HomeMy WebLinkAbout032-539-34-3403-LUP-2004-569 Application for Land Use Permit(*Shoreland*) �y .
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. r
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL �
ti1r�'c � N�.��eY u���-��,9�ns �u�i C'anrsrt�ucr�a�l �
Owner /!7�/c7/ !lJErlllzE� Cvi[1,�:�t69S Builder a �
aia� 6��iNu.es�,�a°• ��ozw (��6NC�4uD t���D N.
Mailing Address Mailing Address � p �
�(/N�/�/-r1tilS.itl/�tlitl • G�l�IN R, l�(( SLI�� �
City,State,Zip City,State,Zip
���r� �7i s- 9ys- aq��3 �
Daytime Phone �j��- ��_ $�(o/� Daytime Phone rn
Additional Information: Zone District: -�__ �
Lot Dimensions: /Gb'-�ron�-/.S�B-f'9Ch'-
� 1t�/2EX �75 � e�
Date lot was created: Acres: %�!c 3 �-
Is there wetland neaz the proposed structure?If yes,how faz o `
Building Land Use Floodplain:O Yes O No G
�New ( )Filling Chippewa Flowage:( )Yes ( ) No �
O Addition O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Grading ( )Private Rd �S Town Rd. �
( )Moving On ( ) ( )County Hwy ( )State Hwy °Q
� ) � ) � S
in r
Primazy Structure Accessory Building Addition o 0
�Dwelling ( )Garage-attached/detached ( )Deck � �
�Yeaz round O#of caz stalls O Porch W
( )Seasonal ( )Storage Building ( )Enclosed �
�Frame built on site O Screenhouse O Living room �o �
( )Modular/manufactured ( )Greenhouse ( )Kitchen ",
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primazy structure ( ) ( )Relocate/enlarge +�,1� A^
( ) ( ) ( )#of new '�% �
�
AdditionalInformation: (� „
.
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�T e of Construction: � I�
Frame ( )Log ( )Pole/metal ( )Block ( )Conerete � �^
���
( )Other � �
Construction Cost:Primary Structure$ �'7�� ()(J4 „�� �
w
Accessory Building:$ �—"� _ Addition:$ �-- _ � (�
Deed:Vol '/��e Pg N/ � Certified Soil Test# �— � z
CSM:Vol�Pg�Lot# -� Sanitary Permit# (��I j - �-1 G S "� �
Plat Envelope �k 3�� Or: b, (/�1
Condo Vol Pg Yeaz Installed: �/�y— $�S7i'�/�Y1 �;, 1
"Loads and Flows": Vol Pg Owner When Installed: ���h �''F�D"`�� �
j�y A�l !°l-u✓viaru�— .uFu.� Hor�i.ue s
L �
Previous office approvals/actions: �
Vaziance:# LUP:# q'r1-221 SP:# CUP:#
Inspection Report:# Change of Zone District:
35�S�
�l��C�-
f_ , .
Describe the construction using these columns. List the dimensions of each structure in a separate •
column. List each story, each addition, each alteration in a separate wlumn.
#1. #2. #3. #4.
Size �a fr. wide ft. wide ft. wide ft. wide
`�!o ft. long ft. long ft. long ft. long
Floor area ZZf30 sq. ft. sq. ft. sq. ft. sq. fr.
Hgt from gade�to peak ft. hgt. fr. hgt. ft. hgt.
Stories l stories stories stories
# of bedrooms ` �/=
AI
���'v.�`d�°� wrK��r�.
Lak ond/Flowa e/River/Stream ame
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Fire Number and Name of Road dr97� �'�BE�P_T �0••9 b
1. Enter lot dimensions and indicate by azrow, S' ure o hori ed Agent:
2. Indicate the location and size of r quested construction
��� �I O-l�)? \:�-�-s ° a
activities. /1
Pnnt Name: ��,n If/. /����
3. Also, 1ndiCate tlle locatlon an diStanCe to the well, The above cenites Nat th�tion and intentions are
hue and cortect.,that all work shall be performed in comoliance
Sept1C tank ancl C$alnfielc�, wetland areas, lot llnes, with Ne requiremenis ot the Sawyer Counry Zoning Obinance
and ihe laws and regulalions of the Shate of Wisconsin, and if
centerline of the road and waterbodies. ace�9 as owner�s�a9e�c, nas me���55�on or me owne��5�co
perform the work requested on this application. The above
personsls hereby give permission for access to the property for
onsite inspection.
Permit fee: $ ���J � y
Total land azea within 300' ofthe waterbod A �,� L�L� � 31.4°� �9Ga Vy56
Y� � ) ,/ �
Total impervious surface azea [including this project] (B) ,j Day ��`E�"'��On�FY�'!UE /�60 )
.�
(B) / (A) x 100 =%Used 13 �'!5°�b (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? O Yes No
October 8, 2004 -
Issue Date Signature ofIss i ent
October 8 2005 50% Rule: Average Road Setback: _
Expiration Date
Office Comments:
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. MINK CAPITAL SURVEYING, INC. �
• ' ' � � � SURVEYING SERVICES
MBdFOfd� W�SCOf131 � Su6diviiion� �
Grtili�d S�rv�ys
/ Prop�rly $urv�ys
/// G�; lopogrophi< Mapping
� � $k�d Improv�m�nit
Roul� loca�ians
Plol Plan.
CERTIFIED SUHVEY r1AP ,^
S`^ 4'!'c. OF WISCONSIN , �S �`
C0�'.":T'Y OF S9'�r nR ioe'= .-- -
I , Charles Offerman , land � surveyor of the State of
y,�isconain , do hereby ��0 � $ certify that I have made the
�Q- �p`� N . � following survep in the SE�
�� r1'� ` ? , of the SW4 of Section 34•
�P �\ ry�+ cr� " T. 39 N . , R. 5 W. , Sawyer
� ° �, o•E � osnty, kisconsin , more
O1 p15'??6" m particularly described as
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a�o P o ( _ �, 3 i� M � CHARLES '. :
Z °" m `7 Q m � cn \ � OFF�R�UTAN � =�
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D o o = 171.47' __ .1.37.00'-.. .. 137.00' � `�� c�o. ? m
�T37.00' �AI
N 87°41'40"W 582.47' � ,
- - m C TOW� ROAD= S. LINE SW I/q SEC. 4 �
� N 87'41' 40"W 132i.47' .
; ommencing at the South 4 corner of sai— d Sec�3o�T}'.—'ttretr�e-�F�°41 ' L�fJ" W ,
�lonv the S . line of the said SW4f being also the centerline of a Toc.�n Road ,
L321 . +7 ' ; thence N 3°39 ' 1}5" E, 3 ? . Q1 ' to the Northerlp R-0,,I of said Town Road
ind the ooint of real beginni��; thence continuing N 3°39 'f}5" �, l}07 � , more or
Le� s , to the shore line of Lake Winte� ; thence Northeasterly, along said shore
Line � 511�� , more or less : thence S 11 L�6� 20" E , 633 ' � more or less , to the �said
dortherly Town Road R-O-W; th�nce N 87°l}1 40" 4!, along said Northerl� R-O�.+I,
�A2 .!}7 � to the point of real beeinning.
I further certify that I hav� complied witn the provisions of Chapter 236
>f tne revised statutes of the State of 4iisconsin in surveying and mapping th�
73RIC .
0 50' 100' IEGEND
Scele of Map: I inch — I00' � —Q— Iron P�pe� Found
---o-- 1' a24' Iron Pipa� Sef, iJ316./fL
STATE OF WISCONSIN j Q Slona Mon. Fouod
COUNTY OF TAYLOR � ft —0— Iron Pln� Sat
—�— 2' x 30" Iron Plpei S�t, 3.65 Ib./h.
� CHARLES OFFERMAN L�nd 5�...yo. oi f6. S1.t• of Wticom�n, do 6.r.by c.rtify M.f on JAN 23 19T3 , 1 .un.y.d f6.
�be.� d�urib�d prop�rfy �«ord(nq }e oRi<i�l r�eord� �nd fh�f th� �ceemp�nying m�p b � Irv� �nd eerne} nynwnl�lion o1 }M �dn(or boundui�� of }h� LnJ
wn�y�d, thd JI buiWinq� �nd fmpror�m��s It� rAolly ri}hln !h� baund.ry Ilne�. �nd Md no �ncro�chm�nh 6y �dl�un} prop�riy own�n �p u (rom wid wrv�y
nc�pf �i indicd�d.
�
PET�T 34-39-SW �pir...a �.� S�w.�r« 5-926
�.1
SHORELAND PRESERVATION AGREEMENT
(Shoreline Vegetation Protection Area)
Land Use Permit Na � 'y- J�(�q (To be entered by the Zoning Office) Index No. � - ��
WHEREAS, (list all owners) �i!(11�T j,e�lC.LIA/I�S ��y /17��UT��"f'� ,. /�9/1�'/1;���� �'f���1,5
,
�-- 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 depth of
a 35' landward from the ordinary high-water mark of the waterbody.
d
� 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
� 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
� on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHOREI,INE
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 Pertnit 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: jiilfl�l7�-� /�C(,tUSf�P �6 %„3 - ��G � �T�39.t/�,�iV°� L(/
���i-vTF2 � 03� " �� � - � 5�'- .3 �a.�
Dated this day of �i,n��'i�1n ,
, _....
(Owner)
,
, ,
. � /
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(Owner) (Owner�`
(Owner) (Owner)
This instrument was drafted by:
Sawyer County Zoning Office