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HomeMy WebLinkAbout002-940-25-5119-LUP-2010-226Application for Land Use Permit (*Shoreland*) y (CDC County of Sawyer . PO Box 676 - Hayward WI 54843 715/634-8288 O *Property that has frontage on a creek, river or stream, a flowage, lake or pond t 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 , 71itA.T IyV'G,T��./�fayl l'�P.ntni /-Llr/rJi�l..nra_T 0 Owner �"�� Builder S 8&4fv-Ma/ Eta t o. eoy- 930R,a,0 Mailing Address Mailing Address Mar6es4er, M0 auoI6�M6L i I1,57-353 �W Z 0 City, State, Zip City, State, Zip m 9 4(0 - a3q-238S(o AM- 373--5!SD DaytimePhone e,[rF3-13,88-daPo� Daytime Phone ,l Site address: 7835lY • LhdIG N Lk I t) e , (Fire number & name of road) 0 Owl Proposed construction (check one):' ()New or replacement dwelling/primary build' g. Number of bedrooms: (V)New or replacement accessory building ( )Addition or alteration to dwelling/primary build' . Total number of bedrooms: I — ( )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: $ 17, 7,15, 00 Addition: $ 0 Describe what you are. building. List each project (from what you have checked above). o C Project#1.Sizeoffootprint: a0 ft.x- O ft= _sgft. p Total sq ft: 12,490 Heigh[ from grade to peak: 7, % ,,, (This total includes additional stories or lofts.) Project#2. Size of footprint: ft.x ft = sq ft. N Total sq ft: Height from grade to peak: c Project#3. Size of footprint: ft.x ft = sq ft. ao Total sq ft: Height from grade to peak: w Additional information: Example: A dwelling is #1, an attached or detached garage is #2. ro O r� Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. a 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. y Calculate lot area: S;nk.lies¢ t5 : O Determine lot width in feet (measure from side lot line to side lot line): 14a0 �e Multiply by lot depth in feet (measure from shoreline to the landward) o or multiply by 300 feet if lot is more than 300 feet deep: 4 fiS1 w o sq ft A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .I S: /-IR 1 000 sq ft x .I5 = _7 (O sq ft 9 Z p Calculate impervious surface area: Determine the total size in square feet of your projects listed above (include eaves): W39A, ft sq Determine the total size in square feet of all existing roofed structures (include eaves): _q 1,(YO sq ft Determine the total size: in square feet of all existing paved/bricked/blocked surfaces: o Ul sq ft Add these square foot measurements to determine total impervious surface: 14' '0 Ca sq ft If the total square feet. of impervious surface does not exceed the 15% limit that you have I calculated above, proceed to page 2 of this application. The drawing on page 2 must indicate the location and dimensions of all these measurements. G� Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. Lak ond/Flowa e/River/Stream Name q Qx4 6+: EIXxr I 5 Ito.4'X(2.6� \ro qx4 / \ \ ,C S5? 03 . O_ . P 9} N 4 N a2 I' yq 3g5.7a' 15 AC. ± Co. HWY. K Fire Number and 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 91. 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 We 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. r" _ • �_ /% Signature of property owner (or agent with Power of Attorney). Permit Fee Page 2 Page 1 of 1 Real Estate Sawyer County Property Listing Today's Date: 8/18/2010 ' Descrintion Updated: 6 15 2010 Tax ID: 40790 PIN: 57-002-2-40-09-25-5 05-001-000190 Legacy PIN: 0029402SS119 Map ID: :1.19 Municinality: form Tnwm nF RASS i erF STR: S25 T40N R09W Description: PRT GOVT LOT 1 LOT 2 CSM 31/143 #7711 Recorded Aces: 17.330 Calculated Aces: 0.000 Lottery Clalms: 0 First Dollar. No Watertwdy: Grindstone Lake Zoning: (RR1) Resldential/Recreatlonal One !� Tax Districts Updated: 6/14/2010 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School Dwct 17 Technical College Recorded Documents Updated: 6/15/2010 ® WARRANTY DEED Date Recorded: 8/24/2001 293537 760/193 ® QUITCLAIM DEED Date Recorded: 8/2S/1999 278862 682/429 ® QUITCLAIM DEED Date Recorded: 2/18/1986 199082 385181 ® WARRANTY DEED Date Recorded: 1/23/1986 198795 384/125 ® QUITCLAIM DEED Date Recorded: 1/23/1986 198794 384/124 Property Status: Next Year Created On: 6/14/2010 3:47:38 PM 82 Ownership Updated: 6/15/2010 DORIS P GREEN REVOC TRUST COUNCIL BLUFFS IA RICHARD K GREEN COUNCIL BLUFFS IA BARBARA P BRITTON REVOC TRUST WILLIAM L BRITTON REVOC TRUST Billing Address: Mailing Address: DORIS P GREEN REVOC TRUSTDORIS P GREEN REVOC TRUST ETAL ETAL 114 SLEEPY HOLLOW 114 SLEEPY HOLLOW COUNCIL BLUFFS IA 51503 COUNCIL BLUFFS IA 51503 1P Site Address 7835N INDIAN DR HAYWARD 54843 ® Property Assessment Updated: N/A 2010 Assessment Detail Code Acres Land im». N/A 2-Year Comparison 2009 2010 Change Land: 0 0 0.0% Improved: 0 0 0.0% Total: 0 0 0.0% El Property Histo Parent Properties Tax ID 57-002-2-40-09-25-5 05-001-000060 3629 57-002-2-40.09-25-5 05-001-000070§�Q 57-002-2-40-09-25-5 05-001-000080 3631 8/18/2010 mx-nT-m ® mx-xn-m ow mm I 5 y •` z / LAxENEW NL CPNDO — 'I UNITS 1—i-10 y 4 pppm ® mi-a♦}m ° p mF-24n}m GIP PLAT _ mm LATE IS 1-9 mz-a45-m ]® M. �S 11pi Wm -9w- �S ]5 • qq^ � w6 51m® I 1m4 FYID] „Q'R 9 � SIS q14 m6'♦tY6CM II tIItY MtIM ]OBI PlamZ W M KV� .i�i6p�l(S , wNOI s OANWJDD ♦ ✓1R� ®eta m]-9w- MATES W17CORM1 .NL D IHRm-wxm-910-UMM AN y ^ 1 n 215212 egg ,$ d8 ♦ ©! z y,^,x •,a 1. � aP b'9- wwmlr'M i la„ 2 mx�-sw-xS Smr ^ y I qp � mz-sm-as n uses © ,q� 888 ,` G.L. 3 cA, ® ] has §RR s a ] s a x m]-9w-u 5xle y ^y � i m]-99o-]s vll SatAC � _ 'I d I G.L. 2 �_p]p_a! ,^• 51m ! ^ �T ® SN ID mx-simuc vla a � 1 © it f psy_s.�Kas sale swrt °is eK �n A ji� I IIIIII IIIII IIIII IIIII3 IIII IIII�IIII IIIIII IIII IIII 6�09 PAU(A CHISSER REGISTER OF DEEDS SAWYER COUNTY, WI 06/08/2010 01:51PW REE FEE: 15.00 APEX SURVEYING 15561 RAILROAD ST. PAGES 3 SUITE M02 HAYWARD, WI "W (Tt51 EPU3 5 SAWYER COUNTY CERTIFIED SURVEY MAP LOGATE-p -,IV Gov'T LoT ) E SEcTio1 ] 25, Tyor»/-R9u1 TouJn/0F 13Ass L,q�, 5AC )yCP, cccl.Iu-)( . cuENTs .Gb-f/s PGrEEGN 89RBARR 5a .S*tr,%A1 S/JEET/ oF',j D = 5ET 51B ,xl BS�p.STEC BA'E 'uT 7.3-3 F- o = ex.Sujb3cx MeN. AS rpEA/TF/E'A EYM«• SE4RIA/ES Roe/ To E. N6 'GC�-2S fJS= J/N/EA To BEAR s2's7='f6'u/ CX.3'ALoro GRAPHIC SCALE ` Cflt NnTt' ex. 5'BkoNZc t c9P rNcor+�.s�ze o' 75' /S'o' moo' Vfti w o FNOr �a cs. � ScAtE=ice a, Orr E S•y `r�r ��j a 03 ,O(7/ � e\�'�'r� S;\ �Q� ?oSr � •Gyp N A GP,�ry • ,e�ps� I 13 ^Itis SiEEv FgEOEF C W \ P•R 538'y9'A 3YS'+y 21ETLD'.V I 04 q.7125 aM'r N 1 ale .0 � 111 o, N� q 01 z.arT, G'/2o55 -7o-5�S7 SF. r✓ET /s • sst A c. 690765 r SF. RTEL �N G•P oSS ql 0 17332 Ac, ' � 7sso9ssF I'n e` \ h/ET I I N Z1 rS38 .'C.9c. _N 6 -70 1 o,o±—S vdk��K I I f'49. '3G2» YT�1�l?RYW CSM# 7'rl ' 9' VOL31 PG 1 4 3 1 Land Use Permit No. . WHEREAS, (list all owners) SHOW MAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Are (To be entered by the Zoning Office) Index No. - 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. 4�R�ytheyowne(a)reby certifies; as a condition ofg of laid Land Use Permit; that tits OR TB::VB,C E � 'YON PtL O]�? xi4 A on said real estate is I'Mik4wa; mMisnum1� di0Wof 3 'Idddward -frow'>the,ordinary: high -watermark of the waurbody. The owner(s) hereby agrees to comply with the shoreland vegetative protection area requirements of Section 4 A10 •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) ftuther 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 Ald. and 6:00 P.K [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 VBGETA110N PROTECTION AREA in accordance with Section 4A10 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: t o4- Go u (4 Le �OUJI, � 0-A' `c S S �.[4�01 t o�Ce.L1 �b. �.i� l� Dated this 1 `�`� day of A(,C� k "k 010 (Owner) This instrument was drafted by: Sawyer County Zoning Office (Owner) • (Owner) (Owner) L.:Wn W -A6 . } 4, � � ��� \.` � � ....a... .: �-