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Home My WebLink About002-840-31-5412-LUP-2010-163flr _ Application for Land Use Permit (*Shoreland*) 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 Dn/ ��tYI 7 f.5-1 N .LP Grp• / �N G.� �z.��vi Owner Builder Mailing Address �d firs erLb/. 2 L' &,OO1 City, State, Zip b17- bl_ 3fto Daytime Phone /1. /& Mailing Address City, State, Zip Daytime Phone Site address: .-rNd l�w i4l've (Fire number & name of road) Proposed construction (check one):. ( )New or replacement dwelling/primary building. Number of bedrooms: ()New or replacement accessory building ( )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 S. Accessory Building: $ /9, 4X -o u Addition: $ Describe what you are building. List each project (from what you have checked above). Project#1.Size of footprint: ft.x ft sq ft. Total sq ft: Height from grade to peals: (This total includes additional stories or lofts.) Project#2. Size of footprint: $ ft.x 34, ft = /PO sq ft, Total sq ft: / o D 2f Height from grade to peak: Project#3. Size of footprint: ft.x ft = sq ft. Total sq ft: 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: / l ,& Determine lot width in feet (measure from side lot line to side lot line): /2 F 9g ft Multiply by lot depth in feet (measure from shoreline to the landwar ) or multiply by 300 feet if lot is more than 300 feet deep: gv0 sq ft A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .15: - .40 sq ft x .15 = B . 0 sq ft 37eO U .5107 Calculate impervious surface area: Determine the total size in square feet of your projects listed above (include eaves): _ / r/-/P sq ft Determine the total size in square feet of all existing roofed structures (include eaves): 84 �_ sq ft Determine the total size in square feet of all existing paved/bricked/blocked surfaces: lel?7 sq ft Add these square foot measurements to determine total impervious surface: '� > 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. (A c� 0 vo O 0 b M I— N a 4�. co CrQ Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. Lake/Pond/Flowige/River/Stream(Name) ry i 'jOl�ie oc'" �rJOSyf'r' � y G sa q4-1 7��- -Vi G LhG GOUrG7E 021e LLB ruc nm,u 'l a.,u.......,—.-.._- 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 tit cannot be issued without a signed Shoreland Protection Shoreland Protection Agreement. This pem 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 re quiremen he Sawyer County Zoning ordinance and the laws and regulations of the State of Wiscon ' . he unde, igned hereby give permission for access to the property for onsite inspection. ignature of property own r (or agent with Power of Attorney). Permit Fees Page 2 Page 1 -of 1 Real Estate Sawyer County Property Listing Today's Date: 6/21/2010 ' DescriDtIon Updated: 5 2 2009 Tax ID: 2465 PIN: 57-002-2-40-08-31-5 05-004-000120 Legacy PIN: 002840315412 Map ID: :4.12 Municipality: (002) TOWN OF BASS LAKE STR: S31 T40N R08W Description: PRT GOUT LOT 4, LOT 3 CSM 28/154 #7240 Recorded Acres: 0.910 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Waterbpdy: Lac Courte Oreilles Zoning: (RRl) Residential/Recreational One I Tax DisM09 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: 6/11/2009 ® WARRANTY DEED Date Recorded: 4/30/2009 3S9967 ® EASEMENT Date Recorded: 11/4/2009 363580 0 NOTE Date Recorded: 6/11/2009 Property Status: Current Created On: 2/6/2007 7:55:06 AM 40 OwnershiD Updated: 5/22/2009 RON CARANI TRUST DEERFIELD IL SHARON LEE CARANI TRUST DEERFIELD IL Billing Address: Mailing Address: RON CARANI TRUST RON CARANI TRUST 407 KINGSTON TERRACE 407 KINGSTON TERRACE DEERFIELD IL 60015 DEERFIELD IL 60015 P Site Address 7428N INDIAN DR HAYWARD 54843 ® Pronertv Assessment Updated: 5/22/2007 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 0.910 279,500 25,200 2-Year Comparison 2009 2010 Change Land: 279,500 279,500 0.0% Improved: 25,200 25,200 0.0% Total: 304,700 304,700 0.0% W Property History N/A 6/21/2010 PAULA CHISSER SAWYER COUNTY, WI REGISTER OF DEEDS 338965 05/22/2006 11:20 AM RECORDING FEE 13.00 FAga° 2 y�/�fM"G .ar a�F lGl� �.VVIVIn \.GRIIF"ICV JIVRVCT M/1r H !'-'O-° z IDCATED IN CvOYf. LOT45ECII0N 3I,T40N, ROW, ,OWN OF BASS LAKF SAWYER COUNTY, WISCONSIN. V, e �� ALSOOENGALLOFLOTICSMI1529&LOf9CSMf1563 W v o A2�� I cv_ryvla GRAPHIC SCALESCALE Pm eBT19'11'E 33.1B' SeT1910�E' J4>.eE' BFMIN09 ARE REFERENCm ro I 1 1 1 I 1 1 �1 1 Iffi1 �S �I �IOI W R yyI 1�1 Pggsl �1g1 !� I gg1 3' —1 �I 1�a,Y I 1 -U 1 I 1 ' 4 1 M CWC NC. A'Cf92AtYN0 IS•21RAB•pADSE 101YIIARO�I SIM3 >ISIMd{1S asrt FMIIWATRCNMM 961Ap1 �OF2 5 21 AT CwWMd Survey No. 7 2 4 LOT I JIJ4E J. 7.20 AL3 THE WET LINE OF O . LOT 4 Sm. W. T4 l B ASSWED TO BFAR mra4•D3�r IEmu 0 - on 5/51 r " Bw ". R1. I-SMAK F1. • - MM I- MD. RW PFE ORgI YM°dfi AS 1p1FD • - E1L • - RnRc rArwAvrt (F>�vl- RFfOD DATA �- BUIIMG v_la�.aan NEB'38'SD-E ro *°Fir Fm-- aax' n3P1r"an Cy1 pall LOT 2 S.4A a • • 0.61 AC.3 • s lFFO>.F+ tal.nF wnDrr r�li a\O� ��- NLeise�o�1 r\ wa .B. SPo¢ xw�EaIDrT 1 ,$ N �r LOT 3 I • 39'" ..1so i =lL MA a9 „Hnnq. FF W. WT01'21 1 1/a' IP. /�/D` £_ - e-2310 ~ _8631-- D HAYWARD, WI 1/1C COURIE ORIELLES VOL2 8 PG 15 4 .E4 MORELAND PRESERVATION AGREEMENT [ ) (Shoreline Vegetation Protection Area) ' end Use Permit No. (To be entered by the Zasning Office) index No. WHEREAS, (list allowners) �0 aJ (2.4 2,4.,J � 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. ROW, THEREFORE, the owner(s) hereby certifies that, as a condition of'issue of said Land Use Permit, that the- S14ORELINE VEGETATION PROTECTION AREA on said real estate is -intact to a minimum depth of 35' landward from the ordinary high-water mark of the waterbody. The owner(s) hereby 'agrees to comply with the shoreland vegetative protection area requirements of Section' 4.410 SHORELAND VEGETATION PROTBMON 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 PI& (Section•9.13(1) POWERS, Sawyer County Zoning Ordinance] ' • to inspect the structures) 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 SHORELINE VEGETATION PROTECTION AREA in accordance with Section 4A10 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Vialation 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: 7't--T 96 0 _r LO T LO T _-3 e S M a 8// _Ty ::f/ 7�o Dat� day of 1_6 L �B/U7#7�9 (Owner) (Owner) This instrument was drafted by: Sawyer County Zoning Office (Owner) (Owner) (Owner) t .ENt g s+:, Rt a, A