HomeMy WebLinkAbout024-741-33-5303-LUP-2004-340 � .
Application for Land Use Permit (*Shoreland*) r �y � �
County of Sawyer ° �'' ' .
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PO Box 676 -Hayward WI 54843 � ���'� ���1�� r-z� „ `� '
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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. C••
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. :�
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PRINT-USE BLACK INK OR PENCIL �
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Owner��j(,� ,,�� ��f.� Builder � ,
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Mailing Address Mailing Addres � p
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City, State, Zip City, State, Zip �'
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Daytime Phone Daytime Phone �
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Additional Information: �,�.�'/ Zone District: Sr�t.��� � �(2.`� �
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Lot Dimensions: ��'� ,,k � �7 t.�" �
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Date lot was c�reated: � � I �( - �J Acres: ,� � , S L"
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Is there wetland near the proposed structure? If yes, how far `i t.S �— 7.� o a
Building Land Use Floodplain: ( ) Yes ( )No � �
( )New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No �
�Addition O Dredging Driveway access off of a(Check one): �
( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. �
( ) Moving On ( ) ( ) County Hwy ( ) State Hwy °Q
� ) � ) � �
Primary Structure Accessory Building Addition o �
( ) Dwelling �}��;t�,��Garage-attached/detached ( ) Deck �
( ) Year round TC`'�( )# of car stalls ( ) Porch �;,
( ) Seasonal ( ) Storage Building ( ) Enclosed �
�
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) (��.Relocate/enlarge � '
O O O # ofnew .L
AdditionalInformation: � �,�
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�Ty e of Construction: o
Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete
( ) Other
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Construction Cost: Primary Structure $ ,r �:_ _ �
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Accessory Building: $ Addition: $ (�j S, 0 0 O �
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Deed: Vol �0 7 Pg��_ Certified Soil Test# Qz- 3 y 9 �
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CSM: Vol�Pg :� I � Lot# � Sanitary Permit# 9Z-3l1`j a`' 7�
Plat Envelope �z z 5z Or: o�
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Condo Vol Pg Year Installed: �,
"Loads and Flows": Vol Pg Owner When Installed: � �
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s
Previous office approvals/actions: �
W
Variance: # LUP:# ��- ti5b l� SP: # CUP: # `,,`
Inspection Report: # Change of Zone District: �1�`
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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. �.� ro� #2. , Gc�je #3. —�s 1 sc #4.
Size ft. wide �(��e 3 . wide ft. wide
��_ft. long ��_ft. long �{cS' ft. long fr. long
Floor azea��sq. ft. I.?YX sq. ft. �G3 z sq. ft. sq. ft.
Hgt from gade 3� to peak�fr. hgt. �fr. hgt. ft. hgt.
Stories_�� �stories � stories stories
#of bedrooms O
Lake/Pond/Flowa e/River/Stream Name �. kr. ��t
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Fire Number and Name of Road ���� ��en L-.��
1. Enter lot dimensions and indicate north by arrow. Signatu er or Au t:
2. Indicate the location and size of the requested construction
SignaNr
activities.
PrintName: L(�� � ' t�',�-� �F� F,�
3. Also, indicate the locarion and distance to the well, rne e�o�e�rt�nag mac me r5taa �oror�r�aso a�d �oteouoo5 are
We and covect,ihat all work shall be pedortned in compliance
Septic 13T11C and dralnfleld, Wetland 1Leas, lot 11nes, with the requlremenb ot ihe Sawyer County Zoning Ordinance
and Ne laws and regulations of the Sfate of Wisconsin, and if
centerline of the road and waterbodies. ac�my as owner�s�a9ent nas tne Pe�n�ss�oo or me owoeq5�co
peAortn the work reques�ed on �his application. The above
personsls hereby give permission for aceess to the property for
onsite inspection.
Permit fee: $ rj f�. ��� ��l d pQ
Total land area within 300' of the waterbody: (A)�
Total impervious surface azea [including this project] (B)�
a
(B)/(A) x 100=% Used ��(Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes �No
July 12, 2004 ���,/ � z"�=5�������j,�'
Issue Date nature o ssumg Agent
july 12, 2005 50% Rule: Average Road Setback: _
Expiration Date
There is to be no habitable area in the garage.
Office Comments:
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SCALE� 1 ��= 200 �
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SAWYER COUNTY CERTIFIED 5URVEY MAf� NUMBER__ _____
F�art of Gover-nment Lot 3� Section 33� ^Township 41 Nc,rth� Range
7 West , Sawyer C� Wiscor�sin.
/ // \\ LEGEND
/ / \\ a 1 " x 3Q" ir-on pipe set
/ � min, wt, 1. 681bs. /ft.
/ � boundar-y of parcel
/ / I surveyed
a � � Tr•ue bear-ings refer-enced tc�
�~.. � �� � the S�uth 1 ine of the SW
D `� � �� /� 1/4 of Section 33, which
Z PARCEL 9 bears N 89°2^c' S8" w.
_ \\ �61,000 5\. FT.r �
N2f /-� This in5trument drafted by
r o% \�,�@o \�/ �� David E. Tlusty.
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! i� I s ee�zz'ae"e \� / � Q 4 � � �
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/ 72.8¢ 716.52 30 % �
20.36
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PARCEL 10 -�°
� w'p' z alp � Aeqister'e Office
N 0 v o 31�300 S0. FT.� o�P I Sawyor County ��
SCALE �' � n�'i a' z8,800 50. FT. 1; ) �/
1� 'p �� 1 erci�.�,-' .,.•r n,cord fhc / / day of
I ��= 100� I 1� �! I ' � � A ll 19�.: � o��l,•ck
� Ip' � m S99°22'68°E 213.82' \ (��p�\I w��< ��.,_��r,jt�d tn voLJ+�Q7 ��
� 2UD6' �06.32 10T.50 2{ \ o!t�ou� on PuO= >!� 'J(�
/ � ; � 8 PARCEL I I '�N �\ a� n
l z �' �. 38,6 050. FT. ;s �'��o � � �—�Y�• : �
Z —i 33, 00 S0. T. @�� \\ __ �
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° a + 42.63�0'66"E �\� \'\\ D.�.;��.;tv
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� 33.72 278.�5 32 \ \
309.87 \
? 3j� N 89°22 B��W 342�i
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m N ' \ POND
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I �9, 1 s` 33 1
'" TOTAL AREA
'xTOTAL AREA EXCLUDING ROAD ANO/OR
� s EASEMENT AREA
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I Approved this__//�__day of_��4N��✓k___, 19��
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�e SAWYER COUNTY ZON�ING R/DMINISTRRTOR
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�°, David E. Tlusty ---- — � �' � _.i r�',;;
Registered Land Surve r ; �� ; �,��.;�r � p,
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v m i / SOUTH OUARTER CORNER �'A••• .. : �. _
4 S.IINE. SW Va� Sec. 33= I g SECTION 33. T.41 N., R.7 W. �
__ rt C.T.N. "B_�_y� FOl1ND BRAS9 CAPPED MONUNENT
� N 89�22�6Y"W 646.32
S£T P.K.NAIL ^
����� PAGE I OF 2
, r�' . ���
SHORELAND PRESERVATION AGREEMENT
(Shoreline Ve2etation Protection Area)
Land Use Permit No. Uy-3yO (To be entered by the Zoning Office) Index No. �'/ -�_y�_
WHEREA�(list all owners) ���/�,� ` ('V . ��j�t�� ����y��U �,�vn�S �++vl
�
�
c 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.
F7
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'landward 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)further 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 Ordinance]
� to inspect the structure(s)or uses authorized by said Land Use Pernut and to determine if the SHOREI,INE
�Y VEGETATION PROTECTION AREA exists and tt�at it is being preserved.This authorization shall terminate
�� on the date of ex iration of the land use
p� permit. However,the owner's obligation to maintain the SHORELINE
Q 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
, autttorize, 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
Qstructures 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:�p�/�� � �P(- '�� /w✓� 1'it/ � 7(� _
Dated this��day of �� , Z�U�
�� (Ownex)
( wner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning O�ce