HomeMy WebLinkAbout024-741-34-1401-LUP-2004-070 � � '
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Application for Land Use Permit(*Shoreland*) o 0
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 boundazies.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. 1
PRINT-USE BLACK INK OR PENCIL
L'rP�(4- �iz�ti r!-1eC�e,;- �o__I�.�:Sk�. �iiilStratc.���-r\ o' �
Owner Builder �-
<' �/e�tksN m�C`iQ,�„ Rd P.�, fSoX �.��+a� o�
Mailing Address Mailing Address � �
�y�.:Gt.rd�1.1�1 ✓`�I$4 3 ��.y.��cu-c� l.c,'i 5�18 u 3 �` �
City,State,Zip City,State,Zip �
Dz�Yk�NI)lc�F-�L,I�S��i s�,ea1,(G%�G3V-�f.L2q '�15-(�3if- 3(�oU �
Daytime Phone Daytime Phone
Additional Information: Zone District �1� /
�
Lot Dimensions: .�G�•� � ���'��
Date lot was created: IU ��'"1- Iq9'l Acres: 5.`1`�
Is there wetland neaz the proposed structure?If yes,how faz o
Building Land Use Floodplain:( )Yes (�No �
(x)New O Filling Chippewa Flowage:O Yes (X) No c�
O Addition O Dredging Driveway access off of a(Check one): �
O Alteration �Grading (�Private Rd O Town Rd. ?
( )Moving On ( ) ( )County Hwy ( )State Hwy °Q �
� ) � ) � �
v, t.
Primazy Structwe Accessory Building Addition o 0
(�Dwelling ( )Garage-attached/detached (;lr)Deck �
(�)Year round O#of caz stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed �
(�C)Frame built on site O Screenhouse O Living room �o Z�,
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �Rl
( )Mobile/manufactured ( )Other ( )Bedroom o c� �
w �
( )Other primary structure ( ) ( )Relocate/enlarge �-F�
� ) ( ) ( )#ofnew is ��
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, �;.
Additional Information: �z >
,i �
;o �
�T e of Construction: w
Frame ( )Log ( )Pole/metal ( )Block ( )Concrete r �•
( )Other
�s� �
Construction Cost:Primary Structure$ /Q�i�v� ,.ti �
Accessory Building:$ Addition:$ ^ �
0
55'3�-'` 95323=
Beed:Joi�,_Fg �J!r7 Certified Soil Test# �j-�3� -�'(� z
CSM:Vol !`7 Pg .,:2'/ - Lot# � Sanitary Permit# ��� '�CZ.'��3° '7y
Plat Envelope Or: a, �i
Condo Vol Pg Yeaz Installed: �;, I�
"Loads and Flows": Vol Pg Owner When Installed: �
0
Previous office approvals/actions: —
Variance:# LUP:# ys-�Cc£� SP:# CUP:#
Inspection Report:# Change of Zone District: �5•C���. _ �b��
��';�,�
���ss
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. �`h c1 �;�.t #3. #4.
Size_��_ft.wide a k ft.wide fr.wide ft.wide
ff� ft.long �9 ft.long fr.long ft.long
i/7 2_,
Floor azea�sq.�. �sq.ft. sq.fr. sq.ft.
Hgt.from gade ,y.��, to peak ft.hgt. ft.hgt. ft.hgt.
Stories � stories stories stories
#of bedrooms �
'�Lt' �`/G�8 Lake/Pond/Flowa eBiver/Stream Name
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Fire Number and Name of Road �'�� `a-�tan �c�3`
1. Enter lot dimensions and indicate north by arrow. S' nature Ow�gr or tho' ed Agent:
2. Indicate the location and size of the requested construction �
� SignaNre
8Ct1Vit10S. PnntName:�/,JL--/C.�7L �L����
3. f�.150,indicate the location and distance to the well, The a6ove certifies IDat the listed informa4on and intentions are
We and correct.,that all work shall be perfortned in compliance
Septic tank anCl QI'alnfield,wetland azeas,lOt Ilnes, with the requirements ot me Sawyer County Zoning ordinance
and the laws and regula6ons of the Sfate of Wisconsin,and if
CenteLline of tlle r0ad and WateLbodles. acting as ovmer(s)agent,has the permission ot the owner(s)to
perform the work requested on this application The above
personsls hereby give permission for access to ihe property for
onsite inspection.
Permit fee:$ v�� � `
Total land azea within 300'of the waterbody:(A) 15��`, ''-
Total impervious surface azea[including this project](B) �')9c�'
(B)/(A)x 100=%Used �� (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area:Mitigation Required?O Yes �No
April 17, 2004 '
Issue Date Signature of Is i Agent
April 17, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
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SHORELAND PRESERVATTON AGREEMENT �
(Intact Shoreline Veeetation Protection Area)
Land Use Permit No. � -��r/�) (To be entered by the Zoning Office) Index No. �- Q r1�
� WHEREAS, (list all owners) �t � a.�, c{. �n n {t ��� , �,C,L
� v
�
�
-� 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 SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
� 35' landwazd from the ordinary high-water mazk of the waterbody.
� The owner(s) hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply
� with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date
S
cJ 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 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. Violation of this Agreement will
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 tfie 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: 5.3 �F �_�7 y � �/ ;Q 07 �nJ � -(- ] CS YYl I 4 � Z 4 t� �'
S 3_T��/ Ro� w L�+ �e cs m ,a /� � c�
Da this � ay o ��c .� , aQQ/�
t A
(Owner) (Owner)
� r .h . �1 . �a�
(Owner) (Owner)
(Owner) (Owner)
This i��strument was drafted by:
Sawyer County Zoning Office