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Home My WebLink About026-939-11-5111-LUP-2004-473 Application for Land Use Permit(*Shoreland*) o� '�, County of Sawyer � POBox 676 -Hayward WI 54843 � � 715/634-8288 �J � *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 boundaries. � � - � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. __ � PRINT-USE BLACK INK OR PENCIL , �n.;,: "l � � � `P��S;>t� �J�i�U.;._' a �L :� C� i'1Qf4 �� C�� ri��, ��1 � � Owner Builder p- � �ox ��'7 y - �+ _ o� Mailing Address Mailing Address � O � �l I.v'�� : �lu�� u(�''i _. �''�, J '--' � City,State,Zip City,State,Zip � � �� % Daytime Phone Daytime Phone Additional Information: Zone District: J�C�� r�� .�,. , Lot Dimensions: Date lot was created: Acres: ' �5 � t Is there wetland neaz the proposed structure?If yes,how far y 3� o � Building Land Use Floodplain:O Yes O No � ( )New ( )Filling Chippewa Flowage:( )Yes (� No �o � (�Addition O Dredging Driveway access off of a(Check one): � �� ( )Alteration ( )Grading ( )Private Rd (?O Town Rd. � O Moving On O O County Hwy O State Hwy 0° � ) � ) � `� Primary Structure Accessory Building Addition o � ( Dwelling ( )Garage-attached/detached ( )Deck � � )Year round ( )#of car stalls ( )Porch �;, -' ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room rn ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen v ( )Mobile/manufactured ( )Other ( )Bedroom 0 ( )Other primary structure ( ) �Relocate/enlazge e' ( ) ( ) )#of new ' >> AdditionalInformation: i p = m t � Type of Construction: ��' Q�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ( )Other � Construction Cost:Primazy Structure$-� ' � b Accessory Building:$ Addition:$ � �.3 M� Sa� $2,5/(a9y � i: Deed:Vol �f�� Pg �(y 3 Certified Soil Test# �3-•pZry a z CSM:Vol Pg_ Lot# Sanitary Permit# �/-Qy2 "° 7� Plat Envelope pr; " � � Condo Vol Pg Yeaz Installed: N��,i;� - ;,�C>c�ij N � "Loads and Flows": Vol Pg Owner When Installed: � � -r �, �avi-i iz�; vCLCob�i��Fil Previous office a provals/actions: 98-3 oca. 95�z� Variance:# ''9��;'7� LUP:#�t.3/5� SP:# CUP:# Inspection Report:# Change of Zone District: / ��25�� 2 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. #3. '� =� �, , #4. ��_ Size�_ft. wide _�ft. wide a_: ft. wide ft. wida 4 i x �o� ft. long _�ft. long fr. long 1 Co ft. long . il n. �I Flooi azea 10 sq. ft. -� �� sq. ft. ' �� sq. ft. sq. ft. Hgt from grade /a� to peak �a � fr. hgt. �.:, ft. hgt. �S � ft. hgt. Stories � �_ stories ' stories �_stories # of bedrooms� ' a�,.e 'c.�:;; r.� , � D7� Lake/Pond/Flow e/River/Stream Name � �� - - 7 3t Pe .�^O -°��? �,�<,� �` � /G� . . .2�I 'i . z , ➢., Z I� � i Zo� �^ , i ' ' 0 Q �'�v ,�' � � � n '�yo' .,. Y I ' � ti\ � � i � I ' � , � l� J _ �L ra � � �. � � � � , �� K � l � �� tv i i I � "^i I�. . � I_ � \\ fnP� ne 6' . . $ 16 ' � � �� ) ,�J`'� 1 . r N, L l \ ! � � � ,l ..�.,.. �... ._�� . . �� .-� �6. � � v�tvs �c;i.%- FireNumberandNameofRoad (oBPDN �(C'�C`��t t'ip •� �' � �.�i_':c 1. Enter lot dimensions and indicate north by arrow. Signature of Owne or Authorized Agent: 2. Indicate the location and size of the requested constnxction _ — ignaNre activities. �\ p PdnWame�� r�l '�� . � ��to��S4�1 3. Also, indicate the location and distance to the well, The above cerGfes that Ue listed information and intentio r�sare true and corted.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, w�tn me r��remB�� or me sewyer co��ry zooi�y om��e�ce and the laws and regulations of the State of Wisconsin, and if CCRtCI�lI10 Of Y.�1C i08d 1lld W3tCibOa18S. acting as owner�s)agent has the permission of the owner(s)to perform ihe work requested on this app�ication. The a6ove persons/s hereby give permission for aceess to the property(or onsiteinspection. Permit fee: $ Total land area within 300' of the waterbody: (A) ci c� . `7C(� Total impervious surface azea [including this project] (B) o� '"�I i• '7�, (B) /(A) x 100=% Used � 3.�;�� '!c (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? (� Yes O No Rt�ntPmhPr 7�� 1 � I ��_�� Issue Date Signature of Is �n�A ent �j ✓�r�,�, ,� September 2, 2005 50% Rule: �� -G�' � Average Road Setback: Expiration Date . Office Comments: ��'��v�'�'• ��T�<S i,v�CGGYt.Or�.GCG- wi�j l�2/ 9�I 7.C' �.yj>P..� �,( d� /7-z Qd',1 �t�'.ro Y-2/— �� O F � � � .� TOV� N � N S CC. I i TWP 39 N . C.S .* bIS VoL . 3 PG. 2a2 :1.15 • I.�, 2 . ' :1. 11 'I . l '1. 13 • . . 19 '1•7. :1.14 �'�'� :� .�s , �•5 C O U RT O RE . ►.�� • �'8 : � � AIKENS BEACH ` \ \ • ,�¢ .` . I � � cRYSTa� BEacH � \ :23 I�/1 U D B AY � \� :24 ., , �� < ' � �-L � � �� ` V fy :2.13 \ /'v F,� D - � / � �� T :2. 2 : 2.s 1 � � � � � � � � � � � �-� : � .3 � �� =�� ' : � .2 : I. I : 7.1 :6.� :S. I z ;(�•2 ; SI30RELAND PR�SERVATION AGR�EM�NT (Non-Intact Shorelinc Veeetation Protection Area) Land Use Permit No. Dy-�/'x� (To be entered by the Zoning Office) Index No. �-� WHBREAS,(list all owners) ��:J�;�. `�Ctc`GJ t��, �r3.n�'r°``�° owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and � WHEREAS,in arder 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 shall be restored in accordance �. with the Mitigation Plan and Implementarion Schedule approved by the Sawyer County Zoning Department. 'Q 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) fiirther 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 deterruine if the SHORELINE � VEGETATION PROTECTION AREA exists and that it is being preserved.Violation of this Agreement will p authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, � injunctive relief,restoration of said real estate,the revoca5on of said Land Use Permit and the removal of all h 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 Pernut. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. L� ., n �- Legal Description of Property�o-t� o�:, ''x�V Q:t"i7 t},,�.�-, i�c�� , �.�C, �,`�T3q N �q'�cl �+ c t n , �yl �Ol�v, Oi' �;�� 0.� �O' �.�' C.�J ' 1�115�L(151Y1 _ 1 O Datedthis ar'J+h dayof �v.e,,.�,_5'� ��t:,`=�; �cz,�b h 2. �c,..��zl*o� �' c Owner) (Owner) — f`�� (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office � �'d�� ! '��`� 1� l� M 'j' '��,`:ie �!°qn %!� t - . yh s `� I _ -~'�' ��. :� � ` .. ;2 �� j�f ,� � �:• ` c �; �} • il't. ��Yw .`�' � "'F' .�.s:, :'.�' ��:i . ��h.� ?�2 `y' � ' - R � {�',F'. , � r ' . , ,. �:� � '�� . � .�w:: � y �: , � � ;?'�� " � s•' e=, . y ,. �t . n I �. �� • i `�� '� ,