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026-939-11-5321-LUP-2004-603
. � r * ��, Application for Land Use Permit ( Sho ela�d ) o , ` County of Sawyer � � . . nC n PO Box 676 - Hayward WI 54843 � ��N /"�� 715/634-8288 t'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 boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � PRINT—USE BLACK INK OR PENCIL .s�r����J��,! ���� �r'�'F � �o�.�, ,��d,����F�s � Owner Builder ¢: e2�o� .�3�a,�� l� .��o.rE sr,J �� s� w a.sowf� J��.-� /Z� �. �... 0 Mailing Address Mailing Address � p (�a��r c.�c+�- �r/!�!. •s'S9o� w�r� ��' �1�� � City, State, Zip City, tate, Zip � .� � -a 8� -.�d.Tv 7i.,� G3 s� Z�'a 7 � Daytime Phone Daytime Phone � G � Additional Information: �one District: �� � Lot Dimensions: c� Date lot was created: �?�-�N-'7 f� Acres: �• �-.� � Is there wetland near the proposed structure?If yes, how far o �o ` Building Land Use Floodplain: ( ) Yes ( )No � �, �New ( ) Filling Chippewa Flowage: ( ) Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one): � ( ) Alteration ( ) Grading ( ) Private Rd ( ) Town Rd. � ( ) Moving On ( ) ( ) County Hwy ( ) State Hwy °Q � ) � ) � � Primary Structure Accessory Buil ' Addition o °�� (� Dwelling (�) Garag attache detached O Deck � w � Year round (�) # of car sta s ( ) Porch W ( ) Seasonal ( ) Storage Building ( ) Enclosed � (x) Frame built on site ( ) Screenhouse ( ) Living room � ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom d � ( ) Other primary structure ( ) ( ) Relocate/enlarge ' � � ( � ( )# of new � � AdditionalInformation: 1 � � � i � Type of Construction: � ` � Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete N \. ( ) Other ,� 67 Construction Cost: Primary Structure $ .���,(�� ,.b � Accessory Building: $ Addition: $ � �"� �4 � Deed: Vol�Pg 3?z Certified Soil Test# Oz • 38`� (8T•cS,'d� � � oa � CSM: Vol�_Pg�Lot# 3 Sanitary Permit# Q�/— y2;/_. C$7-e� � � Plat Envelope Or: � Condo Vol Pg Year Installed: N "Loads and Flows": Vol Pg Owner When Installed: � � � ... ������ . Previous office approvals/actions: `��~�� W �t8-3� N Variance: # LUP:# Q Z —�� SP� # CUP: # � Inspection Report: # �0 `4' Change of Zone District: l�I�� �N a �g�oS Describe the construction using these columns.List the dimensions of each structure in a separate '. column.List each story,each addition,each alteration in a separate column. #1. µ•4w #2. ,Lo�f' #3. �ii4*� #4. Size�ft.wide �O ft.wide �ft.wide ft.wide .S� ft.long .s� fr.long Z Fl ft.long ft.long Floor area /7/0 8 sq.ft. �J a sq.ft. bo S sq.ft. sq.fr. Hgk from gade �S to peak ft.hgt. ft.hgt. ft.hgt. Stories stories stories stories #of bedrooms�_ , 7d�'+� ¢� �BS ��G � Lake/Pond/Flowa e/River/Stream Name �"���D�� ���� �gd���L��_ _ . __ - — to„u�i � N� 9„�< i i � t�zs' ---� � ��i �1����. ? ;i� �� fi �� ,�_ya� � 3, L �FF- ' l�ou�t ` —� a Lo�r� 1 ' ` - - - - - �l' � �L, � - - - - - -- 34' �;L � ��ak4F_ � �C—�`' �.� � � `,��� ir � � � ��C�S��„S aw r�xr.�aq e k eZ�� �--9 � �ve ,yA�`n� moutd odf. � �� v Fire Number and Name of Road /1�QoL (�,r�+, �� 1. Enter lot dimensions and indicate north by arrow. Si ature o wner or uthorized Agent: 2. Indicate the location and size of the requested construction 3CY1V1Y70S. 57C(�CN9 'e M�� SeN PrintName: -TuAr/ L• Amu��Sor' 3. Also,1ndlCate the loCation 3Tld dlStanCe to tYle well, The above cedifies that ihe Iisted intormation and intentions are irue and cortecl.that all work shall be pedormed in compliance septlC taRIC and dralnf1e1C1,Wetlana are3S,lot 11nes, with the requiremenis ot the Sawyer County Zoning Ord'nance and the laws and regulations of the State of Wisconsin,antl if centerline of the road and waterbodies. acen9 as ow�er�s�egaoc,nas cne Pa�m�Ss�on or tna owneqg�to peAorm ihe work requested on this application. The above personsls hereby give permission for access�o the property for onsite inspeclion. � Permit fee:$ 2�5 Total land area within 300'of the waterbody:(A)3�,8�� Total impervious surface area[including this project](B) g7� (B)/(A)x 100=%Used ��.\3 (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?(�d Yes O No 1 " •-�t` 70 zcx,y 1 (1-'" " '�--�' — Issue Date Signature of I i Agent ('�n��i ZCC j� 50%Rule: Average Road Setback: Expiration Date , Office Comments: �l i'2�fnOl)L1Ll O$r' ��5�-inc�,l�rm�e�e{�ra�.e �o ae r�pv.eC9 lxaz�h�n C.e �mo�s �j (�2�i�- �.en�,ptc-o��ix�• � �o�ao�oy. Sawyer County Zoning Administration o ri y . o ' � � Inspection Report � � � .., • � �, . . �. .� Owner(s) S-�-e�t v� , �v c� •., f� +tk�ti d s o v� Address �\ �3 a a; �n ��, �-�K� S� , Qoc.�.�s'��c�c- , f'1 tJ SSg OZ AgentlPurchaser � 0 Address � S Bldr/Plber/CST �QSK• usse� F So� s � _-_. , Address � --�— Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation n fi ❑ Dwelling ❑ Mobile Home ❑ Commercial ❑ Garage ❑ Addition �„ ❑ Setback - Lake Setback - Road ❑ Setback - Lot Line 0 Soils Verification a- � Mn�•�. � S � c' .-• y �� �� o. o l �q I 0 w Co (Z cl E � � 0 .=.� -ti- I...c b l,a�-t -�- = � --'�_ I �o I �^ � 15 ��' �/` N- F�a9 � P ( r- °) � � o ' � Nor ToSca�e Q � _ Q _' �,'1 .._ Aw � S�e c� � -4 0 -o � '�i� n � � � 9 � r --- -- � o 0 � N � ( V t' � ,� -t- • � r' 0 . � I � Q , � W M r �, r � �.� � ,c�o `� �� � � I o �°, B� —� �' ` ( ��� ir- � � I . , � , � — 3b ( � 9ar� � � � � 50 � �� � � \ � I ,'�r,�, i � t�a�� � � ( R w : , N v� �X I �► 0 -� r £ � ►�cw 'd = j�v� '! — l lo LS`1S�' 1 c�ar ( �6 -� Mo� . N�o @ � �� 149 ��w � I Co R �l � � � � � �C' qe �4.r5 ►M.o � � d s'��e �6 �c 'tia� { OK- � r,,��� �c'��� �nh -�oY- uc�raticP � z -For 31d5 � �oKd s�-��� ! ! � w 7� N �p � Discussed with 3e� fiaSu►.�v SSQ � , ��.� � �- ` PA� ��' — °''` ^ S �� � Date & Time �p 8 b Z 1 Z' tS P,w� Signature of Inspector �-J Y��-�. pczss `E- Sc�.n�- 2Z.�{ 4 c� Nt cJ� ��.� .,. . n. . . .� . . . . . . . .i .�As....[w.:.'.. . O F S� N D L AKE . . � = C . I I TWP 39 N . R . 9 W. - . - 2 , COURT OREI � � ES � AI'� E BEACH . 14. � CRYSTAL BEACH � :2.3 \ : 2.4 :2.�2 :2 .6 : 2 g :2 .9 :3.16 :3.12 :3"c2 :3.20 � , � �� � :2 .? � ._' `. ,�� �, g """' :3 .11 � � i ., vy � � /f2 /Jf �. �� y�� .'2. :Z. 13 .3.z3 ` . `� '3. _ , � . � , �;-�- F T' - � � ,� :3.14 :3.21 , ` � � / � � � � :2 .Ib , ' � � ,N / � r .e •3. i � � z 3 � I , i� �- : 2. 2 : 2 .s � ' :3.� :3.g � •�.9 , • . � I � :3.18 i- � ; : 3.15 :3. v !- � : 2 .11 � GT�a � 3� : 1 .3 � : 3. I :3.7 : 1 .2 . 3 .� "3-5 ! : �.I :3g � O . ��'3 I � / ^�32 r I Y :S. i :4 � C O SONMOR � , :�•2 :�.2 BEACH :4 .3 � ��C\\\ i _ ,. • Re9ister's Of[ice 1. � `�� � ` " • . Sawyer County � � Received tor remrd Ihe� day o[ � A D 19 7 at � o clock �_ ' �and recorded in vol� of onp^on9e ay-as ' �. � �.-d�/C-�� Ae9is�ec 4 ____'__... _—.—_.__.___'--_______.__-DePury_—_ COU RT E OPE\���5 � LAG � ..E i 0� v w j3 �gg .�. � � N �g'49 ��6� h n ' .l4�SS�OO��E. 64?p��Co'�•004 0� 6�1 \5.Z7�n N o N NI r' a1' e O 0q' N 0 � ee N w p yJ., + O ~ O \ N S T � i � � 'n U U WW ^p'�o 5.80 02'i2,.E N N ryy� ~ h FOqp EASEMEN 104� 39� 45�� � fJ T n F- � m cyA N � � � �; #�1 # 2 N E� s*a I- F- � �� � M o0 � � 3 w � 3 q 02(v- 9 39- Il— S 321 � - ' �Vi � ).� ' t I N �Q,rnu�UOSo� " °' r y9i� s • � . O N� / O N Z \n � .'JO. Z�!� ",'� 'L '� HS' i6' 39� 90.00 eb 160.00 °�� 269.5"1 . N. 69' S8 30" W. 5\9.ST V.o.B. 2�6.54 O � �, r, .,E.. N C.T. 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' 1� -�� �__ �- j I z .:.. ...�.;,. . . ::.,... � ,� i � , � ;��'•'�� 'j::::�:�:�:�:�>:�5:�;: „ , / 7 j � I � :�.....'� �.y.�'"� '�1 II � i � I �\ > _ ��,____�` v �---� :•::.� .. . �, � I � � �- LOWER � PEARCE LkKE , �,� � 1 HOKE � - � �II ----_ - -- ----- — -- - - --- _ � — -- � �r � � � w / i } � i � r �; ' �� � � _ � z � > , � �, � : MUD �� � p ; LAKE / �i � / E � i �' �� HAM �� Q � � LAKE - O � 0 I���, 27 � � 26 �Z 28 ; !I �, , � � 25 , - �_ _ f .� SHORELAND PR�SERVATION AGR�EMF.NT (Non-Intact Shoreline Veeetation Protection Area) Land Use Permit No. � - Q (To be entered by the Zoning Office) Index No. �- �o Q�. WHEREAS,(list all owners) Steve and Judy Amundson ..p owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, :md � WHEREAS,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 Permit,that j the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance ..,�'_ 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. The owner(s) fiirther agrees to allow authorized C 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 detemune if the SHORELINE � VEGETATION PROTECTION AREA exists and that it is being preserved.Violation of this Agreement will � authorize, in addition to other penal6es 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 Q 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 Pernut. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. �' O LegalDescriptionofProperty: Lot # 3 CSM vol 6 pg 24, part of Gov't lot 3 Section 11, T 39 N, R9 W, Town o£ Sand Lake, Sawyer County, TdI 026-939-11-5321 Dated is 19 day of October 2004 (O e (Owner) ( er (Owner) (Owner) (Owner) This instrument was drafred by: Sawyer County Zoning Office