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Home My WebLink About024-741-06-3105-LUP-2004-343 ✓ � * � � � �. Application for Land Use Permit ( Shoreland ) o o i �- 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 boundaries. , CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL 7� ,��'►'1.✓►-1 -�' old � � � Owner / u p✓ - Builder � 3�_ �� S-� o. � �� Mailing Address Mailing Address � � � ► � :� City, State,''Lip City, State, Zip al�- s�� c,� �' Daytime Phone Daytime Phone I Additional Information: Zone District: � 2-''� ,. , � /�" ��- � � 2.. ` ��`�� " Lot Dimensions: Date lot was created: Acres: !• �� Is there wetland near the proposed structure? If yes, how far o Building Land Use Floodplain: ( ) Yes ( )No � (j�New O Filling Chippewa Flowage: O Yes C,�C� No � O Addition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � Count Hw State H � ( ) Moving On ( ) � ) Y Y � ) �'Y o � � ) � ) N � � r Primary Structure Accessory Building Addition o 0 ( ) Dwelling �/) Garage-attached/ etache ( ) Deck � ( ) Year round (� # of car stalls ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room � m ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �; ( ) Mobile/manufactured ( ) Other ( ) Bedroom p � ( ) Other primary structure ( ) ( ) Relocate/enlarge }v � � � � ( ) # of new -� � � s AdditionalInformation: � A c � s � Type of Construction: W (� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � ( ) Other � Construction Cost: Primary Structure $ b � � �Accessory Building: $ aTocx-�=-° Addition: $ � �- 3aagss� � �c Deed: Vol Pg Certified Soil Test# p 3 —�3�� z � � CSM: Vol�_Pg z�� _Lot#� Sanitary Permit# C73�O�?7 �. Plat Envelope �f a`/3 8 Or: � Condo Vol Pg Year Installed: N � "Loads an lows": Vol Pg Owner When Installed: � � `.. Previous office approvals/actions: Variance: # LUP:# 03�07`� SP� # CUP: #� Inspection Report: # Change of Zone District: ��. 6� a�� . „ 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 fr. wide ft. wide ��J ft. wide fr. wide ft. long ft. long y0 ft. long ft. long � Floor azea sq. ft. sq. ft. 960 sq. ft. sq. fr. Hgt from grade to pealc ft. hgt. � � ft. hgt. fr. hgt. Stories stories _�stories stories # of bedrooms -- µ�l�,w LA �.E Lake/Pond/Flowa e/River/Stream Name IJ�� _ , -h� - . I �� 1 � a`�a� I"��' � �f6� � �Q � i �� /� {�,��'/ �� ' � P� L,�z � � .�rh�er�to os S ur'�� r� a�� I� � ��i d,�, �7�� -- � io sz � �B� Fire Number and Name of Road 1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized A t: 2. Indicate the location and size of the requested construction - SignaNre activities. _ — PrintName:., = - - 3. Also, 1ndlCate t}le IoCatlon and diStanCe to the we�l, The above ce�tifies that ihe Isted intormation and int �ions are true and conecl.that all work shall be pedortned in mpliance se tic tank and drainfield, wetland azeas, lot lines, with the requiremenis of the Sawyer County Zoning Ordinance p and the laws and regulatlons of ihe State of Wisconsiq and if centerline of the road and waterbodies. a��e as ow�er�s�a9e�c, nas me Pe�n�ss�o� or me ow�e��s�co peAorm the work requested on this application. The above personys hereby give pertnission for access to ihe property for onsite inspection. Permit fee: $ � Total land area within 300' of the waterbody: (A) $5��3 Total impervious surface azea [including this project] (B) ��"�� (B) / (A) x 100 =°io Used �S�o (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required7 O Yes O No �„�, �z� 206 `/ — � Issue Date Signature of Iss in gent �'�� z ZQo� 50% Rule: Average Road Setback: Expiration Date Office Comments: � - " �i ". � " � N tn M� � � . , M M M M . ' f \ � � . ` J O - � � � N 7 — � � � N � d' � � �, � � �� N � O "` �4 4� �� Z ,. � t . � � � w � �N ( ( M � N / � . � � � 0 �� ' � � . � � � N . `� N , V � �: � - ' � __. �` � C� � � � 0 ___A � � � o _ _ �- .� � M Q � � O � M N � � �► � * � � ' i -- 0 • �O �! ' �► O.� � N � . „ � r . � � -. °'� I � � � � �.N � i �, � � a . � � � � - - � N � � . � � h e , ��` h � a _ � . o � O ~ 1' _ # � � { � . o , y . a - _ � 4� . � � � SCALE : i INCH = �4O FEET FOR ASSESSMENT USE ONLY N y �R A W N B Y : -�� D A T E = /�/2��o I N T E N D E� TO SHOW CONCLUSIV� Z C O L O N �:) I N D I G A T E S G O V T. L O T E V I D E N C E O F' O W N E R S H I P OR - BOk1NDARY LOCATIONS � -:� . > � � CERTIFIED SUftVEY MAP (Z{ PART OF THE EI/2 OF THE SW I/4 , SEC.6 , T41N , R7W , SAWYER COUNTY , WISCONSIN '^ w � a m � _ "'� x9y��1��,�n � �' �pK,_.1—�� _\2., 5 ; g . � � �o'�� "(�. � �� Lp\Nfi/ zso�s'-E n sea,��.'. � _—a"�is"�� g » S I.' � � �C // By,` �� 25'E � � Q �� / • m �13��. 229. 92. ^ r^i � �� b n1 / ' `'�. ' 2'+68 n 1 0 // ��A .`t�E a '. s ' e3.ctosarf "' � (�� 6�0/ � � f�.oy�'1 � '� �5 H � $ SCFLE I�� = 200 / x 11 n m.�wsar�' ; � is�� , ' � O I,5 S ��a�. ,0,�� /� o (1.16A[') N n � 60 - � � � 4 0 9 O . L �' 9 q � 92.10lSVFt'O �66� �e2'�� / � �I ° � V W� I3.IIPc=I �" S' , � � �� Np } _ I N1l 1 . Q` / �� pnV��IW p� UO]dpyyFl: �9 0 i- � I2994CI �I 0� OP m�� i ♦ 3 � F �1 u 6h\ a "�� °�" , LEGEND _ , s,. � ,, _ ,e °�^'/ � Fpl1N0 MOflUMENT - ,�o•�'? ��CQ�(p, • seriVa'Yo.o� xao"iRor+ Pi�e � .r4y ,w, � �3�,.�,��.", � _ ; ' ' � � � Rowua� a � ( PEI'ERu1�N ('� sw co. s.�s,tun,ntw Fl I S�B09 SOL4R OBSERY0.TION5 DETERMWE iHE 'y a aVY' era.+ cpe i�o�re. � �� SWTH LINE OF SEC.6,T41N , R !W � TO (s»cu.[or8n�o.m'mn��e..u-u N� ( �. �Q ; BEAR N B6°41�25'�W �"� � " � 5��__ . � F�� ! ,i 7` ��{�:- �irR� ' . � ° ` � ` i I 6 — I qUGUST 22, 1986 � -- I_T23.OB'__ �� - l_!� - IR6J6' .._ 6 S�M CN. 12 i 7. __ ---._-- _ _-__ - —_�_ .�ra L V2" Cne i.o� v'�n. - �u66^ai'ze"w, zesi za' —' . 7 Isw co <o. Fe+�am!�on i.eu e-31 SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetatiou Protection Area) Laud Use Permit No. O�35�3 (To be entered by the Zoning Office) Index No. � -�y,� � 1 WHEREAS, (list all owners)��FF I i M l�(,- f�. + � d I� , 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 is intact to a minimum depth of � 35' landwazd from the ordinary high-water mazk of the waterbody. h — The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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 A 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 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 � VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION J` 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, i injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all a` structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the Q 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: � _ �7" 3 0��5 Nl Ua�,l� P6 a�3 - �C� Dated thi a a day of � �w C. > o'�.BO� 1�. — (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoni�g Office j �