HomeMy WebLinkAbout024-257-00-0100-LUP-2004-490 .- Application for Land Use Permit(*Shareland*) o o �
County of Sawyer �
PO Box 676 -Hayward WI 54843 Q
715/634-8288
*Property that is located within 300'of a creek,river or stream or within 1000'of a � �
',I��o�yage,lake or pond or has any of the above waterbodies located within `}�
� K I the property's boundaries. 1
CONSTRUCTION SHALL NOT BEGIN UNTTL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL �
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Mailing Address Mai ing Addre s ��{_Yo`i� a C O
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City,Sta e,Zip City,State,Zip
�lS-`f�O�--3'lob •7r5r`�b �. ��zi,
Daytime Phone-���y�.q(�D'] Daytime Phone
Additional Information: Zone District: C-/
(�- a:.:.��: �se•ss� m
���"5" ��` "��`"� ��'`"� Lot Dimensions: 30 0� x S3�I•l d.�
�� �
Date lot was created: Acres: �-oq' �
Is there wetland near the proposed structure?If yes,how faz n/o o �
Building Land Use Floodplain:O Yes O No �
( )New ( )Filling Chippewa Flowage:( )Yes (� No �o
O Addition O Dredging � Driveway access off of a(Check one): �
( )Alteration �Grading (�-,�-� ( )Private Rd (�Town Rd. �
( )Moving On ( ) ' ( )County Hwy ( )State Hwy °Q
('�OB� ( ) � o
W �
s��,ra�:� � si�„ N
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Primazy Structure Accessory Building Addition o 0
( )Dwelling ( )Garage-attached/detached ( )Deck �
O Yeaz round,��a � O#of car stalls O Porch W
(�Seasonal eo�to9cs��� O Storage Building O Enclosed
O Frame built on site O Screenhouse O Living room rn �r
( )Modular/manufactured ( )Greenhouse ( )Kitchen � I�..
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primazy structure ( ) ( )Relocate/enlarge �
( ) ( ) ( )#of new �
t
AdditionalInformation: � p
n K- ��JS:...ic-l.-4. :�,r�i..c.�ic, �ru..,.-�.s:�s � cn
�cj5 f-o �nc �ff:Sa� 1�-t-
tJA.�� ..���.._ (9t.eR...n.�:i�.a 4 S�QaC�� .� c,�v�cnc� �
Type of Construction:
( )Frame ( )Log ( )Pole/metal ( )Block (�Concrete
( )Other C; ,�
Construction Cost:Pr mary S�ture$w�I v�•D r h.e,�i f°3�,o..o �j,.b;+ •�-�..,..���E-< j �
ro
Accessory Building:$ Addition:$ �
�° -L.
—�uSr��1.S�C'iti — ;�
Deed:Vol �i�c Pg i y'f Certified Soil Test# 7 7-/1 b � z
CSM:Vol .�,i Pg�_Lot# � Sanitary Permit# rJ r7-//� °Q 7y
PlatEnvelopezY zc'� 'Z Or: o, �
It��08 �
Condo Vol Pg Yeaz Installed: i;,
"Loads and Flows": Vol Pg Owner When Installed: o �
�
Previous office approvals/actions:
Vaziance:# LUP:# q1-3f.5 SP:# CUP:#
Inspection Report:# Change of Zone District �I3'D I
135"1�
C��' � �
� 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. y,�„
#1. #2. #3. #4. ' � `� %
Size 3 � ' ft. wide fr. wide � fr. wide ��,� ft. wide �-! �
�? X' ft. long �� ft. long ft. long ' ft. long �"'�7 `
Floor azea�sq. ft. sq. ft. sq. ft. 7:":- sq. ft. :{ ' �
Hgt from gade to peak ft. hgt. fr. hgt. ft. hgt.
Stories J 1 stories stories / stories f
#of bedrooms . ,�, _ � , ,
Lake/Pond/Flowa e/River/Stream Name
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Fire Number and Name of Road ��n$ti �ti �� �.� po ,T ���
1. Enter lot dimensions and indicate north by arrow. Sign ture of Own�r�ut rized Agent:
2. Indicate the location and size of the requested construction �� � � �.b"�. .�
SignaNre
actis�ities. �- n
PrinWame: �- U��£ne, I'O�j�u
3. Also, inQlcate the IoCatlon 2Ild dlstanCe to the Well, The above certlfes tha Ne listed infortnation and intentions are
We and correct,Nat all work shall be performed in crompliance
Sept1C t8T1�C and dr8inf1elQ, wetland aze3s, lot 11nes, with the requirements ot the Savryer Counry Zoning Ordinance
and Ne laws and regulations of the State o(Wisconsin, and if
centerline of the road and waterbodies. a��y as owoer(s)a9e�t nas me�e��ss�o� or me ow�,ed5)to
perform the work requested on this applicatioa The above
personsls hereby give permission for access to the pioperty for
onsite inspedion.
4�.
Permitfee: $ 1� "
Total land azea within 300' of the waterbody: (A) Q�,co�
Total impervious surface azea [including this project] (B) ���`�
(B)/(A) x 100 = % Used i 'J 3�"1 '`f� (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes (�No
September 9 , 2004
Issue Date Signature ofIssu g ent
September 9 , 2005 50% Rule: AverageRoadSetback:
Expiration Date
Office Comments:
T 0WN 0F R 01J �f
SEC. 13 TWP. 41 No
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F� P E X p0. BOX 601 - HAriNARD,WI 54843
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SEP- 10-2004 01 : 41 AM P . 01
....--- �.___.. .......... ....._. ...... ,.__. ...... ..--..,.,.____,...-.,,..__..
6ent By : BAVNER COUN7Y 2oning� 715898 3277� sop• 8-04 1 �41PM; Page 1 �1 `
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Laa�_,d Ui Perm� i�;;, � (`1'o be ont�te� by the 7aning Off'ice) . ��•�/g�
WHF,RP�A9, (1'tst �110wsserB) �UA P Q,,_ � � �n�;,,,� ,
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� a� � e�t� witbiq Sawycr Cour�ty tlut i1 eubjoct Do tho Sawytr Cotutty �Sho2�land Regulati�r�, end
VV]EIERL�►,B► in ot+dor to �ocut� a L�c1d Ueo Perm�1,
�
9, NOW. THBRBFpRg� t�ie owrier(a) haresby cortiflee that, �w e condikion ot' �asue af asld I.sttd Use perniit, thnt
� tha SHOkELINE VEt}ETATiON PRQTECI1pN AREA on asid real estat� is intact to � minimum depth of
� 3S' leuuiward Q+oitt the orduu�ty high-water mark of t!u watcrbody. '.
lU 'Tho owner(s) hereby agteoa to comp�y wi� tbe shvr�d vo�ctadve protection arca requlrementa of 5eotion
4.410 SHOREI.,AND VE(}E'T'A1'ION PROT`EC'['�ON q(tE�4, $avvyer Cowity 7,uniag prd.i,uaitce, �n e�ect en
� the daUe ffist tba la�d tuo pecmit 1e iBeuod by the zon�ng officc, Thc owaer(a) ftn�thec sgroes to etlow authotizod
✓1 repnaontatives of !hc Ciav�crnmcatal Unit W euAer onto tlac owner's p�o�erty at tbe ft>llowing description
(� betweee tho lyoue� of 6;00 A.M. �nd 6:00 P.M. [5�ctioa 9.l3(1) 1'OWQtB, Sawyer G�nuty Zoaing Ordinaaoo]
to letaqoot H�e �cture(s) or us�s atrt�odud by seid I,and Uso Pcrmit and tn def,ermino if the SHoAELB�E
VBOETATION PROTRGTION ARBA exists iu':d that it ia bcing prescrvod,: '!"liis �uutho�i7at�op shall termiriau
OO on t]u de�te of Cxpintion of the land usc pctvc�it. However, tho owrier's obligetion to maintain thc SHORBLINE
�„ �Bc�ATA�riON PROTF.c�oN AREn ia accordenoo wich 5�ion a.4�p sHOR�.nivn vEoaTA�ON
� pR0`TBG"TION AR�,A, S�wyer Couaty Zot� Otdit►aace remains us cf�'ecti. Viotntion oF this Agreattcnt w911
� authoriu, in eddidon �o other pe�►alt�oa sad celle!' :oquired undcr the Sswycr C'.nunty 2onit�g Qrdln�auce,
O it�tive t�elief, r�e�torat�on oF said roel eetato, the rov�ocation of said Lend �l�e Pamit and the mmoval of all
ettuc� epprovod by th�e ias�e of seld Land Use perapit sad tho rcvocaticm'of eny athcr usos appraved by thc
isaue of 9aid l.and trse pecmit. All parti�es ag,xee d�t this Agrccxnont sha1� lx filed w�th Q�e Sewyor County
7.�+ning Ot�fia. �
L,��sl bescrlption ot'Ptopaty: �, .41 �i.��,�1� `�'� , �' � t � � �r'4 l , (� o Co � — �o'� 2 ,
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Da�a thia �,.,Q '�, day of _���.�,,� 2b o � ..._
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(Owrier) (p��=) :
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T�1�6 �ifE1TUR1A4� VY�B�4� �:
98w7oc Coun[y Zanlc►Q Offia '
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