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Home My WebLink About026-939-13-5244-LUP-2004-659 Application for Land Use Permit (*Shoreland*) � r� 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 boundaries. _ CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. PRINT—USE BLACK INK OR PENCIL r . "l�l 9�1Saur T��t>,� r Z'l��7 �,��C��/�r � � Owner Builder a a �� . - �/� /c a 2/�/ ��rr�� S/:' �: Mailing Address Mailing Address � � z�� iv ��'S_3 �1�� .� Cit�, tate, Zip Cit , tate, Zip �. (of� "�.5�/� �'Zl3 `7/S� � 3� /��-� � �. 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 far 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 "� � ) � ) � � � r Primary Structure Accessory Building Addition - o ° ( ) Dwelling (� Garage-attache detached �Deck `?j2"�l F�� 'J ( ) Year round ( )# of car stalls ( ) Porch W �� ( ) Seasonal ( ) Storage Building ( ) Enclosed � ( ) Frame built on site ( ) Screenhouse ( ) Living room � �•� ( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � � ( ) Mobile/manufactured ( ) Other ( ) Bedroom O Other primary structure O O Relocate/enlarge A � � ( ) ( ) # ofnew � Additional Information: A � � � � � Type of Construction: (��Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � W � W ( ) Other � p, � Construction Cost: Primary Structure $ ,.b � Accessory Building: $ Addition: $ .�,�? � � � � Deed: ��ol y9? Pg Yy/ Certified Soil Test# � z va � CSM: Vol Pg Lot# Sanitary Permit# � � Plat Envelope Or: � --� Condo Vol Pg Year Installed: /I�o �,�.�Rv N "Loads and Flows": Vol Pg Owner When Installed: � � � .� Previous office approvals/actions: , Variance: # LUP:# SP: # : CUP: # , �.::� �. .` Inspection Report: # Change of Zone District: , ��,�1 y,S j i G f ��'�. l � �[��03 w.... i 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.�„�c-��z�:>�;��y #2. #3. #4. Size�ft.wide ft.wide fr.wide ft.wide yG, ft.long ft.long ft.long ft.long Floor area D lJ sq.ft. sq.ft. sq.ft. sq.fr. Hgt.fivm grade�3� to peak fr.hgt. fr.hgt. ft.hgt. Stories�_� /� stories stories stories #of bedrooms�_ Lake/Pond/Flowa e/River/Stream Name �2.1c �'''L U;h;�E �.SN LY � � � � �� , ,, ��, ,,; a- �� ^bx 3e� ;�p4� 05` i \ ti i � ,i s;av�,�Jtfi Lt �-v Fire Number and Name of Road /�/SL• 6J ��'r/St 7� l�`� 1. Enter lot dimensions and indicate north by arrow. Signa re of Own f�i rized Agent: 2. Indicate the location and size of the requested construction _ SignaNre activities. p (r, Q( �y � PnnlName: 1�oN �� '�/ 3. Also,InQlCate the IoCatlon attd distanCe to the well, The above ceNfes that Ne listed information and inlentions are true and conect.,that all work shall be peAormed in compliance SeptiC tank and clrainfleld,wetland areas,lOt I1nCs, with the requirements of the Sawyer Counry Zoning Ordinance and Ne laws and regulations of the Siate of Wisconsin,and i( centerline of the road and waterbodies. a�e�9 as ow�er�s�a9e�i,na5 me�e��55�0�or tne ow�e��s�ro perform the work requested on ihis application. The above personsls hereby give permission for access to the property for onsite inspection. Permit fee:$ " Total land area within 300'of the waterbody:(A)�(QOoO Total impervious surface azea[including this project](B) (B)/(A)x 100=%Used J°•`�°lo (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetarion Protection Area:Mitigation Required?O Yes O No November 15, 2004 �A� �`l-�� —`a"'�`�-� '�D`�^'`��' Issue Date Signature of Issui A e t � November 15, 2005 50%Rule: Average Road Setback: Expiration Date Office Comments: �� c�L1cu�1p�°lr �V�n�. �a-�-2 �/��. o`Z'�eQ ��_ - 1, ��-a-�-� � ��1��`/ _ ��.,�t'� H �I� 5 � �'�. �1 �� ,��,�� f4 � .� �`'�.��,�a ti,� � ,G � � � y �Pa°�� o ��` W �0 M� ��2,�b E � � 2�° L�iS�'' rwJ � � �� , � �E�S�can ��, �� y � � �� i � i I SHORELAND PRESERVATION AGREEMENT , (Non-Intact Shoreline Ve2etation Protection Area) Land Use Permit No. ��(To be entered by the Zoning Office) Index No. �-_�� WHEREAS,(list all owners)_ Ron and Kave Olson � 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. � NOW,THEREFORE,the owner(s)hereby certifies that,as a condition of issue of said Land Use Permit,that z} 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 Depar[ment. Q 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) further agrees to allow authorized � 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 detetmine if the SHORELINE � VEGETATION PROTECTION AREA e�cists and that it is being preserved.Violation of this Agreement will authorize, in addition to other penalties 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 � structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the lf� issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. OLegal Description of Property: Part of Gov't lots 2 � 1 and the SW NE sec 13, T39 N, R9 W Town of Sand Lake, Sawyer County, WI Dated tlus 10 day of November 2004 -��y,�'��c'�� — (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: ' Sa�ryer County Zoning Office I � w rN 0 F SAND LAKE � - C 13 , T 3 � N , R 9 W � :, .� :, .9 :, .8 :1 .10 ( :1 .11 � :1 .12 � i :2, 1 ___.._ , :2.2 , :1 .1 .1 .1 � �� 6 :2.3 --_l_�. � � ��S :1 .4 • S � :2.4 :1 .3 , � � :2.5 ' :1 .2 i � :2.6 .3.2 �-- - .:3J :2.7 •3•3 :2.38 :2.37 ' . .2.8 .3.4 .2 '2,9 , .3.1 .4.1 3S .3.5 z 3 � � . � �. � .3.9 _� � , :2.10 .3.6 � .14. 1 .13.1 / y r .12.2 .15.1 .16.1 .12.3 .12.5 \