HomeMy WebLinkAbout026-939-22-5808-LUP-2004-322 X �� �
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r--p � �'NApplication for Land Use Permit(*Shoreland*) o o
'Y d,� �Q.� County of Sawyer �
,�'� ,xJ y/ PO Box 676 -Hayward WI 54843 J
, ���� / 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 boundazies. � �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � �
PRINT-USE BLACK INK OR PENCIL {`
�Q"fsU cY��rr�dPi` \�'-'!i,��• r � �
Owner Builder a
I aq'7fl Exl�u flue� ` �
Mailing Address Mailing Address ]. �
�le I�alle� YNN 5�=��t� �
City, tate,Zip City,State,Zip �
�'Sa-�f3�,-��9� (�►� �
Daytime Ph ne _,�n ( W Daytime Phone �r
�5�- �5'7- z� : ti
Additional Information: Zone District: ��-� C`'
Lot Dimensions: j 7
C'
2� �
Date lot was areated: Acres: c
Is there wetland near the proposed structure?If yes,how faz o �'
Building Land Use Floodplain:O Yes O No ✓ � _�
O New O Filling Chippewa Flowage:O Yes (./r No m
O Addition O Dredging Driveway access off of a(Check one): x�
�Alteration ( )Grading ( )Private Rd ( )Town Rd. �
( )Moving On ( ) ( )County Hwy (�State Hwy °Q �
� ) � ) � o
w
N `�.1
tn �-'
P �mazy Structure Accessory Building Addition o 0
�}Dwelling ( )Garage-attached/detached ( )Deck �
( )Yeaz round ( )#of cu stalls ( )Porch � �"
�Seasonal ( )Storage Building ( )Enclosed �,
O Frame built on site O Screenhouse O Living room c�
( )Modular/manufactured ( )Greenhouse ( )Kitchen •"
( )Mobile/manufactured ( )Other ( )Bedroom �, �
( )Other primazy structure ( ) ( )Relocate/enlarge
� � ( ) ( )#ofnew �
_�
�
AdditionalInformation: �j �
L �
m
�'� �
Type of Construction: '='Y
( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete + '��
No R,Q�Q;,
J
�Other P�oo�c�����Gtl�2rat;a�. �v ���rt�,a �e4'�;,-�� �=,r���,t - ade0;�ta„�Q �
T— hab;+af G�:,�.�
Construction Cost:Primary Structure$ ��� ,.b �
Addition:$ ' �
Accessory Building:$ � `:.
�
Deed:Vol '1 y Pg 15l�+Ss e+DFe�� Certified Soil Test# � � - ���- �, z
CSM:Vol�_Pg�Z�Lot# 3�_ Sanitary Permit#� H T �i- � �Z� � �
Plat Envelope a Or: � �
Condo Vol Pg Yeaz Installed: I-r t' i1��+'� c�
�� � �
"Loads and Flows": Vol Pg Owner When Installed: `� �
:,,
Previous office approvals/actions: �
Variance:# LUP:# O( -40D SP:# CUP:# �
�\�
Inspection Report:# Change of Zone District:
������,
�sas�
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. Cca �'o' #2.
#3.
#4.
Size 27' &" ft. wide
ft. wide
ft. wide
ft. wide
?W4 ji ft. long
ft. long
ft. long
ft. long
Floor area (c 7 sq. ft.
sq. ft.
sq. ft.
sq. ft:
Hgt from grade to peak
ft. hgt.
ft. hgt.
ti
ft. hgt.
Stories
stories
stories
stories
# of bedrooms 1 4- o ff,, I-a-N
4-
!)
D
-------------
Fire Number and Name of Road
1. Enter lot dimensions and indicate north by arrow.
2. Indicate the location and size of the requested construction
activities.
3. Also, indicate the location and distance to the well,
septic tank and drainfield, wetland areas, lot lines,
centerline of the road and waterbodies.
,?-7/ 70
Sl nature -ofOwner or Authorized Agent:
j Signature
Print Name: 7R, �,
The above certifies that (he listed information and intentions are
true and correct„ that all work shall be performed in compliance
with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
acting as owner(s) agent, has the permission of the owner(s) to
perform the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspection.
Permit fee: $ �5
Total land area within 300' of the waterbody: (A) /D Rio
� �
/�i � -
/ 7.1
�� •5.5 WHITEFISH �. i
LAKE
�' �7.3
,� �7.4
.75 I
� r
�7.6
4
�8.20
:0�9
:8.1 L• '� :B�$ I
:82
Z •.0�1 :8.1 �
�8.3 =
0
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D� G .g2 �.
���Z ��F "8.� �8.7 �
'�' 2 �
•8.11 �' �8.12��� �8.5 84 I
UPPER , �8.10
HOLLY �8'�� 2 �
LAKE :8.22 � .6 `r '� :8.15
.13.5
.��.6 � = r �8 8 :8.9
.13.7 ; '
.13.4 .13.3
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:.� :I.I2 OWER� � �B :i.a
=a
��s
� ��� :1.5 ` �
� HOLLY "
/ s ' �
LAKE 3 182 � �' :1.6 `
i.s :i.0 �� -
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SCALE: I INCii=400 FEET \��. ��ASSESSMENT USE ONLY NOl
DRAWN BY: DATE: �"1NTENDED TO SHOW GONCLUSIVE
COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOGATIONS
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- nro+,�e om�. 1, 215 8 8 4 '
sawre�couner J
Receive�lo�rc<ovd ttre � tlaq d -
�� j�4�.AD18 rat /lJoebck �
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r e-'F�'"Lrs. oG�D���� .
Pepia[¢
SAWYER COUNTY CERTIFIED SURVEYMAP
G.L. 8� Sec. 2 T. 39 N.� R. 9 w.
1� e
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Q o � \jT
6 - \ tn.f�
0�0 pa � h /
� 00 y 9s� \! SCALE i'= 40
o�'O 9\ 9
ao _3 `�y,� \� o' 4o Bo'
�� �ti°j � \ • Set 3�4�� x Z�,� I.P.,
ya i'3� \\ wt. 1.1j lbs/ft.
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29,833 s( 66 � '
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a
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3 o �f io� o
I �NObE45EVEHT h �
P � I ry
� a
m � I Ezieting Parcel
N
P NO.P.O.W IIn� NWV TO N �
" � I �` � W
�O' N m
i58.2fi 80.00'
N86°IB'OO�E 23826� 3�7�50PLAT;�
N 2°39'00� 3133B�MECU.W�n
SIIR9�'YOR'S CF.RTIFZC9� ��� �wr io_ ' _ _ 31pp' S 86° ie'w �
I, LYLE L. ELLIOTT, regietered land eurveyor hereby certiYy� that by the coN�iva�
direction of MARY LEdIS, and JOFIN ZAK, I have eurveyed and mapped the land parce which
ie repreeented by this Certified Survey 1^ap:
The exterior boundaries of the land paxroel surveyed and mapped ie described ae followa;
"A pazt o£ Government Lot 8� Section. 22, Townehip 39 �'orth� Aange 9 West� Town of Sand
Lalce� Cotmty of Sawyer� State of Wieconein, and more particulazly deecribed ae followe;
Co�encing at the meander corner on the Eaet line of SecYion 22 and the Shore of White
fieh Lake, thence S 2°j9` E 11y2.72 feet; thence S 86°�B' Y1 j1j.j8 feet; thence N 2°29� W
39.00 feet to an imn pipe being the point of beglnning; thence tT 2039�00^ w '103.ty�
feet to an imn pipe on the ahore of Whitefieh Lake; thance N 66°ly�'lyly" W on a meander
line of eai� Iake 79.66 feet to an iron pipe; thence t7 ly6°14'S2" '�' >>3•78 feet to an
iron pipe; thance S 4�°39'29" W 98.lyly feet to an imn pipe; thence 5 4°29'�4" W 155•8�
feet to an iron pipe; thence N 86°78'00" �` 2j8.26 feet to the point o£ 6eginning, eaid
parcel contains .9j acres more or lees, including all land fmm eaid meander line to the
vatere edge, and eub�ect to any easemente or restrictione oF recoxd.
Z have fully complied with the pmviaione o£ Section 236.34 of the WSeconein reviaed
Statutes and the subdivieion ordinance of Sawyer Coimty in eurveying znd mapping same.
�"��i:;1�j,y , -1 ���� �_ai.�
�
, '���� '=,^��� L �� .r.. �r,r,zarr�x L s. i3oo
� =..��"���-.�;. ..�_.;� Date: Auguet B, �989
= ' I hereby certify that thie survey ie correct
t t`�'^-`�� •"� ; to the beet of � ]mowledge and belieT.
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SAORELAND PRESERVATION AGREEMENT
(Shoreline Vegetation Protection Area)
Land Use Permit No. O�I-3 2 z (To be entered by the Zoning Office) Index No. Q-_���
WHEREAS, (list all owners) ���S Y ��{ F�b �L��/�
,
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.
T 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' landward&om the ordinary high-water mazk of the waterbody.
qThe 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
o the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized
� representatives of the Govemmental 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 struchue(s) or uses authorized by said Land Use Permit and to deternune if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate
n( on the date of expiration of the land use permit. However,the owner's obligation to maintain the SHORELINE
�I 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 Pemut and the removal of all
Qstructures approved by the issue of said Land Use Pertnit 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: Lot 2 of CSM vol 13 pg 12 located in Gov't lot 8
Section 22, T 39N, R9W, in the Town of Sand Lake, Sawyer County, WI
026-939-22-5808 ,,,�^ —
Dated this � �S day of b! C�m-� , �,(�'✓�
�r��G=-�Fs/•1 ��\''!L.,'�- ,4 CA��� —
(Owner) � (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Offtce
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