HomeMy WebLinkAbout032-540-22-5802-LUP-2004-190 Appiication for Land Use Permit r ,� - —
County of Sawyer � �
PO Box 676 -Haywazd WI 54843
715/634-8288 �
The undersigned hereby makes application for a Land Use Permit and agrees that all work
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of�Visconsin. -� �
NO CONSTRUCTION MAY BEGIN UNTIL ALL PERMITS HAVE BEEN ISSUED.
PRINT—USE BLACK INK OR PENCIL
�pp � �
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Owner Builder °'
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32�� N fchall Te��q« �� 6���s S��-�e Raqd ��' o� `
Mailing Address Mailing Address �
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�^/n�w�.��5�, W� J'3222'35(�(; w�,n-�zr 1;1/I S489E ;;
City,State,Zip City,State,Zip �
yi�{- 2�q- I ��,`S ;�5=�(�(�--�q,� � �
Daytime Phone Daytime Phone �
Additional Information: Zone District � k � ✓�
ti
Lot Size�'_,�_� ` y
�
Date lot was created 5��� - � ��'�'� Acres Z`, . �� �
Is the property in a Shorelard Distric±?(within 1000'of�lake or pond;���ithin 300'of a r'ver, �
cree'.c or stream) If yes,how far from the shoreline&water name: C l� ��� �?
Is there�vetland near the proposed structure?If yes,how far o
�
Building Land Use 'G
(�/j New ( )Filling Floodplain:( )Yes �No # � �
( )Addition ( )Dredging � �
( )Alteration ( )Grading Chippewa Flowage: ( )Yes \(�No � �
O Moving On O l�� J� o
( ) ( ) Driveway:( )State ( )County (�Town Rd. �' �^
cc;
Pr.^::n,�St.acture :".ccessory Euilding rlddition �1 I
(�Dwelling (/)Garage-e#as•ked/detached ( )Deck �
(n Year round ( )#of car stalls ( )Porch ��-/t
( )Seasonal ( )Storage Building ( )Enclosed N � �
O Frame built on site O Screenhouse O Living room p J,
(�Modular/manufactured ( )Greenhouse ( )Kitchen � � .
O Mobile/manufactured O Other O Bedroom s x Ct�
( )Other primazy structure ( ) ( )Relocate/enlazge a � _
��)���e m e.�'� �.��„�'P� � ) � )#of new (} r' >
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Additional Information: N
�d
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Type of Construction �
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other a�� ,S
� �
Construction Cost:Prunary Struchue$ � '�� � � y_, �
� e., � : ` i
Hccessory�suii�ling:$ .'vddition:$ �/ 2
7y
Vol (�I:�Pg �i`�3 ofDeed Certified Soil Test#_�y— �i��
CSM Vol�_Pg�3 Lot# Sanitary Permit# Cj�I- /3 U �
Plat Envelope `�" � Or: �
Condo Vol Pg Yeaz Installed
Aff of ex septic Vol Pg Owner When Installed:
Gazd Gazebo Vol Pg
Previous Variance: LUP: Inspection Date: `;�,
l I
_3(av�I
Describe the construction using these columns.List the dimensions of each structure in a separate
column.List each story,each addition,each atteration in a separate column.
#1. #2. �v�'-�"� #3. #4. ��
Size Zg ft.wide 3�"� ft.wide ft.wide ft.wide
�$ ft.long �`1 ft.long ft.long ft.long
Floar area �d(� sq.ft. 7�C sq.ft. sq.ft. sq.ft.
Hgt.from gade I 3 to peak ft.hgt. ft.hgt. ft.hgt.
Stories � stories stories stories
#of bedrooms�_
Lot Line ar Lake/River name:
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Fire Number and Name of Road �e��k�'n e�1
1.Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authorized Agent:
2.Indicate location and size of existing and new structures. ,1 � ��
ttfi"
3.Indicate location of well,septic tank,drainfield. c��"l
4.Indicate distance to existing structures,lot lines,septic system.
5.Indicate distance to the ordinary high-water mark of any lake, �
PdntName: ��� ����aC�
pond,r1Ver,stream,CTeek,and name the body of water. ihe above certifes that me listed intormation and intentions are
6.Indicate any grading or clearing in excess of the construction site. a eesstlo in�e P perty fo�ons t rsnspec9oneby give permission for
7.Indicate distance to any wetland.
M�J.�c�p,�.�b n �o f �'�q�U��� Permit Fee:
S r d r r `3o r e e rn � a����
Ma� 1�, 2004 �
Issue Date Signature of Issuin Ag t
May 18, 2005
Expiration Date
Office Comments
Inspection Date: 50%Rule Applies: Avg.Setback: Within Reservation boundaries:
Restrictions and other information:
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SCALE• I INCH- 4 0o FEET FOR ASSESSMENT. USE ONLY NOT
DRAWN BY: v.M .F . DATE � q " ta ` i978 V(DENCE 0o OWNERSH P ORSIVE
COLON (:) INDIGATES GOVT. LOT gpUIdDARY LOCATIONS
Mar 15 04 09: OSa Melson Surveying, Inc. 17156825100 p. 2 _
MAP OF SURVEY � O�r�l+�A
SAWYER COUNTY CERTIFIED SURVEY dfAP N0. 6147 ,y�Q� s����
LOCATED IN COV'T. LOT 8 & THE SW-SE �� �
OF SECTION 22 T. 40 N., R. 5 W., IN THE ti "' .�,6 's�,P�L
TOflN OF WINTER, SAWYER COUNTY, WISCONSIM o� a, Qssy r � 'F'.'p
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NOTE THE SHORELME OISTANCE IS � 0 2S•. *
APPRO%IMFTE fuVO HAS NOT BEEN o � � � ; v /
MEASURED- IT IS FOR INFORMATIONAL � X , �, �
PURPOSES ONLY. 66 SITE ELEV. - pp, 7-1/2' I.p
ELEVAT10N5 ARE BASED ON THE D.O.T. ��2.3< N 4T E, s.1'
�'�'�� ��'�� BENCNMARK LOCATED ON THE BRIDGE f7E0M sET PIPE
ON FISH TRAP ROAD.
EIEV. - 124.13 ,.�
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91RVEYINGG" HAYwAR4PC � J
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�$'�$����o.'� rn
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w i/a ,fi�v LOT 1
3" AL. MON.
^' 1 ,045,100 SF.t �
unE e�ir�c oisrnrrcE 23.99 AC.t �
L1 S 40'43'12' E 72b3 �
L2 5 22'42'S7' W 240.31 J' '-
L3 5 14'43'34' W 23].99 ? `��p G.L 8_ _ �
L4 N OP07'44' W 100.99 � ��- SW-SE 3
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`�' F�. 1-1/2" I.P. N 10' E, <
� 35.8' FROM SEf PIPE. o
SCALE: 1 INCH = 300 FEET �
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SURVEY BY: o <
L4RRY T. NELSON - RL$ �1276
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N 8541'36" E P.O.B.
�� 32922' �
SECTION 22 GRANBOUC E R�� E 1/16
SW COR.
SEC. 22 N $6'34'49" E S 1 4 N g6'35'35' E. 1319.52
3" AL. MON. 263B�34' 3" AL. MON. SECTION 27 FD. 1-1/2' LP. 5 8S E,
11.2� FROM SET PIPE.
�fcE^'° CL�'1V7` SC077' SISIDffit HEART OF THE NORTH
� FOUND MONUMEN� AS N07ED JOfi' NOJ3/00 �� �� '�� SURVEYWG OF HAYW.ARD, �VC
SGfE' i" = J00' 0/SK: 95 101V N OUiF)'RYNO R4 l!5/6!1-ZM1
� FOUND 1-1/4" IFON PIPE Fl�' ��
BEIRING REF. W 1/2 5. LME N9.5-15]/PG 12! ���� W� �u FAY: n5/GH-bsu
SEC. M N 6 � E SHEFT l OF 1 E-�' ����'� �
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SHORF,LAND PRESERVATION AGREEMENT
(Shoreline Vegetation Protection Area)
� Land Use Permit No. ('1�/- /��� (To be entered by the Zoning OFfice) Index No. ���- l��
�
o� WHEREAS,(list all owners) �� o � ����c�P� C ��Q�y�5 n n ���t','�_
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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 SAGRELINE`v EGETATICN PROTECT:ON AR�A on sai3 real estat:,is intact to a minimu:3ept:�cf
� 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)fiirther 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]
�j to inspect the sttucture(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
j 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: Q 3 Z �`� � 2 2 ��� Z
Lot l CSM vo1 22 pg 83 number 6147, Gov't lt 8, Section 22, T40N, R5W _
Town of Winter, Sawyer County, WI
Dated this �°I day of /V l q,��t� , 2 0 U�
(Owner) (Owner) � _
�f —
(Owner) (Owner)
(Owner) (Owner)
This inshvment was drafred by:
Sawyer County Zoning Office