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Home My WebLink About026-939-09-5108-LUP-2004-114 Application for Land Use Permit(*Shoreland*) r ,� . . 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 �� i 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. T Q� �� PRINT-USE BLACK INK OR PENCIL � � 1 /�l/7��C jU,�/LiCSJ Sf/�"I'L1(� � t'^� Owner Builder a � 6 0�I i� w;�c�.,�� c,�,�� Mailing Address / Mailing Address � p ,S'TG l..i�� L 1�-1`r� i.,�L �y��L � � City,State,Zip City,State,Zip 7/S�- $(os- d-2`7'`L_ Daytime Phone Daytime Phone ? Additional Information: Zone District: ��.�t F T Lot Dimensions: a � Date lot was created: Acres: , g 7 '" � Is there wetland neaz the proposed structure?If yes,how far o 1 Buil 'ng Land Use Floodplain:O Yes (t�No � ( New ( )Filling Chippewa Flowage:( )Yes ( ) No �o O Addition O Dredging Driveway access off f a(Check one): � ( )Alteration ( )Grading ( )Private Rd (/�Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � `� Pri Structure Accessory Building Addition o ,�.�, (�ling ( )Gazage-attache detached� ( )Deck � ( eaz round (3)#of car stalls -� O Porch W ( ) sonal ( )Storage Building ( )Enclosed ( Frame built on site O Screenhouse O Living room rn � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � Lc ( )Mobile/manufactured ( )Other ( )Bedroom p ( )Other prunary structure ( ) ( )Relocate/enlazge N ' ( ) ( ) ( )#of new � � � � AdditionalInformation: � a � � o � � � Type of Construction: � � (�ame ( )Log ( )Pole/metal ( )Block ( )Concrete i'1 ( )Other � y Construction Cost:Primary Structure$2�r �`0 0 ro � Accessory Building:$ '2�� oa o Addition:$ � � �P Deed:Vol ` ; � Pg��; _i Certified Soil Test# L 5� �� y L 0 � z CSM:Vol^�- � Pg �/� Lot#�� Sanitary Permit# � ��'.s4,b °0 � Plat Envelope Or: o� � Condo Vol Pg Yeaz Installed: N "Loads and Flows": Vol Pg Owner When Installed: ;?, � � 4q Previous office approvals/actions: � Vaziance:# LUP:# SP:# CUP:# �� Inspection Report:# Change of Zone District: � �0� aa��i9 . - ; 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. Q�ec�� #3. �l��t� � #4. 1-�i'��" Size 35' _ft. wide � C� ' ft. wide �_ft. wide �`�'°9 , �� ft. wide � �ft. long � ' ft. long �ft. long o18 � ft. long Floor azea 22� sq. ft. sq. ft. sq. f[. 3� 'ZC�a � sq. ft. Hgk from gade Z� � to peak ft. hgt. ft. hgt. ft. hgt. Stories � stories stories stories # of bedrooms�?_ Lake/Pond/Flowa e/River/Stream ame '��U� � � � D L-Y1'k- �� N � �s' _��G� t� (— l � ---1 _ r � 2d � ._ 14 ` f ' I � � � � i � - ! '� � `� C, — L'% � u,- it "-- :b C^ ��c, f� � � �, � + ,��c".�., ,�-�` � � � ____--- -- 7`U � �✓�L��GI� ��+ ��_�� '� � / Fire Number and Name of Road r��v 2 �%� �-+�^�� 1. Enter lot dimensions and indicate north by arrow. Sig a re o 0Y�e�� er+aedAqEnt: 2. Indicate the location and size of the requested construction ��-r�J v � SignaNre activities. Pnnt Name: 3. Also, 1ndlCate the IoCation 1lld C�iStanCe to tlle well, The above cerlites that the listed intormation and intentions are hue and conect., that all work shall be performed in compliance Septic talllC and dT'alnf1e1C1, WCtland az0as, lot 11nes, wiN ihe requirements of the Sawyer County Zoning Ordinance and Ne laws and regulations of the State of Wisconsin, and if Cente111ne of tf12 To3C� 2Sld WatClbOdles. ac6ng as owner(s)agent,has the pertnission ot the owner(s)to pedortn the work requested on this application. The above ��-�/'�� pereonsls heraby give permission for aaess �o the property for onsite inspedion. Permit fee: $ � �? �-� Total land area within 300' of the waterbody: (A) ;�Cr � c�c, Total impervious surface azea [including this project] (B) _3 % � G' (B) /(A)x 100 =%Used / lr_ (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required7 O Yes No ��;�y � - �9- Issue Date Signatare of Iss � g ge t y/-��lC�� 50% Rule: Average Road Setback: _ Expiration Date� � Office Comments: � � CERTIFIED SURVEY M,4P PAAT OF GOVERNMENT LOT 1, SECTION 9, TOWNSHIP 39 NOATH, RANGE 9 WEST, TOWN OF SAND LAKE, �_ N89 '00 ' 00"E 2624. 37 ' SAWYER C�UNTY, s�CC9R 2299 . 87 ' 0 324. 50 ' N� coa WI�CONSIN . \ ,., sec 9 ALL OF L07S 1 AND 2, J ALUM CAP �� m ALUM CAP CSM#6312, V23 P39-40 �m �' BEARING REFERENCE o, m BEARINGS REFERENCEO TO NOTE t� THE NORTH LINE OF THE m tn SEE CSM#6312 y NW i/4 OF SECTION 9. '-' � FOR MORE INFO NorE ASSUMED TO BEAR N89 '00'00"E � � N ON ROW IN THIS �''' � AREA STRUCTURE SHOWN BELOW QN LINE TO BE REMOVED OFF �m � 6og pA�3 LINE AT TIME OF SALE -N �'' EO � N89'02'OB'E � � OE 44.06' (44.60') , m N89 '05' 42"E Ppe N89 '05 ' 42"E 342. 20 ' <o•.r �- 261 . 70 ' 90� �� N26 '00 ' 00"Id LOT 5 T\�� n .�"� 21 . 73 ' � 0.94 ACRES D \ � To�! , �'TO 0 40926 SO FT t� D LE6END �ss9�`�BT� O °��T�, o e = GOVERNMENT CORNER �'� � "�' C C = FOUND 3/4" REBAR ��F9Oh.c\9 ��I N 9 '05 ' 42"E 326 . 37 ' Nsl .�- � ■ = FOUND 3/4" IP � = FOUND 1 1/4" IP Lpt ,�g9�2 \ ��4'45• LOT 6 N��• I 0 = FOUND 1 1/4" IP FROM c5"� � �- �B ' N\� � SCALE 1998 MAP OF SURVEY o.97 AcaEs �, I 7] O = COMPUTED POSITON r„ � \,�3 9 ��. 42191 SQ FT �� D �1 1" = 100 ' \ G = SET 3/4" X 24" REBAR v � 33 ! \ D' � �- p 1pp JwT 1 . 50 L85/FT `,��i�� ss�.i- � • CSM#63R2BAR FROM ```,��c�..GQ(ys,��'�.' N22 '28 ' 1789�'34 ' 41�5 63,2 311 . 69 ' �}, � ( ) = RECORDED AS ; '• , 83. 45 ' cs`" �' DRICHAEL C. �= C�*""'� _ • Ci}?SScR . = _ ' ��w'5 • ; P`2� ` � �. 5�ner • = �; �.�,�� r°�;s�.'' �,`f' �(�� 2i ' �i�Sl�;c,�� `� � SHEET 1 OF 2 SHORELAND PRESERVATION AGR�EMENT � (Shoreline Veeetation Protection Area) Land Use Permit No. D y- ll y_(To be entered by the Zoning Office) Index No. �- �� _ WHEREAS, (listall owners) Mark and Patricia Forrest � 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, THEREFORE, 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 ordinary high-water mazk of the waterbody. 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 xepresentatives of the Governmental Unit to enter onto the owner's property at the fo(lowing 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 SHORELINE 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 SHORELINE 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 Zoning Office. LegalDescriptionofProperty: Part of GL 1 , Sec 9 , T39N, R9W; Lot 6 of CSM vol 24 paQe 49 Located in the Town of Sand Lake Sawver Count�, WI _ Dated i 28 dayof April , 2004 �� — (Owner) , (Owner) .� _1�--C — (O ewn r) (Owner) (Owner) (Owner) This instrument was drafted by: Sa�ryer County Zoning Office