HomeMy WebLinkAbout024-741-06-3401-LUP-2004-152 �
� .
Application for Land Use Permit (*Shoreland*) o 0
County of Sawyer � � .
�
PO Box 676 - Hayward WI 54843 1�
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 � 5
the property's boundaries. �-�- `
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
}�� PK'r PRINT—USE BLACK INK OR PENCIL
,�. ; �at c;� �. �o;-m ��,Y. 4'���� cdnst,- �,�. � �
Owner Builder Q-: �
c
�/�ll �o� �-1-. �t��k G+'�c�le W l Z � "%o,.v� ��'�� � �.
o'
Mailing Address Mailing Address � �
�c�vaG� /�n. S���f�__ �}� . ��� t�J�• 5Y�`l3 � 1
City, Sta e, Zip City, tate, Zip �
C`�
6/� - �8�- � 72 � �i� � 6 ��- os 3 7 ,'
Daytime Phone Daytime Phone
Additional Information: Zone District: ��� a
o"
Lot Dimensions: �-.
Date lot was created: Q�}-ofcr /9Q� Acres: i I • -" �-�-
�J
Is there wetland near the proposed structure? If yes, how far o �--
Bu' ing Land Use Floodplain: O Yes (✓�No � �,
("V�New ( ) Filling Chippewa Flowage: ( ) Yes ( No � �
( ) Addition ( ) Dredging Driveway access off o a(Check one): � -i
( ) Alteration (�Grading (+�Private Rd ( Town Rd. � �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � �
� ) � ) � �
Primary Structure Ac ssory Building _ Addition o �
(� D lling (�Garage-attached/ etached ( ) Deck �
(V�Year round (,� # of car stalls ( ) Porch W
( ) Seasonal ( ) Storage Building ( ) Enclosed �
(a'Frame built on site ( ) Screenhouse ( ) Living room c� �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � m
( ) Mobile/manufactured ( ) Other ( ) Bedroom .-
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
( � ( ) ( ) # ofnew �
� �
AdditionalInformation: ,` A
a
�` �
, �
Typ of Consiruction: (�:i
(�rame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �� �
�
( ) Other ,�
Construction Cost: Primary Str�cture $ ��0, 6�t?Q, '— ,.d �
Accessory Building: $ �0;�0 0 . — Addition: $ � �
�
.., , �
Deed: Vol l��3 pg / Certif.ed Soil Test# �% �"'�' � z
c� � �
CSM: Vol I��Pg�Lot#� Sanitary Permit# � I — d�'J S �
Plat Envelope �0`� Or: o�
Condo Vol Pg Year Installed: N
"Loads and Flows": Vol Pg Owner When Installed: � �
�
�
Previous office approvals/actions: °
�
Variance: # LUP:# SP: # CUP: # � ��C`'
Inspection Report: # Change of Zone District: ';� ��� �� -�� �
� �I
�1
a�-� � � 3
\
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. No�se #2. (�A�q�e, #3. ! c-(L #4.
Size �/,� ft.wide �ft.wide ft.wide ft.wide
�/ ft.long �o ft.long _�ft.long �{, ft.long
Floar azea I�/SY sq.ft. �QaQ sq.ft. �i5� sq.ft. ���r sq.ft.
A vC�.Hgt.from giade 35�to peak�ft.hgt. ft.hgt. ft.hgt.
Stories 3 a stories stories stories
#of bedrooms�_ t
��n1Pr1� —W�-�\n�l�— ��ac4,�r� yo �i�r. Ca��
� 3 Lake/Pond/Flowa eBiver/Stream Name
�o, F--= a 3�>—�
� �. ,�_-� �� � ��"7
� �- r- - i
'o �0�.\5-� _ oo � �� 34 ,s'
��<c" . �S ... fy 50�� y•
I"` � �
� �' S� No�se Jl�_ 7/i
� j4Y. _
- \�3-- - _-�
s'
pe,,K �� /S�
; yPo.c'� G' d� �/
�- —14' P3y'^ a��3o•�we11
� ,y�_ -- ---
37� ��-��
y/ � �------ 9a�ay�'� 30�--
�.37 .�" �v
/ � 30 �
/'.
/�v�o-�,,% 18 C�
a<�f
,,
,-
;
Fire Number and Name oF Road � �o r� 1-. ��(�
1. Enter lot dimensions and indicate north by arrow. Signat 4f Ow e or uthori�d Ig�nt:
2. Indicate the location and size of the requested construction ��
� Signature
activities. �, � �
Pnnl e: I rr� 0!' `C�
3. Also,lndlcate the loCatiOn 3Tld diSt3riCe to the well, The' ve cedlAes that the listetl informallon and intentions are
true and conecl.,that all work shall be pertormed in compliance
SCptIC t3ri1C 3t1C1(�T31Ilf1Cld,W0t13T1d 8T0S5,IOt I1rieS, with the requirements of Ihe Saxryer County Zoning Ordinance
and ihe laws and regulations of the State of Wisconsin,and if
centerline of the road and waterbodies. e�ms e9 owner�s>a9em,nas me Pe��ggioo or me ow�e��s�ro
pedortn the work requestetl on this application. The above
personsls hereby give permission for access to the property for
� O� onsiteinspection.
Permitfee:$ �'JSn �f�� y(�—
Total land area within 300'of the waterbody:(A) 70,10 O �-4'
Total impervious surface area[includine this nroject]Bl _�?,�0 i''}
(B)/(A)x 100=%Used 8, �JS�O(Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Piotection Axea:Mitigation Required7 O Yes O No
May 7, 2004 -
Issue Date Signature of Iss g gent
May 7, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
� 4 . . . . . . . .
.Y. ; � . . . . . . - . . � { .
il
i ,
e
� .._._._ . . . ._.. . � . � . ��.a .
•
��: ,. � �� �
� � ;
: , �__ �
, .
, � . _� P
p. . .... . . . .
..
' �
� � �
4. . �• '
' '
� '
Z
2.//
:3.2
i
I.2'I
� �
.7. S •7.�2
T. S :4. 6
�
. 7. �
/
pi D• z
, �
,� � e - T 3 a .4
�(P� � . 7.4 . = S� � /
� ?rs ��
A —��� �
. v�
— � S
� : 6.2
.10.1 �
��� � `
��,. � :6.�
tt�� ' �' :6.�
� �P �,
� �� ,
�
2 .9.2
�\ � 3
-.9.5 �.�1,�
.9.4 .9.3 Q •4• l
— — /� /� ���� �
Z ✓ I
�.�z .3 �2. 1 3.78 Y.09
�
2
•� �• <.' 3.53 ,
.11 .10 � 3
.IJ.S ' •,
i Z 12.Z 3.89 �
z , ,� „ .II.¢ � �.�z
v tE ai 3 4 -
.!!.7 A � = j,�r•� 12 .5 a.8e
� .I 1.6 v , '
.I I.
I l.3
O.II. I .II .� . � ,� � /
12.4 s.�z
\,
.
i 7 ` f 3
5,05
., n �
SAWYER L�OUIVTYCERTIFIEDSURVEYMAP
A DIVLSION OF CSNf�I3R9 LPCA7ED INTHE SEI/�1-SWl/4 OF�G770N f
T. �I N R 7W, T�UA'NOFROUNDLAI�; SAWYERCOUN7Y, WLSGiONS4V.
c �/s
TOTAL AREA = 656,807 SF.+/— ��` 1
15.08 AG+/— �
�
N 8T55'4B" W 684.79' ,�_y,
�� 594.9J, ,S�_�. � , CS 1/16
LOT 1 -� "' �
164,776 SF./— �
' 3JH AC.+ —
� 596.87' � � �
I� N 8?25'05' E 76240' / �
�/�� q I
y � aya R ��.{ � � i
$ a 157,6J8 SF.+�y 5� i JW$
�.. �' 3.53 AC.+� �.,
�' 296.30' �65.50' � e
� �, N 8925'0.5" ew 761.80' y� yt N �
� � �� �� LOT 3 ,� v � �
� �
� `�,�-°,�� 169.293 SF/— `c. v
y 1 �'� 3.89 AC.+ �
i
/6AR7'6 7f6MY7l! �0910' £ +K' J5J.93' �
N 8Y2505" f G .!J' °�
�tc � �
LOT 4 ti
���� ��� 169.144 SF.+ \' � �
. 3.88 AC.+/ � � .gw ;
4&5.49' 174.97'
N 89'15'OS £ 760. ,�, Pp9� �
Y = 200' �
� �`�� Y
1
NPIf MY' Q2G R.10lb ULiAlf11CM O�G97�h91,C �J
q 89.6J �3'JP'.16' 910.P6 D9.W 5 6737X Mwy� S 1�4
—. ���SGQvs;z
� � �
u N U705f I iazu SURVEY BY.•
(2 M z7327!r I&17 r r/ — . 7276
L3 M SSD'IY E 91.}3 ��!� �
[� N�1� r �'u'� DA7ED 7HI5 � OF�'�u :3997.
c[c�vo CLIENT.� ROBERr BERGUM '-� '['(�j1JORTH
Fw.w z-r/P' 6F1Cs cwrtn uay. .raa �%n/s� navrm ew. alr:. . .
.tt'Nf. I MKYI � I00 FF2T OLOC IB p/1p �y�
0 fA'.M 1-]�� MtlN PVE q/l� ��}�ivrry�
� rwo i wu� amc are ,wwr s is9� me �aan�.axc
s�r r . N w wr _ �.rN/� �wm»ss' �er. x-s �/� u+[ �s-i.u/rc�ea xwrr ra mr zn-n (�rs,+nw-u.a
SELlRW 6 N WZJ'1� M s[[i r a 1 �x R .s1es.� !w� 61��Ma
..-� ,� . ,..a� s(oY3-
�5.5
ea �
-�` � .
SHORELAND PRESERVATION AGREEMENT
(Shoreline Ve�etation Protection Area)
Land Use Permit No. �y- /5�, (To be entered by the Zoning Office) Index No. Qy - ���
�-
� WHEREAS, (list all owners) C „
d �-- , � i : � � �-- G.'-� t��; /�. �S-�� :-
. .
v
�
flL
-1� '
� 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.
S
� 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' landward from the ordinary high-water mazk of the waterbody.
-c
�
, � The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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) further agrees to allow authorized
representatives of the Governmental Unit to enter onto the owner's property at the following description
C� between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance]
� 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
� 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,
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: / �� p ,�� r
S � 4 ���� � �/ �� � � pY �� r �� �' i .�1
k
. �
.� �� -a .� � � m /q � /a5 � S�oY3 —
Date this " c� `� day of �� L't�'� `f ,
(O er) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office