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Home My WebLink About024-741-17-3408-LUP-2004-449 - Application for Land Use Permit(*Shoreland*) o /,� `� � County of Sawyer = ; � . PO Box 676 -Haywazd WI 54843 715/634-8288 *Property that is located within 300'of a creek,river or stream or within 1000'of a �o� flowage,lake or pond or has any of the above waterbodies located within � G the property's boundaries. � a CONSTRUCTION SHALL NOT BEGIN UNTTL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � ,^_ _ , a� PRINT-USE BLACK INK OR PENCI� I� �� / C� � � l�W.t'l.1 r I /� SGo�T�lorx4s VQndevbcsc�y �_ � (° Owner Builder p- � .5� y C� e4� /a�e hl� !!a 3�' 7v. 5 N. u-t�--- l�l-�r1Q� o� Mailing Address ��/ Mailing Address � O l/QdKG�.S I'/'�, /`//v SS�� FIF�Lt/��✓�i �1/�/ � � y'� r' co � City,State,Zip G City,State,Zip � ^ � ��' �o��(�o '1�S-v�(�-U�(o7 v� � n Daytime phone Daytime Phone � Cell - �sl��s �Oo� Additional Information: Zone District: ��-� � Lot Dimensions: � � �. Date lot was created: ? Acres: �,� � � � Is there wetland near the proposed structure?If yes,how far ° O Building Land Use Floodplain:O Yes (�No � � O New O Filling Chippewa Flowage:O Yes (� No c� � {�'Addition O Dredging Driveway access off of a(Check one): � O Alteration O Grading O Private Rd Q�Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy o � (x) D�� ( ) N � N r Primary Structure Accessory Building Ad tion o � �}j Dwelling ( )Garage-attached/detached �Deck � I O Year round O#of caz stalls O Porch �, � �Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ", �� ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primazy structuxe ( ) ( )Relocate/enlazge '^ � � � � ( )#ofnew r (� r �r �- Additional Information: �a h s.��4�.�-�.� �x �e C� "� > i � � � � Type of Construction: J � �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ( W ( )Other C -� Construction Cost:Primary Structure$ ��a 4� � m Accessory Building:$ �lddition:$ � .,� �3��zti �. � Deed:Vol Pg Certified Soil Test# qo -?.87 � z aa � CSM:Vol,�r _Pg�Lot# � Sanitary Yermit# q�'a75 � Plat Envelope � Or. � 1�` Condo Vol Pg ��t3?��Year Installed: N I �� .., � "Loads and Flows": Vol Pg Owner When Installed: � Previous office approvals/actions: -- 4-� Variance:# LUP:# SP:# CUP:# � Inspection Report:# Change of Zone District: g- i�-oy asuiti �� 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. %7 ec � #2. #3. #4. Size /s2 ft. wide ft. wide fr. wide ft. wido- / � fr. long R. long ft. long ft. long Floor area��sq. ft. sq. ft. sq. ft. sq. fr. Hgt from grade�to peak fr. hgt. fr. hgt. fr. hgt. Stories � ��"`�� stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream ame _ - -- ._ � IL � hhL -�: � � ;;... C _ � � ":�� i � d ,`-� 3 1� S �, .��'�",-� �C �� r r .� , � �y �_-�_� � �'� � `'=� � � � � P 4� .� �.�� _ � i. � -� � d ._j� '�, V, � 'u o � � � rn �- � h � � � � � �� d � � � � �, _,_ : - � 3 3 � � ., y � � � -- o .� � �_�i ' '.; � _ _ ,_ � o � i � " �. J 1 � �' 'is � -� '.="—� + � ' -x��. � .� .�� r , 68• 75°� � Fire Number and Name of Road�( �-{ �7 3 Iv .�'�v I�� 1. Enter lot dimensions and indicate north by anow. Signa re f Owner or Authorized Agent: 2. Indicate the location and size of the requested construction �,� (�,�-.�_�� _ SignaNre / 8Ct1V1t1eS. pnntName: �C'i�I � 1 I%�l�lL'�F� hCiSC� 3. Also, indicate the location and distance to the well, �e andVcortedethat all�oirklshall rbe pedortned intcomplan e septic tank and dl'ainfleld, wetland aze8s, lot lines, with Ue requirements ot the Sawyer County zoning Ordinance and the laws and regulafions of lhe St2te of Wisconsin, and if centerline of the road and waterbodies. ac�n9 as ow�er�s>aye�t nas me�erm�55�o0 or me owne�5�io peAortn Ne work requested on ihis application. The ahove persons/s hereby gNe permission for access to the property for onsite inspection. Permit fee: $ �5 Total land azea within 300' of the waterbody: (A)� Total impervious surface azea [including this project] (B) � cvr ^1qo (B)/ (A) x 100= %Used \ (Shal] not exceed Y�,oio:__ /o ��ith a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �No August 20, 2004 �� ,, 1 (�.�J(.l`e,c�1 - 7�— Issue Date Signature ofIss 'n gent August 20� 2005 50% Rule: Average Road Setback: Expiration Date (.72y8� �,��o� Va�y�2. _ �(� �`'`,I'�' '��5, 40o�- . 7Zy8 = � �� 937 Of�ice Comments: I'" "�z z �o tz z�l��., 9� IC u�e�j / � y�°lo �`y^"�", � 6� ` ' S ..� /JG .6. 1 � � � /.I9 � .•L , J� 2 �,� ..� � � ' .5.5 � �.,� . .5.3 y �L" .5.4 _�L" , ,�. .7. 1 .8.3 s ,,i" .8.2 ,�,- 3 �_ .�L •8• � _.L. . 10. 12 . 10. 11 ..L '`L' 70. � 10. , 10.7 ..L � .t0.3 n�£R �y .10.73 .10.70 � �S .10.9 .9. � io.e ��, . �'L.A CIJ� 7 .70.6 � ,o.� 0 .9.4 � :,.s J.cq �'o . 12. 1 .,�,2 LAx� :,., � ; . � a �.o L ��1 � y • �•� ~ �yL L . � 2.2 . 12.5 ,S.R . 12. y � _ 1 .3 . 12.3 • 12.7 . 15.6 BURNS � LAKE : 1 .5 . 12.y . 15.2 .12.6 LMar �rrYJ � � e � ; \ SAWYER COUNTY CERTIFIED SURVEY MAP x' ' Part of G.L. 1 , Sec. 17, T. 41 N. , R. 7 W. � n '�3 � �;�.�, .� N B, l80*49'43'•W 632.89' CSM7751 �q*A'F�,� P� <_ y`\i c Q N 69°49 45� W 652.89� M` "°"' \ ,.y,r � aM. }':i m � O : �� 4y • � p.�' .�� \ S25°20�IS�E 42.12� Z ` < <� ` . . Q�, �p � .� � ao o � C�'tE l . El.tf ��'� - 4 r 1�.:' Z _�.� � /�6+,, 3y �9 � � f �l7 ��.�� i p �� S63°36�21"W 81.48� 70,9295f _ C � . 22 ' O� 0 6 �.� " � . .., , S30°40�17��E 29.75� 1.63 ac � \ t ;y ,� :.� , S 89°49�45�� E 744.71� �'� � � � � � SCALE I= 100� O Fotmd 3�1�" I.P. NIS•O�• S/4 �o. or s.e.i� 33"qr in LAKE NOW 4 ' 993.7q. ..� o �00 200 • Set 3�1y" x 2!�" rerod� wt. 1 .50 lbs�ft zu.ae N89•29'43"W `�� `j So. line sec. I7 � � F0. 2"B.G. gpSE OF BEARING Wir. cot �"�-: r, ;, .:� SIIRVEYOR'S CERTIF'ICATE �-� I, LYLE L. EI,LIOTT, registered land eurveyor hereby certify that by the direction of ROBERT GERSBACH , I surveyed and mapped , + the land parcel which ie repreeented by thie Certified Survey Map: The exterior boundaries of the land pa.rcel surveyed and mapped is deacribed as followe: .:� A part of Government Lot 1 , Seation 17, Townehip 41 North, Range 7 West, Torm'-o�.�Roand Lake, Coimty of Sawyer, State of __, Wisconain, and more particularly described as follows: Commencing at the South Quarter corner eaid Section 17, thence N 89°2!�'45" W 2'11 •3$ feet to a braea cap witneee for said � South Quarter corner; thence N 15°04'33" W 493•7�t feet to the point of beginning; _•� thence N 2�°27'09" W 112.86 feet; thence x 89°49'45" W 652•89 feet to the shore of Placid I,ake; thence S 25o20'is" E on a meander line of said Lake 42.12 feet; thence S 63�36�21'� W on eaid meander line 81 .1�8 feet; � thence S 30°!�0'17" E 29.75 feet; thenee s 89°49'45" � 774•71 feet to the point of beginning, eaid parcel containe 1 .63 acres more or lese, including all land t�om eaid meander line to the watere edge, and sub�ect to any easementa or restrictiona of reoord. I have f�Zlly complied with the proviaiona of Section 236.34 of the Wisconsin revised Statutes and the eubdivision ordinance fY� C of Sawyer Cotmty in surveying and mapping same. ' '4 I hereby certi£y that thie survey is cor� et ,t�he �t of m,y lrnowledge and belief. � ,s• �c�'' � �� d 2 213 8 7 � _�'�-�f �� /�� 0°'��'�' � �Y�ELLIOTT, land auxveyor ,. � � ��°�—�—�p0b`� Wieconein Registration 5-1300 �- � � '�Of� r Ho1'� Date: Nonember 19, �990 ' d��ra�j �, �-- -r� p� ,;_ ,- y_ ;�L �w11� - y j i_. � 1/ � ,// J( `��V��iLW ��:(C�L/' / . �EL9�.� .��« l, %<-� SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Area) Land Use Permit No.�(To be entered by the Zoning Office) Index No. �-�/ _ WHEREAS,(list all owners) S CG� fi �l(�(�p�b0 5� n�y �n.� Va-+�-rdoscG� _ T owns real estate within Sawyer County that is subjeot 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. � 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 o 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 "b 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 SHOREL,INE 7 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 p—authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, '7" injunctive relief,restoration of said real estate,the revocation of said Land Use Pemut and the removal of all S 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 OZoning Office. LegalDescriptionofProperty:�� ,�' f�F [�U1�� Uf� j � S�'�� 7-��_� ��'°�� C S m 1,�,�vrte � a � �v l�lo. 33�l — _ � �� c� �G�� r�,�/a� �.11c.�i� �ix.� l�77�i��l- 7Y l�!'7�3`��'� _ � Dated this �� day of ,�„p, , ��0 y er) /�' �� (Owner) ��(,(i--ri�- — (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office �