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HomeMy WebLinkAbout002-940-23-5410-LUP-2010-192Application for Land Use Permit (*Shoreland*) y o 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. •� r SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER. ,� F- SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL I T)g6viw..J Sv1 j V Q Owner Builder Mailing Address WT SZ!�,y 3 City, St -ale, Zip Mailing Address City, State, Zip 5--(o 3 Il -OV? DaytimenDaytime Phone Site aCCd''dress: 150 _FD GL) b-ec k w 14 'W J (Fire number & name of road) Proposed construction (check one): ( )New or replacement dwelling/primary building. Number of bedrooms: (ANew 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 $ 12 0 0 d Accessory Building: $ Addition: $ Describe what you are building. List each project (from what you have checked above). Project#1.Size of footprint: 2 8 ft.x � D ft = l 12 0 sq ft.( Total sq ft: /) 2 0 Height from grade to peak: 15 F -t (This total includes additional stories or lofts.) Project#2. Size of footprint: ft.x ft = sq ft. Total sq ft: 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: Determine lot width in feet (measure from side lot line to side lot line): 62 0 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: 3 d sq ft A maximum of 15% impervious surface is allowed by this permit. 0 Multiply square foot calculation by .15: S& D Oy sq ft x .15 = 2 31 sq ft Calculate impervious surface area: y, o Determine the total size in square feet of your projects listed above (include eaves):, 4� a sq ft o0 Determine the total size in square feet of all existing roofed structures (include eaves): ` q, 20 �Qe sq ft 9' Determine the total size in square feet of all existing paved/bricked/blocked surfaces: o 220 sq ft Add these square foot measurements to determine total impervious surface: N,5(,asqft 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. 0 0 0 w 0 "� . q,)-'2 o Z-1 o(, Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. 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. Signature of property owner (or agent with Power of Attorney). Permit Fee 61 o D, 0 Page 2 Page 1 of 1. Real Estate Sawyer County Property Listing Today's Date: 7/13/2010 Descriotion Updated: i 2006 Tax ID• 3613 PIN: 57-002-2-40.09-23-5 OS-004-000010 L a PIN: 002940235401 Map ID: :4.1 Municipality: (002) TOWN OF BASS LAKE Tax DisWcts Updated: 2/6/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School DLgWd 17 Technical College y` Recorded Documents Updated: 2/6/2007 ® CONVERSION Date Recorded: 2/6/2007 425/84 435/414 Property Status: Current Created On: 2/6/2007 7:55:07 AM OwnershlD Updated: 2/6/2007 DAVID ALAN & CYNTHIA SMITH HAYWARD WI Billing Address: Mailing Address: DAVID ALAN & CYNTHIA DAVID ALAN & CYNTHIA SMITH SMITH 15030W BECKWITH RD 15030W BECKWTTH RD HAYWARD WI 54843 HAYWARD WI 54843 Site Address 15030W BECKWTTH RD HAYWARD 54843 if Property Assessment Updated: 2/6/2007 2010 Assessment Detail Code Acres Land Imp, Gl-RESIDENTIAL 1.350 44,500 207,500 G6-PRODUCTIVE FOREST 15.000 456,000 0 2-Year Comparison 2009 2010 Change Land: 500,500 5001500 0.0% Improved: 207,500 207,500 0.0% Total: 708,000 708,000 0.0% 11 Property History N/A 7/13/2010 w• xoci sww is en' row ew pol-v4o-a rF u1YWM WPPaS£4 IN, oox-a4o-v sxm ppl-e•o-l] zwl aaK 6S1K INNIJOx 266K 1.»K Pm evaao law elrm.c xr. q I" V lOx-vO-zJ axal IRBK •. 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RA S LAND R SE SHORELAND PRESERVATION AGREEMENT (Shoreline Veeetation Protection Areal Land Use Permit No, (To be entered by the Zoning Office) Index No. WHEREAS,( list all owners) pa,jiU S,e'col C nTI\tA 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 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 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. 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 4.410 SHORELAND 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: P T 't= G 11 T L G tl 1 1 L day of (Owner) (Owner) (Owner) (Owner) (Owner) (Owner) This instrument was dratted by: Sawyer County Zoning Office p W Developed shoreline about 20 ft, (16 ft between trees) Total shore line —800 ft