HomeMy WebLinkAbout032-539-27-4409-LUP-2004-394 Application for Land Use Permit(*Shoreland*) o � �
County of Sawyer � �
PO Box 676 -Haywazd WI 54843
715/634-8288 W �'.
*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
�
Ja{�� � l�e�JOY� ����DO� �D��v,�,ne �r'7J0'� c
Owner � e Builder � a
w5�,�� W!!?�1:���t /��5� S �-l�G�✓�, o�
Mailing Address Mailing Address � O �
I�Ir���fe��� f,u1= S4flt� _ f�la����el��l, SL GoSQ.4- �
City,State,Zip City,State,Zip L�
��1�) ��- �t30 C�/s) 4-3�- 44(� � -��
Daytime Phone Daytime Phone � � �
���- / � o
Additional Information: Zone District: n
� � �
Lat Dimensions: � 7S //C 3lS / � -
5 �
Date lot was created: �q� � Acres: �•� � �
Is there wetland near the proposed structure?If yes,how faz �D o � � ro
Building Land Use Floodplain:O Yes (x)No G � �,
O New O Filling Chippewa Flowage:O Yes (� No �c p � o
(,�Addition O Dredging Driveway access off of a(Check one): � � � �
( )Alteration ( )Grading „ ( )Private Rd ( )Town Rd. � �
( )Moving On (��-Foue+�a+'i Sect�'I�rS ( )County Hwy ( )State Hwy "� � � �
( ) �Cj ��s tri1�r/,� � � � t'��1�
Primary Structure Accessory Building Addition o �. o �
( )Dwelling �Gazage-attached/detached (�j Deck � t �l
( )Yeaz round ( )#of caz stalls ( )Porch �., �
( )Seasonal ( )Storage Building ( )Enclosed � W �
O Frame built on site O Screenhouse O Living room c'o �n Q N
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen •" I� �' ^
( )Mobile/manufactured ( )Other ( )Bedroom � p � �.
O Other primary structure O O Relocate/enlazge � N
� � ( � ( )#ofnew .�p�� � 3 �
� n �
AdditionalInformation: ' A S �
-P cn '
-f� � �,��
Type of Construction: � � � �
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete s� �`
� n
( )Other ° �
�Construction Cost:Primary Structure$ ro I``, N '�
Accessory Building:$ Addition:$ `}OOD—(�cck� � � � v
� cs
Deed:Vol �1q�{ Pg 3(o Certified Soil Test# �3 - 3 Z�f �, z �
vo
CSM:Vol 12- Pg 3 Lot#�� Sanitary Permit# g3 - 30(p � %n W
�z539 Or: q3- Q-�(0 0� V� �
Plaf velo �
Year Installed: /9�!� N �
Condo Vol Pg � � .�
"Loads and Flows": Vol Pg Owner When Installed: v {�
N
�10✓VI25 �PXcQ(6'I�% ° �
6� W
Previous office approvals/actions: e -0
Variance:# LUP:#��3v�v
SP:# CUP:# �
Inspection Report:# Change of Zone District: 1���'�
1
� 35�135 �
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.
#2. f 4 #3. #4.
Size 3$ ft. wide .2 ft. wide ft. wide ft. wide
Z 3 ft. long % ft. long ft. long ft. long
Floor area 9�_ sq. ft._ q. ft. sq. ft. sq. ft.
Hgt. from grade
Stories
# of bedrooms
to peak — rear lot line or waterline of �er lake/river
z a lze
ZV
Dee
.4 O"CWl I 1
L� J31
154
Fire Number and Name of Road 57 Sri Lake Wj- 4rt- goad
1. Enter lot dimensions and indicate north by arrow.
2. Indicate the location and size of the requested construction
activities.
3. Also, indicate the location and distance to the well,
septic tank and drainfield, wetland areas, lot lines,
centerline of the road and waterbodies.
M1
Signa or Authorized Agent:
Signature
Print Nsme- I-0 ✓f' TV'l� 6 V-0%rt
The above certifies that the listed information and intentions are
true and correct., that all work shall be performed in compliance
with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin, and if
acting as owner'(s) agent, has the permission of the owner(s) to
perform the work requested on this application. The above
persons/s hereby give permission for access to the property for
onsite Inspection.
Permit fee: $ 7 S-" O v
Total land area within 300' of the waterbody: (A) '�,v 0
r--'--''-- - 4-"- -------�1 /Tl\ n . / / /
-� � � -� .�i�. -�1� � � ��.
� �tr��
� � � � � .z.i - � i.i
� „�!! � � �'�` .i.2
� �IL ��Il� - -
�ll't ,�f/i ,y.$
�11� � � � � � _ o
� � � �L[t ��f/� -� .�.a
_ _ - a
!�r � � � ,� � -� .�.s` \.•
� ' � v.� .4.4 .-
�
1� - .i _ � '�J
�\�// �� .3.� �G
- � m
; S�,f(L �!�/i .3.5
_� �111 '�O .''F.b �4.2
�=
� -�l� N\GNv�P��p�L
.8.t � ,�P�C� -(� .a.r
S.3 11LL S 5�A .3.2 '`�9
�.� .3.3
5 '�`
� -
�1I/i .9.3 _ ✓
I -�.LL�.
l �
_ � _ � �L .14.I .13.!
IA _
_ �
- �� -
i
_ �L -�11�
_ �
�1 I/ h 3 3
�� ��/, (.ST i.To 1.tt /fe /.n =.7 � _
�\1!/
` .I6. .it.5
`�`" �11L` � �5.7
:15.1 16.13 16.1 .16.1 1fi.G
�\ �,
\ � .153 `" :
� � �� .,, .,: „ ,.,, .., ,�6.�0 /6•Z;
h � `' I ���4.16.1 i�,2 .16,9 'IG.s
y I �
/ .i s.2 ,.; 2
15.4 �.,3 �
.1 .2 iri
' , .16.3
LAKE WINTER � 26
,
34 35
ALE: I INCH= 40o FEET FOR ASSESSMENT USE ONLY NOT
AWN BY: RMS DATE: 8-7-�9 INTENDED TO SHOW GONCLUSIVE
LON (:) INDIGATES GOVT. LOT I EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
�� �
, �
SAWYER COUNTY CERf1FlED SURVEY MAP NO.
Part of the Southeast Ouarter of the Southeast Ouarter of Section 27 ,
Township 39 North, Range 5 West, Sawyer County, Wisconsin.� �
LEGEND
0 1" x 30" ;ran pipe set, Easi Ouorier Corner �;
min. wt. 1.68 1Ss/ft Seclion 27, T. 39 N.. R. 5 W.
• 1" iron pipe found Found I" iron pipe �
Q 2" iron pipe found
Bearings referenced to the East line y ggg°I6'2B'W 412.b0'
of the Southeast Quarter of Section 27, � �^- - N. LINE SE-SE
which is assumed to bear N 4�32'51" W. D
Nm
Parcel areas shown do not include area ; C' M. �
shown as town road. " `^ � �
o N #.I7 ...8..
o �;
� I
I, David E. Tlusty, Registered � ;C� o
Land Surveyor, do hereby certify that, a :� �
by the direttion of G. D. McClaine, �
owner, I have made the following � ;��
survey of part of the Southeast O �
puarter of the Southeast Ouarter of � OA
m =
Section 27, Township 39 North, Range 1 0 J� N a
5 West, Sawyer County, uisconsin, more / `�
particularly described as follows: Sq qq'03� / :� r n"�j
/ a, , :w � :
Comnencing at the Southeast �^ w .�6Q5� ��' i� m 4
corner of 5aid Section 27, •—
thence N 4°32'S1" W, �14 , `"'„ Z �� A w
along the East line of ,l �„ o � :�� m N
the Southeast Ouarter of �255� `" _� � ' :�� n '
said Section 27, i�"„_w � A � inoo D a ^w�- : � `� �
1331.22 feet; tnence N oWb+ D �,,, �:o � � .�a '�� D
S 85°15'28" N, along the ` " o n �� ��i„ f��'1 `"- ' :N� o
W n, a�, S z o `c :-!�
North line of said SE-SE, N• � n�, (TI f �, r
412.50 feet; thence �' o �^� r N� N N ':C.31 ��
S 4�32'57" E, 468.65 feet;� �,.�.� C/� ' v' '
thence S 72�14'03" W, �^ N�B.Zg�'E o57g.6� �'Aj,
along the tenterline of ��.�- ���2� E �
an ezisting town road, � 360'��`-� �-i
159.11 feet to the point � � � � � ��
of real beginning; �v N
LAKE �
thente continuing � �r
s �z°ia�o3° w, along said WIN TER ,
centerline, 362.55 feet;
thente S 4°32'S7" E, 315.80 feet to a meander corner which is
25 feet more or less, from the ordinary high water mark of Lake SOu1he051 COrneY
Winter; thence N 18°28'06" E, along a meander line of Lake Winter, Section 27. T. 39 N.� R. 5 W.
112.13 feet; thence S 79°52'30" E, continuing along said FOund I" iron pipe �
meander line, 188.24 feet to a meander corner at the end of said
meander line, which is 20 feet more or less, from said ordinary
high water mark; thence N 4°32'57" W, 425.45 feet to the point of real beginning, including all land
lying between the described meander line and the ordinary high water mark of lake Winter, between the
parcel line5 extended.
SaiQ parcel subject to exceptions, reservations, restrictions and easements, if any, in use or of record.
1 further certify that I have surveyed the above desCribed parcel according to official recvrds and
Lhapter 236.34 of the revised statutes of the State of Wisconsin; that the accompanying map is a true and
corrett representation of the boundaries of the land surveyed; that no encroachments by adjacent
property owners appear from said survey, and that this survey is correct to the best of my knowledge
and belief. `�� 1�'� 30 -'
���8c9 � .
&Q���n August 2 . 981 �_..
R afvadEcrreeocdttis �� � gQy� ��7_��,� �7�-�/��7,/- �/ s`�(�^o�S • Tlusty RLS-1390
�C�A D 18_at / o'dock A�'u-'ti"' N�'� V� ��" p"S
M and recorded in vol. ��` � // _,� ��0 � �'`..�� �
of_ '� �-71+' onpage�� •r��G� TLUSTY �+
�-_:7'v�,�_�— � &3390 � ;,i,�
Re6ister � �E�� 7��,.
— ��9 9,� '�. . `, -
�•,:,��,* ,��.�,,� � �.�.:.-��•,�-``��;�
{�jP
�..._...�_ _ s�R'� .3
SHORELAND PRESERVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No.__[�/-3 9'/ (To be entered by the Zoning Office) Index No. �- �9 y_
WHEREAS, (list all owners) T�� �P��r,�,n� � ,����r� ���� �
,
� 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.
0
� NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that
P 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
n 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer Courity 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 Governmental Unit to enter onto the owner's property at the following description
D 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
� PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will
p- authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
t� 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
Q Zoning Office.
Legal Description of Property: Part of the SE 4 SE 4 Section 27, T 39 N, R 5 W,
Lot 3 of CSM vol 12 pg 3 map # 2539, Town of Winter, Sawyer County, WI
032-539-27-4409
D this � 7 — _day of , ZOO 4-
( er) (Owner)
(Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office