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HomeMy WebLinkAbout024-641-14-4113-LUP-2004-570 1 � . Application for Land Use Permit (*Shoreland*) �� � 0 0 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 the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL '�`�C`�t ' � JU/'1� t _fi`�� �Y < 11°l'S " 56�✓s � Owner � / � �-S T-- Builder �-: � � �► �s � - r3� �; - <. , a � � s o. Mailing Address , Mailing Address ^ � � i�1 � �( 5 b� ��..�..� " �vl�s l.C��.S � � �, City, State, Zip Sy�yf,;� City, State Zip 7 �.5"- � {' '� °� �',�� �� �...-���.,5 Daytim� Phone Day�ime Phone �' ��X A Additional Information: Zone District: J�'1.Z, � Lot Dimensions: �'' a � Date lot was created: Acres: � �j , .. Is there wetland near the proposed structure? If yes, how far o Building Land Use Floodplain: ( ) Yes ( )NoS�.59/ o a S's.�j � (,�Q New ( ) Filling Chippewa Flowage: ( ) 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 � � � ) � ) � � � r Primary Structure Accessory Buildi_ Addition o 0 ( Dwelling (�j Garag�-attachl�e�,/detached (;� Deck � �Year round �# of caT stalls ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ) Frame built on site ( ) Screenhouse ( ) Living room c� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom -- ( ) Other primary structure ( ) ( ) Relocate/enlarge A ( )��N ��l N�Q L ( ) ( ) # of new � � � � \ AdditionalInformation: � � � � � � � Type of Construction: � (� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete . ( ) Other ' �� � Construction Cost: Primary Structure $ 1�3i p�� ,.b � Accessory Building: $ , Addition: $ � �. rn4�j 3z55z5 � �� � Deed;Vol�Pg�_ Certified Soil Test# � '�/- /'y� � z CSM: Vol Pg Lot# Sanitary Permit# f.7 —�� `7 � � Plat Envelope Or: ���l�t��c�' a, Condo Vol Pg Year Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � `., � Previous office approvals/actions: � Variance: # 80-d�t5 LUP:# 95 ZS`7 SP: # CUP: # � Inspection Report: # Change of Zone District: p`� �°l`' � aN aay 1 ' Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each additio4,eafh alteration iq a separate column. #1. ,t/flJ Gu�' #2. Gc !i� /.SF��.� r��.=� '�#3. =� #4. Size�� fr. wide ;j�t ft. wide d� ft. wide ft. wide !/� ft. long Y'/ ft. long �_ft. long fr. long �— Floor azea�sq. ft. ,31 3 y sq. fr. sq. fr. sq. ft. HgG firom gade '�r`�to peak fr. hgt. ft. hgt. ft. hgt. Stories �' stories stories stories # of bedrooms Lake/Pond/Flowa e/Riv r Stream Name i, / j t :'1Ci.�c�. L-- ..�' . i ���~ ��� � bGr c,4� �` � ' I � � ;� ��� � � � ' ;� � _-_ � _______ __ u� _�.._ ____ _ ,� p' ' I � I M � � � � � �g8 � 5� �� � �'I �� � , � �,' �`� - +� �o- - - i-�-- . ` F � ,--�-- - a� � � ��°'� ,, �o�-T � 57y L r �o:n av ! � I �f � I �or i � ��} i �� � �� I I � ' I � - -- � � D Fire Number and Name of Road } n: 0 2 �(J l. Enter lot dimensions and indicate north by azrow. Signature of Owner or ut rized Agent: 2. Indicate the location and size of the requested construction tL-�s�G.. ".�o���rL',��y' SignaNre � activities. Pnnt Name: (1� ' � � YU �0 3. Also, indicate the location and distance to the well, The above certifes that me listed information and intentions are We and corred.,mat all work shall 6e performed in compliance Sept1C taulc ancl clTalnfleld, wetland azeas, lot IIneS, with me requirements ot the Sawyer Counry Zoning Ordinance and the laws and regulations of the State of Wiswnsin, and if CenteTllne of the Toad and wate7bOdles. �,/1�� a C`G`'�' acting as owner'(s)agent,has the permission ot the owner(s)to � ,I pedortn the work requested on ihis application. The a6ove 1�%� personsls hereby gNe permission for aaess to the property for �..7� onsiteinspedion. Permitfee: $ ��� �"� Total land azea within 300' of the waterbody: (A) ,�5,roo Totai impervious surface area [including this project] (B) 3�0� (B)/(A) x 100= % Used � 9°70 (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes (X)No October 11, 2004 - � Issue Date Signature of Issu g ent October 11 , 2005 0 50/o Rule: Average Road Setback: Expiration Date Office Comments: ' ROUND LAKE � T. 41 N. R . 6 W J 13.1 14.15 132 .13.3 .- � .13.4 13.5 13.6 14.13 ' -' 13.7 I 14J4 13.8 I 14.6 13,9 13.10 14.9 M005E � < � a 13.1 I � � � � � 16.1 � � LAKE G ? 0 � � �v �y 15.3 I J� 0 v 16.2 Ic Z I • 11 � 12 -�� � . � .�� 1� 7 , . 5��; � . � \� TEAL RIVER� ► D U LL OG �PRINGS ZONE X � O� � .:; O ZONE A / 0 ' �� _ � \w`� (( P �'' 1� �o�� � �� � R�A D L , _ ; 11 .. T � � 3�� �� CHIPPEWA RIVER II � ZONE AE a il � I � ^ e�rj �» }. . f Yr '{. J �{ ' ' 4 � `�` l '��, /�r' , �:-' ' '�:'`j'`i' o � 4 J , \\ fr � J // �,f °,r ,` r' ,s , � ;' {' � y r ti f .� �� } � � ZONE X ' , f ' �/ � 3 ZONE X �� � � �I ZONE AE D /tj�. I� � � M��SF 1358 � cqKE � /1 /l � � /"0 �� ���� ��� MOOSE LAKE � '� �q0 ROAD zoNE a- n � � , : �''Y : r ' �;;>:``E=i i���:1IdT�' <<';t? 1,1{� ; 7'. �L;�� :?�7i } i)w _ - >a - �'�+ Ei . ��1hf:'� ; �'n:� c � ` c � - >� . ��. . � . . . . . .` ; . ; � � � �Ri6.��,[ri..s�f'�5 ��) .R ki.�.�,�,t`>Ti� Y Ya�����A�li� t'�:V�dt.�r�.t17X�t�� . - � � � ��hr�r��in€; ��'e�et�#�an �rater�ion Area) -- �and 1:3se.�`�r���� �i,�. O�/- S�O . _ t'1'� t� etiteF•�d l��,' #l�e Zai�i���; C)ff�"�cej I�t�ex I'�a. �_y_ Jr.�v __ V�'H�R�:�.;�, (���� aII ����,�n��`a� --�,�� �.,/.t.� �, • � �� /3/1� /�.• � 4 �� �� _.�� _. ��' . . . . � � .- � �:L+................:!_.�. .�._»_,�.. . .,..<,�..,�.:��..� - . . '._:-.y.....r._..._.d.._.:,�.__.'__`_'___Y c�t��.s reat e��e wiihizt S��vye�t� Caurtt}� that is sub�ect �tc� th� �av�ry�ee C:auntv S�arel�n� R.e�u�atinns; nn�i , ��IE;I�AS.w zz�. c�tcl�r to �e�ure a �.and ��� �'e��it. " "`�` Nfl4V, �`HEI��C31tE„ tt�e own�r(s} h�r�t�� c�rtifies fihat, as a �ondit.i4r� c�f is��e c�f said I.�d Use P�rn�it, tha� � �e ���C��L�� �����'T�T`IC.}� �'1�.4�'��G'�'�4�N AI�.A,.'c�za s�id re� estat� i� int��t to a a���nirnum d�rt�� c�f �s�,. 3 5' lanc��vaxd �rcam tJa� ardir►�r� #�u.�-w�.ter �k�:r�. af t�e ivat:��bcady�, c � The owner(s� �.erehy agr��� to cazr�piv with the sho�land veg�tative prat�c#iQn ar�:a r�qt�irer����iis ot �e�txa� �.�l, t� ��£��LA�N� VE�ET'A�'IQht PRb3`�CT�f��i �A, Sawuec C`�unty �oniiag t'Jrc�in�c+�, i� ef�'e�ct �n Y tlie dale th�t tkt� 1an� use� perrnit � iss�� by th� zc,r�ing c��`�ce. The c�wn��(s) �uur#t�er a�s #.o a1i�r� �t�thorized Q re�r�se;�#�t�v�s r�£ �� �.r�v�rnm�t�r.�l �Tnit tr� �z�ie� c�ntt� t�e ows��r's �rag�rty at th� fc�Ilo�ti�n� des+�rigtaa� a �twe�n the h��us �f �.4f? ;�.Ivi. �d 6:(}Q P.M. [S�c�on �:13(1 ) Pt�Vi1�R�, �a�ryer Cc�unty �ani�g C3rd`uxan�e] V ts� iz�s�ect the �c�are(s� �r us�s authc�ri�ed b� saitt L,a�d Us� �?�rn�it a�d t�x det�r��ine if #1�� ��IC)k�LIN�a VEG�'�'A���1� �'I��TEG'�T�JN AREt4 �xis�,� and t�t it is b�in� greset��ec�, This �ut�c�riz�tion shall t�rm"tna��� p c�n the d�te of expiratic�n a�th� la.�c� ��se �err�nzt. H�w�verr t�� ow�r's c�bli�atia� tc� �aa.ain#�n the �I�t�R�LIN�. � �'��is�`�`�.TIt�� P�:�"I`E�'i'ION AttEA in �cr�rcl�:r.� ��t� Se�tit�z� 4.41t� �H(��L�N17 't��G�IT,�T'It�I� � P�t�"��t..^'TI�N tl�, Sawy�r ��unty �,anir�.� f�rc�z�ar�� raznair�..s in �ffe�t. �riol�ti�t� �� 's A��'eement ��iI1 ' �t�t�riz�, i� ad�ii�i€�n to �ither penalti�s an� relief�eq�ured un�er th� �av�yer +Cc�t�t�ty Lc��� �?t�iz�r�ce� Oi�,}unct�ve te�ief, r�s�4ratio�i of s�id real estat�, the revc�ca�on af said I,an� �.�s� P��mit �nd the �e�nc��Tal af ali �ict�s ���r���re� t�y the issue of 5�id. L��nc� Us� �`�rmit �nd the rev��ation a�' dny c�t�er uses ��prc���i b�r ��� issue �t �ai� I.,atid [�se �'�rmit. All �arties ��r�e �h�t thi� Agre�m�nt sh�ll be �i�ed ��,�ith th� Sa�y�r Gou:��ty ��nin� E�t'�c€�, � � � ' • I:,�g� �escti�tic�� c��' Pr�c�����ty: __/UE�/� s L � Se���o I4� r_ _�._ ._..._.__._�_ ____..�__ .� .__._....�,._ _ ---- -- __�_.�_ I � �' � !,� � . _ _ _.._,..._�-.. _ __ _._.�.._�._.� .�.�.�. �..�..._ ... . : . . _ _ �:�... _� �.,...�:. .:�.� .1.� . .F.�__.....� .� . . . __ __. . __ . :�_.�.:�.._ _ .. ...4. _ �''�:2.c�� � _ ��.� -� s�f �- /_.���!..�a�-- -- . ,,,. �ate� �is ��_^- d�y af C� c�-�-fJ , 0 0 . ._. ._.�. � .��. ,�.�,�,.....__y�� .� �.�.�..�._... .�.. ��._-- �i�, . ���-� . —_��_ _._..: s_ _ -- ---- - --__- --- __-----,—_ --- --- �!.__. ._ ' '-` __-____ - -- -- �C�w-aer) ��v��k�r`�° _..� ..,_..�.._�..__ _�._. r__ ,__._�. _:.__ Q.✓a�-��i����— {Cst�r���r) {���ti���es�� �C����rserj i£'��,Taec} � tl!`r �TI5�Ii1Ci1i*iE W";�S #;T�3�t'�� �)Y� r . . 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