HomeMy WebLinkAbout002-133-02-0300-LUP-2010-025Application for Land Use Permit (*ShorelandD
County of Sawyer
PO Box 676 - Hayward WI 54843
715/634-8288
*Property that has frontage on a creek, river or stream, a flowage, lake or pond
or has any of the above water bodies located within the property's boundaries.*
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER.
SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL
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Owner
13- $ 9 t �knnoA
AI.Loy t
Mailing Address
Woot bur�j
-Mm 5�129
City, State, Zip
Lo51— 1131
— 29 57
Daytime Phone
---Ac K Sa oSfrorri
Builder
13021-o1 L.Av-ScN RS
Mailing Address
14Al wKv4 \N+'S 54843
City, State, Zip
-1 IS-1e34 - `t y21
Daytime Phone
Site address: 15 V 9 W C 1 e- LL-t R S (Fire number & name of road)
Proposed construction (check one):.
( )New or replacement dwelling/primary building. Number of bedrooms:
( )New or replacement accessory building
(�C)Addition or alteration to dwelling/primary building. Total number of bedrooms:_
( )Addition or alteration to accessory building
( )New business or use of existing building
( )Use of land (such as mining, grading, filling)
Additional information:
Construction Cost: Primary Structure $ N Pt free o.ch ♦.�w%v�Qara
Accessory Building: $ 0 A Q
Addition: $ -1 \ AO0 en
I
C4
Describe what you are building. List each project (from what you have ch- ecned above). '
Project#1.Size of footprint: ft.x ft = sq ft.
Total sq ft: Height from grade to peak:
(This total includes additional stories or lofts.)
Proj ect#2. Size of footprint: ft.x ft = sq ft'
Total sq ft: Height from grade to peak:
.�. E�u�r Po• -cis
j 50-f e,a1 QorC.h ft.x I A I ft = 2�(4, sq ft.
Pro ect#3. Size of footprint: I lv y Total sq ft: 29 �
Height from -grade to peak: I fe'
_ .
Additional information: Example: A dwelling is #1, an attached or detached garage is #2. o
Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate.C-'
The Zoning Office can help you determine if a surface is considered impervious.) co
This calculation may be omitted if there is no increase in amount of impervious surface.
Calculate lot area:
Determine lot width in feet (measure from side lot line to side lot line): 155
Multiply by lot depth in feet (measure from shoreline to the landward) Sob sq ft a
or multiply by 300 feet if lot is more than 300 feet deep:
A maximum of 1S'/o impervious sir acc is "'II -Owed by this pe*i+'!it.
Multiply square foot calculation by .15: 41n � SQa sq ft x .15 = 9 7 S sq ft
0
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it
Calculate impervious surface area:
1
Determine the total size in square feet of your projects listed above (include eaves): �,
37 to sq ft w
Determine the total size in square feet of all existing roofed structures (include eaves): N
�h )1 sq ft
Determine the total size in square feet of all existing paved/bricked/blocked surfaces: o of
Add these square foot measurements to determine total impervious surface: sq ft 8
If the total square feet of impervious surface does not exceed the 15% limit that you have
calculated above, proceed to page 2 of this application.
The drawing on page 2 must indicate the location and dimensions of all these measurements.
�3
Setback measurements are from any point of a structure closest to waterbody, road, or lot line.
This may be an overhang, deck, porch, etc. 1.,c\L Co u•-"t t Or i -tLL S I „
155 v
Fire Number and Name of Road
Show lot dimensions and indicate north. -
Draw the location, size, and dimensions of each structure on the property.
Indicate new structure. Show driveway access.
Draw the location of the septic system and distance to structure.
Show the distance to the shoreland of the waterbody. Show location of any wetland.
Show the distance from the structure to road centerline, lot lines, wetland, septic system
(drainfield and/or tank).
Shoreland vegetative buffer:
The shoreline area is to be fully vegetated to a depth of 35 feet from the shore of any waterbody. The
exception is an access corridor of 30 feet within any 100 feet of shoreline. Indicate on the above
drawing the location of the access corridor. Owner's signature is required on the appropriate attached
Shoreland Protection Agreement. This permit cannot be issued without a signed Shoreland Protection
Agreement. If the 35 foot buffer is fully vegetative, sign the Shoreline Protection Agreement #1.
If any part of the 35 foot buffer is not in compliance with vegetative requirements, sign the Shoreline
Protection Agreement #2 — Non -Intact.
Please submit a shoreline photo to verify buffer status.
Notice: Land Use Permits expire one year from issue date.
The undersigned 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. The undersigned person(s) hereby give permission for access to the property for onsite inspection.
S
Signs a of operty owner (or agent with Power of orney).
Permit Feec9-rS, 07)
Page 2
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Real Estate Sawyer County Property Listing
Today's Date: 3/24/2010
Page 1 of 1
Property Status: Current
Created On: 2/6/2007 7:55:02 AM
;zt
—• MFC=4.FIUUUH
U atea• 1 3 2004
Tax ID:
918
PIN:
57-002-2-39-09-02-5 15-170-020300
Legacy PIN:
002133020300
Map ID:
-20.2.3 & 2.4.1
Munldnality:
fnn7i Tnwim nP Racc i avp
STR:
S02 139N R09W—
Description:
Cr OREILLES PK 2ND ADDN LOT 3 & PRT
LOT 4 BLK 2
Recorded Acres:
1.210
Calculated Acres:
0.000
Lottery Claims:
0
First Dollar:
Yes
Watertiody:
Lac Courte Oreilles
Zoning:
fRRQ Resldentlayltecreational One
I Tax Distrkts Updated: 2/6/2007
1 State of Wisconsin
57 Sawyer County
002 Town of Bass Lake
2478 Hayward Community School District
17 Technical College
*%� Recorded Documents Updated: 2/6/2007
® CONVERSION
Date Recorded: 2/6/2007 569/187
Ownership Updated: 2/6/2007
DOUGLAS D 7ENSEN WOODBURY MN
Billing Address:
Mailing Address:
DOUGLAS D ]ENSEN
DOUGLAS D ]ENSEN
3298 RICHMOND ALCOVE
3298 RICHMOND ALCOVE
WOODBURY MN 55129
WOODBURY MN 55129
9' Site Address
15219W CIRCLE RD HAYWARD 54843
Property Assessment Updated: 2/6/2007
2010 Assessment Detail
Code Acres Land Imp.
Gl-RESIDENTIAL 1.210 324,100 141,900
2-Year Comparison
2009
2010
Change
Land:
324,100
324,100
0.0%
Improved:
141,900
141,900
0.0%
Total:
466,000
466,000
0.0%
ED Properly History
N/A
3/24/2010
SHORELAND PRESERVATION AGREEMENT c i)
(Shoreline Vegetation Protection Areal
Land Use Permit No. (To be entered by the Zoning Office) Index No. _
WIMREAS,Oislallowners) (1, t(Is -'C) + ff)nn4 TPnSP�1
` r—
owns real estate within Sawyer County that is subject to the Sawyer County Shorelind Regulations, and
WHEREAS; in order to secure a Land Use Permit
NOW, MERBFORE, 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' laadwwd from the ordinary high-water mark of the watorbody.
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
.fhe date that the land use permit is issued by the caning office. The owner(s) further agrees to allow authorized
representatives of the Governmental Unit to eater onto the owner's property at the following description,
between the hours of 8:00 A.M. and 6:00 P.M. [Scotlon'9.13(I) POWERS, Sawyer County Zoning Ordinance]
to inspect the stmuclure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
'VEGETATION PROTECTION AREA onsts and that it is being preserved This_ authorization shall terminate
on the date of expiration -of the lead use permit However, the owner's obligation to maintain the SHORELINE
VEGETATION PROTECTION AREA in accordance with Section 4A10 SHOREAND VEGETATION
PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect Violation of this Agreetneat 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 df said Land Use permit Ali parties agree that this Agreement shill be filed with the Sawyer County
Zoning Office. .
of Property: LC&1 - }
Dated this I day of Fehr(ga.Ln4
(Owner) (Owner)
(Owner)
(Owner)
(Owner) - (Owner) -
This instrument was drafted by.
Sawyer County Zoning Office