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Home My WebLink About032-539-01-5211-LUP-2004-651 Application for Land Use Permit(*Shoreland*) o � � County of Sawyer � PO Box 676 -Hayward WI 54843 O 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 � N�,�L,�N�� S�►,�� Owner Builder a F��Z�� i-��'c.ac� s�fsa W Fis►-�rz�� 'Roa� N � Mailing Address Mailing Address � I'��hFC1�� I,l:! ��-(�� N f F�iRZ � � ,�T�6 � ` City,State,Zip City,State,Zip � ��)�9-�fSo6 (��uo�6- 6377 Daytime Phone Daytime Phone Additional Information: �e District:�—� n�, d Lot Dimensions:l�°J'�X� 3�0�`(Z� Date lot was created: Acres: • �j10 Is there wetland near the proposed structure?If yes,how faz �� T o � Building Land Use Floodplain:( )Yes �C}No G '�" (�c)New.�suna82 (�Filling Chippewa Flowage:( )Yes (� No � � O Addition O Dredging Driveway access off of a(Check one): z� �-Alteration�+v� '�1 Grading Private Rd O Town Rd. � Ry ( )Moving On ( ) �County Hwy ( )State Hwy °� �� ) � ) � `� � t� Primary Structure Accessory Building Addition o 0 ( )Dwelling �Garage-attache etached� ( )Deck � N O Yeaz round (2�#of caz stalls O Porch W ( )Seasonal ( )Storage Building ( )Enclosed �, O Frame buiit on site O Screenhouse O Living room �? ( )Modular/manufactured ( )Greenhouse ( )Kitchen � ( )Mobile/manufacrizred ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Re(ocate/enlazge ,;, � � ( ) ( )#of new u Additional Information: A � � o g Type of Construction: � � (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other � � Construction Cost:Primary Structure$ ��nt� .d � � W �� Accessory Building:$ �0�� $ ��J-GU� P, u Deed:Vol �6� Pg � ) Certified Soil Test# �, z vo � CSM:Vol Pg Lot# Sanitary Permit# � Plat Envelope Or: � �� Condo Vol Pg Yeaz Installed: N � ;'it ' Cn "Loads and Flows": Vol Pg OVvuer When Installed: ;: t.,, o l� Previous office approvals/actions: �'� � Variance:# LUP:# ''��l�� SP:�k: CUP:# � Inspection Report:# �$'�0 Change of Zone District: i��lf.�^v 3Hs 38 Describe the construction using these columns. List the dimensions of each structure in a separate column. List each story, each ad ition, each alteration in a separate column. #1. LTE #2. C CC"55W' f #3. #4. 6 Size Z.A ft. wide Z—Y ft. wide ft. wide ft. wide 2-7— ft. long Z-� r ft. long ft. long ft. long # Floor area I sq. ft. '76 sq. ft. sq. ft. sq. ft. Hgt. from grade 3 to peak ft. hgt. ft. hgt. ft. hgt. Stories i _ �� stories stories stories : # of bedrooms r Fire Number and Name of Road S- IO $ W /3u !LJ'ee-e - 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. i n ure qirrr or ut ri d gent: 5ignatu Print Name: The above Ifles that the fisted information and intentions a 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 personsls hereby give permission for access to the property for onsite inspection. iM Permit fee: $ Total land area within 300' of the waterbody: (A) Sj► 76® — -r— ,, ITV, 7 t lnC% :R ��C . I TWP 3J R. 5 W . • . �i � � . :�. � �. , BLACK DAN LA K E � 3 � � , .1.9 � � :3.�� E s1And -� :1.12, �1•7 ' ;��-''_` �'--�---� � :2.12 `-�'-� �� /� GrQ�c =Sland � „�--'�--� I � � �� C � - :3.�3 :3.1 ) �.s / � �.'� '1.2 � �.3.�� :�.� �-� � O � � 1 :z.�3 �� ..� :2.9 �� :2.1� �� 3 � f� :3,4 , � z.e � , � _ :2.�0 �, ��S � l .31' 7L .�.) ir! � :3.8 ( :2.1T I ,.,, :3.15 �1� :2.7 r � s �I.II ` � , :�.r5 0 � : 1.3 ° :3.9 1 :2.� 'Z.I N :�.8 :1.4 l �y .�� :3.10 ` .4 , � � •3 7 � � , � :2.3 :2.5 - - - - - - — - - - - - - - - - - - 2 :2•2 : 1.5 O :2.► � � �3c � 14.1 13'� O I't.2 � O ) ,� y� � � � � � � � � � � i�., � -�1c � 15.1 �5.2 � �- � � � � SHORELAND PRESERVATION AGREEM�NT (Shoreline VeQetation Protection Area) Land Use Permit No. �� (To be entered by the Zoning Office) Index No. Q�-� WHEREAS, (list all owners) ��'��'�('�-T �, � �Q�i�( �� I�k-Q�� owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and ZWHEREAS, 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 g� 35' landwud from the ordinary high-water mark of the waterbody. 4 � The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section —I" 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 Govemmental 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 L on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE Q 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. LegalDescriptionofProperty: Part of Gov' t Lot 2 , Sec 1 , T 39 N, R5 W, Town of Winter , Sawyer County, WI 032-539-01- : 2 . 11 Datedthis �i � dayof OV��V''1�_, Z�� (O er) �� (Owner) — -� �. � - � �� - .� (Owner) (Owner) (Owner) (Owne�) This instrument was drafted by: Sawyer County Zoning Office