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HomeMy WebLinkAbout024-741-06-3107-LUP-2004-401 . / , Application for Land Use Permit(*Shoreland*) r .�-� . 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 H/�S f�lCr the property's boundazies. rJ r CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. ���, . ,��F� � � � PRINT-USE BLACK INK OR PENCIL � � \ �i 0� �/ S��to�vs a�tr �4-i"J��l���.r �10��' � �. p�er Builder a � � /�Uo� [�/ �L�u,���y 20 /�s � s�r�?v 7 � o: Mailing Address Mailing Address � � O f�����v�s cv wi �y�ssy� ��yw��v �% sy�� � City,State,Zip City,State,Zip ��s y6� �yo� 7i� 6.�y sa � a o � Daytime Phone Daytime Phone � Additional Information: Zone District: ✓���� �/1 T Lot Dimensions: ,3' A Date lot was created: Acres: �� �y '4� � 7 > ' Is there wetland neaz the proposed structure?If yes,how faz o � Building Land Use Floodplain:O Yes (?c)No � � (�lJ New ( )Filling Chippewa Flowage:( )Yes (X�No � � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration OG)Grading ( )Private Rd (�own Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy �Q � ) � ) � 0 0 w � N V� C" Primary Structure Accessory Building Addition o 0 ��Dwelling � �Gazage-attached/detached �Deck � O Year round QC}#of car stalls � O Porch �, ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room �o � ( )Modular/manufactured ( )Greenhouse ( )Kitchen � I`�1 �QcJ Mobile/manufactured ( )Other ( )Bedroom � A ( )Other primary structure ( ) ( )Relocate/enlazge ( ) ( ) ( )#of new � � � AdditionalInformation: � p � � �. � Type of Construction: � (�G)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete U' � ( )Other � ac � Construction Cost:Primary Structure$ �3, �a0 � , ro � Accessory Building:$ Addition:$ � :? _vy�� � Deed:Vol _;�i�� Pg��;��, Certified Soil Test# � z CSM:Vol��Pg 3�Lot#� Sanitary Permit# �y`.Z7�} °Q 7y Plat Envelope Or. o, � f Condo Vol Pg Yeaz Installed: ,;, I `I "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: � Vaziance:# LUP:# fi I -�z0 SP:# CUP:# .s Inspection Report:# Change of Zone District: .�'�ylu`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 sep�{'ate column. #1.�� �1 S�= #2. �N-2/�6=� #3. CJ� �- #4. Size � a- � ft. wide c� `1 ft. wide (� ft. wide " ft. wide u�G ft. long � ft. long o� � ft. long ft. long Floor area �:� 3 /�q. ft. J`���sq. ft. o� �0 sq. ft. sq. ft. Hgt from grade � � to peak ft. hgt. ft. hgt. ft. hgt. Stories � � stories stories stories # of bedrooms �_ Lake/Pond/Flowa e/River/Stream Name . _ _ - _ _ ( /Y , �� - � � _ _ _m.� , r� � �.vyi?l •� l.: /,__ .— � c.. ! � � C �+ �, , �_ � . ���� � �p � � `�� S � � y� � y,�,�-��-.� � s �, � 4� � �, � \ <� 3 .l� � � _,_� � � � � ,_-_�_ � ��- - , ,� � '� � � / , '� �/ �i/ �i, � , � � �� Slj , /�/ �/i/ �/ � �j � �� �. � I V.� , �l l _ A � �j� �� � c� Er�- t� v ����� �Y� �� p � . v � \ ;. ; � � Fire Number and Name of Road 1 . Enter lot dimensions and indicate north by arrow. Si f � er o horized Agent: 2. Indicate the location and size of the requested construction ' S ature activities. Print Na : �d`� ,l'� � S� �� �rl S o � 3. Also, indicate the location and distance to the well, The above certifies at the listed information and intentions are true and correct., that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, with the requirements of the Sawyer County zoning ordinance and the laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. a�t��s as ow�er�s� a9e�t, has the permission of the owner(s� to perform the work requested on this application. The above persons/s hereby give permission for access to the property for onsite inspection. Permit fee: $ 5 �� � -� � S� �� �� 5� Total land area within 300' of the waterbody: (A) �� Total impervious surface area [including this project] (B)�. �� (B) / (A) x 100 = % Used . 7 � (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes � No t . August 4 , 2004 - -\ Issue Date Signature of Iss g A ent August 4 , 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: ` � �� _0 M °� � l0 . � N� IntD �W M N7 M f�j O � �O � L � � a v "' ,n - z N 0 � � � � � � 'T � N � r� li) ��� � S � � � I ih � � 0 I i 0 N � � � N � � ` � � N `+� f-� `v M O^; v A t� h \ 0 � � � O � -- - ., r7 • O > Q � '` 0 � � � N N A '�" �^, ^ � O �ro . � � ��T ; � / ` � N � r J ��'+ � � ♦ �- � � �1 r .� � I ,� � ' T; , w I �d y ` ` F O' - � O O � _ O 0 _ � � � SCALE: I INCH= `�0O FEET FOR ASSESSMENT USE ONLY NOT �,_�.__S DRAWN BY : .-�R_A DATE : /2/ZQ/Bo INTEIVDED TO SHOW CONCLUSIVE COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOGATIONS SAWYER COUNTY CERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 - SW 1/4, SECTION 6, T. 41 N., R. 7 W., IN THE TOWN OF ROUND LAKE, SAWYER COUNTY, WISCONSIN. CURVE ARC DELTA RADIUS CHORD DIST. CHORD BRG LOT 2 C1 225.83 15'38'45' 827.00 225.13 S 51'33'42' W 49,900 SQ. FT.t FASi - WEST 1/4 LINE 1.14 AC.t L1NE BEARING DISTANCE 2' iP �4�� C 1 4 COR. � S 89'01'36" E 430.26� �_��4. �P Li 5 34'16'18" W 700.76 L2 5 00'27'19' E 77.61 1 � 3 � L3 N 65'Ot'19" W 96.77 \� \4q;�g� 6����C � L4 N 00'37'05" W 52.52 71* � W S 15't 3 � � �\�//i �\�//i r'o � �� �' �ri i� '_^ �—� �\�/i �o '° �\�/i d�/i d�/i TOTAL AREA TIGER CAT z `�� `� i VEGETATED LAKEBED �n a .\WG 269�4�� SQ. FT.f � m r'n � * �\�//� QY/G a o` 6.18 AC.t I a aW/. � � � a�/i� au/i� � aWi. � a�/i. � aY/i. \ _ —O� 'st � N 85'16'S8' E 5 7g�'35' \ Z 273.04' 159.62• E o S -GN �� �o�� W � � ,�- FLOWAGE � � � � � � i ` LOT � n N 3 1 \4 219.500 SQ. FT.f � $ J �� o o �� � � 5.04 AC.t i �^ � �r � � \� �� P.O.B. i 3 p� v�i � �� O � � m z ^ � � y � � � � � HOUSE / � _ � � z n/ �p0 / ¢ � /�� � � � � Z I 5�pp� ^y5 ry0 1-1�!' IP � `�',50`�`� � 3 on' y k �Q��PO� < �o / / ao nm� � � /��� N N O � �/ z °�° G` / �,Z.p'� 3 i m flEi1RTOF 7NENOR7N 3 3 � / � n � � / SEC. 6 ; � � � � 1/4 COR. i SEC. 1 � SEC. 6 Z-'�2� eruss SPIRVEYOVGOF HAYWARD,A'C _ cMCEn raw+. SEC. 12 ��� M� s as•ai'zs" E zasi.za' i SEC. 7 BEAF2INGS ARE ASSUMED, BASED ON THE NORTH - SOUTH 1/4 LINE OF SECTION 6 BEARING N 00'27'19" W. SURVEY BY: LARRY T. NELSON — RLS #1276 SCALE. 1 INCH = 200 FEEr 200 0 200 400 LEGEND CLIENT• ROY SIMONSON HEART OF THE NORTH • FOUND 1� IRON P/PE, UNLfSS NOTED JOB.� H04{017 RLE T4INR7W/SEC.6 $(f/ZVEYING OF KAYWARD, /NC SCALE.' 1 = 20d FlLE PSDATA-H03797 O SET 1(OD) X 18" IRON PIPE, 10JS9 k WfFI'RCND PN: 715/631-T442 � _ � 13 ��� DR4F7E"0 BY: JRN FlLf.' ACAD-H04_017 �m,M,p � �g� FAX: 7I5/G74-64I4 NB. 170 PG. 46 E-U4/L� I+bN5URK17IK9YAFl00.GY1M Q` ( ) RECORDED DATA SHEET 1 OF 2 SHORELAND PRESERVATION AGREEMENT (Shorcline Viceetation Protection Area) Land Use Permit No. O y-y0/ (To be entered by the Zoning Office) Index No. vy - �Q� WHEREAS, (list all owners) � � Q � �6/?b ���� //�/l�/f/-jO/j/ �a �o a � ���o���� � ,� �/�-Y�W�_ �2L� G✓ ��Y ��/ 3 , owns real 'estate �n�in 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 Q� 35' landwazd from the ordinary high-water mazk of the waterbody. U � 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 authoriaed _ representatives of the Governmental Unit to entet onto the owner's property at the following description c between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance] �i 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 sha11 terminate � on the date of expiration of the land use pernut. However, the owner's obligation to maintain the SHORELINE � VEGETATION PROTECTION AREA in accordance with Section 4A10 SHORELAND VEGETAT[ON PROTECTION AREA, Sawyet 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 � structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the Oissue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: _ /�� �� � S w��/ SEG�/D/1-/ (p ��J� /�_/�j/ �() L�/ rt/ � � �0 u dlL� L/�-/f� _ SA-WX�= K t�iu krY f.� l _ Dated this � day of ,C.J (.l �-.�/ , �-b O �"'� , . � (� w (Owner) � ��-�--�-� � - �a-�.-�-�-_ (O er) (Owner) (Owner) (Owner) This instrument was drafred by: Sawyer County Zoning Office � � N � ::::�:�::::::::::::::::::�::::.: :::::::: �� _ i � i U ' ����:�::::::::::::::::<:::`:::�:::`W:::�' :i�:�C�:: � � �' �. :•;.• 'I I I �:.. �2;�:�t�:::::�:�:': �. . 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