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Home My WebLink About026-939-02-5202-LUP-2004-520 Application for Land Use Permit(*Shoreland*) _, o O 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 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 IY Cc�r�. -� v 6-N �3, Z�t�+��'R �_ , �,- >- �;;.' � � � Owner Builder a Z.E1..1 �jru�L(=e2.4 �-N ' , � Mailing Address Mailing Address �, n O SI�P.WN� M�ss�o�f .;�: , .. � City,State,Zip �Y�� City,State,Zip � Cb� �p '�,A�/.I�Oo p i � � Daytime Phone Daytime Phone � Additional Information: Zone District: �<�`� Lot Dimensions: Date lot was created: Acres Is there wetland near the proposed structure?If yes,how faz o Building Land Use Floodplain:( )Yes ( )No � ( )New ( )Filling Chippewa Flowage:( )Yes ( ) No � 44 Addition ( )Dredging Driveway access off of a(Check one): x� ( )Alteration ( )Grading ( )Private Rd ( )Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q /1 0 0 � � � IV .x � �' Primary Structure Accessory Building Addition o 0 (�)Dwelling ( )Garage-attached/detached ( )Deck � O Yeaz round O#of caz stalls (-)Porch � W ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room co ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen V ( )Mobile/manufactured ( )Other ( )Bedroom �-. ( )Other primazy structure ( ) ( )Relocate/enlazge \ ( ) ( ) ( )#of new � Additional Information: „ � � 0 Type of Construction: ( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ( )G'ther � Construction Cost:Primary Structure$ ?` � ro � Accessory Building:$ Addition:$ � �G�= � �?!-14�; £��!-zi 7��-u.� � �. Deed:Vol - Pg Certified Soil Test#9Y*y53; P9•tapy;�7./b(� z CSM:Vol Pg Lot# SanitaryPermit# -17l'�f-17(c'c�'e-cx'�' °4 '7� Plat Envelope Or: ��i � -t`�/ � "��'� � � � Condo Vol Pg Yeaz Installed: �;, "Loads and Flows": Vol Pg Owner When Installed: � � � Previous office approvals/actions:��`T'� �,��..y3y 28 5� 9b-s�s � Vaziance:# LUP:#J�;��P:# CUP:# (` Inspection Report:# Change of Zone District: I��,� a�5�� 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 columa #L #2. #3. #4. Size ft.wide ft.wide ft.wide ft.wide � ;� fr.long ft.long ft.long ft.long Floor area sq.ft. sq.ft. sq.ft. sq.ft. Hgt from gade ` to peak ft.hgt. fr.hgt. ft.hgt. Stories I stories stories stories #of bedrooms Lake/Pond/Flowa eBiver/Stream ame .� 1 ✓�, t „"!"� ��{�=' t��_j \� i -L- Fire Number and Name of Road 1. Enter lot dimensions and indicate north by azrow. S atur of 0 ner or Authorized Agent: 2. Indicate the location and size of the requested construction ' naNre activities. Pnnt Name: V �'� 3. Also,indicate the locatlon and CliStance to the well, The above ceNfles ihat Ne listed intormation and intenticns are We and correct.,mat all work shall be perfortned in comoliance Septic tank and dralnfield,wetland azeas,lot 11nes, with the requirements oi me Sawyer Counry zoninq ominance and Ne laws and reguWlions of ihe State of Wisconsin,and A centerline of the road and waterbodies. acr�9 as ow�,er�s�a9ent nas me�e��ss�o�or me ow�P��s�to peAortn Ne work 2quested on this application. The above person�ls here6y give permission for aaess to the pmperty for � D� onsite inspection. Permit fee:$ �J' Total land area within 300'of the waterbody:(A) 3�s,ScG� Total impervious surface azea[including this project](B) (B)/(A)x 100=%Used �3°'10 (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes O No September 20, 2004 — _ Issue Date Signature oFIss ' g nt Septemaber 20, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: TOWN OF BASS LAKE I . I \��_�� COURT OREILLES LAKE I 1 2.2 � 5�3 2.� SGALE: I INCH=400 FEE DRAWN BY: MK D COLON (:) INOIGATES GO S SHORELAND PRESERVATION AGREEMENT � ` S�''J (Shoreline Ve�etation Protection Area) - • � Land Use Permit No. Q y—�ZQ (To be entered by the Zoning Office) Index No. �- J��d WHEREAS, (list all owners) Woodland Point Corporation / Hugh Zimmer . , N _-- _, owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and �HEREAS, in order to secure a Land Use Permit. 0 � 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 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 off'ice. 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] � 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 Qon the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE VEGETATION PROTECTIO?� A�A 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 T 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: Part of Gov ' t lot 2 Sec 2 Township 39 N , Range 9W Town of Sand Lake , Sawyer County , WI 026- 939 - 02-5202 Dat this day of � 2.-0 � , . (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office