) x 100 =% Used y %p (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (V)'�Io June 28, 2004 L � Issue Date ignature of Issuing Agent Juen 28, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: / � . � � . � r� = rx-� � . �� ; � „��.. � : � �: S,p } �, ! � � 4 f� i � � �� , 1 � , L�...,•' 4 � {--�. �.� -..� — � ; �--�, .. � A r- 7 � � � � _ _�_�, . , � , � �v . . 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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 aauthorize, 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 structutes 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. Legal�escriptionofProperty: Part of Gov't Lot 3 Section 9, Township 39 N, _ Range 7 W, located in tfie Town of Radisson, Sawyer County Wisconsin _ 022-739-09-5311 DarP �• 24 June 2004 — 9 � (Owner) (Owner) (Owner) (Owner) (Owner) (Ownet) This instrument was drafred by: Sawyec County Zoning Office