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HomeMy WebLinkAbout024-641-24-1208-LUP-2004-447 i. - Application for Land Use Permit(*Shoreland*) r County of Sawyer � �� PO Box 676 -Hayward WI 54843 �l� 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 BECIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � / � � �Gl,f,re/%�'v�h��c �'c�,,rn a��e2 f e e ft;;�ncn�d�� c f Owner Builder a � l�2 0/�/ /9i/ ` �ve � �� ai1 '�Address Mailing Address � p � �b�/� �I�t./ �.��,� � City,State,Zip City,State,Zip � ��✓ 9�?�- `�?9.�.� �' Daytime Phone Daytime Phone � Additional Information: Zone District: �2-� ,� Lot Dimensions: � , Date lot was created: (�j'ee ��aCh cd Acres: � C� ! � Is there wetland neaz the proposed structure?If yes,how faz �c� 7 0 ` Building Land Use Floodplain:(?)Yes ( )No SSCZ59/ oi25a G Q(J New O Filling Chippewa Flowage:O Yes (� No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd �Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °C � � � � N � Primary Structure Accessory Building Addition o � (�Q Dwelling ( )Gazage-attached/detached ( )Deck � ( )Year round ( )#of car stalls ( )Porch �;, ( )Seasonal ( )Storage Building ( )Enclosed � ( )Frame built on site ( )Screenhouse ( )Living room c� � (�Q Modulaz/� ( )Greenhouse ( )Kitchen v � ( )Mobile/manufactured ( )Other ( )Bedroom � \ O Other primary structure O O Relocate/enlazge N ( ) ( ) ( )#of new ;� � 6� CE� .L AdditionalInformation: ��Q �a� l J,�t� OR�w�h ' w �r � ;., � ��lrioVihp C',1Cf,f���in��2rh�a/t�Gi�LJc��ihq W1o� COh 2uc-Glh�a+�eW OhL c�°, ./ �� 1 �; Type of Construction: ��-PCe1 �,` � (j�Frame ( )Log ( )Pole/metal ( )Block (�j Concrete � � � ( )Other � � y Coastruction Cost:Primary Structure$�,('-�'in,a-f P/ �/���i c � , b Accessory Building:$ — Addition:$ —' � I`c m�-f-Z3y� i4�. D e e d:V o l (��P g �9 9 C e rt i f i e d S o i l T e s t# ry y -�B A � � Z CSM:Vol�s J Pg �,!- Lot# .7,. Sanitary Permit# 79 •jr 4� ���l� tl4 � Plat Envelope � � Or:���"��'�"�� �" � b, � Condo Vol Pg Yeaz Installed: i;, "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions: y� � Vaziance:# LUP:# SP:# CUP:# j Inspection Report:# 03-oc� Change of Zone District: �`��` �� -� � auK�,� / . ,� 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 sepgc�te column. #1. � .E/;i�,�, #2. �e�,� #3. �o' � #4. Size�� . wide �ft. wide ��" ft. wide ft. wide lo� ft. long �ft. long �' 8. long ft, long Floor azea //,QO sq. ft. L/� D sq. ft. ��sq. ft. sq. ft. Hgt fmm gcade �d-Ffto peak ft. hgt. ft. hgt. ft. hgt. Stories� stories stories stories # of bedrooms�_ �- _,, -�n ' j � '" Lake/Pond/Flowa e/River/Stream ame ��'P e �� ;- nc, : <-i Fire Number and Name of Road h�/ �;3 �p�f"( /`lc �cVe�LN /`D a c� 1. Enter lot d'unensions and indicate north by arrow. Signa ire of Own or th �zed Agent: 2. Indicate the location and size ofthe requested construction �� _ Signature activities. Pnnt Name: 3. Also, indicate the location and distance to the well, The above certifies that ihe listed information and intentions are We and correcL,that all work shall be performed in compliance septic tank and drainfield, wetiand areas, lOt llnes, with the requirements of the Sawyer County Zoning Ordinance and the taws and regula6ons of the State of Wisconsin, and if centerline of the road and waterbodies. acer�as owner�5�a9ent nas me Pe�n�sion or me owner�s�ro perform Ne work 2quested on ihis appliption. The above personsls hereby give permission for access to the properry for onsite inspection. � Permit fee: $ ���+ Total land azea within 300' of the waterbody: (A) , ��, t��o � Total impervious surface area [including this project] (B)�d'�/ (B)/(A) x 100=%Used /�j �' (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? �.� Yes O No August 20, 2004 � �� � /' � - ��u�.�.i � Issue Date Signature of Is in gent �� August 20, 2005 50% Rule: AverageRoadSetback: Expiration Date Office Comments: �Jell -�o f��,��� ��lal,� %�� =�/S,�f� �e�l '�o /�b�ro�P�LiGh /—i c�a0= �o �f MeCvov en.K _ _ _� . . 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JNTY � ....,. . - �__,<�;:�:`•: ...':`�`�'`%'�' L:�:� � _ _ ' �.....,..'.... ... . . . . RVATION .::•:�:;:,:..,:.• . : >: :�,;' : . : - , __ � . .. - -.�----- I ,� ' 7:::::.:.:':::.. ' ::.�I: I� , � � a � �� '��� J ��' i I� � : ..,.. '�:� ��. !/ . ���:. . .•:�• : �r .'.�.'.'�'.'.��� •��I '•.Y'.'.'. � /�^ • �.'��.'. I . ..' ... ' ��,. !'.'�'' II ���\�'�'.' • :J�� _ Uh ,/L- � VEN SON /� � " ._ � I � {'`"C<,�-`—�` ; SPRING -� � � �,� � ' >\4��'�..r.''� 4. �� �� . .. . . . . . . �� '1' ,..., �� �L�(t, i 1•... .:.��.. � � �. . ., ���� \ /� r�.•.r..�... ...... ��i:.: •''' � I /. :i•� 7 ..�-ZONE A > > /��� 12 //::.::::..:..::..::':.:.:.:.:�:,. . .. � �ONE X � �� :�:. ..� .���� �� �� I ,o �, i 1� ���� ;\���" J�� RIVER i/� ':� � :::::::; `:::":::::'':����:. . I FAWN �-� :�:�::�:k:::....:::::::::�:��'SO�.f.`.'•'�::��� �/� LAKE ,� � . .. .. r ���\.••�:'<;::` //� ,/ ,��::::.:.�;.�r�`.;..:>:.::: / :�::�.���:�:�::�::::: �' � :::::�:..:::. .:::.:.:.:.:.:.:::.:.:.:. , :< ��`, ' � .... `�� � �� �---� �::, i� SHORELAND PRESERVATION AGREEMENT (Non-Intact Shorcline Veectation Protection Arca) Land Use Permit No. —yy ° (To be entered by the Zoning Office) Index No. ��-� WHEREAS, (list all owners) d � a S ,� J r � � � owns real estate within Sa er Count that is sub ect to the Sa � w'3' y j wyer County Shoreland Regulations, 1nd �. WI�EREAS, in order to secure a Land Use Permit. -�c.�� NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that o� the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance `� with the Mifigation Plan and Implementarion Schedule approved by the Sawyer County Zoning Department. 7 � The owner(s) hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply L with a11 shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date � that the Land Use Pernut is issued by the Zoning Office. The owner(s) further agrees to allow authorized �c representatives of the Govemmental Unit to enter onto the owner's property at the following description to � inspect the structure(s) or uses authorized by said Land Use Pemut and to determine if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved. Violadon of this Agreement will � authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, � injunc6ve relief, restoration of said real estate, the revocafion 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 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: i � O Dated this / � day of�;� f f a l�d � Owner ) (���`� ;��yGu�-��fZ� �Owner (Owner) (Owner) C�.l:;:'G�t�t J }'� : � /�GGn,Ar./..�.�'� �Owner) (Owner) This insmunent was drafted by: Sawyer County Zoning Office