HomeMy WebLinkAbout024-741-20-2109-LUP-2004-573 Application for Land Use Permit(*Shoreland*) o o �
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 C �
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 r �
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Owner�'f�/��j��'S 0<Ij�R13f7R/� Builder a: �
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Mailing Address Mailing Address � O �
I L��.5$ ti'- ECHC1 P7" R.D �
City,State,Zip City,State,Zip
1fAv�r���v �.c/l: 5"y�3 �
Daytime Phone Y��_�y�E Daytime Phone r
Additional Information: �U,1 I � /Lone District: /�/��
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Lot Dimensions: �
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Date lot was created: Acres: �. �"�
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Is there wetland neaz the proposed structure?If yes,how far rc o �
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Building Land Use Floodplain:O Yes O No G
O New O Filling Chippewa Flowage:O Yes � No � a
(�Q Addition �Y"C 6NR O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Gxading ( )Private Rd ('nl Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy � �
0
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N ,`�.l
-� A O
Primary Structure Accessory Building Addition � o
( )Dwelling ( )Garage-attached/detached ( )Deck � �
O Year round O#of car stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room co �'
( )Modular/manufactured ( )Greenhouse ( )Kitchen ° �
( )Mobile/manufachzred ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlarge �
� � ( ) ( )#of new �
(X) LEgrl-�o Da GRK `
Additional Information: p
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Type of Construction: � �
(y�Frame ( )Log ( )Po1e/metal ( )Block ( )Concrete �
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( )Other , ,..j
Construction Cost:Primary Struchzre$ ,.9 �
Accessory Building:$ Additi no $' 7[,��Q,d� �
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Deed:Vo1�Pg�CI� C��tified Soi1 T�st# __ � Z
CSM:Vol ^ Pg — Lot# Sanitary Permit# °Q '7�
Plat Envelope Or: c� �
Condo Vo1 Pg YearInstalled: f�Ri�h' T�1 1�16� N �
"Loads and Flows": Vol Pg Owner When Installed: � �
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�3�YZL K
Previous office approvals/actions: r�
Variance:# LUP:# p2-5b3 SP��` CUP:#
Inspection Report:# Change of Zone District: �3`G'�
25(�S$
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. #2. #3. #4.
Size /c� ft. wide ft. wide ft. wide ft. wide
-�1f ft. long fr. long ft. long ft. long
Floor area d�sq. ft. sq. ft. sq. ft. sq. ft.
Hgt from grade to peak ft. hgt. ft. hgt. ft. hgt.
Stories stories stories stories
#of bedrooms
Lake/Pond/Flowa e/River/Stream Name
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Fire Number and Name of Road /Q �j' � �� /V � ��IHQ PT �1�
1. Enter lot dimensions and indicate north by arrow. Signat e of ner or Authorized Ag .
2. Indicate the location and size of the requested construction �,��u� ..P� ���,�
Signatu�
aCtlVltieS. PrintName: NAR� �S C=� fSf��l���
3. Also, lndlcate the IoCatlon and d15tanCe to the Well, ihe a6ove certlfes that ihe iisted intormation and intentions are
hue and coned.,that all work shall be peAormed in wmpliance
septic tank and drainfield, wetland areas, lot lines, wan me ����me�� or me sawye� co���y zo���9 om��a�ce
and ihe laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. aa��9 as ow�,er�s�ayeoi,nas me Pe��55�on or me owoe��5��o
perform the work requested on ihis application. The above
personsls hereby give permission for access to the property for
onsite inspection.
Permit fee: $ S U. C'�
Total land area within 300' of the waterbody: (A) { �7, I�C�I
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Total impervious surface area [including this project] (B) �' 3 , a�{u
(B)/(A) x 100 =% Used ��� (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes No
October 12. 2004 — �
Issue Date Signature of Issu g nt
October 12, 2005 50%Rule: AverageRoadSetback:
Expiration Date
Office Comments:
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No. O�/S 7� (To be entered by the Zoning Office) Index No. d y -c�7`�/�
WHEREAS,(list all owners) Charles and Barbara Kappel
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS,in order to secure a Land Use Permit.
S
� NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that
9 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.
�v.'r
Zf 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
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 SHOREI,INE
� 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 SHOREI,INE
� 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
authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
� injunctive relief,restoration of said real estate,the revocation 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
i Zoning Office.
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Q Legal Description of Property: �o v r L o r NE�N�✓.� S�c �o r w�v�vi�vR 7 u/ _
C'OrYll�/i r�'t?#Do?�f-- 75�/-'ao`�l0 9 l�ARG�L �' S�J ITOu�n/IROU�,�JJ LH�
Dated this �a�-l1 day of ���5�t' , -Z��
(Owner) (Owner)
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(Owner) (Owner)
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��wne2� ��WT1CL�
This i�strument was drafted by:
Sawyer County Zoning Office