HomeMy WebLinkAbout002-940-09-2208-LUP-2010-334-Y4-C C &*cZ_ �o Atj r°
Application for Land Use Permit (*Shoreland*)
County of Sawyer
PO Box 676 - Hayward WI 54843
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
c2
Owner Builder
Mailma Address / Mailing Address
well IAJ/ r`
City, State,, ZZi 9 City, State, Zip
/-?/! -63,f- (,
Daytime Phone Daytime Phone
Additional Information:
Zone District:
Lot Dimensions:
Date lot was created: Acres: GX� q • SO
Is there wetland near the proposed structure? If yes, how far
B .4ding Land Use Floodplain: ( ) Yes V No
( ) Filling Chippewa Flowage: ( ) Yes () No
ddition ( ) Dredging Driveway access off of a (Check one):
( } Alteration ,(Y(`rading ( ) Private Rd ( ) T wn Rd.
( } Moving On (} ( ) County Hwy (,t Kttate Hwy
Primary Structure
( ) Dwelling
( ) Year round
( nal
e built on site
Modular/manufactured
( ) Mobile/manufactured
( ) Other primary structure
Additional Information:
(T e of Construction:
Frame () Log
O Other
a yXa y' (::;A AfA C--,-E
Ac5pnory Building Addition
QPT Garage -attache detacheP () Deck
P # of car stalls
(} Porch
( } Storage Building
() Enclosed
( ) Seeenhouse
() Living room
( ) Greenhouse
() Kitchen
( ) Other
() Bedroom
()
(} Relocate/enlarge
()
() # of new
( ) Pole/metal ( ) Block ( ) Concrete
Construction Cost: Primary Structure $
Accessory Building: $�I7�i • `�
Deed: Vol
CSM: Vol
Plat Envelope
Pt_
Pg Lot #
Condo Vol Pg
"Loads and Flows": Vol Pg
Addition: $
Certified Soil Test #
Sanitary Permit # (qO - e),o �-�-
Or:
Year Installed:
Owner When Installed:
Previous office approvals/actions:
Variance: # LUP:# 00- atPq SP: # CUP: # 7: D
Inspection Report: # Change of Zone District:
W
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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. #2.
#3.
#4.
__r�rC/
Size ft. wide
ft.
wide
ft.
wide
fr.
wide .
'dI ft. long
ft.
long
ft.
long
ft.
long
Floor area_.l sq. ft.
sq.
ft.
sq.
ft.
sq.
ft.
Hgt fiomgrade 13 topeak
ft.
hgt.
ft.
hgt.
ft.
hgt.
Stories
stories
stories
stories
# of bedrooms
-�q1C �dct 1Ae' Ul
ter Cwu u-
ikt 'N
aVra><y�
eltf' 6l
Fire Number and Name of Road
1. Enter lot dimensions and indicate north by arrow.
2. Indicate the location and size of the requested construction
activities. gou,nt
3. Also, indicate the location and distance to the well, I & 1 d"
septic tank and drainfield, wetland areas, lot lines, ,Ojuaj L
centerline of the road and waterbodies. 57`(�°'
Permit fee: $ kil n
Total land area within 300' of the waterbody: (A) a9 A 0 O
0WaL
/9 70 r-
c
Signature of t g�oKARUthorized Agent:
sightless
lonnt Nam
The above ced'Afes that the listed Inforrmton and intentions are
he and sar l., that all work shall be performed in compliance
with the requirements of the Sawyer County Zoning Ordinanw
and the laws and regulations of the state of Wisconsin, and If
acting as ownerl agent, has the permission of the ownega to
perform the work requested on this application. The above
personals hereby give permisalen for access to the property for
all inspection.
Total impervious surface area [including this project] (B) a 1$ $ I (08 q o uzocL
(13) / (A) x 100 = % Used (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes M No
//- 4- /o
Issue Date
//-9-//
Expiration Date
Cb, D . Yl e . _
Signature of I s Agent
50% Rule: Average Road Setback:
Office Comments:
-Ng)j* wo�.w'o
A
10 11111;ppli
^yv^9yU1W$1Ep*a �3541
a&,so OiP�IDS G
r 07/17/2008
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PART OF
TNS NW 4 - NW 1/4. SECTION 0. It. P 0 A., t Tde 7T
OF BASS IJIM SAW= COUNTY, 19 Oti9 1
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UTnz
SPRING LAKE i % rr I I mTOTAL r
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03-04-�10 10:47 1X11•PEl_LflF1 7156399°39
Page 1 of 1
Real Estate Sawyer County Property Listing
Today's Date: 11/8/2010
Descrintion
Updated: 419 2010
Tax ID:
40731
PIN:
57-002-2-40-09.09-2 02-000-000080
Lea PIN:
002940092208
Ma ID:
.6.8
Munldpality:
(002) TOWN OF BASS LAKE
STR:
S09 T40N R09W
Description:
PRT NWNW LOT 1 & PRT LOT 2 CSM
30/134 #7553
Recorded Ames:
9.300
Calculated Acres:
0.000
Lottery Mims:
0
First Dollar:
No
Waterbody:
Little Spring Lake
Zoning:
(A-1) Agricultural One
Tax Districts Updated: 4/19/2010
1 State of Wisconsin
57 Sawyer County
002 Town of Bass Lake
2478 Hayward Community School District
17 Technical College
�R Recorded Documerrts Updated: 4/26/2010
® WARRANTY DEED
Date Recorded:4/7/2010 365925
Property Status: Next Year
Created On: 4/19/2010 9:16:30 AM
SQ OwnershiD Updated: 4/26/2010
JOHN P & BRIGID A DONNELLAN HAYWARD WI
Billing Address:
JOHN P & BRIGID A JOHN P & BRIGID A
DONNELLAN DONNELLAN
PO BOX 94 PO BOX 94
HAYWARD WI 54843-0094 HAYWARD WI 54843-0094
F Site Address
9283N STATE HWY 27 HAYWARD 54843
® Property Assessment Updated: N/A
2010 Assessment Detail
Code Acres Land Imp.
N/A
2-Year Comparison
2009
2010
Change
Land:
0
0
0.00/0
Improved:
0
0
0.0%
Total:
0
0
0.0%
ElProperty History
Parent Properties Tax ID
57-002-2-40-09.09-2 02-000-000050 40111
57-002-2-40-09-09-2 02-000-000060 40113
11/8/2010
we-.e e�a ao.
NW
SW -NW SE -NW
NE -SW
NW -SW
5 a 354191 2
PAULA CHISSER
REGISTER OF DEEDS SAWYER COUNTY. WI
07/17/2008 09:05AM
REG FEE: 13.00
PAGES 2
SAWYER COUNTY CERTIFIED SURVEY MAP
PART OF THE NW 1/4 — NW 1/4, SECTION 9, T. 40 N.. R. 9 W., IN THE TOWN
OF BASS LAKE, SAWYER COUNTY, WISCONSIN.
oac ro. aeeur SEC. 9
N 1/4 COH
LITTLE
SPRING LAKE
/EARTO'' 77EAY m
SRf VEYYNOO° HAMAM RC
r oHOUSE
LOT 1
296,230 y S0. FF.3 6.60 AC 3
LOT 2
247,695 S0. FT.
5.69 AC.
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IW IOD 85 8.'6 E
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AREA
769OFFAL 1411 S0
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LOT 3 I I
222,196 SO. FT. \
HOUSE
MR.
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9 W41 •6 632.01 SW - RW 1
WC xJ. n�an 100 I IW
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SCALE.ONE INCH — 200 FEET
SURVEY -
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0 200 400
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C.ILb9d SWVGY NO. 7 5 5 3 """ 1.1' NOL 3 0 PG 134
MORELAND PRESERVATION AGRE EMENT C1)
(Shoreline Vegetation Protection Area
Land Use Permit No. (To be entered by the Zoning Office) Index No.
WHEREAS, (list all owners) ,q I44) 4 A;l!V&2N bd,tJ,Ljc,_ ,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.
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' landward from the ordinary high-water mark of the waterbody.
The owners) hereby agrees to comply with the shoreland vegetative protection area requirements of Section
4AI0 MORELAND 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 Governmental 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. II& authorization sball terminate
on the date of expirationof the land use permit. However, the owner's obligation to maintain the SHORELINE
VEGETATION PROTECTION AREA in accordance with Section 4.410 MORELAND 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.
Legal Description of Property: �Ma� ) OG,�zJr/�K&
Dated this —6 711' dayof iL�ul�GvC �"J/G�
(Owner)
(Owner)
(Owner)
lllis instrument was drafted by.
Sawyer County Zoning Office
(Owner)
(Owner)
(Owner)