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HomeMy WebLinkAbout024-641-24-1211-LUP-2004-159 +�iz( ' Application for Land Use Permit(*Shoreland*) � � 0 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. � PRINT—USE BLACK INK OR PENCIL <lJf�7nJ �' l�i3L iNeR JGBr/J 1 J£Nn1 Prtrn�c �.,tCaRn���r1C� � 1� Owner Builder a � � ?la �l�tirK ��<F,�w�� � �(� 3ox s��� o: Mailing Address Mailing Address � � � �.u�fiin��r� . l� l.�Q(�'� s�j I��II�1��b l�!1 ���i�� � City,State,Zip � City,State,Zip $�f7-�98� ?(�?8 -1I�"�l�n�S�C� Daytime Phone Daytime Phone � Additional Information: Zone District: /�R'� ` � � �. Lot Dimensions: /j D X `/�{.r � � Date lot was created: Acres: �• .J G Is there wetland near the proposed structure?If yes,how faz r�� � Building Land Use Floodplain:O Yes (�No �- (X)New ( )Filling Chippewa Flowage:( )Yes (�No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (�Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � � ) � ) d S � o Primary Structure Accessory Building Addition � (�Dwelling ( )Garage-attached/detached ( )Deck � ()()Year round ( )#of caz stalls ( )Porch � O Seasonal O Storage Building O Enclosed i O Frame built on site O Screenhouse O Living room � � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen i ( )Mobile/manufactured ( )Other ( )Bedroom � _ ( )Other primazy structure ( ) ( )Relocate/enlarge � � O O O#ofnew � � �� Additional Information: „ �k.�a b(�h� � 4,i�.� cn � Type of Construction: b � ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � (�O Other �3,VR[r 2 t� i� � Construction Cost:Primary Structure$ /SU� OUC7 �' � Accessory Building:$ --- Addition:$ � � #3/755�? Deed:Vol �� Pg �a� Certified Soil Test# '79' �B� ny'f�'1�`� z CSM:Vol i Pg 35 Lot#� Sanitary Permit# 79-�65`"by-1o�] '� �:•l . � Plat Envelope Or: Condo Vol Pg Year Installed: "Loads and Flows": Vol Pg Owner When Installed: ' � Previous office approvals/actions: Variance:# LUP:# SP:# CUP:# Inspection Report:# Change of Zone District: aN�-�� N��3I0�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. Nc�u� - #2. I'.� • #3. J' #4. Size ft.wide ft.wide ft.wide ft.wide �ft.long `��ft.long ft.long fr.long Floor azea�sq.ft. �sq.ft. sq.ft. sq.ft. Hgt from g�ade�to peak ft.hgt. ft.hgt. ft.hgt. Stories I stories stories stories #of bedrooms�_ Lake/Pond/Flowa e/River/Stream Name M[�o�.0 �nkE ;� 4S� � % � \ / � _.��t � af�P�s�s`�",,� � ��. 'l�.i°Fl ' S %� , � ��' S'i / ` , ��K a i `1 Ho�s� y 9^Op°� `j� � ��ELV � !� M a,�� ��t�;�� � . ARnGL ^� \ � -3�U�'- J I/ ,� --' --- -- -- - -- a�o' Fire Number and Name of Road 7�B7W /`JC GvdrrW 1 �c=/IO 1. Enter lot dimensions and indicate north by arrow. Sig ure of Owner or Authorized Agent: 2. Indicate the location and size of the requested construction �_ �'�"t� Signature activities. \ �� PnntName: ,�)IAN �� 3'Ri74!['�- 3. Also,1ndlCate tlle loCation and dlstance to YZle Wel], The above cefifes that ihe listed information and intentlons are We and correct.,ihat all work shall be peAormed in compliance Sept1C tank and dl'alnfleld,Wetland az'eas,lot lines, with Ne requirements ot the Sawyer County Zoning ordinance and the laws and regulations of the State of Wisconsin,and if centerline of the road and waterbodies. aa�o9 as ow�er�s)ayem,na5�ne Pe��ss�o�or me owoe�5��o peAortn the work requested on this application. The above personsls hereby give pertnission for access to the property for onsiteinspection. 00 Permit fee:$ c�,r�.S Total land area within 300'of the waterbody:(A) '�r� � ��"� � '/F�_� Total impervious surface area[including this project](B) .�i-S•� �/3� (B)/(A)x 100=%Used ,��cs (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No May 10, 2004 — Issue Date Signature ofIs in gent May 10, 2 0 0 5 50%Rule: Average Road Setback: _ Expiration Date Office Comments: F ��f�►�J�,T1�fi� � . � �.. �=�►_.�"CC�. � � � __� . � ;�� _ � f �� ����� � _� �� �� � � � ��._ �� � ,_ _., .... _fi _�,. . ._ :. � � .._ . . _._ �_.�,. �.. � � �, , - - .„1_ �-� ,. �. �. �.��� �_ � � , � P . , , ; � , ` � __� -� � �f . , ��_�_.� �... �_�...,..� �. _ � _._ ., �.�. __ ... _ _ . �. _. , _ 3_ �.. i .� � ' ; . } � � ; > �� �� I.. __�_,;�.. �:.._..� � � � ' � _._i. � � �j � i � � p � !.. . �. �� . � � . .... . ..... _. ..... ,....._ . k ... . .. .. . ..,.. ____r ___ _ ,__.._�� _ _. ,. _W_ ..__..__ .._ ,b,. �.__ - � � � , , ! , ; � �� � ; ` � ` _ i ,. _ , �---. j , . , � F, � 3 �•,� �. <, � � � � 1 I ' � , . : - , j i i "i ; e I , . 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'� ,, � �� � , � : �� �, � --_'_ .. --- __ __ _ _ - --- __ _----- --- _�� - _ _ + ..•..::' � - - __ �—---- __--------- �_ J � � VENISON � � . .. �� ��� �.•'�:::::: I, i/ SHORELAND PRESERVATION AGREEMENT (Intact Shoreliue Veeetation Protection Area) Land Use Permit No.�(To be entered by the Zoning Office) Index No. ��_-I`5� WHEREAS,(list all owners)���q,c/ �_ g- �L/�� �,j�� � � � 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. C � NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that Q the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a mimmum depth of 35'landwar3 from the ordinary higli-water mazk of the waterbody. N J � 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. T'he owner(s) fiu-ther agrees to allow authorized C}� 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 Q 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: 1,�)}� n�y_ y� �y_�� y��� N�� ` � c� CSrv'I %,3f �l'L_ H���.%� ' S�•�t�U,`, dU �-�l R�[2/ �i�y s,c�� /�n,a�.ss 7�/f3'7 /y/i�� r i s��,,� Dated this �`� day of MA-e.c� , -z �� 4. _[--L, � `lcrL ��O���yyy[[[ier � � E����I??1�/1���� GN�� Owner (Owner) (Owner) � (Owner) (Owner) This instrument was drafred by: Sawyer County Zonino Office