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Home My WebLink About026-170-00-0400-LUP-2004-592 1 � . � . 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 ��S 1�f��` the property's boundaries. � � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT-USE BLACK INK OR PENCIL � _ I� /� ��-.�f r �.�.�C t,� ��i�.s � � �� n E� r �1 � Owner Builder Q- c; �.50 �o,�.��.,a �9� �l�/�i��d L-.��'i. .�� _ o. - . Mailing Address Mailing Address � � -�� ..� /�f�� Ss /��2 S�...,� �„a .l'� �-�,l S�yr �l 11� � , City, State, Zip City, State, Zip Q � Z � � ,� � �?i�-f,��.r=�7� l � M Daytime P ne \� Daytime Phone ' � Additional Information: �one District: �,�- � � � "'^ � � � Lot Dimensions: C Date lot was created: Acres: l. �JU� Is there wetland near the proposed structure?If yes, how far o Building Land Use Floodplain: ( ) Yes (�No � ( )New ( ) Filling Chippewa Flowage: ( ) Yes (7� No � (�Addition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd (v�-Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy � l � \ � N � Primary Structure Accessory Building Addition o 0 ( ) Dwelling ( ) Garage-attached/detached ( ) Deck � ( ) Year round ( ) # of car stalls ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � O Frame built on site O Screenhouse O Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other (�Bedroom � ( ) Other primary structure ( ) ( ) Relocate/enlarge C � � � O O # ofnew �. ► AdditionalInformation: o � � � � � � Type of Construction: ' (�(j Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete C' � ( ) Other � y Construction Cost: Primary Structure $ ,.b � � � Accessory Building: $ Addition: $��C�r��) � � � � Deed: Vol��Pg ��/ Certified Soil Test# OY-3 7�7 � z aa � CSM: Vol Pg Lot# Sanitary Permit# �y- 'y0'7 � � Plat Envelope �r� /1�� l�4� O1 Condo Vol Pg Year Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: �? � .� 1 Previous office approvals/actions: �,, ti Variance: # LUP:# C� j - SP: # CUP: # �, � Chan e of Zone District: � Inspection Report: # g � �� 3s , � . 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 ft. wide ft. wide � `/ ft. long ft. long fr. long ft. long Floor area ��3.,� sq. fr. sq. ft. sq. ft. sq. ft. Hgt from grade /,5 � to peak fr. hgt. fr. hgt. fr. hgt. Stories _� stories stories stories # of bedrooms / Lake/Pond/Flowa e/River/Stream Name f .,' � � � , 7�• � � .;. � / ��z�� ____ L/ O 53 ,0£c/C __ �Q�`bt 1 I ��, 60 ' ' ,�d�-1 ' 1 � ��r� ��u� � �� , � , Su� � / s _ . . . _ • w:b /fj 2 �, r, � C I L� D �� <� � a64 ` . �� , z � �Ni�s6! — z �� /�_� � �` , s�� ' Fire Number and Name of Road ( S " c7 ✓c 1. Enter lot dimensions and indicate north by arrow. Si tu f Owner or rizBd Agent: 2. Indicate the location and size of the requested construction ignaN activities. PrintName: _ 3. Also, 1ndlcate tlle loCatlon and dlStanCe to tlle well, The above ceNfies that ihe Ilsted intormation and intentions are We and cortecl., that all work shall be perfortned in compliance septic tank and drainfield, wetland azeas, lot lines, with the requirements of the Savryer Counry Zoning Ordinance and the laws and regulations of the Shate of Wisconsin, and it centerline of the road and waterbodies. ac��o9 as owner�s� aye��, nas me Pe�m�ssio� or me ow�e��5� to peAortn ihe work 2quested on this application. The above personsls hereby give permission for aceess to the pmpetty for �{— onsile inspeclion. Permit fee: $ .D � S� �p Total land area within 300' of the waterbody: (A) 5 � ,S��'-� _ Total impervious surface area [including this project] (B)�__ (B) / (A) x 100 = % Used y,2 °� (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? O Yes No October 15 , 2004 - � — Issue Date Signature of Issui A e t October 15 , 2005 50% Rule: Average Road Setback: _ Expiration Date Office Comments: / ' � ' 1 ' -1224 � _�223 ' � -1222 -1221 � 0 � L.L- "�.2 W ,,. _i2. _ � _ , �,v -'2.1a � Y -121 � � / -125 -126 -12.7. -12.8 -129 -12.1 -1211 2.12 � � , -12.1 � -12.4 � -121 1215 -12.16 � --�`--�-�� - � 4 COR. _ -12.3 A� 8 COR. �' � � �' WHITEFISH LAKE �4s t -�2.� / SCALE: I INCH= 20o FEET FOR ASSESSMENT USE ONLY NOT / DRAWN BY : DATE �6-28-84 INTENDED TO SHOW GONCLUSIVE COLON (:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOUNDARY LOCATIONS . SHORELAND PRESERVATION AGREEMENT ' ' , (Shoreline Veeetation Protection Area) . Laud Use Permit No. �y 5$�. (To be entered by the Zoning Office) Index No. Q /�- 59z WHEREAS, (list all owners) Ila Jean Velleu ,. _, 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 f j 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 d 35' landwazd from the ordinary high-water mazk of the waterbody. � The 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) fiirther 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 � 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 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 Sec 11 , T 39 N, R9W being lot 4 of Sonmor Beach Subdivision, Tonw of Sand Lake, Sawyer County, WI 026-170-00-0400 Dated this 11 day of October , 2004 (Owner) (Owner) �PA_ iY.1 U.�i �� _ (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office