HomeMy WebLinkAbout024-741-07-2301-LUP-2004-353 \
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Application for Land Use Permit(*Shoreland*) o o�
County of Sawyer �� � O
PO Box 676 -Hayward WI 548435` -'' ' '�.-- �•_��,��„=�y I. �
715/634-8288 , �
*Property that is located within 300'of a creek,river or stream or within 1000'of a C
flowage,lake or pond or has any of the above waterbodies located within c
the property's boundazies. r�r 1
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL R �
�r���E I�a*�SDns� �aaei�lA 17�k.ItAP /iao2EiG Ge�.�T��)LTIe�J �tiL, � h �
Owner Builder a
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JI�L�n_1 �VMA-�Jl� 15��3� S-t�77 = �
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Mailing Address Mailing Address � O
{�AYrJABD W� 5�-I8U3 nwv�:114�_Y�� ��1543 �
City,State,Zip City,State,Zip
(�i5'� 4�2-�y4 (���ll 3�3D02
Daytime Phone Daytime Phone
Additional Information: Zone District: ��-�
Lot Dimensions: �
N
Date lot was created: Acres: �l5 �
Is there wetland near the proposed structure?If yes,how far o
7
Building Land Use Floodplain:O Yes O No G
�New O Filling Chippewa Flowage:O Yes (Xl No m
Addition O Dredging Driveway access off of a(Check one): � �
( )Alteration �Grading ( )Private Rd ( )Town Rd. �
( )Movmg On ( ) ( )County Hwy ( )State Hwy �
� ) � ) � �
� r
Primary Structure Accessory Building Addition o °
QQ Dwelling �Garage-attached/detached ( )Deck �
(�Q Yeaz round (ZJ#of caz stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed � ��s,
O Frame built on site O Screenhouse O Living room c,c* � 4,�
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom p �
( )Other primazy structure ( ) ( )Relocate/enlazge ��'
� � � � ( )#of new � �
V
AddirionalInformation: �X�g7�,fL �./�t 7� �3c ,��wJo��D��E'��L15Nv '� A
�
i��rA� � �n
� C'cr-/PC�7ic��J c�n�'c�.� f!c':yE C� �
Type of Construction: ! V
�
�Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete q, �
( )Other �
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1
Construction Cost:Primary Structure$ � ���l00=OOC7.W ,.d �
°; �
Accessory Building:$ 7S�UOt�.cx] Addition:$ �
x �
Deed:Vol (oz" Pg�_ Certified Soil Test# 0 y-�ZC)8 � z
tio �
CSM:Vol Pg Lot# Sanitary Permit# 04!-��� �
Plat Envelope Or: � �
Condo Vol Pg Year Installed: N �
�
"Loads and Flows": Vol Pg Owner When Installed: �
Previous office approvals/actions: �`�
� �
Variance:# LUP:# SP:# CUP:#
Inspection Report:# Change of Zone District: I p,�
�
aNq98
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. 17�JE�u.JC� #2.A-i—�pc.5co C�rza(�� #3. ��` ncl F(A�' #4.
Size ,3y ft. wide 2 Z ft. wide ft. wide ft. wide
.
�D--� ft. long �_ft. long fr. long ft. long '
Floor azea_,3�a ,3 sq. ft. 5Zg sq. ft. sq. ft. sq. ft.
Hgk from grade L'� to peak Z, l fr. hgt. ft. hgt. ft. hgt.
Stories Z. �_ stories stories stories
# of bedrooms_�
Lake/Pond/Flowa e/River/Stream Name
,
�. G�
Fire Number and Name of Road �/KMA.J /Zn
1. Enter lot dimensions and indicate north by arrow. ignatur of Owner or l horized Agent:
2. Indicate the location and size of the requested construction
ignature
activities.
Print Name: � - �-S
3. Also, lndlcate Clle loCatlon 211d diSY2T1Ce to the well, The above certifies ihat the listed infortnation and intentions are
true and covect., ihat all work shall be pedortned in compliance
septic tank and drainfield, wetland areas, lot lines, w�m �,e �eq���emems ot me sawye� co��ry zoom9 omma��
and ihe laws and regvlations of the State of Wisconsin, and if
CenteT'llne Of tlle IOad and wateTbodles. acting as ownef(s) agent, has�he permission of the ovmer(s)to
pertorm the work requested on this applicatioa The above
personsls hereby give permission for aceess to the property for
onsite inspection.
Permit fee: $ .3�
Total land azea within 300' of the waterbody: (A) Sy(�nr�p
Total impervious surface area [including this project] (B) .3/b�
(B) / (A) x 100 = % Used :�.S °�7n (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�No
July 13, 2004 1 1 , . �c r-� `�(h,c � .c/���—
Issue Date Signature ofIs uin gent � Q
July 13, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments: C�SCiS�inO� ��P�.L\nC� � E����� �� �� � � ��Q ��
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TOWN OF RQU N
SEC. 7 TWP 41 N . F
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SHORELAND PRESERVATION AGREEMENT
(Shorcline Ve�etation Protection Area)
Land Use Permit No. �S!-3�j (To be entered by the Zoning Office) Index No. � -�
wxE�As, (list all owners) �pLEE N,4.�s�,� f,J,-, SAPdQ iyA 17UnILA P
a� ,
� 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.
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� 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.
0
� 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
�y° representatives of the Govemmental 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
� 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 of all
1 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: 1� �2 o F TME N b./�� �- -n o,J� 7oLLwsHi P N i��l RA.Jt�b.�
D this dayof ���y > Zo__T_
(Owner) �R , (Owner)
� � —
(Owner) (Owner)
(Owner) (Owner)
This instmment was drafted by:
Sawyer County Zoning Office