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Home My WebLink About024-641-13-2302-LUP-2004-527 Application for Land Use Permit(*Shoreland*) r � County of Sawyer ��f� _ �, �/ PO Box 676 -Hayward WI 54843 �CGhl9 07�� 1 715/634-8288 - ^�� *Property that is located within 300'of a creek,river or stream or within 1000'of a a flowage,lake or pond or has any of the above waterbodies located within � � the property's boundazies. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT-USE BLACK INK OR PENCIL � �t � ��C�� V�h(�U�G� S�'�Cs� ►�121�1� Sn�Ca.�= � (° � Owner Builder a l`�`�4l SP�►4l`Ya li'I�LI�4' p�. IR'�t( S:(�1�buxa 17��4'' ��- N Mailing Address Mailing Address �. p � 6=�►��-i� , L�. CQ0119 ��BU1�tu, (Z C��LLq � City,State,Zip City,State,Zip (Q�o-- 3 c��-�t'�O l c�30 - � 7 �- �/9�f y ; Daytime Phone C�LL_ ��_- 7'��f. Daytime Phone � 9— AdditionalInformation: ' �4�� ZoneDistrict: �— � � � � (° Lot Dimensions: i SO x±.570 p A� � Date lot was created:�__ _ _ Acres: D.63� f Is there wetland near the proposed structure?If yes,how far ro o S Building Land Use Floodplain:( )Yes ( )No S�t54! ooYSt6� � (?9 New O Filling Chippewa Flowage:O Yes QO No � O Addition O Dredging Driveway access off of a(Check one): x� O Alteration O Grading O Private Rd (x)Town Rd. � I ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � � ) � ) � `� � r Primary Structure Accessory Building Addition o � �Dwelling ('j�)Garage-attached/detached ( )Deck � O Yeaz round (.2)#of caz stalls O Porch �;, (?O Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room co � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ° � ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primazy structure ( ) ( )Relocate/enlazge � ' � � ( ) ( )#of new � i S � � AdditionalInformation: � p � � W `�° Type of Construction: � (�Frame (�Log (�Pole/metal O Block O Concrete W 1/� � ( )Other _ � Construction Cost:Primary Structure$ 7 EOU ,ti �, Accessory Building:$ �bOL � Addition:$ � -C Deed:Voi 508 Pg y(�� Certified 3oil Test�_ 9`/-a37 �; �z ti�o CSM:Vol Pg Lot# Sanitary Permit# qY-ads A � � Plat Envelope Or: ReConne�l' �ar�"`r o, � Condo Vol Pg Y�� y_`�z `'' � � "Loads and Flows": Vol Pg Owner When Installed: � Previous office approvals/actions: LO'�- W0.S C�(`ea�,-e� (Jc�,ZAf�.C,vtGy,�,(,/-- � Vaziance:# LUP:# SP:# CUP:# � U Inspection Report:# Change of Zone District: �1�3�y auia3 �1 • - - 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. <lous� #2. G�Ri�G�= #3.__ L.�h #4. l�ecl.� Size �v` ft.wide ��ft.wide ��ft.wide ID ' ft.wide �ft.long .�7£"= ft.long ft.long 3c7, ft.long Floor area r�o, sq.ft. 7�u sq.ft. bQ'b! sq.ft. 3�� sq.ft. Hgt from grade Q' to peak '! {/ ft.hgt. ft.hgt. ft.hgt. Stories 1. �stories stories ""� stories #of bedrooms�_ Lake/Pond/Flowa e/River/Stream Name 00 �ik �1'��,� !.ri t�:;� ,✓� r..._.�,,�"'/ J � � �p� �i � o' —'�1 T,.�.:�. � �.� yrxast` /.i��F�'�; �.y r,..��< � �x�5 ., s-, u.rr � i ��1�7Ft.� ,'L�'� �1 O � �- -S� �� % P � ��'`�+ • 1 P � �� z � � P � y � � ._____ __ __ __ � _-- -- _--- - __ _ ��sa'v;�;�q .�'.J Fire Number and Name of Road #767 7 1/�/ I�i n e Po�n� �� 1. Enter lot dimensions and indicate north by arrow. Signat�i e 9{�wner r uthorized Agent: L' 2. Indicate the location and size of the requested construction l� z� SignaNre aChVll.leS. printName:�� J'v�"—' 3. Also,1ndlCate tI1C loCation and cll5tance to the Well, The above ceNfes that the listed informalion and intentions are We and conecl.,that all work shall be performed in compliance Septic taT1�C and dtalnf eld,wetland HLeas,IOt Ilnes, wiN the requiremenis ot the Savryer Cowty Zoning Ordinance and ihe laws and regula6ons of ihe Stzte of Wisconsin,and if Centerline of Y.Ile Toad and waterbOdles. acting as owner(s)agenL has the permission of ihe owner(s)to perform the work requested on ihis applicaliort The above personsls hereby give permission for access to the property for onsiteinspeclion. Permit fee:$ 3 a s .�� Total land area within 300'of the waterbody:(A)� �i�� Tctal:mpervions sn::ace area(incl ding this project](B) .2yS4 a�ioa (B)/(A)x 100=%Used ��t�(Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes �No September 21, 2004 ��-yl��%2�v Issue Date Signature ofIssuing Agent September 21 2005 50%Rule: Average Road Setback: (�f�-. ExpirationDate �1� m� ,�.�5;,�,�a�t.ecq,Petr,r�t} �eacpti�, mR°-eh al� 800(n9/�� Office Comments:ST� ,�2�¢�„2�`„d"' 2��`'�E��92��U/� �L��. ✓.LG-nco t�7/ ��-��Yf/1�'`�1• ��a2D. ,y�!*-��'� �r�iv°�-z`-�j �.��-�i�- ��'..� TOWN OF ROUI` SEC. 13 TWP. 41 N. �� lo.l 5.1 � .7.i .7.2.T.3 �7.8 / T.9 .8.1 �p � �n � rri`QJ N 8.6 3.3 ao � .T.S �..1 > ��--.� .7.6 w ' '� ! �, � m, � �� .T.7 . JI ' .7.4 . .I —�'""�'�--�.�` �--�-� �� _ �� e Z �-.��tir�� „��n`_ f� CHIPPEWA RIVE -�� v-��T I �'f- _ ^-�``�--� — a � v\ /� .9.3 \��..—�r�i �o i � .9.1 MOOSE �� 9.4 IL AKE �,.Z �� 4,6 �� A.2 � .103 J �4.2 t� , � ,,.� �� .�,._ �z.� �� .��:3 � �z.� � ,,., I ',5. .. 122 � LUNE X 1 5 ' � � � . �. zot��'t�°=": �' CHIPPEWA RI VER � ` �.-=-/' ?ONE X � ,_ �/ � / � 1� � 2 . c � >> , �� .� . ZONE X �= � �� % � �o�N >> � R�A� �� _ T - �, I :ONE AE a � �" �� , , . �� _ :�:� � ;--�..:�... �l l8 � �01`dE A 'I 4 - � .lw }� o--« t„ �� y �,.�� vr�}�� t.Ii '1./ QI✓LJ . � Lll i11�� t� 'i�,�klj!ti�y��^n � ,i�'}r�"'� ��? kr'H"��^ i,�r '� �i i#,";,' �' r u�l,�rii�,6��K'.� , I I I I V j I ' liif 'I' \� � . a.. :K>;;: � � � � ��. � � ;,,, , � )l / / ,� 13 �� D �� ZONE X 11 � Q F ll � � p��N � T � � Oq0 SI�ORELAND PRTSFKVATION AGR�EMFNT (Non-Intact Shoreline Viceetation Protectiou Area) Land Use Permit No. �y-5,'�rJ (To be entered by the Zoning Office) Index No. �'i� �,�i'7 WHEREAS, (list all owners) Gerald and Melodee Snow owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and � WHER�AS, in order to secure a Land Use Permit. v � NOVJ, TH�REFORE, 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 shall be restored in accorda�ice £ with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. a The owner(s)hereby agrees that at all times in the future, the real estate subject to this Agreement shall comply � with all shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the date � tt�at the Land Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized � reptesentatives of the Govemmental Unit to enter onto the owner's property at the following description to mspect the structure(s) or uses authorized by said Land Use Permit and to detennine if the SHOI2ELINE '1 VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will tauthorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, v� injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal 01�all structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the C� issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. �f L,egalDescriptionofProperty: Part of the SW NW of Section 13, T 41 N, R6 W Oi, in the Town of Round Lake, Sawyer County, WI 024-641-13-2302 Dated this 23 day of AuQust 2004 > O er � �� ,4-l� ��. ��b� (Ownec -, - (Owne�� /v` `�.A�� l„� / (Owner) �/9 � � r �U J6�'`' v� — (Owner) (Owner) T6is insWment was drafted by: Sawycr County Zoning OCfice ��'