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HomeMy WebLinkAbout032-438-17-1202-LUP-2004-267 ' Application for Land Use Permit �. a County of Sawyer '� � PO Box 668 -Haywazd V✓I 54843 �� 715/634-8288 Iv The undersigned hereby makes application for a Land Use Permit and agrees that all work O shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance and the faws and regulations of the State of Wisconsin. �� PRINT—USE BLACIi INK OR PENCIL � D l��►tr.� �r 1 r�c_� J e�' g Owner Builder o� � /o a,o /�f� Ct t� ���� 3 � Mailing Address j Mailing Address `�j�a�'e" L�c,)�' `��°.�.1! S�/77 t ., Ci State,Zip Ciry,State,Zip `��. � 7/s --56d�- `�9f/�. Sf}-ra � _ Daytime Phone Daytime Phone � � Building Land Use i J r New ( )Filling Zone District�� / � • ' )Addition ( )Dredging � )Alteration ( )Grading Lot Size � )Moving On ( ) � � � ) Acres � oZ � � 'nmary Structure Accessory Building Addition � �Dwelling ( )Gazage-attached/detached ( )Deck s O Year round O#of car stalls O Porch r' ( ).Seasonal ( )Storage Building ( )Enclosed � ^ �Frame built on site ( )Screenhouse ( )Living room ( )Modular/manufactured ( )Greenhouse ( )Kitchen Z ( )Mobile/manufactured ( )Other ( )Bedroom � � I� )Other primary structure ( ) ( )Relocate/enlazge _ � � � � ( )#of new ' � nf('nnctr-�rtjnn C � x(rrame ( )Log ( )Pole/metal ( )Block ( )Concrete � = � )Other � � � � onsauctionCost$ 30,OOC> ?o S�id�� � ol_��_Pg Y� of Deed Certified Soil Test# / 7� ? �d� U SM Vol Pg Sanitary Perntit# ��/—ll7 _ _ � "p Or: � z '.at Envelope � A ando Vol Pg Yeaz Installed � _�of ex sepcic V P Owner When Installed: F � \\v � 334�d� Application for Land Use Pernvt—Page 2 Descnbe Construction:List dimcnsions of each structure,story,addition,or altera��on #l p2. #3. N». Size �p2$ R.wide fl.widc ft.wide ft.wide `,7 IL ft.long R.long ft.long ft.long F:oor aroa�� sq.ft. sq.ft. sq.ft. sq.ft. Hgc firom�ac1e/�_w paak ft.hgc ft.hgt. ft.hgt. S�o:iu��__. _srones srories stories #of bedrooms�_ . �( , reu]ot li�e or waterline of ``l lakdciver In the box sketch in: �/ � y� `_,ocation and size of all + �h' �r� "�rI f� �t✓-C � e�cisting and proposed structurn. � � /.' i �Location of scptic systcm. � (ndicacc di;tance to: i � � � �'aterline.NJeUands Road � � lAt lines j Scptic system'pnvy � �i W e I I (,-. � � Distarce becween swc:ures. �'; � � �-���� S;a,r„ � � , o ..,` f r,� /.. -..h..�8. , ��duate North. �'�j � ,�a. � �`'°�K i Fire Number � �� � yad 9�.� c� rlw �� � ' � � `� � ,_ --- r , , y -v .� . d'__ .� �`c'�' ` I '�e.�,c// � ' v -��_ ignaiure of Owuer � a The ebo�e umtic�Uut[he lisicd �: v �nlorrtut�on and mknnor�are ttue aod :�N' - t�, !� � ��- � eorre.t.'Iheaboveperson's'hereGy � 0 gi�e pertr�ecion[or ucax to the � pro�erty for or.s�u�nspocrto❑ ---•---centerlinc of road------ June 15, 2004 June 15, 2005 Issue Da:c_ _, _ Expire Date ----_- _ > Ofi.ce Cornments $'�.ni� �x« SignaturcofZon g d inistra�or .Smp2vAlis�z� 5.:=-r�tu�ti-�}u,y, IL�4 l�OD �a��a��. 9l,sc�c� ( , 8°To m�� ���+� OF WINTER ' TWP 38 R 4 W. 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ZON E A--��`�•`•:�.c:ii�: II II 11 30 . :•. 29 r SHORELAND PRESERVATIONy AGREEMENT (Shoreline Vegetation Protection Area) Land Use Permit No. � -��� (To be entered by the Zoning Office) Index No. d y - �� � WHEREAS, (list all owners) Rolland Princ� and � e owns real estate within Sawyer County that is subject to the'Sawyer County Shoreland Regulations, and � WHEREAS, in order to secure a Land Use Pertnit. � � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that �V the SHORELINE VEGETATION PROTECTION AREA on said real estate is intact to a minimum depth of �' 35' landward from the ordinary high-water mark of the waterbody. � �1 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) further agrees to allow authorized � representa.tives of the Governmental Unit fo 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 detertnine 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 O 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: Part of the NW 4 NE 4 Section 17, T 38 N R4W. parcel # 032-438-17-1202 Dated this �-/�� day of������ , Q'� (Owne (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office