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Home My WebLink About024-841-13-5320-LUP-2004-232 ',�!_ . Application for Land Use Permit(*Shoreland*) 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 I 000'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 Ror,�n v w��ccJo��v, /a ✓1 F j1�� J�P.� Lc��r�-i c � wner � Builder � a � � 1�3Q�r� f-/a//.i .s`f. /1/�� f�hd��°� 78� o: Mailing Address Mailing Address -� O � � ��e�, i�,v s��-�o% N� �,E ,.{� r,�y s�iS'�� City,State,Zip City�ate,Zip - �?� ��d �� '��0� � Daytim Phone Daytime hone Additional Information: Zone District: ,$��, .E r �� Lot Dimensions: Date lot was created: Acres: /,% i Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:( )Yes �No c ( )New ( )Filling Chippewa Flowage:( )Yes (� No � O Addition O Dredging Driveway access off of a(Check one): z� O Alteration �Grading (�Private Rd O Town Rd. � O Moving On O OU cH. I d,(�� O County Hwy O State Hwy °' � ) � ) � 0 0 N ,S � r Pzim��Struct.Lre Accessory Building Addition o 0 ( )Dwelling ( )Garage-attached/detached ( )Deck � � O Year round O#of car stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom ♦ - ( )Other primary structure ( ) ( )Relocate/enlarge \ � � ( ) ( )#of new � Additional Information: p � � 0 Type of Construction: �; �_ ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ( )Other ,� Construction Cost:Primazy Structure$ ,.ti � � Accessory Building:$ Addition:$ ^ x I Deed:Vol S3a Pg �yy Certified Soil Test# 9fj^d7-`� Oc'`I48 � z CSM:Vol�Pg 'JB Lot# c� Sanitary Permit# `1 S'a5 7 00 -�{!'( 0° 7y Plat Envelope ��y Or. b, Condo Vol Pg Year Installed: N ;s "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: po- 67� � Vaziance:# LUP:# wg- yoa SP:# CUP:# � Inspection Report:# Change of Zone District: ��I� .�,y �l D3�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 column. , #1. #2. #3. #4. Size ft. wide ft. wide ft. wide ft. wide + ft. long fr. long ft. long ft. long t Floor area sq. ft. sq. fr. sq. ft. sq. ft. Hgt from giade to peak ft. hgt. ft. hgt. ft. hgt. , Stories stories stories stories ; # of bedrooms Lake/Pond/Flowa e/River/Stream Name i � � � �w�F L� ke t Fire Number and Name of Road 1. Enter lot dimensions and indicate north by arrow. Signature of Own r thorized Agent: 2. Indicate the location and size of the requested construction _ Signature activities. I � PrintName:f�f`2Vl �� 3. Also, 1ndlCate t.ile IoCatlon anCl dlStanCe to the well, The above ceNfes that the Ilsted intormation and intenCions are true and correct„that all work shall be pedormed in compliance septic tank and drainfield, wetland azeas, lot lines, with ihe requirements of the Sawyer County Zoning Ordinance and ihe laws and regulalions of the Shate of Wisconsin, and if centerllne of the road BTId waterbodies. acting as owner(s)aqenC has the permission of the owner(s)to pertorm the work 2quesled on this application. The above personsls hereby give permission for access to the property for onsile inspedion. Permit fee: $ Totai ianu area withir. 3^v0' of:he waterbody: (A) ___ Total impervious surface area [including this project] (B) (B) / (A) x 100 =%Used (Shall not exceed 15%[or 25% with a condirional use permit].) Shoxeline Vegetation Protection Area: Mitigation Required? O Yes O No June 3 2004 (/1.��`A'�`��'� — Issue Date Signature of Issuing Agent June 3, 2005 50%Rule: AverageRoadSetback: Expiration Date S�� -�G'G��G� Office Comments: ��,� �� _�� • • . � � � � 1 � � � � • , � : � � � � � � ' � + ,� i �.r � ,h : r�. t � �� ,.1�•7 .r`j��iF��4y?� . �'is, } � i � �' � � . � - .,:} rl�'.I i .ir t 1 . �� ? �„I� . �rl�Y4 l�f:. t �,F.i �": �(e;rt.li�� t �:j.;{3t9t ��li'�� `^' i' + . ) - ,:� r � •1 ' � � i �'fii � � � i � � : � . , .., t 1 � � � 4 . 1 : � ' ..� ir)��( }'�,i.�,..�(9 ,11� I�:.r.� ji. � l�i' i.' f. i�l' �� .,f�'i1l i� ii.. i ] 1, f "... _ � — _' ` ' . • ' � .W� �� • 1 1 : 1 : 1 : : � M�� 1 : m '�� : : � : , : � � � � ■■ ■■ S � • �r==i�id�i�i��e��i �■ � , � , � � �1 �H ■ � �� . . - . . - • - �i . ■ ■ �■ �F ■ ■ e . . : - - . - . - . . ■ _ - . - . �� I`` � _ . � � � f:� . . : : , � �, ; ;.. �� . . . ��.� ■ ■r . - ' N �11 ■■■■ ■ ■ , 6 , � � � � I � �� ' . � - _ � . • • � . _ ' , .::. _..r- r f. .� 1�F' ��wrii�r�r-iiCv� - I •�.++ "' s�'7ii�gr.. � �N . . --�-- _ _ • I .�;:� ;,� �'.� /��';:�■ �i�lr■ - . . - • - , ■ � �'., , , �.; � _ � _ � . _ . . - . �� a� ■ ■ i■ ■ ■ ■ ■e��,, _ ��i�=�i � �� =--'_e�_ .Sd�a��"a�Tm--,-_.-�,-. � ..��_--�--- . , : _ �� : , i .r { .: � � .y� .1:�: r 1 � � �2+ �'.� � r� � 7�F'u i .� If.. .� . ,� . . 1 . �2 { 17� ��. . t ��1, „ t:' j . i. 1 7 '1,\. t . �. `� � r:\~ ` � 1 . �. u . � •,1j1, ��,, Y �1' 'f. .. . � � .��i�� ' .�) r s. 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The smallest amount of baze ground shall be exposed for as short a time as feasible. femporary ground cover,such as mulch orjute netting,shall be used and pe ent vegetative cover shall be established. Diversion berms or bales,silting basins,terraces,filter fabric fencing,and other methods shall be used to prevent erosion. ❑Lagoons shall be constructed to avoid fish trap conditions. [�]Fill shall be stabilized according to accepted engineering standazds. ❑Filling shall comply with any local floodplain zoning ordinance and shall not restrict a floodway or destroy the flood storage capacity of a floodplain. ❑Channels or artificial watercourses shall be constructed with side slopes of two (2) units horizontal distances to one (1) unit vertical or flatter which shall be promptly vegetated,unless bulkheads or rip-rap aze provided. Note: The property owner is ultimately responsible for ensuring that sand, soil, fill, gravel,topsoil or other materials are not deposited in waterways,water bodies or wetland azeas. (Section 4.28 Adverse Effects on Adjacent Properties) �onstruction, grading, excavating or sunilaz activities which result in drainage, runoff, erosion or the depositing of materials on to adjacent properties shall not be allowed. Wi11i�sG maik%� Zoning Administrator 'TMN LN(E RD' 910YM �5 68' N1DM FOR MAPPING PURPOSES. 5,� 5Nt 5;,} G.L. 4 u,. sam 5n s 5412 5405 .6�` a�,�s �ss' 5410 • 5�06 5108 SaOa 510) • � 5313 5.� :]10 5301 G.L. 3 . ' 5319 5308 • • 530J 5318 `� ' • 531J •��'�� 5316 ROUND LAKE � � � -/ I I 5304 � I p.pp 0100 200 30 � I 53�2 • 1 2 � � 3 7 '' I I SUI � 6 4 RE7 � 5 LEHUSRT COP � HEIGHTS SUBDIVISON. �OTS i THRU 7. CERTIFIED SURVEY MAP PART OF GOVERNMENr LOTS '3 AND �4 OF SECTIDN 13, rOWNSHIP 41 NORTH, RANGE 8 {yEST, TOWN OF ROUND LAKE, SAWYER COUNTY {VISCONSIN. (ALL OF CSM N0. 6966 AND 6162) THIS SURVEY CANCELS AND SUPERCEDES CSM N0. 6162, AS RECORDED IN VOLUME 22 AT PAGES 114 AND 115. SCALE i" = 100' Hf/� Cpl SE[ l3 0 100 S90'00'00"E 2650. 13' &uss �.c �`� 124�.35' 1408.78' eA�ss c�r� �� N LEGEND � o m Q = GOVERMENT CORNER FOl1ND S��°�+ m o ■ = FOUND 1 1/4" IRON PIPE S��o I � " a = FOUND 1 1/4" IRON ,� �� 9�'l � o PIPE FROM CSM 5955 1 67.13' 6 S = • = FOUND 3/4" REBAR �6,20, SB1'00'19'M g S•._I f FROM CSM 6162 �'o �p �.�_119.6�' �� 0 4) N87'0]'fi6'M � = SET 3/4"X24" REBAR �'�� ' .� EASENENT WT 1.50 LBS/FT �'� �,0 /�y5 I � v� ( ) = RECORDED ,��9�� AS e�a�io`'- I P0 /yp�° � a� h�' F�� py tih 2 ,� ��y LOT i .�^0P' � ��a ^�� 2. 12 ACRES �' �' ��• 92553 SO FT �� p P� o�n l. '� i �ry�m/N ��O Q N.� `y�• ."� P m! S � 1 ��0 w �Y = �v � 92 �' �o r�- 'S�''�S? ;�N 9%y h w ~30 � NP Jg� � ^ U OZW 2� �°o'So, ti"`�'�rLh W cW.�w¢ a ¢ zxow N63'33'34'E `�� o� < W ¢~Wo 21.00' n�h � C�'.a W �O¢o (21.05'I A E . . '� � 2' �i� [C w o Ny3 69.22•� LOT 2 � G.L.4 S � Nz.,o ti.,c,9' 1. 13 ACRES G.L.3 Z (.9JZp� � 49219 SO FT .'� H H=ON o. N6l�24.so, �'��,OP a a¢c~.�a , OS.S9�, ,�,�0 2'��'.2y m m z vWi m 9NSg��o 5�6 p�um�q�� , 3s.se• ``,�a,SG+?�V,,;r�;,, „ccr�'^ 'H Ap�N�PKE ,o; ��r•in;cs.i,�� ;�= � _ . cv .:>, . /o,�/ SAWYER COUNTY ZONING APPROVAL ° � S�"` ' : ; C ' """ ' sDe.caa� , 7i (1 � ..<9.. t"lls. •,� .. � J 21 `?� � •,r�.,,:�` � i �Jl/�.t.+ k � �a� o`l��a, ''' "�„`nSU::��:, �,��.�, ,•„``. CIN�Y YAC LEY DA7E SHEET 1 OF 2 c�fi�a s�rvey rb. 6 514 V�L 2 4 p� '7 8 ' �l SHORELAND PRESERVATION AGREEMENT (Non-Intact Shoreline Veeetation Protection Area) Land Use Permit No. (To be entered by the Zoning Office) Index No. - WHEREAS,(list all owners) � _ l� .Lda%roc� ,�- ,�A.z/� �i�o H�iY 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 shall be restored in accordance wifh the ivlitigation Ylan and Lnplementation Schedule approved by the Sawyer County Zoning Uepaztment. The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply with all shareland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date that the Land Use Pernut is issued by the Zoning Office. The owner(s) fmther agrees to allow authorized representatives of the Govemmental Unit to enter onto the owner's propedy 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 penal6es 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 Pernut 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: ��r' v7`' T -� �.tjT � �S/yi a� 7S �i�/S� Dated this /' day of_ �, , �� Owner ( � �- , ��-�� %�y�az„� � � r �. (Owner) (Owner) (Owner) (Owner) This mstrument was drafied by: Sawyer County Zoning Office