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Home My WebLink About032-540-35-4102-LUP-2004-218 Application for Land Use Permit(*Shoreland*) � County of Sawyer N � 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. R� �n�� Q,�j PRINT-USE BLACK INK OR PENCIL � ' C��Uc� W: CnErs7-�n f�� -LtC� C�i5 Z Y�- � Owner Builder � � a. � �. %v Fv�7 ur,�si�gu Q,.l Av�e- .S�- l0 �a 'i �v��SF/l3c.t/�hl` �c s� Mailing Address Mailing Address � � � 3��„v�,��-�J /L//�l ss�f3 i l�c,o n�� c--�N' ,M� ss�3i � City,State,Zip City,State,Zip �j � ls�-��/-3�s�"i 1SJ -��/- 3 �S� � Daytime Phone Daytime Phone Additional Information: Zone District: /��--"J �t i ' Lot Dimensions: I � �( a �'� �+ � � Date lot was created: Acres: �� 3 � Is there wetland near the proposed structure?If yes,how far`��=s �� n Building Land Use Floodplain:O Yes (}0 No � � (�(New O Filling Chippewa Flowage:O Yes (x) No c� � O Addition O Dredging Driveway access off of a(Check one): � � ( )Alteration ( )Grading ( )Private Rd (�' Town Rd. � � ( )Moving On ( ) ( )County Hwy ( )State Hwy � � � ) � ) � S � t� Primary Structure Accessory Building Addition o 0 ( 1 Dwelline �Garage-attache deta O Deck � OYear round f.�3#of car stalls a- O Porch �., ( )Seasonal ( )Storage Building ( )Enclosed � O Frame built on site O Screenhouse O Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � R� ( )Mobile/manufactured ( )Other ( )Bedroom � � O Other primary structure O O Relocate/enlazge u:, � � ( ) ( )#ofnew � � � AdditionalInformation: -� a C� �, � W � Type of Construction: G1 w (}(j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � U� ( )Other � ,� Construction Cost:Primary Structure$ ,.ti � m Accessory Building:$ ( � (1 C�U Addi+�on:$ � -�. , � C Deed:Vol �(.r�`Pg a`�"� Certified Soil Test# ��-��-�� ; z CSM:Vol � Pg�Lot#�._ Sanitary Permit# � � PlatEnvelope Or: � �1 Condo Vol Pg Yeaz Installed: /��`� N "Loads and Flows": Vol Pg Owner When Installed: �, � � � i31L�tt� c,�-ls��"/ Previous office approvals/actions: "�' Vaziance:# LUP:# �:j,,�-7� SP:# CUP:# � Inspection Report:# Change of Zone District: � �y��` _�� f�'�� 3 f�5�� Describe the construction using these columns.List the dimensions of each structure in a separ�te column.List each story,each addition,each alteration in a separate column. • #1. UA(�G-c= #2. #3. #4. Size � ft.wide fr.wide ft.wide fr.wide a S� ft.long ft.long ft.long ft.long Floor azea S 7� sq.ft. sq.ft. sq.ft. sq.fr. Hgt from grade�to peak ft.hgt. ft.hgt. ft.hgt. Stories � stories stories stories #of bedrooms Lake/Pond/Flowa e/River/Stream Name 5��=�-N �-/�K� ; n n . �:� ��z 6�� - - , }�i: ��'�� I "' 4 ' � . ��f- . \ j 2y, � 3S� o' 20, � � , w��. �r'�ic 27%' � \ rpti,k�' y, SY� �� 56' � Dr.r�ti�� Q � PRaPosc \ 4 SS'� �brt��y� V . �,�, i N� i�µ�� 68 ` ��%. . > _ --r-o-r,v,v- �2 c��D �' �%- Fire Number and Name of Road `�"J 3� 7 (�.1 �C�� t-�K�= r`'�� 1. Enter lot dimensions and indicate north by arrow. Signat of Owner or A ' ed Agent: 2. Indicate the location and size of the requested construction �.�(,.�,c� ��.,�- ' Signature 1C1.1V1h8S. PrintName: �2�CC ��=lSTC!/Z 3. Also,1ndlCate tile loCatlon and Q1StanCe to the Well, The above cer6fes that Ne listed intormation and intentions are We and cortect.,Nal ali work shall be peAortned in compliance septic tank and drainfield,wetland areas,lot lines, with ihe requirements of ihe Savryer County Zoning Ordinance and the laws and reguWtions of ihe State of Wisconsin,and if centerline of the road and waterbodies. a��9 as owoer�5�a9ent na5 me�erm�ss�o�or me o�,R,e�S)io pedorm the work requested on this applicatioa The above personsls hereby give pertnission for access to the propery for � onsiteinspection. Permit fee:$ � U U� Totai land area w�ith:n 300'of the waterbody:(A) ��- ��Z'� � Total impervious surface azea[including this project](B) zo�S L3" (B)/(A)x 100=%Used vZ�93�5 (Shall not exceed IS%[or 25%with a conditional use permit].) Shoreline Vegetation Protection Area:Mitigation Required?O Yes �f No May 25, 2004 ��. � � .r .P��tA -�t��(P��` Issue Date Signature of Is i g nt v May 25, 2005 50%Rule: AverageRoadSetback: Expiration Date Office Comments: � P v w + � � O T O� P� r = Wa ;� O O O — m � _ R NO � �n` O 0 � g.2 V .4.3 � .4.4 N .p fF.5 �' � v .¢,b o O - ., - i.sl � � ro a .t.'! � . N M W p 4 /.60 f �I � ` O O � !�'.8 , � O � N � /.Cv . _ w p O � .4.4 _ i,« W ,� .4.10 w �1 w t� � i.Ga '-oa .o �W - _ .4.11 � i,c O O O ~ •IA N y� N /.�o � t.13 � P m N � - � Z � REF: AERIAL PH070 P10 — 197o SCALE: I INCH= 4Do FEET FOR ASSESSMENT USE ONLY NOT U.S, G.S. BLAISDELL I.AKE' QUAD �9�2DRAWN BY: D.M.E DATE: i�-ib -1978 INTENDED TO SHOW GONCLUSIVE COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHPP OF2: BOUNDARY LOCATIONS \ z4e �y NB>\� i � I 33s8• ciHcort. sccss.r�oH,new. � Jd Iw 2` �__ __ __ I IH"IPOH YIOf � � _r N_ ea� 3< _ _ _ TOWN -� ROAD -- - o � ��s ��xE 2s, as �- P NB9°35�16�W.359.98� � N89°34�18"W,363.Ofi � w " '� m 359.9fi N �M m I O . O 06 p �/ f'O r � � 0.93 AGRE53 ry'? q ��"9 J� i N � h 1 I W N �OB' •4i � I �!O _m \1ta\ � 1 ; 9 � � I -o !� S M1.^ 1.63 ACRES� � M � `96� r o � w �''9'9� y�s �ay>0 � \� .j2`j)F` �pe' pE M Q `p�' b � \\ �O. M \ �'i P n tn d m �—_ .- � \ ^ ��\ c�'$ _ _ �1cJ�'�;�'v.i; � "`o�� n � / -----�- -_• y�., � \ o . b PERCH " `' z�s•o.�,- � i � aoHu.�4�\ , 8 � PETERSON Y� 2.22 ACRES� Sdp� i� 9� r I Q i tlAYNNtD LAKE / uoI �� .y `� , ( �� SUPV4'� uml � -_ / o Fj ' __ / z��J s� < � • sst 'zoe"�� Hen��o'za"w,2ez.v' �� SCALE 1��=100 / � S2E°41'33"w,56.62' •SET I I/4°X 30�0.D. IRON PIPE o ' ` // ,,7` �- PRIVATE � se•ao,��, I MONUMENTS�FWND I 1 IIq2 61e380] /,�CiCi�S� '292.31 / 'a, BEARINGS BASED ON SOLAR 08SERVATION. 5!9°q0�23"E�292.37� I � i AUGUST I I,1976 / i ; I ti4"� ��. ��'✓�Q/14�ry � l � ' � $ �� _ PAGE I OF 2 PFGES !� SHORELAND PRESERVATION AGREEMENT (Shoreline Ve¢etation Protection Area) Land Use Permit No. Qy Z�g (To be entered by the Zoning Office) Index No. �-�� WHEREAS, (list all owners) 3 �-t L� w �C/5 7�/2 � �-/�1tJ L : �-�/S �;/�Z C � 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 deptli of � 35' landward from the ordinary high-water mark of the waterbody. L� �' 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 representatives of the Govemmental 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 OPROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this A�reement 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: N� ��/ �E / S� 1 L�l n1 L� p {" (Z � t.t� pR-YLc c L. I 3 . 3- Lo v,.� �c-tT�12 -�' � 3 a- -��d - 3 S`- �(o '� Dated this t 7 � day of lvl d/-� � , Z��' 7` � �i� ,/�, � �, s�-� — �(Own�,r) � _ (Owner) — -,-��/��'� (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office w n.��r�PRr�1'(1 'If i. '� �'�' . � �,��.,..� ' � �y - �'� �� ,, � , � +k� ,� ' �� , , ��1 � `�,� � ' �i;��'��'��'�� .� : � y �d �� ' �� :.::t �; �,��1i ;'o�' c :��, # .. ��.� 'l�Ri � k. • � •'Y " � , r �Kh�" .��` ,�E ...� ,,K. �,� �t:``:, � � � . �-_�'' ; � _ . � � 4 ,°� ,�� 6w --, ' - .:��' �y. ��.�:=- ° '�a!y'. . . �"�2 { ;�.: y r j ��- � {�; ' , � . r '� �� t'� � ! :�� a,Y` 6 � . 4 , , � � e,' k�. ` i '_� >� � �1 � ;:._�� y: �� o Y' ' i � f -�, . .y0., �� vt... � S. ' .;fi.�. y'�i_ . .!�Y. 1 .'a'�1' . . 1