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Home My WebLink About026-939-14-5135-LUP-2004-495 - Application for Land Use Permit(*Shoreland*) _ ro-/ o - County of Sawyer �, � PO Box 676 -Haywazd WI 54843 715/634-8288 � �1 *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. /�` i CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT-USE BLACK INK OR PENCIL q� /�� Q^"'L.''�o-.-� �%X�-e.�-,�4—�, /�C--S Cr �9Za-'�� -1-i✓� � � � Owner Builder ¢: i ��5 ��° !1� N�. l�� '�� i� i N� � Mailing Address Mailing Address � O � ��n�o-�-��ti �-n.�,. • Ssvy7 S�-,t� C=�'k , C�.;,� �-t,�,,� � City,S ate,Zip City,State,Zip Co ��- 3�8 , o�i r//5--� 3�1 -�</FI— Daytime Phone Daytime Phone �v� Additional Information: Zone District: ��2 � � y Lot Dimensions: ��/ x ��v � Date lot was created: Acres: / �� '� "� Is there wetland near the proposed structure?If yes,how faz o �� Building Land Use Floodplain:O Yes (X)No � �� (x)New O Filling Chippewa Flowage:O Yes (�C) No � O Addition O Dredging Driveway access off of a(Check one): x� ( )Alteration ( )Grading (Xj Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � 0 0 N � Primary Structure Accessory Building Addition o � ( )Dwelling (�Garage-attached/d ach ( )Deck � O Yeaz round (�#of car stalls O Porch L, ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room �o ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen N � ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlarge � ` ( ) ( ) ( )#of new N � n Additional Information: � `� p w w s � � � 0 Type of Construction: u, � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � � � ( )Other a � �. I � Construction Cost:Primary Structure$ � V � -� Accessor,;Bui'.d',ng:$ �O� °z �' `� Addition:$ � �o w � �' Deed:Vol 77 3 Pg 'f`f 7 Certified Soil Test# p� _a,,�3 � z CSM:Vol �9 pg /7�F Lot# �� Sanitary Permit# �►- 3.�3 °Q 7y Plat Envelope Or. � � Condo Vol Pg Yeaz Installed: �, "Loads and Flows": Vol Pg Owner When Installed: � � 0 Previous office approvals/actions: � Vaziance:# LUP:# SP:# CUP:# y� Inspection Report:# Change of Zone District: �j 8i��a�u3� 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. #i. C��-C-' #2. #3. #4. Size .-}� ft.wide ft.wide ft.wide fr.wide 2 G ft,long ft.long ft.long ft.long Floor azea (0'7� sq.ft. sq.ft. sq.fr. sq.ft. Hgt.from grade /`J to peak ft.hgt. ft.hgt. fr.hgt. Stories / stories stories stories #of bedrooms —o /Pond/Flowa eBiver/Stream ame �-' ��°'<< J �C `'�,u W �k�� N �o � I � P �) _—_—_—'__—_-__.'__-__'— �� _— _— _-j 2� '�' < �' � y✓� u. �,f i N�g� Fire Number and Name of Road � �''� ^� ��Z Y °"'�� "�Z 1. Enter lot dimensions and indicate north by arrow. Sig ature of Owner or Authori7�ed Agent: 2. Indicate the location and size of the requested construction z„ /1-c��z-�=r �� Si aNre activities. /V� PrintName: — 3. Also,1ndlCate tlle IoCation and d1StanCe to ttle Well, The above ifies that Ne listed ormation and imentions are true and correcL,thal all wo�C shall be peAortnetl in compliance Sept1C tazllc and dl-alnfield,wetland areas,lot Ilnes, � � W��the requiremenis ot the Sawyer County Zoning ONinance and lhe laws and regulations of ihe State of Wisconsiq and if centerline of the road and waterbodies. aceoy as owoer�s�aqent nas me�e��ss�o�or me o�,e��s�co peAortn the work 2quested on this application. The above personsls he2by give permission for access to the property for S ansfle inspectian. Permit fee:$ To:al iand area within 300'of the waterbody:(A) �0,Od� Total impervious surface area[including this project](B) a 38t'> (B)/(A)x 100=%Used '7.9°7c (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?(�C}Yes O No September 13, 2004 - Issue Date Signature ofI in gent September 13, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: TOWN � OF SAND L� SEC 13 , T 3� N, � 9 � , . f ! :1.9 :1.8 ' :1.10 WHITEFISH � �� LAKE :,., :2., ��O .�,' :2.2� :2.17 :��•6 :* :2.3 'S �I.r v r t�.�-t:2.32 .83 :2.15 :1.4 •: :2.18.�� - , � :2.14 :2.4 :1.3 :2.19 :2.13 :2.2 � :1.2 s :2.5 :2.36 :2.30 ' :2.12 :2.6 .3.2 � .3.7 :2.21 ' r-.3.3 :2.34 :2.7 I :2.22 :2.38 �2.�� :2.29 :2.37 i :2.23 :2.8 .3.4 � :2.24 �2�5�29 + :2.25 � , .3.5 � :2.26 � :2.11 � �r :2.27 "�� v ,.- �' o�� .3.9 � � � - ` �` :2.28 � � :2.10 .3.6 :2.39 " / � 15 16 �s.i� 13 14 �� :�, ;12 ,� .Q , ,,� 6` � • �� `'�.�� 32 1p '� . .s.� e 9 �, ' . �� .��Q �3.1 a �, � � , , , . . _ .12.2 .11.2 .11.1 .11.3 .11.4 .12.4 .12.1 .12.3 . .12.5 � � G�r��iFt�O 4��v��( MA� �r� e�„ o�crn�k �ok 1 ��c��o�t �� wa ark � 'a��nwu,� �a�+ Su,('«��3 _�13g__�- W 1�� s�_ �xa (nkc 4au�ve��n . w��E F�S� �aK� " �U6. _ _ — —r o _ '�- ;ae'! i - v.'� � _t _ 'oy y �i_. h� tei'c y �'f � y'E, w ° � ! 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(.� 2 � / � SHORELAND PRESERVATION AGREEMENT �-Intact Shoreline Vegetation Protection Area) Land Use Permit No.� �l -��j (To be entered by the Zoning Office) Index No. Q�-�C�lg,� WHEREAS, (list all owners) �, ,r�o�-�--�, �,Q�j p�,,,,,.y,� 3 �� p�� J Qowns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and �C WIiEREAS,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 Pernut, that tl the SHOIZELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance �1.. with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. � 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. T'he owner(s) further 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 determine if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will Q authorize, in addition to other penalties and relief requued 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. � : � Legal Description of Property: _�?'` / �, L�S� i 9 p� �� y C�'y,� �C .�`6 f 3 j � f� �, �3 ,� � y 7�-�� sf� �`3 �� t�► � �� S �� E �21n - 439-L� -51'�5 �ot,vn o �- SQnd l,a.k�e��e� C��rs�-� ��7 Dated this � day of �,�-�o�,.,�,��- � � �y) _ �.,Q-� (Owner) (Owner) ��` � ��-----_ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office