HomeMy WebLinkAbout024-268-00-0300-LUP-2004-608 T � �y' `�
Application for Land Use Permit ( Shoreland ) r y - _
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 o
flow�e, lake or pond or has any of the above waterbodies located within �
�/Z„�,,,r� the property's boundaries.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. �
���t� �� PRINT—USE BLACK INK OR PENCIL �
�Q(� (., r0 43 'C `an !/�u L �4c. �1 !'�-�'s C.�n s�' � (�
Owner ,J Buil er �-:
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Mailing Address Mailing Address � p
C<N �a �� S�fj/3 / cs y.-�,1 t,.�� S�/��l,� � �
City State, ip City, tate, Zip �
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Da ime P one Daytime Phone �^ '�
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Additional Information: Zone District: �I �� '�' �
0
� � 0
Lot Dimensions: s� X /+���
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v, � �✓
Date lot was created: � l0`-�7- Zd o b Acres: I� y 3 �
Is tl�ere wetland near the proposed structure? If yes, how far o
Building Land Use Floodplain: ( ) Yes (nf No �
(�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 Building Addition o 0
( ) Dwelling ( ) Garage-attached/detached ( ) Deck �
( j Year round ( ) # of car stalls ( ) Porch W
Seasonal ( ) Storage Building ( ) Enclosed �--�
Livin room c�
) Frame built on site O Screenhouse O g I
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � .-
( ) Other primary structure ( ) ( ) Relocate/enlarge A
� � � � ( ) # ofnew �
�
AdditionalInformation: � �
i �
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Type of Construction: (� �
(�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete
( ) Oiher � v �
Construction Cost: Primary Structure $ � .� v�� " b �
�
Accessory Building: $ ---�� Addition: $ '' �
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Deed: ��ol Pg _ Certified Soil Test#��3Z y m z
— ci� �
Lsyj; 1���1 pg Lot# �anitary Permit# p'�l- y3 z �.
�
Plat Envelope Or: °1
�
Condo Vol �l Pg 17 " ���y`�o p Year Installed: N �
Owner When Installed: �°
"Loads and Flows": Vol Pg �
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�,,h,��,�,� (��ycio v�c tk 32 37z3 ,
P�evious office approvals/actions: ,
Va.riance: # LUP:# SP: # CUP: # � c�
I�� ���6
Inspection Report: � Change of Zone District: �
a35aa
. � �
Describe the construction using these columns. List the dimensioas of each structure in a separate �
column. List each story, each addition, each alteration in a separate column. '
#1. �,h #2. �e�i" #3. #4.
Size��ft. wide �_ft. wide fr. wide ft. wide
_y�ft. long ��ft. long ft. long fr. long
Floor area O Ye sq. ft. �� sq. fr. sq. ft. sq. ft.
Hgt from grade�,�to peak fr. hgt. ft. hgt. ft. hgt.
Stories ! � �- stories stories stories
#of bedrooms�_
0 Lake/Pond/Flowa e/River/Stream ame
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Fire Number and Name of Road 40 s 7. u �t 7 SS, �vr✓�
1. Enter lot dimensions and indicate north by arrow. Signatur� 0 er ar Authof' Agent:
2. Indicate the location and size of the requested construction _
ign re
activities. a !p iN
Print Name:
3. Also, indicate the location and distance to the well, The above cerli ies that the listed information and inte 'ons are
true and cortect.,that all work shall be peAortned in pliance
Sept1C tatl�c ancl C$alnfielcl, wetland azeas, lot Ilnes, with the requiremenis ot the Sawyer County Zoning Orclmance
and the laws and regulalions of the Sfate of Wisconsin, and if
centerline of the road and waterbodies. a�n�9 as owner�5� a9em,na5 me Pe�,�ssio�or me owneq5)�o
pertortn Ne work 2quested on this applicafion. The above
personsls hereby give permission for access to the property for
onsiteinspection.
Permitfee: $ Z� �7�bon
Total land azea within 300' of the waterbody: (A) .
Total impervious surface azea [including this project] (B)� </7„ ,Z S��
(B) / (A) x 100 = % Used (p f0 (Shall not exceed 15%[or 25%with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? � Yes O No
October 25 2004 ���'��` � �f��.c�/"�/�i7
Issue Date ignature of Issuing Agent
October 25, 2005 50% Rule: Average Road Setback:
Expiration Date " � D
q/a,v� �.e.o`�. ����ca�s� r.�,�p`f, � ��'r�, 9���-"P��i
Offic Comments: j/ _(� O`��i^�n��9� �""""'` C-�� /�YJ� ��
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SHORELAND PRESERVATION AGREEMENT ,
(Non-Intact Shoreline Vegetation Protection Area)
Land Use Permit No. �-(o�8 (To be entered by the Zoning Office) Index No. �- (e Q�J
WHEREAS, (list all owners) C ��a Cr ow �eti , (Y� ,�r--�-�h I— oQv�c r }T__
-- l )�.uc lJr- t�^• / �r .
,L(llrir��E r L`e-�tr�q� t2Qdn c )n i 1- � � ,
owns real estate wrthin Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS, in order to secure a Land Use Permit.
NOW, THEREFO?2E, the e�imer(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
T- the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance
� with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department.
� The owner(s)hereby agrees that at all times in the fuhue, 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
that the Land Use Pemut is issued by the Zoning Office. The owner(s) fiirther agrees to allow authorized
� representatives of the Governmental 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 detemune if the SHORELINE
a VEGETATION PROTECTION AREA exists and that it is being preserved. 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 revoca6on 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 app:oved by the
� issue of said Land Use Permit. All parties agree that this Agreement shall be filed with tne Sawyer County
� Zoning Office.
OLegal Description of Proper[y: ftd •�n p�r�n � G�� J�G�%oh 3
Y � /J � /Q �!✓ aw o� �•� ��G f �+ i ....� (,J.Sco+S�ti
Datedthis �y~4 da of d[�ob!/ , �OO�{
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(Owner) (Owner)
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(Owner) (Owner)
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(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
APEX
SURVEYING
15614 Windrose Lane, Suite 330
Hayward, WI 54843
715-634-3435 Fax:715-934-2739
FREDERIC
w.
ZIETLOW
S-922
n'U
Hayward
•y0.
[M�� QF94: �-T T� FEE zA,�T
CONDOMINIUM ADDENDUM
z .10C ATED /W (n �6-9A)M E'!U r L. oT 9, SE'cToA/
131Tyix/-R8uv,7ou)AJ OF 60t,N6 LAKL-
5AV) YE R CO1N'-y , U)1 scco r is ( �3
SURVEYOR'S CERTIFICATE:
I THE UNDERSIGNED HEREBY CERTIFIES THAT I AM A LICENSED LAND SURVEYOR AUTHORIZED
TO PRACTICE THAT PROFESSION IN THE STATE OF WISCONSIN: THAT I HAVE SURVEYED AND
MAPPED THE REAL ESTATE DESCRIBED AND PICTURED ON THIS CONDOMINIUM DESCRIBED;
AND THAT THE IDENTIFICATION AND LOCATION OF EACH UNIT CAN BE DETERMINED FROM THIS
PLAT AND IS IN COMPLIANCE WITH A-E 7.01 WIS.ADM. CODE LOCATED IN GOVERNMENT LOT 3,
SECTION 13, T41 N-ROW, TOWN OF ROUND LAKE, SAWYER COUNTY, WISCONSIN; ALSO PART OF
LOT 1 AND 2 SAWYER COUNTY CERTIFIED SURVEY MAP NUMBER 1705 AND LOT 9 SAWYER
COUNTY CERTIFIED SURVEY MAP NUMBER 1688, BOUNDED AND DESCRIBED AS FOLLOWS:
COMMENCING AT THE NORTH''/+ CORNER OF SAID SECTION 13;
THENCE S02•-39'-10W 1901.59 FEET TO THE POINT OF BEGINNING;
THENCE N64•-19'-43'E 102.43 FEET;
THENCE S03•-10'-04'E 86.06 FEET;
THENCE S68•-01'-47E 9.24 FEET;
THENCE S08°-48'-29'E 177.37 FEET;
THENCE S02•-50'-15'E 31.20 FEET;
THENCE S49'-07'-45'E 9.90 FEET;
THENCE S31•-56'-03'E 23.81 FEET;
THENCE S3r-43'-55'E 47.14 FEET;
THENCE S006-00'-35W 70.98 FEET TO A POINT WHICH IS 41 FEET MORE OR LESS FROM
THE WATER'S EDGE OF ROUND LAKE;
THENCE ALONG THE MEANDERLINE S850-56'-27W 180.45 FEET TO A POINT WHICH IS 27
FEET MORE OR LESS FROM THE WATER'S EDGE OF ROUND LAKE AND THE END OF THE
MEANDERLINE;
THENCE N0(°-00'-35"E 402.16 FEET TO THE POINT OF BEGINNING.
INCLUDING ALL LANDS LYING BETWEEN THE ABOVE DESCRIBED MEANDERLINE AND THE
WATER'S EDGE OF ROUND LAKE.
THAT i HAVE MADE SUCH SURVEY AND MAP UNDER THE DIRECTION OF CHAD CROWLEY.
PAULA CHISSER
SAWYER COUNTY, WI
REGISTER OF DEEDS
323724
08/03/2004 9:10 AM
PLAT 50.00
Pages 1
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