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Home My WebLink About030-737-12-2301-LUP-2004-073 s�E� ��L vs� ; . Application for Land Use Permit(*Shoreland*) o 0 County of Sawyer � � PO Box 676 -Hayward WI 54843 ��a��G�GCt,�P;��N �, ^ 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 F� J �1< ��i,�v�'C�,� �� :'�2. � � � Owner Builder a: � < ��'�6 �l D�r'!!�C Ff �t;�l' o: Mailing Address Mailing Address � O � 1�k'_�:-r'�.:_� .%",L' ��A'>`'S� � City,State,Zip City,State,Zip ^i � , > � '��`� f��.3 Daytime Phone Daytime Phone k Additional Information: Zone District: �'-l � Lot Dimensions: Date lot was created: Acres: �(.� `i? Is there wetland near the proposed structure?If yes,how faz �,� '� o Bui ng Land Use Floodplain:O Yes (y'fVo � (y�ew ( )Filling Chippewa Flowage:( )Yes ( ) No � O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (]�'�'own Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °C O O � S Pri Structure Accessory Building Addition o ,��. ( welling ( )Garage-attached/detached ( )Deck � (�Year round O#of caz stalls O Porch w ( )rSeasonal ( )Storage Building ( )Enclosed (�,•�'�Frame built on site O Screenhouse O Living room � (� ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufactured ( )Other ( )Bedroom - ( )Other primary structure ( ) ( )Relocate/enlazge �' � � � ( ) ( )#of new `� - — � AdditionalInformation: "� P �r i � � 0 Typ of Construction: � (�rame ( )Log ( )Pole/metal ( )Block ( )Concrete � qJ ( )Other � y Construction Cost:Primary Structure$ 1�� F�'� ,.d � Accessory Building:$ Addition:$ � �r! � � Deed:Vo1�S�9 Pg��''�- Certified Soil Test# �4.�/�/ _ �, z tia 7y CSM:Vol Pg Lot# Sanitary Permit# %C- l�3�n � Plat Envelope Or: � � Condo Vol Pg Yeaz Installed: c� "Loads and Flows": Vol Pg Owner When Installed: � � ��-� d�'a�l'^.S�d�l�.� v Previous office approvals/actions: � Variance:# LUP:# �(�;�.��/`( SP:# CUP:# � Inspection Report:# Change of Zone District: y/�� (/o� 31�'�3 I � eH_3L� :aa.! /'J'i�_'- E: S s^, A;,/ r�; o t 1 o c k . . . / Describe the construction using these columns. List the dimensions of each structure in a separate ` columq. List each story, each addi�tign, ea�h alteration in a separate column. #1. �%' - T-'-* #2. c^ � c• ` #3. #4. Size�ft. wide � ft. wide ft. wide ft. wide �Q ,� ft. long 3G fr. long ft. long ft. long Floor area/d�sq. ft. -�y� sq. ft. sq. ft. sq. ft. HgG from grade /� to pealc ft. hgt. ft. hgt. ft. hgt., Stories � stories stories stories ` #of bedrooms Lake/Pond/Flowa e/River/Stream ame 4 � ��' � fi�-� .;T„ - � y �( ;.� s�;^.�!�c ,�Lf � /� � I. U ��`�H�- �r '^� t �tlgw i'�� , � , , 1 ' !V � �� i -3�' - . _ , _ � � / �� ' ' cx —I� � � 9�a'�.`� I � f� �, b��_ {� :;,, ; s� �i '�',� ' E_ ) � , , � � � -i3- ��LL ; / fi _ _ - - ; - o �....� _ P°`t,c{t _._� � �S�Plas M � � � - i ,�_ - --- ��,r►�- ; v�<�f�� `3' � � Fire Number and Name of Road /,�� Q�d�1�C�`� � 1. Enter lot dimensions and indicate north by anow. Sign ure o Owp or uthorized Agent: 2. Indicate the location and size of the requested construction � ' � Signalure 8Ct1V1YleS. Pri t Name:�� ~��'��•y 3. l�ISO, indicate the location and distance to the well, The above certifies that the listed infortnation and inlentions are We and conecl.,that all work shall be performed in compliance septic tank and drainfield, wetland areas, lot lines, wi�h Ne requiremenis of ihe Sawyer Counry Zonirg ONinance and Ne laws and regulations of the State of Wisconsin, and if CCnteTilnC Of 1.�]e I03d 3ild wate2bodies. acting as owner(s)agent, has ihe permission ot the owner(s)to perfortn Me work 2quested on this application. The above personsls here6y give pertnission for aceess to Me pmperry for onsiteinspection. Permit fee: $ �C�' Total land azea within 300' of the waterbody: (A) ,3 i�,C�':: Total impervious surface area [including this project] (B) /~/`�'l� �c (B) / (A) x 100 = % Used < /�/� (Shall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? �Yes O No April 20 , 2004 _ Issue Date Signature ofIssuing Agent April 20 , 2005 50% Rule: AverageRoadSetback: Expiration Date �j � ,.r�-�- �'h. 4E�G�o-� 0��,��%�� Offi e Comments: �� T� �� P �_ . �� Town of :'/J�=,�� %` County of Sawyer /C l r--%./ l� `� i Date SUBJECT: Town Board Consideration of a Special Use Application for the Construction of a Year- round or Seasonal Dwelling in the Forestry One (F-1) Zone District TO: Sawyer County Zoning Administration P. O. Box 676 Hayward, Wisconsin 54843-0676 ��i° '� �� -� %�lI � ,. � :� _- � Owner: � ,.. - / ._ �- �_. ,r� e� i�% � . � �� — . � � % ,. ,1I J ;ddress /i.5 � o'� U�v ' ,�=r" t' r-� ��-�-/i ,.✓ �J-j- 4�� Approval is desired for the construction of the dwelling(s) indicated on the property owner's Application for a Special Use Permit. (This application is to be presented to the Town Board for review.) By Action of the Town Board, use is: � Approved ( ) Denied ( ) Tabled Comments: Chairman l��L� ��L'{��` MqRK / ^LFTP Supervisor �,- -- �j�' � LAN C Supervisor �' Cr.�F ?�rRu1- � ��.�� ' �� - � SEC . 12 TWP 37 f� , , J _---_ _---------�----------- ��_��;� ��_,• -� -- _. �'��,�,'L. ,�':�� 7� . \ ��-_�• �) ��' ',� c6,1 ,/ ,5,�i ,,=3� . / . 1-`�,� r, '��: 1 _ 37. -��._ —' �� ,�. � ! ii,;- -- � ;l �8,1,. I�� . � vi�.. � �i �� `� � �:�� . ,i I ��\ . , . ,� � �. ,� k�= , ��, �M ,� ; � _� � II i l�- - ------------------ ------- � �;I�� j , � � ,,.•:� :. ��' /' �''�. �� _;,� � ;�� , `�. ��, � ��!� �-� -- �_� �--� r�� ;,,,�,.:�* ' 37, ` �� c�i� �� 1 � U, ) . �� :___===% � :-",--.. i� ,�I 3/ 3�, t'�1 ��J r�� `� -� > , � , �f. � �Z,�.' SHORELAND PRESERVATION AGREEMENT (Non-Intact Shoreline Vezetation Protection Area) Land Use Permit No. (}�/—�� (To be entered by the Zoning Office) Index No. C./7 -Q� WHEREAS,(list all owners) j�p K 7 �w 1�r Sr�� 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 the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accorda�ice 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) fiuther agrees to allow authorized representatives of the Govemmental 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 determine if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved.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: Dated iis ` 3 day of /� ,1�� T � .�'-�-�'o-c-�-� (O er) (Owner) (Ownex) (Ownec) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office