HomeMy WebLinkAbout024-741-15-3204-LUP-2004-252 _--—
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Application for Land Use Permit(*Shoreland"`) o �
County of Sawyer U ;
PO Box 676 -Hayward�hII 54843 i
715/6�4-8233 �
*Property that is Iocated 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. �
CONSTRUCTTON SAALL NOT BEGIN UNTIL ALL REQUIiZED P�RMITS HAVE BEEN I5SUED.
PRINT-USE BLACK iNK OR PENCIL i
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Ow�ner Bui�� 0. � �
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Mailing Address Mailing Address �
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City,State, ip City,St� 'l� '
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llaytime Phone Daytimc Phone � �
Additional Information: Zone District: 1� �� � �
Lot Dimensions:�`��7�IGf I. �.�J'� xl•� � i -�
Y 1� �
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Date lot was created: Acres:��__ `�,`
��Is there wedand neaz the proposed structure?If yes,how far i,jP`, c I
Buiidin Land Use Floodplain:O Yes (5(,)No �o j
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lXi Ne�v ( )Filling Chippe���a Ffowage:( )Yes ''� No ti
O Addition O Dredging Driveway access off of a(Check one): � �:
f )Alteration iyQ Gradina O Private Rd fXl Town Rd. �
� )I�loving On ( ) ( )Gounty Htivy ( )State H�ry ;,,, G;
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Primary Structure Accessory Building Addition o � �
(yC}D��velling ( )Garage-attacheci/detached (�Deck � �
(�Year round O#of caz stalts (�Porch �
( )Scasonal ( )Storage Building ( )Enclosed ,_ i
(nl Frame built on site ( }Screenhouse O Living room � C`�
� I��
( )Modular/manufactured ( )Greenhause ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroam � �
( )Other primary structtu�e ( )_ ( )Relocate/enlarge }� „
� ) t )— � )#�of i�ew , '�.11
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Additional Information: `�
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'I'}pe of Construction: �
(xl Franie ( )Log ( 1 Pole(metai ( )Block ( )Concrete
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( )Ott�er r �---�— r:
Construction Cost:Primary Structure$ /`��lt-s.��� � I�
Addi4ion:$ !��
Accessory Building:$ �
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Deed:Vol 5�5 pg_�L_ Certified Soil Test# d�- �3a — � z
„ /5'7 °° x
CSM:Vol_�_�Yg�i�.2�-ot#__�_ Saniiary Pern�it„ ('��-
Plat Envelope Or: �
Condo Vol Pg Year Instalted: N �
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"Loads and Flows": Vol Pg Ovvner When InstaIled: �
Previous office approvalslactions: 'p
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CUP:# �"
Variance:#____ LUP:# SP:# �
Inspection Report:# ChanQe of Zone District: __ _ � Cl/��
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Describe the construction using these columns. List the dimensions of each structure in a separate -
column. List e�ch story, each addition, each alteration in a separate column.
#1. ��..`�.� #2. 17�(r`�. #3. `�:t�fL.�ur�R°;�'�.. #�. C_1�.�;�'c l �,:`��.
Size .�W ft. wide �•a fl. wide 1 y ft. wide _.�_ �. w�idc
� ft. long _�_ 13. long �__ft. long j � ft. long
Ploar area�.Lq((� sc�. ft. 3'i�._ �q. ft. i�(p sq. ft. _j Cj� sq. ft.
Hgt.from gnade _to peak�_ ft. hgt. ft. hgt. ft. hb.
Stories _�__ � stories 1 stories _� stories
# of bedrooms�_
� • y�_ �
Lake/Pond/Fto�va e/RiverlStream ame � ��-� )�S:t.%
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Fire Number and Name of Road ��__(��-1: ���lO'�l'"
1. Enter lot dimensaons and indicate norti� by arrow. ure of 0 r thorized Ag t:
2. Tndicate the location and size of the requested constrF.tction - ;," am�e�v'�
1Ct1\'1t1CS. printName: � ��
The above ceN6es that lisfed inlormation nd in?en ons are i
3. Also, indieate the loeation and distance to the well, que and correct, that aft work shall be peAortned in compliance
with tha 2quiraments of the Sawyer Counry Zonir,g Ord"mance �
SC?�t1G faTIIC c111C� C�Tr11T1fiCld, Vb'etland areas, IOI i1ReS, and ihe isws and regulelions of the State a Wisconsin, end if
acling as owner'(s) egent has the permission of the owner(s)to
centerline of the road and waterUodies. p�ro�, �he �voAc requested on this appiicaGcn. The a6ove
peisonsls hereby give permi�sion !or access ?o �he property fo�
onsite inspeciwn.
Permit fee: $ (f
Total land area within 300' of the waterbody: {A) 3� DDO �
Total impervious surface area jinclu � g this project) (B) � 75�
($} / (A) x 100 = % Used � O I (Sha11 not exceed 15%[or 25% wit1� a conditional use permit].}
Shoreline Vegetation Protecrion Area: Mitigation Required? O Yes (yQ No
June 9 2004 — � -
Issue Date Signature of Issuin 9 n
June 9 , 2�0 5 50% Rule: Average Road Setback: ___ _
Expiration Date
Office Comments:
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SCALE: I INCH=�,uJ FEET FOR ASSESS
DRAWN BY: DATE: INTENDED T
COLON (:) INDICATES GOVT. LOT EVIDENCE OI
BOUNDARY l
FROh1 : GUSTHFSON FINISHINH FRX N0. : 7637172176 Jun. 04 2004 06:09RM P1 ,
Jun 04 04 �9: 15a Northster Co Inc 1715G3459�6� '
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SNORFLAND PRESERVATIQN AGREE'1�tENT
(Shoreline Ve¢ebtion Protett5an rea)
Land Use Pcrmii T o. .`�`��(I'o be entaal by the Z,oning Officc) �nden No• �_���
� WHEREAS,(}lst all awne�s)_S RL K � �,��,�y r� (,�t>g-[-F��Sp�
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owrs tcal tsteie within Sawyer County tbat is sabject to the Sawyer Coucrty Shorcland Regu1alions, and
� V✓IiF.REAS,in onder to sxure a Land Use Pemtit,
�--1 NOW, THEREFORE,the owner(s)hereby c«ti5es tbet, as a wndirion of issue of said Lwd ilsc PcTmi� d�et
the SHOREI.TNE VEOE1'AT[ON PROTECflON AREA on seid real estate is in�act m a minimum depth of
�� 3S Eandwazd from the ordinary high-water mark of the.valerbody.
� T�iG 4WG41(S) ftGiC�' LCi4CS i4 54�1➢1y With{hC ShMGlOn�i vr,pntntlYr, prMrrtinn nre� rrqnimmrnis nf 5acrion
4.41U SHOIt�I.AND VEGSTn1'ION pROTECTION ARBA, Sawy� Cour�ty Zoaing OrBinance, in effecc on
the dau that the land use permit is issued by the 2oning office. Tt�e owner(s) [ucther agrees to albw authorized
reFaeseNatives of the Govemmental Unit w �uer onto the owne�'s properry at rhe following deserip6on
� between the houn of 8:00 A.M_mmd 6:W P.M. [Sxtion 9-13(])POW'ERS, Saw}Mr County Zoning 4rdinance]
to inspect tha shvcture(s) ot uses authorized by seid Land Use Pa:mit and to deteRnine if the SHOREC.TNE
VEGETATION PROTECT[ON AR£A cxists m�d that it is baug peee�ved. This authocization shall taminate
nI on t6e dara of expiration of the land use necmit However,l}x owner's abligation rn mamtain the SHORII INb
`�l VEGETATION PROTECTlON AREA in accordence with Secdon 4.aL0 SHORELAND VEGETATION
� PR07ECfION AREA, Sewyer Couttty Zoning Ordinence remains m effect. Violation of chis Aereement will
(\ , suthoriZe, in edditioa t0 odia penalties end :elief cequi�ed under the Sawyer County Z.onicLg Ordinance,
;1 �njuoctive ielief', res�oration of said real estate, the revocatinn of said Iand Use Permit and thc remaval of att
stnutures appmved by the iuue of seid Lmd Use Pera�it and the revocauon of any other uses npprovcd by tho
� issue of said I.and Use Permit. AU parties agree t6at this Agreement shail be filed with tlte Sawyer Co�mty
O ��g�e
Lega1 Description of Prop�ty: �) ti/� ���ti SCC'ita�n 1�i `T�,� '-1��GnsE'I
Dattd tlds y-�n day of� , 20IJ y
(Owner) (Umer)
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(�fiiil�,�,
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(owner) (��>
Thia ins�umeN was draftnd by; �
Sawyer Coumy Zonins Otikc