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002-840-29-5716-LUP-2010-270
Application for Land Use Permit (*Shoreland*) t� 01 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 Owner &E oe6 os a- g5Z,7' Ary Mailing Address 46 44" e'4�l/24 f 6C! ! City, State, Zip Daytime Phone 4: . Cw,,. � ,Ov+ V-orc4,te Lzr— Builder 1;T-> C:9 Mailing Address �-y� Vex Gdoa r � -6 k) r / 4r l._..7 City, State, Zip Daytime Phone Site address: 7'� /�/!.�S /Q e70I 5ire number & name of road) Proposed construction (check one): ( )New or replacement dwelling/primary building. Number of bedrooms: ( )New or replacement accessory building (ao)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 $ Accessory Building: $_t�'�� 2 Addition: $ ( MC>� Describe what you are, building. List each project (from what you have checked above). Pr ect#1.Size of footprint: /'7'/0" _ft.x /5' /o ft sq ft /p.') A- Total sq ft: a Aa Height from grade tope a pa (This total includes additional stories or lofts.) Project#2. Size of footprint: 5� ft.x �� ft sq ft �—, f Total sq ft: / 3S� Height from grade to peak: Project#3. Size of footptint: ft.x ft = sq ft. Total sq ft: i Height from grade to peak: Additional information:; Example: A dwelling is #1, an attached or detached garage is #2. Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. The Zoning Office can help you determine if a surface is considered impervious.) 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): ft Multiply by lot depth in feet (measure from shoreline to the landward . � or multiply by 300 feet -if lot is more than 300 feet deep: , 440 r Sy sq ft A maximum of 15% impervious surface is allowed by this permit. rr Multiply square foot calculation by .15: 33 L/ sq ft x .15 = b/ OS sq ft Calculate impervious surface area: Determine the total size in square feet of your projects listed above (include eaves): agrS sq ft Determine the total size;in square feet of all existing roofed structures (include eaves): /.37r.2 sgft Determine the total size!in square feet of all existing paved/bricked/blocked surfaces: sq ft Add these square foot measurements to determine total impervious surface: v7 74:�� sq ft 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. c 0 3 _Sz) W z 4-1 0 0 O a O Ic O :ih Q N r Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. / ake/Pond/Fl w e/River/ Cream 7T 1 . i 1 /v s� %/ I i ,n � V t! , I 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. i ature of property owner (or agent with Power of Attorney). Permit Fee Page 2 -- - 577 399 -- 30'2 39'4 -- 519 9' 8'10 q 4 g'Qy, F �' P1 O TO"6 n.ffe wf4 cof. awao• SAWYER COUNTY CERTIFIED SURVEY M A PART OF G.L.T, SEC. 29, T.40 N, R.0 W. ens�ieoP.A5060NER WI ®' �fam•e4'•w es' fofo fW"fxe q6E 3g0.3 12\9 nC I 9666 � I 23, T03 oc. .54 n F i 31,9G1 J. I ` 3 F 40, 334 ff. O ;a .93 Oe. e V SCALE f'c JO, GSO• IGO' /`yy. a SET 3M•.W REROG..t 1.30 Bf/H. '"JJe O-FO. 3/4"I.P. 9-a-9a �o�es �1C!Y✓•S1Y\^'?4+T'�✓4Y'AR43 SHEET IOF2 PAGE 1ME Real Estate Sawyer County Properly Listing Today's Date: 9/17/2010 Property Status: Current Created On: 2/6/2007 7:55:06 AM Description Updated: 1 3 2004 Taut ID: 2418 PIN: 57-002-2.40-08-29-5 05-007-000160 Lea PIN: 002840295716 Map ID: :7.16 Municloality: (002) TdWN nr- ROSS I OKF STR: S29 T40N R08W Description: PRT GOVT LOT 7 LOT 3 CSM 14/277 Recorded Acres: 0.930 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Waterbody: Lac Courte Oreilles Zoning: (RRI) Residential/Recreational One Tax Districts 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 542/25 -N:-N s LAP Sim 48 Ownership Updated: 2/6/2007' JAMES R & DONNA M FRIEDECK EAU CLAIRE WI Billing Address: Mailing Address: JAMES R & DONNA M JAMES R & DONNA M FRIEDECK FRIEDECK 443 ROOSEVELT AVENUE 443 ROOSEVELT AVENUE EAU CLAIRE WI 54701 EAU CLAIRE WI 54701 10 Site Address 7787N IGDDS RD HAYWARD 54843 IN Property Assessment Updated: 2/6/2007 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 0.930 266,000 234,900 2-Year Comparison 2009 2010 Change Land: 266,000 266,000 0.0% Improved: 234,900 234,900 0.0% Total: 500,900 500,900 0.0% Qom! Property History N/A t 5-0 r3b3 112c) —�� G.L. 8 G.L. 5 G.L. 7 a0 o ro UTT E BIT OF NEAWN_ A CONDOMINIUM yrBy ,y@ 4 0O ® UNITS mROUGN )� KNOTTY NNE ANCNON BAY 2 mj; p� CONDOMINIUI, - ' G.L. 6 CONDOMINIUM ] ooazumvm UNITS LOl =QUON 6 UNITS 11NROUGH cm=umomo I amimm 5 epN=W fH4 2 om3 Po� ooLME03o�m 6 oobiMmlRO ] o 001 ]I S=S�ORO > omYW01o] , mi-Smm Wm © va. � O mN63B5m, om.1=l0]mf0 � ] m3SUW Ow "^ 6 bR�� THY q 4➢OfE a$c` G.L. 9 LAC COURT OREILLES 3 ¢t d �� 3 1 • S o Y a� it vm 5101 G. L. 4 �of�t No�ff-� GIS/GPS Applications, Lend Surveying, Consulting, Custom Maps 8 Site Planning - services WI-RLSICN09 14048W Pop.raw.-Hay rd, WI54e43-715534-9432 Enmilauold@c ,x,mtnet GRAPHIC SCALE soo O 200 400 BOD NMGMH inch FEET ) i lonch = 400 @. SIIOREL ,ND PRESERVATION AGREEMENT (Non- Intact Shoreline Vegetation Protection Area) Land Use Permit No. (To be entered by the Zoning Office) Index No. _ WHEREAS, (list all owners) -r ;.n k7 owas 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 shall be restored in accordance with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. The owner(s) hereby agrees that at all tines in the future, the real estate subject to this Agreement shall comply with all shoreland vegetative buffer requirements of the 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 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. 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. Legal Description of Property:`PIZT GOUT t-0T 7 Lo r 3 GS IM 1±j '77 Dated 's day of ( er) (Owner) (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office (Owner) (Owner) �i,� ` .� .. �. .v ` �' E r �,.e � i� ^tom