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HomeMy WebLinkAbout032-540-31-5215-LUP-2004-120 Application for Land Use Permit(*Shoreland*) � '� County of Sawyer � � YO Box 676 -Hayward�T�I 54843 `� 715/634-8288 U' �= � *Property that is:ccated within 300'of a creek,river or stream or within 1000'of a v =fi flowage,lake or pond or has any of the above waterbodies located within y � � the property's boundaries. � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � � � PRINT-USE BLACK INK OR PENCIL ��fi r��'� a�a lLc� 17'1�c�y�G��, C=�a��u J��r��e�v � � Owner �—�— Builder� a � <' lvb'�0 �'o �+.�'c � �i0 ,��r��s � � � Mailing Address � Mailing Address � p a Glil��nSt yt, K/�,'���5 C�l SS�S�i� Z��s�e� , L�l �yy�; � City,State,Zip City,State,Zip � ���-.��� s�xa o���5-���-�a� � � .. �� � ���-s��� ��� t . �- Daytime Phone Daytime Phone �°' - � � Additional Information: Zone District: iQ�,S����-��ilc��/L��k'-�� r ,- ii `` ,�.. LotDimensions: 75��53 x 190�a0�' m �-; Date lot was created: /�-(/- 3�' Acres: 0•��O � Is there wetland near the proposed structure?If yes,how far ��� o � Building Land Use Floodplain:O Yes (v�No � � (V�New O Filling Chippewa Flowage:O Yes (� No c� O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd (+�fTown Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � 0 0 N � Primary Structure Accessory Building Addition o 0 (�Dwelling (�)Garage-attached(detached' ( )Deck � c, (�"Yeaz round (�)#of car stalls (��Porch � �, �: ( )Seasonal ( )Storage Building ( )Enclosed � (vYF'rame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ", ( )Mobile/manufactured ( )Other ( )Bedroom ( )Other primary structure ( ) ( )Relocate/enlazge � \ � � ( ) ( )#ofnew � AdditionalInformation: � p � R�������.�-��:e����y , � � Type of Construction: � � (JJFrame ( )Log ( )Pole/metal ( )Block ( )Concrete � � � ( )Other �' ,� Construction Cost:Primary Structure$ - „�d � Accessory Building:$ Addition:$ � � ~ O � � �,�,:-� � Deed:Vol �'��1 Pg��J Certified Soi!Tes!# 0.;- _ - �; 'z - CSM:Vol Pg Lot# Sanitary Permit# ��'�' U`7� 0° 7y Plat Envelope Or:�T'd��� � � � O U� Condo Vol Pg Yeaz Installed: 1�}b`i- To(� rn��i� �;, "Loads and Flows": Vol Pg Owner When Installed: � � � C"t�{`���A ji`--'til�.�.Uti' Previous office approvals/actions: � 1-L�.V���.� � Vaziance:# O�'.-TJiz LUP}:# SP:# CUP:# Inspection Report:#�� ��. Change of Zone District: ��' � (`;; r `( i^I" ,n 3i�3�8 �l '�-� / 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 z�-' ft.long "." ft.long ft.long ft.long Floor azea ' � � � sq.ft. �!�,'� sq.ft. sq.ft. � sq.ft. Hgt from grade '�to peak fr.hgt. /� ft.hgt. ft.hgt. Stories (�'= stories �stories stories #of bedrooms �, '%S� Lake/Pond/Flowa e/River/Stream Name Of= "P Fu'a�-` ' �l:[ �����Y �i6 � ! ry� _-_-__- _ E�'°`� �� � �� � � , �, . . . , _., �� ; � ; , ;, � ���� : ,�, ��, , c , , , , , — __ __---� Fire Number and Name of Road '7 u"1�r'L1/ �:S�Y7� �y� 7tJ�� 1. Enter lot dimensions and indicate north by arrow. Signature of OwC or Authorized Agent: 2. Indicate the location and size of Yhe requested consriuction c�Z�c�,<.�i/�li�s�-�� T�Q SignaNre activities. PrinWame:SQr�. / UF-��(l 3. Also,1ndlCate the loCatiOn and dlstance to tlte well, The above ceNfles th�the listed information antl'tentlors are irue and wrtect.,that all work shall be pedonned in comp�iance SeptiC t2I11C and dTalnfleld,Wetland&Peas,lot Ilnes, with the requirements of the Sawyer Counry Zoning oNinance and the laws and regulations of the State of Wisconsiq and if CeritOT'llne of t�le Toad and WatOrbodles. acting as owneY(s)agenL has the permission of the ownei(s)to perform Ne work requesled on this application. The ebove personsls hereby give permission for access to the property for ,�,�� onsite inspectian. Permit fee:$ -�„'�� � Total land area within 300'of the waterbody:(A)_2 v., ` Total impervious surface area[including this pro.jectl(Bl_ . (B)/(A)x 100=%Used !�'r� (Shall not exceed 15%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required7 O Yes (✓f No May 4, 2004 - 1 L7� Issue Date Signature of Issui A e t May 4, 2005 0 50/o Rule: Average Road Setback: Expiration Date Office Comments: T0 �/1/ N O� WINT � R - SEC. 31 TWP. 40N. R . 5W. . r � � � J r :�.z :�.4 :�.3 :r.b 0 0 :�.z :�.� � :�.3 NOTE! Deed gqps and -overlaps in this area. � A R K E R L a K E _:/ ` � � � � :� .Q.� :2.a :2r�. :3.3 :�.b :a.7 :z.s :2.9 :f.1 �2.t .' _��.I? .�a� - O � � t? s � � s q e � .8�.: a4� :7.2 :7.3 ; J :�.zr 8 R � R ,q ,B ,1 itb �' �-• •;�.�.� ►'�� l.. � � :?.19 ':�2.1$ :�•1'l ':?.1b �� � ,� � ,� "' P � .6.5 :�..4 Es ATE S a. �� �`QQ � :7.� c. x` _ � � ��/ � �- ` t 2 � h �'� � �� t' :::Ca..l S YY3 1 T�"� � �,�+c. � � �. c . o � . � •2.20 py ' a�- � �s 2 � � , — . ,.r .— � . �� .,�,.. _ �2.22 �g-���K - 1 _ , . TAI L � 1 :3.3 .'k.�` '', �ON D'0 3 S° .13:1 �3.2 :�.2 � :atib =�b.l. .b$, :b.�- , � � :s-:� ',,6�. � w . :i.6 �/G�� :�.� � y ..e ,, 1 , . :6.11 , -�� � ,., � Q1�- `��-{ � 0 .`1 � -�--��-�-� ; L�. OW� ��i��n� „�.. � CCe�c�,i•� 7 ��` , � • � � .__,. .�1„ , � I — � �t � �.: � � � - � � : ; � ` ;I�� y c�;;� ``�'{��' � ( :_ . � � "�'. .� F'� � •, ` � - -�� —.__�' -,-..^"t`--k-r.+�' � ' a4`�� -�s3�'� 7 � -,�-��-- a �. ^� %��� T '�d� ��Fs� _ t .' ' .. � ' I �%".�"" ' a .i.��y, �'�.`��; ��//I`k ..�� ��,� 's' _ r �� ;� i h �A S , ��)e , ` '� ��� �'�,; � r„Gr j :;.�.p"'�`+�g�� a. � „ w v r?,� .`�� t. �,,�, ��f i� ; , , .. ? A � .� a� y s -. F ..�, ,,m. ' 3�„. n =G � ;� � � ni�� ..x." . ,, . , t �'�i r�,. y 3�.. ie+�4 � t. . µ' +'a J/ � . .... SHORELAND PRESERVATION AGREEMENT �� (Shoreline Ve2etation Protection Area) `�` C�U- �� � Land Use Permit No. � � (To be entered by the Zoning Office) � Index No. (��'�- ��� � �z„ WHEREAS,(list all owners) *'�—�,tCl�� ��(ry /���/1��� � G � � � 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 is intact to a minimum depth of �35'landwazd from the ordinary high-water mark 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)further agrees to allow authorized � representarives 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: �,4 tv�r�L d 1 S 3/ l�`Q'1J, �- �LCJ _ Lu-h �� ��-r�o� �ol-ib �,a.rU�cvn 1-,�-�u.,- �,��— U,c�icE»-o�eo( �L�t� _ Y332_ S-YO�3%�z�S _ Dated this �1 day of�/�r L , �D�?4 (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafred by: Sawyer County Zoning Office