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Home My WebLink About002-940-13-5501-LUP-2010-099Application 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 UNTM ALL REQUIRED PM11TS HAVE BEEN ISSUED. SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE RLACK,INK OR PENCIL %..nilaa.i o is/ii/L /_ism �Q/N CONS owner 3�0�J v� � m�� ,g� Ismnlaer 99"cp f "/-.r r4''rcr'aT-Tso_.`�,�N7Yi,2 I' d Qox Mailing Address =L GasaaMai' gAddressI Z'L (om?saa l City, State, Zip -?/I 3G Ci State, Zip 715-46 9;`-W L 4/' 7 rr�-.r �a�.r Daytime Phone Daytime Phone <IGL Site address: q,510 n) WIAZ7e7P .fh _ (Fire number & name of road) Proposed construction (check one):. ( )New or replacement dwelling/primary building. Number of bedrooms: ( Ne orreplacementaccessory building Addition alteration to dwelling/primary building. Total number of bedrooms: O ( ) on 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: $ Addition: $ °f'S 700, 00 Describe what you are building. List each project (from what you have checked above). y�?O. Project#1.Size offdotprin[: /5� ft.x 3ft 90sgft 0 C Total sq ft: Ufa 0 Height from grade to peak:_ (This total includes additional stories or lofts.) ft _ sq ft. Project42. Size of footprint: ft.x Total sq ft: Height from grade to peak: .x ft= -sq ft. Total sq ft: � Projecttf3. Size of footprint: RHeight from grade to peak: Additional information: Example: A dwelling is 41, 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: ft lot width in feet (measure from side lot line to side lot line): Multiply by lot depth in feet (measure from shoreline to the landward) sq ft or multiply by 300 feet if lot is more than 300 feet deep: - A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .15: q ftx .15 = 6.> sq ft Calculate impervious surface area Determine the total size in square feet of your projects listed above (include eaves): .S -7—sq ft Determine the total size in square feet of all existing roofed structures (include eaves): 1k1A sgft Determine th total size in square feet of all existing paved/bricked/blocked surfaces: ffs sq ft Add these square foot measurements to determine total impervious surface:r,�- 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 m II V W U O H Setback measurements are from any po int of a structure closest to waterbody, road, or lot line. ; This may be an overhang, deck, porch, etc. 1 Fire Number and Name of Road 9-e-L i0 ti A&—� p '0 a 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: waterbody. The The shoreline area is -to be fully vegetated twatl any 100 f 35 feeet of shorelinet from the . Indicate any on the above exception is an access corridor of 30 feet Y drawing the location of the access corridor. Owner's signature m required signed Shoreland Protection hed Shoreland Protection Agreement. This permit cannot be issued Agreement. If the 35 foot buffer is fully vegetative,nthe Shorelie Protection with vegetative requirements, gnnthelShoreline If any part of the 35 foot buffer is not in compliance 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 Zoning Ordinance and the lawsat all work and regulationibe performed in s of the State of compliance with the requirements of the Sawyer County Zo g Wisconsin. The undersigned person(s) herebVive permission for access to the property for ensile inspection. of property owneror agent with Power of Attorney). Permit Fee 75 ' Page 2 Real Estate Sawyer County Property Listing Today's Date: 5/5/2010 Page 1; of 1 Property Status: Current Created On: 2/6/2007 7:55:07 AM JM pun Updated: 1 3 2004 Tax ID: 3180 PIN: 57-002-2-40-09-13-5 05-005-000010 Legacy PIN: 00294013SSOI Map ID: :5.1 Munldpality: (002) TOWN OF BASS LAKE STR: S13 T40N R09W Description: PRT GOVT LOT 5 LOT 12 CSM 7/204 Recorded Acres: 1.730 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Waterbodv Grindstone Lake Zoning: (RRl) 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 a' Recorded Documents Updated: 2/6/2007 G CONVERSION Date Recorded: 2/6/2007 428/70 42 Ownership Updated: 2/6/2007 JAMES & GAYLE ANNE BUCKLEY DECATUR IL Billing Address: Mailing Address: TAMES & GAYLE ANNE DAMES & GAYLE ANNE BUCKLEY BUCKLEY 3102 W WESTMINSTER AVE 3102 W WESTMINSTER AVE DECATUR IL 62522-1263 DECATUR IL 62522-1263 T Site Address 851ON HILLTOP RD HAYWARD 54843 d Property Assessment Updated: 2/6/2007 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.730 210,500 95,800 2-Year Comparison 2009 2010 Change Land: 210,500 210,500 0.0°/0 Improved: 95,800 95,800 0.0% Total: 306,300 306,300 0.0% ED Property Hlstory N/A 5/5/2010 1�y G.L. 3 Inrs t-ts vAu1m. mr m msts pm-tst-pp ,sm ros-a{o,rc ssn m Li me-aw--`t wm °pv'wo-u ><c scar G.L. 5 ao _9 au o r�4 tb3_BW-rJ y. ,._ � 6JI1 NILUAMS BAY Como. UNITS 1-7 - W,1r,�1pj ® K 11i. I A5 ew .. nm N°WING RWPoRS �K = ro3-Bb-I{ S.UI �c SECTION LINE DATA AND SECTION GRAPHIC SCALE SUBDIVISION PROVIDED BY SAWYER COUNTY SURVEY DEPARTMENT Mx a 2W {oa B°O ;ISIGPS Applications, Land Surveying, Consulting, Custom Maps & Site Planning - services w-RlSt309 IN FEET 1018W Poplar Ave. - Hayward, WI M813-719B30. n NOG3TH Emaold il g@d a netnel MINK CAPITAL SURVEYING, INC. 9e, F„%D ]lRVILFP Cam? 1 MEDFORD, WISCONSIN 54451 s.bala.:w. • • • o-niu.a s[..Iw• Prw.m s TovwrovM[,aappa,.vwnP abut lmgw[mmM1 Lwl[ i %., PI... CERTIFIED SURVEY MAY NUMBER i si24rE$:PflFIGB °�oYbS :S•t 173757 amM1lx'. omw San, cw.ry R.el na I-,aNd o" I 4�h mP a April 6D 1@O;g; 1pseo[y P . M and rxwd.a b vy. 7 a Cer_ Sur Pie—T6� ILx D.pxy I. David Es Tlusty, Land Surveyor of the State of Wisconsin, do hereby certify that I have made the following survey located in Government lot 5. Section 13 and in Government Lot 22 Section 24. all in T. 40 N., R. 9 PI., Sawyer County, Wisconsin, more particularly described as follower Commencing at the Southwest corner of said Section 13, thence N 0*0812111 E, along the west line of the southwest u of said Section 13, 281.L191; thence S 82 44TO911 E. 8431,more or less, to the shoreline of Grind- atOne Lake; thence southwesterly, along said shoreline 8101, more or loss, thence N 19n 11,17 11 E, 5341, more or less, thence S 8F 57-20" W, along the south line of said G. L. 5, being also the north line of said G. L. 2, 457.201 to the point of commencement. Said parcel being subject to highway, utility or other easements Is use and or record. I further certify that I have complied with the provisions of 33s]f,sPduy, Chapter 236 of the revised statutes of the State of Wisconsin In "`1 GON surveying and mapping the same. , APPROVED THIS /w'/DAY OF Ao iL ,1980. MVID e. nUE S �[ s13"D zo NaTIMLDFORD, ii y WI& SAWYr CCOUN ZONING ADMIXIbTRATOR L _ LEGEND Scale of Map: I inch Iron Pip.. FOo1W -r^ L$ll so Tt o This instrument drafted I..". Iran Fla.. LI, 1.1311'J". STATE OF WISCONSIN t r] by s insvid E. Tlusty. S1o". 1A°n' Found COUNTY OF TAYLOR { —p— bon Pins Set —am ]'a Wbon%p.s il, 3. 51b./11. 1 Oum C. *w LTv yb s s I IM sl[I 1 Wixsm4, d[ F b, w110, M.. an [M[ A[wib[d gsP[r.V [e Wip 1e dlidd ncwd..�d Ib.1M [ M^Hn : P b . Nu[ [M wxd hxnl[11u n11M [[Iniw bwnd[rM [( .6 bM [un[,[d. IMI [II bulldlnp..M ITPro..m.�A[ 11[ .Folly dlFln .M bwM[ry Ilwr. M IFn1 ro uww[Fmub by .dinu�d PrnP.m n.nm qP.w fxrn xW un., [x[PI w IMba[d. 1]N-[O-fY WOOPLM1MU LNL � f,wd L...w MORELAND PRESERVATION AGREEMENT C1� '- (Shoreline Vegetation Protection Areal Land Use Permit No. (To be entered by the Zoning Office) Index No. WHEREAS, (list all owners) sTfYnES /) 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 owaer(s) hereby certifies that, as a condition of issue of said Land Use Permit, that the S14OR13LWB VEGETATION PROTECTION AREA on maid real estate is intact to a minimum depth of - 35' landward from the ordinary high-water mark ofthe waterbody. _ The owner(s) hereby agrees to comply with the shoroland vegetative protection area requirements of Section' 4.410 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 P1L [Saxion'9.13(1) POWERS, Sawyer County Zoning Ordinancel to inspect the stmcturc(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE -V13G13TATI0N PROTECTION AREA exists and that it b 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 4AI0 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 reliet; 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 agroe that Ods Agreement shalt be filedwiththe Sawyer County Zoning Otlioe. . Legal Description of Property: ti. <r { /Z. T Y.0a14. 01f LI/ ing,/) nP .64sc Dated this. �?Ar4 day of ffplrGc �014 (Owner) (Owner) (Owner) (0 (Owner) ( nor) This instrument was drafted t, Sawyer County Zoning Ogee .