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HomeMy WebLinkAbout024-641-22-4112-LUP-2004-276 Application for Land Use Permit(*Shoreland*) r y 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 -J the property's boundazies. , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ` PRINT—USE BLACK INK OR PENCIL � ���7it��J.�y' � r�� �/�. J .��__- �L l - � � -�T. � Owner Builder a /1� � � � ' fc 5 .': ti ���, k'�k o• ,, Mailing Address Mailing Address � O , ::,� ':�r � � �:>> :�.�.:`% c�o � : ' � City,State,Zip , City,Sta4e,Zip � / �l/ ' � � ��,�" � ����` L�✓� Daytime Phone ��7�y' _ G'���i Daytime Phone ������ AdditionalInformation: ZoneDistrict: ���� 1 Lot Dimensions: Date lot was created: �`��L/ Acres: I•�o �. � � Is there wetland near the proposed structure?If yes,how faz %7� o Building Land Use Floodplain:O Yes O No 0 i a 5� � (�,New ( )Filling Chippewa Flowage:( )Yes ( ) No cP ^, O Addition O Dredging Dr veway access off of a(Check one): � , ( )Alteration ( )Grading (�Private Rd ( )Town Rd. � �� Movin On Count Hw State H °Q , � ) B � ) � ) Y Y � ) �'Y " G� � ) � ) � S � r Primary Structure Accessory Building Addition o 0 (Xj Dwelling Q�)Garage-attached/detached ( )Deck � �(�Year round ( )#of caz stalls ( )Porch � (})Seasonal ( )Storage Building ( )Enclosed �, O Frame built on site O Screenhouse O Living room c� ° ' ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ('�l ( )Mobile/manufactured ( )Other ( )Bedroom 0 ��.- ( )Other primazy structuxe ( ) ( )Relocate/enlarge � � � ��� ( � ( )#ofnew 'C �� 6� AdditionalInformation: � > � � A� � A� " Type of Construction: (�.Frame ( )Log ( )Pole/metal ( )Block ( )Concxete `��' � ( )Other 9� � Construction Cost:Primary Structure$ ^' � ' ..d m Accessory Building:$ Addition:$ � � Deed:Vol S i g Pg�S g� Certified Soil Test# �4-�{� � z ao CSM:Vol 01 a Pg !C� Lot# � Sanitary Permit# U�-l8l0 � � Plat Envelope ��0 a�O� Or: � { Condo Vol Pg Yeaz Installed: N �� �, "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: �� Variance:# LUP:# SP:# CUP:# (A Inspection Report:# Change of Zone District: � '�1��� � ^`n �v� aN��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 1 v� ft. wide 1`� ft. wide ft. wide ft. wide -, -� ft. long �j;%- ft. long ft. long fr. lon� Floor area : � sq. ft. ��sq. ft. sq. R. sq. ft. Hgt from gade � to peak ft. hgt. fr. hgt. ft. hgt. Stories stories stories stories # of bedrooms � Lake/Pond/Flowa e/River/Stream ame A �., ��y ��' . . , - I l./ ___ _ \'�/� '� _�- --; t�p° ' Fl hs�� ---- d - .��r ..._e. � ' .. bS� ,---0e"K �� / � , CC`��.�s- . _ _ �f � � 'i U E '� i � �a�` � �,. �--� -�- _� � 3z r � � � � ' � , �- � � -�--�6�`\ ; ,' ; �� � : �� -� ,` � Fire Number and Name of Road / �' �'`� ' �.�� �'�'�`"''' 1. Enter lot dimensions and indicate north by azrow. Signature of Ow er or Authorized Agent: 2. Indicate the location and size of the requested construction ��l�n aa �.�{ `� ? �� _; Signature activities. - / Prinl Name: � �)+�i ^ - ! � : . j d �( ((�� � 3. Also, indicate the location and distance to the well, The above cedifes ihat th listed infortnation and intentions are true and correct.,Mat all work shall be peAormed in crompliance se tic tank and drainfield, wetland azeas, lot lines, with the requiremenLs of the Sawyer County Zoning ONinance p and U�e laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. ace�9 as ovmer�s�a9e�t na5 me���5sioo or me ow�e��s�to perform ihe work requested on Nis application. The above personsls hereby give pertnission for access to ihe propeAy for onsiteinspection. Permit fee: $ c�00 '_` Total land area within 300' of the waterbody: (A) '1�t a�� Total impervious surface azea [including this project] (B) � �� �.r � ��� ' (B) / (A) x 100 =% Used �, r/clo (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes ��'l�o p� �,, . ��� % i � e 1�, 2001� Issue Date Signature of Issuing Agent � June 15, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: TOPOGRAPHIC MAP �°.'��-:,_, 58eE W �1/42LINE 88 c�%�'sz=ii-� 195Y.85 726.03' LOCATED IN THE NE 1/45E 1/4 SECTION 22,T41N, R6W, � - - - - - - - - - - TOWN OF ROUND LAKE,SAWYER COUNTY,WISCONSIN. LOT 7 CSM f�6267 � o�o o�a $� n W E ELEVATIONS ARE BASED UPON oI� THE CHIPPEWq-FL4MBEAU IMPROVEMENT C0. N D Q BRASS CAP IN THE NW WING WALL OF THE MOOSE LAKE DAM. EL=1376.34' NGVD29, i c THE 1358' ELEVATION REPRESENTS N89'S8'36'1V 387.55' `� THE NEAREST UPSTREAM FLOOD `\ 75'f 1 �� 352.63 � GRAPHIO SCALE FRINGE E�EVATION. THE PROPOSED �� �' \ c� STRUCTURE SLAB ELEVATION IS AT 7368't. � Z � i - 245 i\ �% p�Q � "�'-1� ��\ >1� �?w BEARINGS ARE REFERENCED TO �'��1 �Q � �or � w� o� THE EAST-WEST 1/4 LINE OF �t2 � csM /62fi7 Rt SEC. 22, T41 N, R6W THIS MAP WAS PREPARED TO THE � �__� . �\ b � ASSUMED TO BEAR ELEVATION AT THE PROPOSED BUILDING � I\ �o Z\ /� 'Ti\ a,-+ 589'59'S0"E CORNERS AND THE RELATIONSHIP 70 THE FLOOD PLAIN LIMI7S AT THIS LOCATION AND � z , �!1� �� �--- 240 --�\ �'� pN' LEGEND AS AN ADDITION TO A BUILDING PERMIT \ �' � � f MPLICATION. \ �NII 6�t /S89'S7�5"W4401.66' \ S3a.e2 � = CALC. POSI710N � � � I Z � I N/N'UNE--^' Cl I m m� � N i � N` `f' �� = E7pSTING 5/8�IRON BAR � I LOT 9 '�� '� ■ S.W AI . � N � y, csM /szee � �; �y U O = EXISTING 3/4'REBAR I I I � O PPOPOSFD 9UMpHG �\ �' p �n � . 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G ' 15 � � R�,q��_ \-TROUT ��_.- MOOSE _�-.���.;: 14 � �:::`•..:.,��..� LAKE \�^� LAKE � �-«...�••�_ � �� ROAD � �� ���% \\ .:::.:::./'' � ZON E A�.;':: � I ZOIVE X . � I 21 I 22 i, :; � .•'.'..'.' 23 ZONE X ��.������:f.; � '��'.>' I I�_- . . � �i � �.�.;.;.:..�.�..�.�. . .....,..�..�.�:. . .. . ....:.�.�: � :... � �.�.:.,�.�<.;._. ��� ��> ^ :...�.:.: I �I��:�: � �, � � :::�:.. � i, ... �� ' � ,\ ::� .,.�.�: �.. \� :��: . :: :�::�:�:�: �:��. �..:�:�.:�:�. ��:�`��. ZONE X � ZONE A � .. � -- — D I � I28 I 27 =' 26 CHIPPEWA RIVI ZONE X � BEAVER � ' - LAKE I � i I ; a . I 33 I� � j 34 35 i i �/ { ... .:..•. . � ;...',:: ,e :'...�.:::'� .. . TAMARACK /.�:�����:�`::..�.:�''.��..�."��.�,.� : �k�:�._:::�•'�I� � LAKE � � ��>:�:;::� � -- - � � ������������'���������������-��������� � ZONE X (/ �j`�:.>:.�.:.:::::::::::::::::::'.:.::.:.:.:��.� — — ����--- 1 ...,...... � �F9 - - - ,�,. � LF,� ,'�`�•_':"•::::�k:'_>:�:;�?:�:�:�:�::.:. tI J T ZON E A--►''��.�:�, `o-�� , .. �:•`•':':I:�'`;:::::�::':�:? � � .��i..<.i;:�: � LAKE � ::.:��.:.::::i:::::: .'':.,'.'�:..'',:':.:.,.'� I� � ;:�:w'EASEI..:?::::...>: . I .�i�:':�-'.�.'::`.'::�;:;•' . I 4 �,�PFF 3 . � \ � . i '':' �::::;:i:::' ..: ;::�:•:. '�:�;:::::::::•;::::::::: >� I 2 " \ � �. �'�'�?::>?i'?c.:'•;>.?.:..:;i_:';'..•'�'.'`{;.:'.......... \ ZONE X zO�E A ZONE A o\\ I _ � � , ... _ �� I�- — ----- _ CUUNTY . .. I / z RESERVATIO�:�'�:�:�:�::''�:..,..'.','.'�^ — - � �Q ..�:�'j_ — i p ... . LAC SAWYER J z ;��`�a.����� ?`:�:�'` a�vER � � COURTE .��.�:�:�:�:�??.'��.... OREILLES� '�: ' Roa��,� �,..:......,\ ..:.,:<�.';•:�:�:�;:�:�i>i�:�:•.���:% I... ... ' �:`�;::::::� _ J .. 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'.'.....'.....' t0 X %.•::•>:�,;;;,•:: ��:��:'� _� �� �� �i ;:>;��:�:���''::�'`' �'� �% ZONE A CHIPPE�JUA RIVER »;;:� ,;:�:•>:�. ��`':; •:?� ,� % ' FAWN � :`?��`'•.'`..�`:::::? //�� �� I� LAKE � . � O � e ZONE X .<--- :-�.:. -- _ :;:+_` �........:. . ����� VENISON ZONE A �KE GOOSE ZONE X �KE ,. • ':�':�:`:''''�'''�(``�':����'��.�:'.���:�':�:�:���:`:::�..� ::: o ..... ::�:�:�:�:<:�.'•i�:�t:�>:�>:�>��><�:�:�:�>:�:<�:<:�� �:•:....... SHORELAND PRESERVATION AGREEMENT (Shoreline Ve�etation Protection Areal Land Use Permit No.U�I-Z�� (To be entered by the Zoning Office) Index No. Vy -��� WHEREAS,(list all owners) Daryl and Tera Neibauer � 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. a� 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'landwazd from the ordinary high-water mark 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 L'�at the land use permit is issued by the zoning office.The owner(s)fiuther agrees to allow authorized �� representatives of the Governmental Unit to enter onto the owner's property at the following description � between the hoars of 8:00 A.M.and 6:00 P.M.[Section 913(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 S on the daYe 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 oP 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: �,e� �� Lot 7 of CSM vol 22 paee 310 located in the NEy SFy S ;on T 41 N R 6 W Town of Round Lake Sawyer County WI Dated this�day of (�/d.,QJ , ��/-- �0.�1C<-�7Q,L�,t� (Owner)�`rl.l��i bCtU� (Owner) (Owner) (Owner) (Ownex) (Owner) This instrument was drafted by: Sawyer County Zoning Office