HomeMy WebLinkAbout032-539-02-5106-LUP-2004-235 5 / •
. Application for Land Use Permit �a'."�"'� ��` ''��"� r ,� �
County of Sawyer ° <
PO Box 668 - Hayward WI 54843
715/634-8288
The undersi�ned hereby makes application for a Land Use Permit and agrees that all �vork �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance '�
and the laws and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT �
BEGIN UNTIL THE PERi�IIT IS ISSUED. �
PRINT — USE BLACK Iti K OR PENCIL =
�
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�'.�6�r� � ��-/�,�o,i/ �/i,�it� l�'C,��r` ('o,�,�.�r 2 rx��7a�..� �:
Owner 1�QUoea-bl'e- 7rus Builder � o
t �
�(l 7.��'/ l��ti/�r_=/�S¢� �S�U� ��� c� �i���.�,� f'�,�� �
Mailing Address Mailing Address �
GlJli((T�i� . CUtS C� �l�l�i�'� G�37�3L1.Jf� � (,�.'r ��l�!c Z �b�
City, State, Zip City, State, Zip '� a
�� �- .�r�-� 9�s- a��;� � �.
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Daytime Phone Daytime Phone �
Building Land Use L �
( ) New ( ) Fillin� Zone District � �
� Addition ( ) Dred�in�
�
(�Alteration ( ) Gradin� Lot Size � I �`.
( ) Movin� On ( ) �� � � � � �
( ) ( ) Acres �
� i
= �
Primary Stnicture Accessor�� Buildin� Addition i� �
( ) D���ellin� ( ) Gara�e-attached,'detached ( ) Deck �
( ) Year :ound ( ) = of car stalls �Porch � i�
( ) Seaso:�al ( ) Stora�e Buildin� ( ) Enclosed '�
O Frame built on site O Screenho�ise �Living room j�'
( ) 1��todular,!manufactured ( ) Greenhouse ( ) Kitchen 0,
( ) �lobile/manufactured ( ) Other ( ) Bedroom � ;
( ) Other primary structure - ( ) ( ) Relocate/enlar�e � �
� � ( ) (�) � of new �
�
Type of Construction � `
(�Frame ( ) Log ( ) Pole/nletal ( ) Block ( ) Concrete �
( ) Other � �
�
�
h .-
Construction Cost S �� C'� � . � r
�315 5�S � �J �
Vol Pg of Deed Certified Soil Test � 93 •333 � � ��1
CSM Vol ��� P �7 oPo}- J Sanitary Pernzit# 93 -a8y „ z
---��1� �� � G� �
Plat Envelope Or: - �
�� ��
Coildo Vol Pg Year Installed ��Ll� '': �- � n
Aff of ey septic �' P O���ner �Vhen Installed: � � � �I���
���1��� � n� � ��
j3�i ln t�-1 tt�
. Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,sto addition, alteratio . �
#1. eliax� l-caw�a�y�#2. t3��zFu�K �3. � #4.
Size_��ft.wide+�' �D ft.wide ft.�vide h.wide
uv,ti+(, -
__�ft.lon��� �ft.lon� ft.long ft.long , '
Floor area_�sq.ft. ,�� sq.ft. sq.ft. sq.ft.
H�t.from gade��to peak��ft.hgt. ft.h�t. ft.hgt. ,
Stories� stories stories stories
#of bedrooms� n
rear lot line or�vaterline of ��FCf,� �� lake/river
In the box sketch in: ��
Location and size of all
existing and proposed stn�ctures.
Location of septic system.
Indicate distanceto:
��'aterline/��'etlands S�;l��,r�' ��� ._ 7o F; � , � -
Road p��
Lot lines ���/`
Septic systenl!pri�y �
��'ell ���
Distance bzt��een structures. '
Indicate tiortli.
Fire\umbec � - ------_ a�� ?a
� �11 �u�S G��� :� ,y ___----
� ��� � �� �A�
Q AbD b� 3v lOr.^,P�9G�
_ FYisn.v� llo
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Signature of O��ner s�"�"
Tliz abo��e certifizs that the listzd ��
infom�ation and intentions are truz and / �
correct.The abo��e penon's'hzrzby
\
ervz pzrmission for access to thz
propzrry for onsicz inspzc[ion. ------centerline of �'(U����' D�(�� road------
� a3sy �ana , :s�� �
sn�.� �, �+.��.
[ssue Date June 4, 2004 Expire Date June 4, 2005
Officc Commeiits: ��GLd's�+ C /f1��"
Si�naturc oiZonin�Administrator
�1 pF WI NTER
TW P. 39 N . R . 5 W. - as e
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SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetatiou Protection Area)
Land Use Permit No. -�� (To be entered by the Zoning Office) Index No. ��-Z�J
WHEREAS,(list all ownets) ��'��J � S'f-/f.��UN h/�/�^
�
€ - /`� 7a�/i u�rri�rE%s�� ��u� lU���,e, ��r sc �5��1�=
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a owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
1� WHEREAS,in order to secure a Land Use Permit.
p� 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 mazk of the waterbody.
� The owner(s)hereby agrees to comply with the shoreland vegetative protection azea requirements of Section
4.410 SHORELAND VEGETATION PROTECTION AR.EA, Sawyer County Zoning Ordinance,in effect on
� the date that the land use permit is issued by the zoning office.The owner(s)furthec 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]
� 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
Q 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: .S� ��� �,3�- �C�S�/ � h� �G�-S
��1-� �cc��7" �UT�/ L oTl C5'�1 /.s LI`�'�/ �'` �'��/
�a�/y��s ��� #.3is.s�s� ir��i,v��L� � -�%v�E'a.vf/���t �'FU�
Dated this_���t,�day of ��/y� , ��G� � T��
(Owner) (Owner) �
������� � ��
(Owner) (Owner) ,1� `
�-�/C!`1t�� // ���""�
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office
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