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HomeMy WebLinkAbout026-839-07-5110-LUP-2004-434 � a . � ' Applic�tion for Land Use Permit (*Shorelalld*) �-�, �_, _ 1 � COU11ty 0� J�lWyer �;� '��` . PO Box 676 - I-Iayward WI 5��43 715/634-�288 ', I� *Property that is located within 300' of a creek, river or stream or withiaz 1000' o k�l '� �� flowage, lake or pond or has any of the above �vaterbodi��s located withiil '� i� the property's boundaries. �� I� � CONS'I'RUCTION SNALL NOT 13EGIN UNTll,AI,L RT.QUII2�D P��MI'I'S HAV�,13EEN� 1:-+,��Ui��,�). � � 1'R�N7'-USE BLACK INI�:OR P�NCIL� � � ,c�in�s f� e��,fr.Pic��a !�;/��dd6f� �dc�`�� �/i��r�s _ _ :�' � (�wncr l3uildcr � ='�� � ,. _... �.�9.� �.������ �� o.z ���,� d�a_ -- " ! :� Mailizig Acldress Mailing Address i � � .� .��_ G/�/ S'y�o� ��a•�,� �%��� G�// s-���� � �� � City, State, Zip City, State, 7ip � �•.:� � � ,7/.�—�'�S�_�� _ �S� ��S= �'/� 7 --- -- '�� Daytime Photze Daytime Phone '1, Additional I�ifor�nation: Zone District: _ ���_ __ � '�� �� Lot Dimensions: �lo �1' '1�C�d_ ___ I�' 'a Date lol was created:_ l-1.cres: .�r� _ _ � � Is tl�et�e wetland near the �roposed structure? If yes, llow far � __ __ ��� �b� I 0 l3uilding T azid Use Floodplain: O Yes (?�l No __ ___ j� ( )Ne�v ( ) Filling ChiZ�pewa I�lowage: ( ) Ycs (l� No ',� O Additioi� O Dredging llriveway access off ol a(Check oz1��): �+��� ( ) fl.11eration ( ) Graclii�g ( ) Private Rd � Town Rd. �, ( ) Moving On ( )_ ( ) County Ilwy ( ) State IIwy 7 � ) _ � )_ ` ,,; _� � ��, 1'rimary Structure Accessory I3uildizig Addition �!�; �:� ( ) Dwelling (� Garage-atl<<ched/detaclied ( ) Decic ��` , :� ( ) Year round (3) # of car stalls ( ) Porch ' '� ( ) Seasonal � Storage Buildiiig ( ) �nclosed '�� �� � O I�rame built on site O Screenhousc O Living roau� ;.�; � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen " ��, ( ) Mobile/manufactured ( ) Other ( ) Bedroom � , ( ) Other�rimary structure ( ) ( ) Relocate/e�il�r�e� � � ��� ( ) ( ) ( ) # o�ne�v � � nddi[io�iallnforinati�n: � � �� (�' �o �' � '''i "1'ype of Constructioii: � �Q Prame ( ) Lo� � ( ) 1'ole/metal ( ) 131ock ( ) Concrete � ���1 ( ) Otl�er �1 ' — - — � . _, -- - a Conslrucli_ozl Cc�st: Pi�imary Strt2cture $ , �ccessory I3uilding: $ ,���Q OCi� flddition: $ ='; '� — —_ __ �i � a �:��� � Deecl: Vcl�p I _Pg y(��{ Ce:�•tified S�il T�st l� =� -- -- ,�a' %, CSM: Vol _Pg Lot# _ Sanit�ry Permit tk �`," ��a Pla�I�nvelope _ px; � ;;�` �� Condo Vol P r � , � �_ _ Year Installed: �9[�9 - — - — --.._ __ _ r., "Loads aud Flows": Vol__Yg Owner When Installecl: ;,' ''� �; —�1"�t.���S���d. — _ ___ �.. Previous office appr��vals/actions: �o Variance: t� --- �IJP:# __ S}.': # CUP: �f ° - -- . _ __ � l�lspectio�i Reporl: #�_ _ Change of Zone Distz�ict: �' __ -- $����y �� � �t3F��-I � .�- Describe tlie coi�struction usiiig tl�ese evlu�nns. List tlie diruensions of e�cli struct�at�e� i�a :� ������;��� N��P ���� • cohuun. List each stoiy, e��;h �dditiou, each alte�•ation in � separ�te colunux. ' #1 . GA�A� #2. STaRA�i� #3. '` 4 � __ _ Sizc Z� ft. wide 3� ft. wide ft. �vide f �.. ��� icic �a fC. long .SC� il. long _ ft. long C�.. lo��� Floor area l0_� O sc�. 1�t. 0 O sq. fl. sc�. ft. �;��. lt. I Igt. ii�om gcade o2CJ _ to pe��lc /� ft. hgt. ft. hgt. _ I�1 . i����. Stories __�_ l stories stories �:���,��i�:� � # ol� bedrooms � Lalce/I'ond/Flo�va�e/itiver/Strcam (Namc) _ _ ____ __ _ . �. � e � ou �;� DR�� ��,�'s Z / d . �� ; , . � - - - � h j- t7EcK �o� . �5� �S�p�IC SZ �'� ;t • , ; � � wE �c. . _ _ , tY L� L�!' 3 � l � � ` I '� ( � ` ! l� 3 � °°� +' , � \ � , �� ; � l�� � ` , G��}v��. � Ri Vf� �i��' 1 , � �� _ __ ____. .___ _ __- l�iu�e Ntunber and Name of Ro�d � 7�`S/� /�RG�/.9}� Sf�� �iY�E --- .__ ___ _ .-- _ .__ _ _---- 1 . ��nter ot imensions and indicate north by arrow. 5' ature of (�� ��er t ;='�ta iG�riz. fi �At�E��nt: 2. Inciicalc the locatioii aiid size of the requested cozlstruction ._ _ _ _ _ _-- ;�,���t���� 3cCivities. -�-�m�s 'G ,/ Print Name�•%� -- — — �---�/9,c�d vS7'�7 L�1�S0, 1riC�1C�lle 111e �OCdt1011 allCl C�1SlaI1Cl' l0 lllf', �'V011, The above certifies that l�ie li�fed inform�ifion aud infenfioi;s ar? irue and correct., that ali work shall I�c perlormed in com�liance sel�tie tanlc and c�rainl:zeld, wetland areas, lot lines, w�tr, tne requ�remer,�> o� tne ;�a�ye� e�,����,ry z�m����� ord��,a�,ce and lhe laws and rey�.ihiions of (he St�t^ o( 1���iscr,nsin, and if ceutel'line of the �'oad �111d watel bo�lies. acting as owner'(s) ayenk, has lhe pennissi�>n of ih � owne (s) (o perfomi fhe work requested un iPiis application, l�h�>> �bove personsls hereby give pemiiss�ion fo!� acc��ss +o lh�� prope-ty (or onsite inspeclion. I�CTllllt iCC: `�__�Q� � ---..___ __ _._ _._ _ _ _ ____. "Total laiici area �vithi�i 300' oFthe waterbody: (A) Co .�QDD _ Total iiiil�crvious sur�t�ace area [inchiding this p:oje;;t] (B) �ZQO (I3) / (!1) x 100 = % Usee� _ l3. � (Shall not exceed 15%[or 25% with a cot��iit.iu�_i<<I_ u;,�; r>>�;c_��,_i�: �.) Shoreline Vegetation �'rotection .Acea: Mitigation Required? O Yes � No Au_gust 16 , 2004 / _ �._ Issue Date Signature of I s �� Agent August 16 , 2005 _ 50% Rule: __ Average lZoa�l �ei ��a��i;: Expiratiozi Date O�lice Commeiits: �' p��y,� _ ���� �� ��� � � A...JI,.� . � , , `r ,� ' �- C�'` ''' ; r�-,,,=�_1 - ` , , # ��_...� �,� � � _. � � . :, �� � ��� � ��: ��� ^ . � � � �. �--�� . :l ►���,�`,;� (�-� � ��� r�,e- :2.►2 � �,�1.�=i� —1—'.- .___. _ _____ _ _ _.._.__ _. �__ __ _'- ----- -_ __._.._ _ ..__ . __ __ _ . ._. _ _ _� -- . �� �� � f _ � � :2.3 %�;��� " � f ,� � � .j � L_ /�, !'� � :2.�{ I _ r39� :2.5 . �2,� � i � �,�'�._� ( .39. •z.�'� ;2.� + ; � �: —C_� �� �� ,;�.- �'� � � �-- � �—�—�-_�.% �-'� r ,2.6` �� � � :zq � � � �' 1 � ���i � ���'� �� � , / 2 _ .s2 (' , �,i � r �°' 1-- , d � ' '� _�; ;;� �7�� l:3-Z�i `� � ��, , � ` - �- _ �� , �� I � `,.. - 2.ro ;,;a.g� ►�,,� �_,� .� , .. , � � ; � -- ; �= � �__ �,�� _ �, . � � � � . �:i �' � of, ��' �h �� _ :2.1� � �1�� � 3 4 5 `c �' , � . �.,� . �� � 7R� ' � \ �. � _�. , _ . ' , � .. _.. 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SHORELAND PRESERVATION AGREEMENT - (Shoreline Ve�etation Protection Area) Land Use Permit 1'do. � —y (To be entered by the Zoning Office) Index No. Q � -��� i �j WHEREAS, (list all owners) �i`�� �S � `� � Ti�'.����4 i�/� �,�LI�D l/�i� � 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 as the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of 35' landward 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 y 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 t� 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] -�' 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 a VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION x PROTECTI01�1 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 3— 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: �cY� f o r � S��'Tiv� 7 7-��Y �3`� � ��<� �' � � w^� o•� cS�+'� L•9�� n,2� -83 9- 6 '1- SI/D G 7 �S-O(/ /�a,��✓qy S��e� �.¢,✓,�. STa•✓.� �.4.�� �/ Dated this /a day of r/�dST , v20 o f � � ' j`C-�. ( wner) (Owner) (Owner) (Owner) (Owner j (Owner) This instrument was drafted by: Sawyer County Zoning Office � � � t ,�� �., - t±� �,. `� ��.,a�' si'� a3G' S� - ..:� Y' — � . 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