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HomeMy WebLinkAbout024-541-20-2403-LUP-2004-231 Application for Land Use Permit(*Shoreland*) o o ''� - 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. /�' PRINT-USE BLACK INK OR PENCIL C.�J/cL/�4+'! ls/G'�/K/zr'�[.IrT CzESKLE6� �16�1 WooD/F �'Pyu6�2ucr��� � Owner � Builder ¢: � � /0�97�/ /Y�ouc�.���•=a � /03GSN, Gc��n��� GcJ o� � Mailing Address Mailing Address � O s�,vy�p•Lz �i ss��3 /�.as���sR-a �L<.�i ss«v3 � City,State,Zip � City,State,Zip n � '7/.� `�G 2- —�/o S'�' '7N= `�G Z— 3 yo`f N Daytime Phone Daytime Phone � � ���I � Additional Information: f Zone District: � � A Lot Dimensions: =ic,:sd�•�.,t r� �Date lot was created: Acres: �7� �� (J—� � Is there wetland neaz the proposed structure?If yes,how far o � Building Land Use Floodplain:O Yes O No � Q O New O Filling Chippewa Flowage:O Yes O No c� n- QQ Addition O Dredging Driveway access off of a(Check one): z� � ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � � O Moving On O O County Hwy O State Hwy � � ) � ) � � � r- Primary Structure Accessory Building Addition o 0 .�Q Dwelling ( )Garage-attached/detached ( )Deck � � I „� O Year round O#of car stalls QO Porch f w I� O Seasonal O Storage Building 1�Enclosed �Frame built on site O Screenhouse O Living room co � ( )Modular/manufactured ( )Greenl�ouse ( )Kitchen ° c� ( )Mobile/manufactured ( )Other ( )Bedxoom � ( )Other primary structure ( ) ( )Relocate/enlarge � `� � � ( ) ( )#of new �� c fi � Additional Information: p � � � � � Type of Construction: 1t� Q� QA Frame ( )Log ( )Pole/metal ( )Block ( )Concrete o � ��,' ( )Other � �� y Construction Cost:Primazy Structure$ ,ti � Accessory Building:$ Addition:$/3,.Svc7 0� � � .S :° � � Deed:Vol (�(0 6 Pg !3l Certified Soil Test# �q-65! � z CSM:Vol_�Pg�Lot# /3 Sanitazy Permit# qy-o9y � � � .. Plat Envelope � V ��3yq Or: o, � Condo Vol Pg Year Installed: /999 N "Loads and Flows": Vol Pg Owner When Installed: _ rn � �� C ZESKGE�S.B- I ?�Y�Faz M,'LY� v Previous office approvals/actions: ^ � � Variance:# LUP:# SP:# CI7P:# � Inspection Report:# Change of Zone District \� 5���(�, a��9 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. - #1F��ecesE-o 1�o2,w #2. #3. #4. Size Z a ft. wide ft. wide fr. wide ft. wide _�ft. long fr. long ft. long ft. long Floor azea /Go sq. ft. sq. ft. sq. ft. sq. ft. Hgt from gade to peak fr. hgt. ft. hgt. fr. hgt. Stories —' stories stories stories, # of bedrooms — Lake/Pond/Flowa e/River/Stream Naine o easE G.ytc€" � � — , �E/�Y6�IfJ5�DNS � yG� J �� � 13 �r>e�c,�6 E✓E �'�') �/L�S + ad�n.N�vti¢ � HO O8 Y n. ' ��8�� 1�y"� 138� n'�-T ' � e g �� ¢, � � � �� �y'� iso, � ,� �,,� �i,3 �.T �� A"- v � � �ep"�E�- `'��� 1� o�"'�` �°�� \ /r` � � ` � 1`�• � * 8' �D! �� l ./yOtJSE �eY�DK � � �i � � � m R.c.� yi ��-w �--_ �z�,.�• --� �-'� �' y Fire Number and Name of Road /��9 7 �• y�o��tiG-.B/szD G'� 1. Enter lot dimensions and indicate north by azrow. Signature of Owner or Authorized Agent: 2. Indicate the location and size of the requested conshuction ,���f,�_ �� � �- aNre activities. PnntName: eZE"S�LF(3�— 3. Also, lndicate the locatlon and d15tanCe to the well, The above certfies mat ihe listed intormatlon and intentions are We and coneci.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, wAh Ne requiremenGs of the Sawyer County Zoning ONinance and Ne laws and reguWtions of the State of Wisconsin, and 'A centerline of the road and waterbodies. acting as ownel(s)agent, has the permission of the owner(s)to peAonn ihe work 2quested on this app�ication. The a6ove personsls he2by give permission for access to the pmperty for onsiteinspeclion. Permit fee: $ 7S �— Tota( land azea within 300' of the waterbody: (A) 79 f 7 ts Total impervious surface azea [including this project] (B) 3o'QQ S.p � (B) / (A) x 100 =%Used t 3. �3� (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �,i No May 28, 2004 - Issue Date Signature ofIss i ent May 28 , 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: TOWN OF ROU � C S EC. 20 TWP 4 I i�. C ' � rr � i 6. 1 5 . 1 f� `� \1,��� < I/' _ r � L� �� � � /3 �/"J 8.3 r ti .� '� �j 8.4 e. e�f � s.2 �'? z 4� 7. i `' s. s .— —� � � � � ., �z� , MOOSE .,..� ����` � � � ,�< � � e.7 g .s.io fr �'�",�y s. s e. i �• -- ( -- ��ti , io.2 ,�,� I� � LAKE �rf rr � / � � � � 9. 1 � 10, I � �f � � �^-/ 1 � \ � � � � 1 - , � ✓ � I / � � � �� � � i � \ 1 � , � - � ` � ` � � 1/ V% � ' �� �� \ ��/�� .�� �^ --�� � ��. � ��.4 l ��.2 l �2. � r 1.3 I � 11 .�N h m� � O � s `M g-4 0. 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N�,,e; .,,' g o o � m �O � r�,?O `�'= � - o � s�_:.r� C�:_ �u `I � � l� - C:';�`v,p � �= o Z � ,, v � �. � � m � ..�L� �� 0��,�2, � � � o � ;.,,,'`�....... �1.,' � �^ � o i„�� � o\ D � � � y t '° O Z � �r ' _�. . �_ .. . _(.:_ ,�,,,q,� :�,�4 l3Y 9 y� SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Area) �J !/ � Land Use Permit No.Qy�3/ (To be entered by the Zoning Office) Index No. Q T -a�i_ � � WHEREAS, (list all owners)��)�ctiqm �, �2�s .0 c�a,Q � Cff2/STi.r/� G. CL�sK c�S.Q- � � � � 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. �I JNOW, 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 3 35' landwazd from the ordinary high-water mazk of the waterbody. The owner(s) hereby agrees to comply with the shoreland vegetative protection azea 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) fiirther agrees to allow authorized representatives of the Governmental Unit to enter onto the owner's property at the following description between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning OrdinanceJ v 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 M 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 I 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 Q struchues 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: Z� - 5�/ - S . Lo s- / . C S l��/o�, 7. �G 5/Z �!�a -. . L or- /3 � C S_/�_� ��-3 _ Dated this ZS'v day of >Y��y� , Z n p�G �/� �-� �vc l� -�� (Owner) (Owner) �- �' (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer Coanty Zoning Office �