HomeMy WebLinkAbout026-939-27-5513-LUP-2004-027 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 Z
flowage,lake or pond or has any of the above waterbodies located within � �
the property's boundaries. T�
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � �
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder Q-
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Mailing Address Mailing Address � O
Sre�� ,��f� rti,� 3yb'�� �.E-���-�r���y>,✓- r�_3��3 �
City,State,Zip City,State,Zip n
7iS-6 3y-�Y 9T ��s'- �3 y-�'f 9 r t�J�.
Daytime Phone Daytime Phone �
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Additional Information: Zone District: �/� � Z.
Lot Dimensions: Za 3 X �-3��2 ��
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Date lot was created: ' y-`��J'�](p Acres: I�� �
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Is there wetland near the proposed structure?If yes,how faz i✓o o �b
Building Land Use Floodplain:O Yes O No X � �
(�New O Filling Chippewa Flowage:O Yes (>c) No c��o �
O Addirion O Dredging Driveway access off of a(Check one): � �
( )Alteration ( )Grading ( )Private Rd (�Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °Q �
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Primary Structure Accessory Building Addition o 0
(K)Dwelling ( )Garage-attached/detached �X)Deck � �
(�Yeaz round O#of caz stalls (X)Porch W t
( )Seasonal ( )Storage Building (X)Enclosed �,
(k)Frame built on site O Screenhouse O Living room �,
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen °
( )Mobile/manufactured ( )Other ( )Bedroom p
( )Other primary structure ( ) ( )Relocate/enlarge � "V
� � ( � ( )#of new �.
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w
AdditionalInformation: �c �
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Type of Construction: � ��
(}f)Frame ( )Log ( )Pole/metal ( )Block ( )Concrete v� �t
( )Other `�
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Construction Cost:Primary Structure$ (v m ��o °c ,y �
Addition:$ �` I�
Accessory Building:$ g
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Deed:Vol (o/4 Pg �� Certified Soil Test# aQ,�--�q 7 c� z
/5�/ Lot# / Sanitar Permit# tD 3-�39 0° 7y
CSM:Vol f/ Pg Y
Plat Envelope Or. � �
Condo Vol Pg Yeaz Installed: � �O°� i�
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"Loads and Flows": Vol Pg Owner VJhen Installed: �
ci
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Previous office approvals/actions: y
Variance:# LUP:# SP:# CUP:# � b�
Inspection Report:# Change of Zone District: �1} 1 n„
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y
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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. �. i��� #2. p��N ,i�c=< K #3. �,J�L�,se=D�r�/ #4.
Size� ft. wide _�� ft. wide i y fr. wide ft. wide
�� ft. long � ft. long /y ft. long ft. long
Floor area �S�l sq. ft. �7a2 sq. ft. / 9� sq. ft. sq. ft.
Hgt from giade / 7 to peak 8 ft. hgt. i3 ft. hgt. ft. hgt.
Stories / � staries � stories stories
# of bedrooms �
/ 9SX� /��-�/J`ry .���e
Lake/Pond/Flowa eBiver/Stream Name
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Fire Number and Name of Road ,4 i/E�oaze /L o �v� ����-�'
1. Enter lot dimensions and indicate north by arrow. Signature of Owner or Authorized A ent:
2. Indicate the location and size of the requested constnzction �� �,c�„ �2u-��-�� '
SignaNre
activities.
PnntName:
3. Also, indlCate th0 loCatlon and diStanCe to the Well, The above cer6fes ihat the listed intormation and intentions are
We and cortect., ihat all work shall be perfortned in crompliance
septic tank and drainfield, wetland azeas, lot lines, wan me r���reme��s or me sawyer co��cy zo��o9 ob��a�ce
and the laws and regulations of the State of Wiswnsin, and if
centerline of the road and waterbodies. aca�9 as owner�s> aye��, nas me ���55�0� or me owoe��s> io
perform the work requested on this application. The above
personsls here6y give permission for access to the property for
onsite inspection.
Permit fee: $ � � 5 X �
Total land azea within 300' of the waterbody: (A) -5�, �c ��
Total impervious surface azea [including this praject] (B) � '�7��: � W � S/ `�
(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
February 18 , 2004 �i�L�iG�-'�G1 L��aiZ�
Issue Date Signature of Issuing Agent
February 18 , 2005 50% Rule: Average Road Setback: _
Expiration Date
OfficeComments: a� 17/c�LY��( • DA�•5���'���• '8u'"" '��CMOy'(�'Jr�
SHORELAND PRESERVATION AGREEMENT
(Intact Shorelinc Veeetation Protection Area)
Land Use Permit No.,����(To be entered by the Zoning Office) Index No. �-��
WHEREAS, (list all owners)_�-�-Q V eh �Qn� e}lu�, _
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.
NOW, THER�FORE, 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 is intact to a minimum depth of
35' landwazd from the ordinazy tugh-water mark of the waterbody.
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
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 to
inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
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 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
Zoning Office.
Legal Description of Property: j�n�}- (yov4 Le�,� L.o�- � asm uoi y t�i IS �/. �
��:on a1'7� T34A/���C�,-7orv/le -F �Qnd �.ka S'ca�e� C�vvn.J��
cJ� o � � - 93 �- a 7- �s �3
Dated this � �] S day of � �V O Y .
,,��,, Q_ �,.<.�.�.,.�-�—�
(Owner) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer Couuty Zouing Office
i -
WORKSHEET -
The followin� steps should be followed to address the IMPERVIOUS SURFACE issues
related to vour pro e�rty. Not all lots are rectangular in shape. For those lots that are
irregular in shape, the lot area should be determined as accurately as possible. (Note:
Length x Width = Area.)
1 . Determine the lot dimensions.
Length = ��r 3 ' from the ordinary high-water mark to the rear lot line.
Width = I 7� ' between side lot lines
2. If the lot is a river lot, determine the lot area only for that part of the lot that is 300' or
lessin depth.
Area = square feet.
Multiply this amount by 15%.
Area x 0. 15 = square feet. This is the maximum impervious
surface area that is allowed without obtaining a Conditional Use Permit
3. If the lot is a lake lot and is less than 300' in depth determine the lot area.
Area = square feet.
Multiply this amount by 15%.
Area x 0.15 = square feet. T'his is the maximum impervious
surface area that is allowed without obtaining a Conditional Use Permit
4. If the lot is a lake lot and is greater than 300' in depth, determine the lot area for that
part of the lot from the ordinary high-water mark to a depth of 300' and for that part
of the lot from 300' to a depth not to exceed 1000'.
(a) Area = �`� s x / zi = S� , � � r square feet to a depth of 300'.
Multiply this amount by 15%.
Area x 0.15 = 7 7 'f �f square feet. This is the maximum impervious
surface area that is allowed without obtaining a Conditional Use Permit.
(b) Area = i 7 , .f� � square fee from 300' to a depth not to
exceed 1000'.
Multiply this amount by 30%.
Area x 0.30 = S<� �� square feet. This is the maximum impervious
surface azea that is allowed from 300' to a depth of no greater than 1000'.
5. Provide a detailed drawing on the application for land use permit that clearly
indicates the impervious surface area.
Page 3 of 4
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DATE� INTENDED TO SHOVi CONCLUSIVE
DRAWN BY: EVlDENCE OF OWNERSHIP OR
COLON (�) INDICATES GOVT. LOT gOUNDARY LOCATIONS
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I'I ^� x�' - �� Dimensions shown on curve
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CURVE DATA /�-
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. No. No. Length I.ength Bearing Angle
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