HomeMy WebLinkAbout032-540-28-5207-LUP-2004-328 Application for Land Use Permit(*Shoreland*) o o -�1
County of Sawyer � �
PO Box 676 -Haywazd 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. � �
PRINT-USE BLACK INK OR PENCIL
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Owner n�od�ey�ravn Builder a
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Mailing Addr Maili g Address � O
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City,State,Zip City,State,Zip
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Daytime Phone �,�X �_�i_�.,: �:� Day[ime Phone
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Additional Information: Zone District: � � �
Lot Dimensions: /D� X ,��D
Date lot was created: /-I�o" 9�o Acres: . �� -A
/ / y
Is there wetland neaz the proposed structure?If yes,how faz I�v/'TN /�.��r L.r�f o
Building �P`"n"�Land Use Floodplain:O Yes (�No � �
(�New ����E ( )Filling Chippewa Flowage:( )Yes ( ) No � �
O Addition O Dredging Driveway access off of a(Check one): x � 1v
( )Alteration ( )Grading ( )Private Rd �i)Town Rd. � �
( )Moving On ( ) ( )County Hwy ( )State Hwy "� �
� ) � ) � �
Primazy Structure Accessory Building.2'��� Addition o �
( )Dwelling Qt)Garage-a3iw�ed/detached ( )Deck � �
O Yeaz round (�#of car stalls Tw� O Porch W
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom c �
O Other primary structure O O Relocate/enlarge w
� � ( � ( )#ofnew
AdditionalInformation: � a
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Type of Construction: �j
(�Frame ( )Log ( )Pole/metal ( )Block (�Concrete S',�A 15 �
( )Other p y
Construction Cost:Primary Structure$ '� � ,ti ,�
Accessory Building:$ /�f��O Addition:$ Qf �
$67- 43D� iz�l1/-'`' � C
Deed:Vol (v`� Pg�— Certified Soil Test# GD •'� �, z
� g " � ��L ' _ � o° 7�
CSM:Vol P Lot# Sanitazy Permit# �
Plat Envelope �?9 Or: r1✓Ss crF � �,
Condo Vol Pg Year Installed: �CJc>i N
'v, �
"Loads and Flows": Vol Pg Owner When Installed: (� �
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Previous office approvals/actions:
Variance:# LUP:# �a'�� SP:�' CUP:# . 1��,
Inspection Report:# Change of Zone District: � ���
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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.��Ar_tltp�3�4R,qC�e #3. #4.
Size fr. wide �sL ft. wide ft. wide ft. wide
ft. long 2'S _ fr. long ft. long ft. long
n s ft. s ft. s ft.
Floor azea sq. ft. �� q. q� 4�
Hgt from grade to peak�ft. hgt. ft. hgt. ft. hgt.
;
Stories ��L stories stories stories
# of bedrooms
L ke/Pond/Flowa eBiver/Stream Name c% IcX�l����
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Fire Number and Name of Road "
1. Enter lot dimensions and indicate north by arrow. S' natu e of Ow(�e thoriz�d Agent:
2. Indicate the location and size of the requested construction ��_���,�Lb _ ��
' \ Si naNre�)
activities. \
Print Name: � ✓SS �� �/�'
3. Also, 1ndlCate the loCatlon 2Tld dlStanCe 20 the well, The above ceAlfles that the Ilste mtormation and intentions are
hue and crortect., that all work shall be performed in compllance
septlC tank and clralnfleld, wetlancl azeas, lot lines, with ihe requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
centerline of the road and waterbodies. aa�ny as owoer�s>a9e�t, na5 me�e�n�ss�oo or me own���5)to
peAortn the work requested on this application. The above
persons/s hereby give permission for access to the property for
onsile inspection.
Permit fee: $ �(�C.�
Total land area within 300' of the waterbody: (A) 3C7�OC�.
Total impervious surface area [including this project] (B) �y Cf 9rZ S�t .}'-%-
(B) /(A) x 100 = % Used /3,S�ha11 not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes (')c) No
July 6, 2004 � � ..,C�jry � \ .�i�lg' _
Issue Date Signature of Issuing Agent
July 6, 2005 0
50% Rule: Average Road Setback:
Expiration Date
Office Comments:
OF WI NTER �
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� HUNTER LAKE Government Lot 2
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y fEq57 Fp41( pi7PPE114 RfVtR)
Section 28
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� s � l,e.�'.�- - ' WINTER TOWNSHIP
Q "; eo'S1=''—�, 92•�' SAWYER COUNTY, W 1 SCONS I N
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1. 51 ecres 0.96 acres 1.51 acres
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- �� �ZZB.13'� Corner � Z^ dlemeter iron plpe Fwrc '
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GRAPHIC SCALE - FEET 1" = 100� Oraftedby:0uvidXmopacky
SHORELAND pRESERVATION AGREEMENT
Shorelinc Ve etslion Protection A�rca
Lsnd Use Permit No. Q� (To be entered by the Zoning p�ce d�j/ _ ��
) Indea Na.
WHEREAS, (list all owners) �c� u 1 K-c��Zi 2�'1 � `cK r�1�-17 cr.,,�
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� owns real estate within Sawyer County tha[ is subject to thc 5awyer Cotmty Shoreland Regulahons, and
j WII�REAS, in order to securc a Land Use Permit.
�
�NOW, 7'FLEREFORE, the ownec�s) hereby certifies tha� as a condition of issue of said 7.and IJse Permi� that
� the SHORELINE VEGSTATION PROTECTTON AREA on said real estatE is intact to a minimum depth oi
v 35' landwazd itom the ordinazy high-water mark of the waterbody.
C� The owner(s) hereby ugces to comply with the shocelatld vegetative protection atea mquirements of Section
� 4.410 Si#OREI,AND VEGETAT70N PROTECTION AREA, Sawyer Couaty Zoning Ocdinaacq in cf�ect on
�� the date that the land use pemiit is issued by the zoning of�ce. The owner(s) further agrees to allow authorized
representatives o{ the Govecnmental Unit ta enter oetn tha owner's propetty at the folJowing description
between tku houx� of 8:00 A.M. snd 6:00 P.M. [Section 9.13(1) POWERS, Sawyer Couaty Zoning Ordinance]
�v�i in insPect the suucttt�e(s) or tues suthorizsd by said Iand Use Peanit und to deteimine if the SHORELINE
�VBC�ETATION PROTECTION ARF.A exists and that it is being preserved. This suthorization shall trnninate
on the date of eacpitation of thc land use permit. However,the ownex's obligation to maintain the SHORELINE
vEGBTATION PROTEG'ITON ARF,p in accordance µ7t� gection 4.4]0 SHORELAND VEGETAITON
g�PROTECIION AREA, Sawycr County Zaning Ordinance iemains in effect_ Violation of this Agreement will
c�( authoriu, in addition to other penaltjes and relief required vnder the Sawyer County Zoning Ordinance,
►'7 injunctive reief, restoradon of said real estate, the revocedon of said I,and Use Permit and the remava] of all
O� sbruclums approvcd by the issue of seid Land Usc Pacmit and thc revocation of any other uses approved by the
issue of said Land Use Percnit All pazties agrec that this Agreement shall be f71ed with the Sawyer Couaty
Zoning Office.
j,egalDescriptionofPmpe[ty_ �c;�- oE ' . o✓E,-nme„} . t Z� $,�c� r 2B Tu.�tv" �/U /1/ .�s,�eJ Ct�
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Dated d. day of �'; l ^ ��
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(Owner) if �— . (Owncr)
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(Owner) (Owner)
Tlii�insvumen�wat dra(ted yy;
Snwyer Counry ivning Off�e �
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