HomeMy WebLinkAbout026-938-08-6010-LUP-2004-431 %�
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 L:
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. 1
PRINT-USE BLACK INK OR PENCIL C_
� S}ei-r'�� c,..�a L� �'
ti����'� l/.�Ra�til a R.�,er���ti � �' �
R. �
�e� Builder UP-RIGHT pUILDERS,C0. °� �
DARIN ERICKSON �' ;� `i�
��l��� 7jy 5% �,k/. W1-3�M€-T-6r�DR� �' � �•�
Mailing Address Mailing Address STONE LAKE.WI 54876
�15-865-4104 � �
�ni!-IcSjEi? �1 �"i���f,� �
Ciiy,Siate,Zip C�„Sta*e,Zip �.,
�O>� c����� 699-y�oy p
Daytime Phone Daytime Phone �
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Additional Information: Zone District: ��-�
Lot Dimensions: �
Date lot was created: Acres: ,,y� }.
Is there wetland near the proposed structure?If yes,how faz o
Building Land Use Floodplain:O Yes O No �
(�New O Filling Chippewa Flowage:O Yes �No rn
O Addition O Dredging Driveway access off of a(Check one): x�
( )Alteration ( )Grading ( )Private Rd (xj Town Rd. �
( )Moving On ( ) ( )CounTy Hwy ( )State Hwy � �
� ) � ) � `�
� r
Primary Structure Accessory Buildin Addition o 0
(�O Dwelling (X)Garage attached/ etached (�Deck=Z � � _
{y�Ye:::cu:.d �3:'�of ca:s.w..s O Pc:ch v,
Enclosed = �
( )Seasonal ( )Storage Building ( ) _,
(}q Frame built on site O Screenhouse O Living room �c
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ",
( )Mobile/manufactured ( )Other ( )Bedroom �
O Other primazy structure O O Relocate/enlarge �
� � ( ) ( )#of new "
Additional Information: >
�
�
�
Type of Construction: `" �
(�Q Frame ( )Log ( )Pole/metal ( )Block ( )Concrete
c
( )Other �
/J � '�
Construction Cost:Primary Structure$ /�Ce� ,.b �
Accessory Building:$ Addition:$ � �
�?
3�I�Sz a 3z�y�� �
Deed:Vol �a Pg ! t Certified Soil Test#���, � z
CSM:Vol �' � P� �: � Lot#�_ Sanitary Permit# US�-3o 3 `� %h
Plat Envelope ��Z`� Or: �e� '��/ �`"�� o, �
Condo Vol Pg Year Installed: N
"Loads and Flows": Vol Pg Owner When Installed: � �
�
Previous office approvals/actions: O
Variance:# LUP:# SP:# CUP:# C.
Inspection Report:# Change of Zone District: �I'����
�
�,��
�'��`1I
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. ��jtJS� #2. //��I /59� #3. �TT�k� /�L1e #4. I�7�N �-t�
Size ��L ft.wide ,�t/ _fr.wide �� ft.wide �ft.wide
�/� ft.long �fr.long ��fr.long � ft.long
Floor area�Qsq.ft. I�-�sq.fr. �3� sq.ft. �sq.ft.
Hgt from grade_�to peak�fr.hgt. fr.hgt. ft.hgt.
Stories � / stories stories stories
#of bedrooms__�
Lake/Pond/Flowa e/River/Stream Name
�\ : . _._ �, 3a5o
iyy
y�
4t,td ar�e.9 '�`�i Oz 7
9�
�i,zaz �
�,5 a
�,s
Fire Number and Name of Road � ��l�JiLG�S L�l/,
1. Enter lot dimensions and incticate north by arrow. Signat of er or Authorized Agent:
2. Indicate the location and size of the requested construction ��
SignaNre
activities. r
PrintName: sQ.Q�/ f �i�G.����/
3. Also,IttQlcate the IoCatlon anQ dlStanCe to the Well, The above ce�'r ifles Nat the listed information and intentions are
We and corred.,tl�at all work shall be performed in compliance
Sept1C tatllc and dralnfie�d,wetland areas,lot ltnes, with the requirements ot the Sawyer Counry Zoning ONinance
and the laws and regulafions of the State of Wisconsin,and if
centerllne of the road and waterbodies. acting as owner(s)agent,has the permission ot the owner(s)to
peAorm the work 2questetl on this application The above
personsls hereby give pertnission for aaess lo the propedy for
onsite inspection.
Permitfee:$ � SO•<<� (y��zgz� �� �, ��� ����
Total land area within 300'of the waterbody:(A) .37AO�b X��I���`����''��'-1__��-����
Total impervious surface area[including this project](B) �� ypf���r'F��_,��,�'`JLk�,�'vf.d
(B)/(A)x 100=%Used �._(Shall not exceed 15%[or 25%�th a�donditional use permit].)
Shore!ir.e Vegetatior.Protecticn r�,rea:Miiigation Required?O Yes I�c)No
August 13, 2004 � � 1� �y����
Issue Date Signature of Issui g nt
Augsut 13, 2005 50%Rule: Average Road Setback:
Expiration Date
Office Comments:
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DRAWN BY:R.�f. DATE :7/osi
COLON (:) INDIGATES GOVT. LOT
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' � RIEDER t# :
PAULA CHISSER c � S'1737 + -
SAWYER COUNTY, WI = � BIRCHWOOD �
y *,, WI � :
REGISTER OF DEEDS �.��
3 213 3 5 '''''��hA���suQJ��o�
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05/06/2004 11: 15 AM
RECORDING FEE 13. 00
Pages 2
Y�L, 2 5 pQi 21 1
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Vegetation Protection Areal
Land Use Permit No. O�— y,�� (To be entered by the Zoning Office) Index No. �_�.�,L
WHEREAS, (list all owners) �� ('ct j t� � �i �j�< +" �� � �r So r'1
>
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS, in order to secure a Land Use Pernut.
NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Pemut, that
the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of
35' landwazd from the ordinary high-water mark of the waterbody.
� The owner(s) hereby agrees to comply with the shoreland vegetative protection area 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]
c to inspect the structure(s) or uses authorized by said Land Use Pemut and to determine if the SHORELINE
� VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate
_v� 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
I'� issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
�" Zoning Office.
i
T Legal Description of Property: �/f �T /l) �EL_ �f �iU„/ 3�(f�,P �/ LL✓
�
Dated this � day of , � �� �'
(O er) (Owner)
(Own (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office