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Home My WebLink About026-170-00-1700-LUP-2004-553 Application for Land Use Permit (*Shoreland*) o o �� -• County of Sawyer � � PO Box 676 - Hayward WI 54843 715/634-8288 p *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 � Rob.ert /V. �� ch er J o h n l4 l�i`a,rvi �J F' � �'h� !` !t� f{. F%fc h ,^ �t,'/`ctm,� C'_D✓t �P f�uG�i oh � Owner Builder ¢: � C�S��lV �C� �t'e � �� ' � � �. �l`rVC L.Q►�-e /C�G � a N (Zavi qrr c,. ,uv� 1 a o. Mailing Address Mailing Address � � � S�Dn� �a�fe , Gv� 5 Y� �� f�a��a r c{ ��- s y d 5�3 � � City, State, Zip City, State, Zip � ��s- 8 � �- y� �� i s- �3 ��- �� 'Q Daytime Phone Daytime Phone � �� U.,_-' �' Additional Information: Zone District: � �' / ,.� �� 5�-r��%'S��? ' y�r!�i � , � �� Lot Dimensions: /' S ? X a 3 ? �` � �?;r7 � � Q � � Date lot was created: J',�, � i RA4 Acres: . 8 5 3 a U 3 � r, Is there wetland near the proposed structure? If yes, how far � a o � � > Building Land Use Floodplain: ( ) Yes (3�No � (�()New ( ) Filling Chippewa Flowage: ( ) Yes (�1� No � O Addition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd (�j Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy °" \ � � � N � c� r Primary Structure Accessory Building Addition o 0 ( ) Dwelling (Ij} Garage-attache detache ( ) Deck � �. ( ) Year round (�.) # of car stalls ( ) Porch �., � ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ) Frame built on site ( ) Screenhouse ( ) Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom O � ( ) Other primary structure ( ) ( ) Relocate/enlarge y-' A � � ( ) ( ) # ofnew � J AdditionalInformation: � .� O �' � c: � Type of Construction: � (� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � 1.� : ) ��e� �` ,� Construction Cost: Primary Structure $ �,/ji'� ,b � Accessory Building: $_��i QD D Addition: $ �� ,,J �v9 yB9 � � Deed: Vol -S/G Pg 3 Yf� Certified Soii Test# b� - ;� S�4 � z CSM: Vol Pg Lot# Sanitary Permit# v D - � � �- � � � Plat Envelope Or: � Condo Vol Pg Year Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � � ��p /; ctcn � i � Previous office approvals/actions: �' Variance: # LUP:# O(�-�� SP: # CUP: # � v Inspection Report: # ap�0�`i Change of Zone District: �,� �� ,� �� . �\ Describe the construction using these columns.List the dimensions of each structure in a separate column.List each story,each addition, ach alteration in a separate column. #1.(�re,rr�il� f��rHt- #2. Pre,te.�f �a �i�e�h�J#3. Qjtul Ga�u�z�G�G�4c%m�4. Size YD a /� ft.wide �/ ft.wide �fr.wide ft.wide 33 � �6 ft.long ��ft.long a�o ft.long ft.long Floor area /�7 a sq.ft. �0 sq.ft. ��sq.ft. sq.fr. Hgt.from gade�to peak �3 fr.hgt. /`�' ft.hgt. ft.hgt. Stories � �_stories �_stories stories #of bedrooms � �h��eF��l, ��k� _ , ak ond/Flowa e/River/Stream ame �Ys � �� ` � i �'- � �� BD, � I - �� -�i S � _ —��— ��,%�_ ��a� _ ___ 3�� _ �. �, � � t6� 1_t-/ ' s w�� I � ,� c (�P�t � � � I, � i � �� y� ! � I � i � �) �U\ 34l � � I I \,\ i � � � t + 1��'. — N! � ti � ,�� .�3 0_ �r � � F,,.�r��U i� ��, �� ; . �j � �--�i F•i n, I a � Q��'� so„rh eatyc�� i�--�3'�� py I I . �y�la1 -� I S Fire Number and Name of Road �n S`�S//1/ �a dl e �a n z 1. Enter lot dimensions and indicate north by arrow. Sigrla ure of Authorized Agent: 2. Indicate the location and size of the requested construction i o(�Pi�-�Ghu _ \��, �3�� Signffiure 3Ct1V1tiCS. i?ohe,^t N �:.rchen Print Name: �n•N<� N. F;+c h[� 3. Al�o,1ndiC3.e th�!oC2tion;�d diSta7lCe to tre W�.1, T"e eboce cer,ifes tha:the listed Inior,ra;lan and intenticns are We and conect.,Nat all work shall be peAormetl in compliance septic tank and drainfield,wetland azeas,lot lines, wlth the requlremenLs of Ne Sawyer County Zoning ONinance and the laws and regulations of the State of Wisconsin,and if COnteLllnE Of t}1C I08d BIId watelbOdles. acting as ownef(s)agent,has the permission ot the owner(s)to peAortn the work 2quested on ihis applica�ioa The above personsls h=rehy give permission fer a�ss to the pmpedy for � onsAe inspection. Permit fee:$ ��^ Total land area within 300'of the waterbody:(A) o �-S 3 a C r e d �3?�/i 7 r�. ��.� Total impervious surface area[including this project](B) y o00 (B)/(A)x 100=%Used ��4 (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes (�No October 5. 2004 - � Issue Date Signature of Is n A ent October 5, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: ivr-� ��H�,n � �F PART OF GOVT LOTS -C. I I - 41N SEC. 14 IN TWP 39 N. R.9 W +�1 -�224 IC Y l`� a _,z.�3 J �� izz2 � .iz2i � � .¢.zo \ �- � W » -iz._� F-- I . <" ''z.re � _iz.i � -125 -126 -12. . -12. -129 2.1 -1211 2.12 �. �_ -12.1 ✓ � -121 -J215 -2.16 -^_��-�� COR. 8 WHITEFISH LAKE SCALE: I INCH= 20o FEET FOR ASSESSMENT USE ONLY NOT DRAWN BY: DATE:6-28$4 INTENDED TO SHOW GONCLUSIVE COLON (:) INDIGATES GOVT. LOT BOUNDARY LOGATIONS IP OR ' J � - � � �, \ = p� d - �'� z1 a �1; Q' + Ow �� r �a 2 M 0.i U � µ ' �1 � N O � , � � f , � �,, ' � e oa� w z.si:�a�. �� o ,�`o o �'o we . '• iW56 � - _-!' ;� � o �`'o .�� ol'c 0 = _ < a - ,ps`' vii~ e ap g o �9 oih � " ;oo sii ! ° a'° $ o y`' r° ° I I e_ �-.00�o'oi� � P � o° Hrs�w`�o �z �� • I • 66 ' z �0 6 .SO' .i 4 3' � � r � .�Q� . Y, � Z � . o L •� �fl Y O � q�' NIN I O N I . . a �� 7�i 'oi a lm I u ; 0 91 9a� � ,� � c i2 � N c.` ° Nrsi.Wc a .. � P o� � , o . q• � z r ; - � o� o L o . o I + r O 61 �NN Y • yP" p .►90 3pi�� io � rc p P �^ .�� p' Q b�M J . �' MI f' � lf�� g�0 � ~ � � � '�I �6'bG� p 3 54 90's �� I � ' �g o4.�Y' �• N 2'S 1' W 0 • I � a � I � . 0.�1 �T3� 21 oy � 22 � a 5 p5 °�• e° �I � ; I h °�`"` ��,�' �� °I , .j Q a y4 �'� ` ol ; �,o . p' 99• � i� oQ�i � 'O�;y/ 3� 5 N 2'31' W �e. j . o • � or p��t�,. l2 �. 75' � � Je� i n � � yS' �i. o� 14 �e �:, � � i2ss N � S!„ i � ,o� � : ro g �� - � o'�n� � o oi a, -,° I � ...�� ` N 2'SI'W SQ• M .� . � �as � 353. 20' ` y 3E' ( ��(�r"J p s q � ol � io 4 � � ,Jot.+.lNoc I °o - °� � � - ' I � 4r � LO "J�, -.S `J' � �� _ � °o �o j _ 1 � °o - /' j � t�up � pIo � �! -� n_y7 LiJi C. I � - - �„ � � v i � a o ' SZ� J C,S '�S � °I X �' 0 � i � o °i °o � � �. Gth �, S •7 � I - ' ' ' �ffn '��l'� I � , , I W y. �. � �� I , i SHORELAND PRESERVATION AGREEMENT (Shoreline Ve¢etation Protection Area) Land Use Permit No.C�"� (To be entered by the Zoning Office) Index No. Qy -�\� WHEREAS,(list all owners) (�a b.c r f I!>, F��'c l�t� J _ d�ir��('� F,':�.�Zr _ a -� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and p� V✓HEREAS,in ordec to secure a Land Use Permit. SO � 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 t 35'landwazd from the ordinary high-water mazk 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 office.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 lf� 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 T VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATIQN QPROTECTION 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 Ocdinlnce, injunctive relief,restotation 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: %D�u✓1 �C�t r r�{ h Gc�Lf' (�.p��o/ �� A"�� / 7 ,j�e� J,� �a,� 3 9�v 2 pG� f'�hd,u;�;�„ Ja.� �rr� Q<«��, Dated this �S�h day of .1'e��-t vh b,�.- , �U U S� ;� �(O e) ,' �.�_ (Owne� v t�-e��'�.o ��, � er — (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office 1■ 1■ ., , `' ,