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Home My WebLink About024-741-19-5407-LUP-2004-112 �"( 'GS` Application for Land Use Permit(*Shoreland*) o 0 County of Sawyer � PO Box 676 -Haywazd 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. � � ,��1/f,j ff(T PRINT-USE BLACK INK OR PENCIL M �DrY/.AGD � fTN✓e�+t q,•�•'� 00.�1s�L0 � �'Yi4dC.KA�� `�' � c Owner Builder a �S-6�.1 �?<!D/�So.� Sr QS -G2/ /1'IADlJaJ S� �`' � Mailing Address Mailing Address �. O �/�re�0 ZLG�.ue�r �0/90 l,1�✓Zie�o L"L�/.��.r 6e /Qo � � City,State,Zip City,State,Zip �` � �30 (oG9 7977 G3a �G8 19'77 Daytime Phone Daytime Phone a � Additional Information: Zone District: � �-/ � (o�i7� 9'Q So�7). c� LotDimensions: 158W�De �a9 •y1 Potn� a Date lot was created: 8�30�9y Acres: �.S�o f�U Is there wetland near the proposed structure?If yes,how faz Building Land Use Floodplain:O Yes (X)No Z �New O Filling Chippewa Flowage:O Yes O No o � O Addition O Dredging Driveway access off of a(Check one): � O Alteration �(1 Grading Q�Private Rd O Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � � ) � ) ,J °e� y: r. Primary Structure Accessory Building Addition -C o (�Q Dwelling Qn Gazag attache detached O Deck �„ � 1O Yeaz round ('�)#of caz stalls O Porch �_ �Seasonal O Storage Building O Enclosed i (�Q Frame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary strucriue ( ) ( )Relocate/enlazge � � ( ) ( ) ( )#of new Additional Information: - � � � Type of Construction: �v � �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � :? ( )Other � 00 "� Construction Cost:Primary Structure$ `f0 peo 00 � Accessory Building:$ Addition:$ � Deed:V�? � - Pg - �' '- Certified Sa;l Test� q j'-33� '� z CSM:Vol � Pg Iy0 ��{ Lot# 1 Sanitary Permit# O�(-0�D � 7� �. i� i4� Plat Envelope Or: Condo Vol Pg Year Installed: � "Loads and Flows": Vol Pg Owner When Installed: � Previous office approvals/actions: Vaziance:# LUP:# SP:# CUP:# Inspection Report:# Ch�nge of Zone District: )�Jp`{ Hla"`f � ,xSSI�I 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_colu�n. #1. 1-�vu>� #2. GQe�e #3. �'-� #4. Size $8 ft•wide 2�wi eft d ft.wide ft.wide � �b ft.long 3 S ft.long ft.long ft.long Floor area 1�g 3 sq.fr. 9 6 sq.ft. sq.ft. sq.ft. Hgt from grade Z 7 to peak l 7 ft.hgt. fr.hgt. ft.hgt. Stories � �_stories stories stories #of bedrooms 1 Lake/Pond/Flowa e/River/Stream Name � 02 '�eFF 7s i�/iyb �i/AT£e kT�ract ./ ` z �(�Llr1C{ I��- � � � _. 7�' ._--� _�- � See �rtachr� ��y,, ,� � � � -_ C' `k8'oF� n�oeT6 �.�;,e — - � p y�' eFF uec7'�. 4r,ie �� , C , �J . �d �}�6"o�'E-Ce�iet ICaoc . o L � d7`8�' oFE'�e✓�i L�aa 0 `1 --- ORyt T � C�<r�e --� ;' �; - u� � v, �� p C L � : — � � �Yi .� v e � p�� .,, �. G `\_ � D�"'` a�s� �c. � __ _ _. _ � �/ss,� Fire Number and Name of Road� e�'6 N �f�� I�Cc�C 9� l�ck n�F o �� Y��@ �.�k�'��i�e �2-�- 1. Enter lot dimensions and indicate north by arrow. Sign ture of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction ��j�/�� SignaNre activities. PnntName:- DOYp�-Q 5 ��AVCl4\a4� 3. Also,1ndlCate the loC3tlon and dlStanCe to the Well, The above cedifies mat the listed intortnation and intentions are We and correct,that all work shall be performed in comptiance Sept1C t8C11C and dlalnfleld,wetland azeas,lot 11nes, with the requiremenCs ot Ne Sawyer County Zoning ordinance and ihe laws and regulations of the State of Wisconsin,and if CenteTllne of t11C IOad anCl WateLbodles. acting as ownef(s)agent,has the pertnission of Ne avner(s)to peAorm the work requested on Mis application. The above personsls hereby give permission for access to Ihe property for �� onsite inspection. Permit fee:$ �% Total land area within 300'of the waterbody:(A) � �'; �� Total im en•ious su:faae ares�'r.�ludi:^thi:. o��ct' T" ��` � F �% s 'P�� i � �v �e— (B)/(A)x 100=%Used �� Q -1 (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No April 29. 2004 2��7'.CX _i �Lt�� Issue Date Signature of Is �ng_�gent � April 29, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: �-:3.� - I C� z 4 :3,9 3.7 �-�' 1' 3.1 I :3.12 ,, � Lp 2 � v 1 '/-t -�8 ^ 5.10 :5. ao r� co 'n v m cv � �� ROUND , �' � �� :3.3 � � � � � � �; ,� � 3.2 � O � \ I I z .� �4.1 � � ;4.8 LAKE � :4.2 � 3 ,/ „ 5.�2 �J �'3 �4.10 /�� 4.11 � � � � /�� :4.3 :5.13 /� rn � � / / :4.4 ✓ 2 � / :4.5 � �4.6 Z I ��\ �4.7 5.11 � 2 � � � � 4.9 � / - - - - - - - - - - - - - - - / / � � � �6.2 ;6.1 .16.1 �" � 2 3 �&3 .� �' � °r�°- �6.4 . :7.7 ti � F �' r` 6.�1h , Z :6.6 ` ir / '�13 �7.9 '�a �6.7 :7.14 3 �_ f � ^ �6.5 '� 7.3 p ^ : � �7J5 �ZII '7� :72 .71 .6 �O t � V a � SAW'YER CCUNTY CERTIFIED SUP,VEY MAP PART OF G.L . 5. SEC. 19 . T. 41 N. . R. 7 W. NOFTH LINE NEI !4 SEC. 19 _ � S 89° 26'OS''N 21 I 6. 54' � _ � �J FD. SiK IOSB.81' � `? FD. I " AXLE P�HAFT � _� CTR I /4 COR. SEC. 19 � FD. 31i2' ALUTA. MON FD. 3/4' I .P. NE EI /4 CGR . SEC. i9 COR. LOT B. SC�LE I ' IGO BYY R�5�99375URVEY�� I � BEa.RINGS REFERENCED TO THE � �v p o 6 FD. lAONUMENTS AS NOTED NORTH LINE NE I/4 SEC. 19 � SET 3/4' X 2q" REF.OD. �QSSUMED N89° 26�05'E) a, �.,� � a ^ �� WT. I .SG LBSiFT. m� O�aJp � a � R.A. RECOP.DED AS "�•� � .2�`QQ:ry c� y�OQ�� M C� J��uuuuqqi�� ' PARCEI �SM N�. 2904 '�.T°'m. e� ,o '� ` � \CJC�NS'/ � �`�� ... '% FD. I' X I' 4NGLE IRGN N89'S6'33'V 729.7fl' R.A. ��! m � M � �l N 89'49 'S0'E 729 .47' — '�R-•� ��: is� .. A = `e`',�!�-�'_L!`,iT 's = \, - p�/- �. _ FD. I' }'. I'/ 3 " S'�„')� � ANGLE IFON � � �• �,^.G �:y_�'.,1��11 t \��' o � '�°, ,'••.8�3u�9`�:'t =�� LOT I � - ��% \ n � � � � N `a�d SuNe��•� a� I I � ��3 F . - _ O N � I/ ��ii�unun�nN .4 2.56 P.0. „� o m I � \ . > G "' y N 89' 45'31 'E 647.59' Q � � O 22' p � N Y n � ��Z ��N53'00'<6'W 41 .74' � U Q^ � � ' � ��.� E�— EASEMENTROAG .. . M 4 � m � Q � �' m ' L0T 2 0 0 0 � '�' rN45' �4'S7'W 97.39' � `�Z p�� \� ' n, iC3 93i SF. u°Ji QJ ,Q� � m u-. � . 2.39 A':. \ NI7•03-57-w 71 .22' . — 1�C �a � n � l � f � � �I Y. G � ` � 99.71' R.A. 50l. IB R.A. � 660.00' R.A. LL � � se9•se +2-w 630.22' R.A. \ 232. 52' S08.48' 059.95' V`C�� 1e' S 89'41 ' I I 'W 6&9.82' $89�41 � I I -W I%99. 25� TR�vELED TCwN R01D MO DEFINED YID7N � � iD. I N' I .P. . . . ... . ........... . .. . .. ... ... ._ ....... .... . ...... ..... .. . . sr COR. G.L. 5 SHEET I OF 2 . PAGE I OF 2 SHORELAND PRESERVATION AGREEMENT (Intact Shoreline Ve�etation Protection Area) � Land Use Permit No. — (To be entered by the Zoning Office) Index No. U7 - �_�_ � � WHEREAS, (list all owners) �Q�,Ep[.,� � �,Q(Je�O�I � � , 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 dept�i of � 35 ' landward from the ordinary high-water mark 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 � 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 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 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 Description of Property: ��!(� C / q T � ( �l1 � 7 (�t� (, O T ..1. Dated this �� day of �,P , o2p0 � (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office