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Home My WebLink About026-939-27-5208-LUP-2004-528 . Application for Land Use Permit(*Shoreland*) /` r -� County of Sawyer ° � O 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 z � flowage,lake or pond or has any of the above waterbodies located within the property's boundazies. ' CONSTRU�C/nTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. !7/r�S /-'Kr pRINT-USE BLACK INK OR PENCIL (� � � .�OHN'M.4GeeonT• Sn�;Noe�zS S"tE�E � RuC�E � Owner Builder a: � S �l�G� Cw��roN D� • 1��,IOI W Q I�er��t Rd • �� Mailing Address Mailing Address � � O� � jHoeeviEw t�w. J�/aG. �iU/-�F �KE� V�'L . �`�7J14� c��o City,State,Zip City,State,Zip v, ��5/J ��1-O�I�J �'(oS' �/l000 Daytime Phone Day[ime Phone m A Additional Information: Zone District: �R � Z� Lot Dimensions: Date lot was created: Acres: (.1 � Is there wetland near the proposed structure?If yes,how far t`1n _ o ,^ Building Land Use Floodplain:O Yes (�No � O New O Filling Chippewa Flowage:O Yes QQ No � �Addition O Dredging Driveway access off of a(Check one): � �{ O Alteration O Grading Q�Private Rd O Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy �' � ) � ) --- � � Primary Structure � Accessory Building Addition o ,°�.. (p�Dweliing (j$Garage-attache detached ( )Deck � ear round (�#of caz stalls (xZ Porch b, �' )Seasona ( )Storage Buiiding ( )Enclosed � O Frame built on site O Screenhouse (5O Living room cc ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ;_', ( )Mobile/manufactured ( )Other (�l Bedroom � ( )Other primary structure ( ) ( )Relocate/enlazge ,� � � ( ) (,�)#of new E� Additional Information: P � � � 0 Type of Construction: � � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � �. ( )Other .� Construction Cost:Primary Structure$ .ti � Accessory Building:$ -�0�O(7 Addition:$ l FSO t'C�O � :.� � `� #�or� `�p recV-�-\S 'k xt Deed:Vol �153 Pg�_ Certified Soii Test# D y-333 �; z do ,�y CSM:Vol S Pg�Lot#�'� Sanitazy Permit# ��/-bCDB � Plat Envelope Or: � � Condo Vol Pg Yeaz Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � � Previous office approvals/actions: Vaziance:# LUP:# clS�-,5/� SP:# CUP:# AL Inspection Report:# Change of Zone District: ��3��'J7 �j� �°I CSo , 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. BP=�meNr uNUFR #2. R�c�..d;c�++ . #3. CjA�2hr:'e #4. �v Ew�N. Size �y ft. w�c�e �ft. wide �ft. wide ft. wide �1 fr. long H� ft. long � fr. long ft. long Floor azea ��6� sq. ft. �sq. ft. �S�sq. fr. sq. ft. ,c�r, �w-- Hgt from g�ade��to peak ��,� ft. hgt. �3�fr. hgt. ft. hgt. Stories l A��v� stories stories #of bedrooms�_ � a aJ�,�;� �_�F °. � -��,��-r � ��.'>�� k' Lak /Pond/Flowa e/River/Stream Name � � �/ � �. 7i ' �� ` ��M Eri�s,�a�-.�.�''/ r�. �, T .a� 5��'�w �� ' � � 1-P � E:.`� �N� ce `\ (t!C`'`, n io OmE"` i � ' �0� i t� o��K. , j � ! „F„ �`e OE;,r� � R Fdb' \� .. � �'�� h� _� G �, � � � P ONtu� 'F � �,;,. \ � �PNN � NE�e aF;F�D � i a �,w� �5 �G � ��i � , ?0' W�d�e �`' �rt uu,�t road Fire Number and Name of Road 5�0'�o N 1-�AM - L1o��v Orz 1. Enter lot dimensions and indicate north by arrow. 'gn ture of wner or Authorized Agent: 2. Indicate the location and size of the requested construction SignaNre activities. � � SA�;�vDFXj nnt Name:-�-k7�-1� 3. Also, indicate the location and distance to the well, The above ceRifies Nal the listed infortnatlon and intenllons are hue and correcl,ihat all work shall be peAortned in compliance septic tank and drainfield, wetland azeas, lot lines, with ihe requirements of ihe Sawyer County Zoning Ordinance and ihe laws and regulations of the State of Wisconsin, and if centerline of the road and waterbodies. aa�os a5 owner�5�a9eot nag me�e��ssioo or me ow�e��s�ro perform Ne work requesled on Nis application. The above personsls hereby gNe permission for access to the property for onsiteinspection. � , �;�, Permit fee: $ �C"� ' Total land area within 300' of the waterbody: (A) �(o S5 � Total impervious surface azea [including this project] (B) ,77G `� (B) / (A) x 100 = % Used 7, J �o (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes �No � �� — September 23, 2004 � � � - 1 Issue Date Signature of I ui Agent September 23, 2005 50% Rule: Average Road Setback: _ Expiration Date Office Comments: AKESIDE ADDN Z' �8 ' ' � �i,, , '222 2. 1 .y� �� L OWER � '" � °.." �� ,� � �� , �.� / :z.ie s.• L •� � • ) H 0 L LY � . :z.b ,.. :z:� � / ;Z.,3 JJ J 2 � � L J�� J(.�2zi � :2.t �`�- �� /� f :Z. ; �.� �-�► KE /f r ,�.,o :z.z Y�/� . /� :Z.4 .�, <,, , r�- .,-- �� f 1 ; /� �z.i �, t :2•5 r 2.14 � \� �.� '.Z 4 J :2.zo � � � �2�3 �1 •�'k �' �i ,� :3.3 :3.7 � � � '� � �� s� •�g , ¢ l ,, �� .� � 1 � �3S .� � �, HANE � � � � � � � �� j � �� , :a.8 I ),� � f 8 �� LAKE � :3.� � � 1 .s.� : 3.z l ! f �3` O � 2 :3.4 �))! � s.3 :5.0 :5.�0 ,., l�{ :S.zr r �l� 9.3 � .= j1 �; :5.�z ' l �° 1 :a.�t �i .o8 2 � ;51 / \� :4.1 :4.i4 a�•5 :5.9 �� :4.5 :`/.!o ..//8 :�2 ' � �� .S•Ii (.,� .� � �5. � �� I :5JT I' I� 1 �� 0� � 3 =5.,_, :�!•8 :y1 v .9.7 � � ' Yiz �Y.2 :5.19 , � ' z ,� " :5.14 � i ��? OL-1 �, --. i �y :4.17 � �5•5 � , ' .z.9 �5.1 2 :y,2 8 � , � � � :�FJ3 - I : 5� �- :5.8 Z /� � � :H.T `:5.7 /f '\'�� t ,, :y.4 _ � < ;'s :H•is � �3� � � ��\ g ��y :H�3 7 :y.0 � � � p� � � � - _ �'_ - f( s , �, + �� s � - ' J � � �" N.�a C � �34+ :s.i� • �I � , i � ---- , , 1 r Z :�.� ��z . � ,. 6 :5.,5 = � 1� � � 1 � ��i, :9.2� _. y : 5.3 3 � � � i ) � :y.y 1 ( . �9 : 510 + �1� � �� g . :H.II RG. Il _ _ ' _ _ . " " ' - " I� " ��^� r/�Pf • CCrCc\Ir�IT IIC� l��11 v •1 /\'T � � , SAYSIIt COIINTY CFRTIFIID SURVEY NAP NUMHE�i SCAL£ T— i�T— 0 100' 20b' LfWIIi HOLLS LAKE . `�__� � � "� i � /�/J �� ' N 25'39'17" E` //.Y 151.60' s �� J / �t o�j s�. N 9 � �_u� aW^�/ 00 � �`� • . '1 'J N � �1�/^�W'y � N � � �: ry / � O� l� �� S� p� N �6�3� �29•oy,�� T ' '�^ .y3�. 4,a c �: IAT 1 IAT 2 S }( cor. � �'�'� ?' uMi t 1 ac. � ; -!1.3 nc. o - lot 1_CS,�1_ "�� m� `O �^ � � �4 v4-Pz83, z ^ io Nz8°56'�4� N 4�°26��4,� � — � �° �5s � z _—�, L • 1 �5�3' � ��. L�atn pri.ate road✓ ' ' - to Ham Holl� �� p � = 3/�" z 24'� round iron rod� Drive 3 � . 15j�� .508 1De per St. ",�� " .�- o lo O e 1" iroa pipe� fou¢d � � �Q�y_p�� , �^ .�.' : 20' a0n szGluei�e eaeenent Zgl� to othere for ingreee ead egtess. � � �T K � � y ^ �� Beariage are trve, beeed on � N�.1.1 ae. � + �.5 ac. � aolar oMer�atioa. z ZyM�" � � �,M � a 2" iroa pipe with bxtias a5�� v� cep� found �� 34• ' y W . ` � ��" .u6'� : � '28•7i� 23� q ^ �N\pMp�1 �� '6 i M r`'�9GONgj�.,,� h . � ��S�i��'`- : _�_� -� \ � � ;, y ' r KEI7H R� ; � � M ��t�� N � VREELAND � (/�� '1 ` 5�931 ��i � ��Q� '�A� �� Mp3�UEE I� HAM LAF� �� % � WIS. j 0 � \ ,'�9y S •�, � • � \ $ �ph � � \ \ OV6'R � ^��/ :::r'iuw' �:�.��f :+..7� � V _ �.-_. (-,, ��``�' �� 39� n �� '\ � �.r�A...�� T�'� .Ze.�.... `-�ia,.e-y3c (r� Q�•... SHORELAND PRESERVATION AGRE�MENT (Shoreline Ve�etation Protection Area) � Land Use Permit No. C''�I—J'�z� (To be entered by the Zoning Office) Index No. �- 52A WHEREAS, (list all owners) 3oH�� t�!\ a,-„ir� ��r� � ��au n1�2S � 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. � d 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' landwazd from the ordinary high-water mazk of the waterbody. OThe owner(s) hereby agrees to comply with the shoreland vegetative protection azea 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) fiuther agrees to allow authorized y 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 d 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 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 Oissue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: S e c. a`7 T � -r"i R 9 �-�o� - L�r 1. Lot 4 of Vol 5 pg 396 Certified Survev �P Town of Sand Lake,Sawver _ county, WI 026-939-27-5208 _ Dated this 3 / day of A v��s� �C!'xf �p � (Owner) (Ownex) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office