HomeMy WebLinkAbout032-539-33-4205-LUP-2004-488 Application for Land Use Permit(*Shoreland*) o . ,�y� .
• County of Sawyer �, �
PO Box 676 -Haywazd WI 54843 Q
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 boundazies.
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUEA ,
PRINT—USE BLACK INK OR PENCIL
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Owner Builder a
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Mailing Address Mailing Address � �
�ALStm .�arf C!J/ �S�`'/O �
City,State,Zip ���L) City,State,Zip 3
�- 7i� ��f �1a 7 C�J �ri 6l f�7�i �
Daytime Phone Daytime Phone
Additional Information: Zone District: �— �
Lot Dimensions: �
Date lot was created: l2-2/� !9 9!� Acres: / !lo r
Is there wetland near the proposed structure?If yes,how faz o Z
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): x� R�
( )Alteration ( )Grading ( )Private Rd ( )Town Rd. �
(�Moving On ( ) ( )County Hwy ( )State Hwy �'
� ) � ) �
0 0
N �
Primary Structure Accessory Building Addition o 0
( )Dwelling ( )Garage-attached/detached ( )Deck �
( )Yeaz round ( )#of caz stalls ( )Porch �;,
O Seasonal 4Q Storage BuildingS O Enclosed �
O Frame built on site O Screenhouse O Living room �o �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primazy structure ( ) ( )Relocate/enlazge �\,,
( ) ( ) ( )#of new � I m
AdditionalInformation: W I>
i �
W �
Type of Construction: W
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete ,Z W
W
( )Other � �
Construction Cost:Primary Structure$ ro �
Accessory Building:$� ,� �`��` Addition:$ � (�
� �
Deed:Vol� 3 z''1�88 _= Certified Soil Test# q/—OCS�/ �; 'z
CSM:Vol /3 Pg z9�/ Lot#_� Sanitary Permit# QZ'Oc5'n tlQ 7y
Plat Envelope Or: o, U
Condo Vol Pg Yeaz Installed: r;,
"Loads and Flows": Vol Pg Owner When Installed: � �
ci
Previous office approvals/actions: �
Vaziance:# LUP:# �Z-�3�� SP:# CUP:# (� uL'
Inspection Report:# Change of Zone District: Q�31
�1�
�r� 3�co 33
. 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. STdc9lE SyL� #2. STate(FS y� #3. #4. '
Size�ft. wide �ft. wide ft. wide ft. wide
�ft. long �/ ft. long ft. long ft. long
Floor azea�sq. ft. _�sq. ft. sq. fr. sq. ft.
Hgt from grade��to peak 1� ft. hgt. ft. hgt. fr. hgt.
Stories � �stories stories stories
# of bedrooms �
Lake/Pond/Flowa e/River/Stream ame
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Fire Number and Name of Road �(f �D�y Lg.�TL�J �d�7�
1. Enter lot dimensions and indicate north by arrow. Signat ir ner o uthorized Agent:
2. Indicate the location and size of the requested construction
Signature . ,
activities. I `
Prin�Name: MC�n1'T£��—�-�i��w� C�d� `z
3. Also, lndicate the locatlon and distance to the well, The above ceNfies that the listed information and intentions are
We and cortect., Nat all work shall be peAormed in compliance
Sept1C t8i11C and dTalrifleld, wetland BTeHS, lot lines, wiN Ne requiremenLs ot ihe Sawyer Counry Zoning Ordinance
and the laws and regulatlons of the Sfata of Wisconsin, and if
centerline of the road and waterbodies. acnn9 as ow�er�s�a9eot na5 me Pe�tSs�on or me owoe�(s)co
perform the work requested on this application. The above
person�ls hereby give permission for access to the property for
onsite inspedion.
Permit fee: $ ']S
Total land area within 300' of the waterbody: (A)�f;«'
Total impervious surface area [including this project] (B) ��,:.�h
(B)/(A) x 100 =%Used 3�y °70 (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Aiea: Mitigation Required? O Yes ( No
, .,
September 8. 2004 � _
Issue Date SignaYure oFIssuing Agent
September 8, 2005 50% Rule: Average Road Setback:
Expiration Date
Office Comments:
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SHORELAND PRESERVATION AGREEMENT .
(Shoreline Ve�etation Protection Area)
Land Use Permit No. _(�'y-�� (To be entered by the Zoning Office) Index No. �- '�BB
WHEREAS, (list all owners) �ntelle and Carol Dinwiddie
owns real estate within Sawyer Coucity 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
� 35' landwazd from the ordinary high-water mazk of the waterbody.
� The owne s hereb a ees to com 1 with the shoreland ve etative rotection azea re uirements of Section
.r � ) Y � P Y B P 9
� 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) fiirther 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]
Ll to inspect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
VEGETATION PROT'ECTION AREA exists and that it is being preserved. This authorization shall terminate
�a on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE
'£ VEGETATION PR01'ECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
N PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will `j
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
Tstructures approved by the issue of said Land Use Pemut and the revocation of any other uses approved by the
� issue of said Land Use Pemut. All parties agree that this Agreement shall be filed with the Sawyer County
,- Zoning Office.
O LegalDescriptionofProperty: �t 4 of CSM vol 13, page 294 located in the NW� _ �
SE� Section 33, T 39 N, R 5 W, in the Town of Winter, Sawyer County, WI
032-539-33-4205
Dated this�_day of_ �'� �O y
(Owner) ' (Owner)
(�r4 ) , � (Owner)
'.�O//I
(Owner) (Owner)
This iastrument was drafted by: �
Sawyer County Zoning Office
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