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OFFICE USE ONLY PERMIT # ______VILAS ZONING APPLICATION Vilas County Zoning Office 330 Court St., Eagle River, WI 54521 [email protected] Phone #: (715) 479-3620 Fax #: (715) 479-3752 www.vilascountyzoning.com E-mail: Computer Parcel # ______Web: Zoning District ______The undersigned owner applies for a permit, located on the legally described on this application. Upon approval the owner agrees that all structures and all work performed on this property will conform to the minimum requirements in the Vilas County General and Shoreland Ordinances, and all other applicable local ordinances codes and laws of the State of Wisconsin. The owner agrees that should a violation be found by the Zoning Administrator or their designee, said violation from the date of notification will, within 30 days or less, be corrected at the owner’s expense; otherwise each day thereafter shall constitute a separate offense.

ZONING PERMIT SHORELAND ALTERATION PERMIT PERMIT PRINT (Required Information) Owner Information Agent Information Owner Name ( ): ______Application Date: ______

Initial Here: Initial Here: Owner Signature: ______Agent Signature: ______Electronic Signature, ______Electronic Signature, ______Mailing Address: ______Mailing Address: ______City, State, Zip: ______City, State, Zip: ______PROPERTY INFORMATION Telephone No.: ______Telephone No.: ______

Property Address: ______Town of: ______Mailing Address: ______Lot(s) # ______Gov. Lot(s) # ______1/4 ______1/4 , State, Zip: ______Section(s) ______Town ______N. Range ______E. Telephone No.: ______Water body: ______Subdivision or _____yes _____no Name: ______Lot Size ______Ft. X ______Ft. X ______Ft. X ______Ft. ______Sq. Ft. ______Acres ZONING /DEMOLITION ACTIVITIES $

Total Estimated Cost of Project ______STRUCTURE(S): NEW ADDITION(S) DEMOLITION OF EXISTING STRUCTURE Structure Size: (1.) ______Ft. X ______Ft. Mean Ht. ______Ft. (2.) ______Ft. X ______Ft. Mean Ht. ______Ft. (3.) ______Ft. X ______Ft. Mean Ht. ______Ft. (4.) ______Ft. X ______Ft. Mean Ht. ______Ft.

______Number of Bedrooms ______Number of Stories Well on Property ______yes ______no

Written Description of Project: (If a demolition, List: contractor, starting and ending date, and location and manner of disposal of site materials. When a structure is demolished or removed, all sanitary sewer, storm sewer and water supply connections shall be sealed and plugged in a safe manner.) ______

Revised 5-14-2018 2

SHORELAND ALTERATION ACTIVITIES: LAND DISTURBANCE ACTIVITIES WITHIN 300’ OF OHWM REQUIRING A SHORELAND ALTERATION PERMIT (Check All Boxes That Apply)  

(Requires Erosion Filling, grading or excavation between 35ft. & 300ft.  on Steep Slopes (except where activity requires a zoning or Control Plan)  of OHWM (Requires Zoning Permit & Erosion Control sanitary permit) (may require Erosion Control measures)  Boathouse Plan)  Land disturbance activities > 20,000 Sq. ft. for non (Requires Erosion Control Plan) single family  Grading resulting in increased potential for soil erosion & runoff  Land disturbance activities > 10,000 Sq. ft. for single (Requires Erosion Control Plan ) family  Filling resulting in increased potential for soil  Construct. of a boat landing or access erosion & runoff (May Require Stormwater (Requires Erosion Control Plan)  Areas (Requires Alternative Tree Plan)  Exceeding Tree Removal (Requires Zoning Cutting Plan)  Above Ground Steps or Walkways Permit)  Activity where Structure< 75ft. from OHWM  (Requires Zoning Permit)  Construction or Maintenance of Artificial waterways (Requires DNR (Requires Zoning Permit)  Land Disturbance > 1 Acre Total  Walkout Lower Levels Stormwater Plan) Existing Beach Maintenance Path(s) Wetland Zoning District

BASIC REQUIREMENTS OF A SHORELAND ALTERATION PERMIT! 1. The smallest amount of bare ground shall be exposed for as short a time as feasible. 2. Temporary ground cover shall be used and permanent cover shall be established and maintained. 3. Diversion, silting basin, terraces and other methods shall be used to minimize runoff and erosion. 4. Fill shall be stabilized. WETLAND5. “(SEE ARTICLEINFORMATION IX VILAS COUNTY SHORELAND ZONING FOR MORE INFORMATION ON LAND DISTURBANCE.)” NOTICE:

You are responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can http://dnr.wi.gov/wetlands/locatibe difficult to identify. Failure tong.html comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetland identification page or contact a DepartmentOTHER PERMIT of NaturalREQUIREMENTS Resources Service Center. OTHER PERMITS SANITARY PERMIT

Army Corp of Engineers Yes No Sanitary Permit Yes No Soil Test Yes No Wisconsin D.N.R. Yes No EXTERIOR Sanitary Permit # ______Erosion Control Plan Yes No

Stormwater Plan Yes No Name: ______Tree Cutting Plan Yes No Address: ______Mitigation Yes No CONTRACTOR Phone No. :( ) ______Vegetative Cutting Permit Yes No

Town Permit Yes No Name: ______Town Permit Number ______Address: ______Revised 5-14-2018 Phone No.: ( ) ______3

OFFICE USE ONLY

PERMIT Structure #1 $ ______Structure #2 $ ______Structure #3 $ ______Structure #4 $ ______After the Fact $ ______Shoreland Alteration Fee $ ______After the Fact Shoreland Alteration Fee $ ______Mitigation Fee $ ______TOTAL FEE(S) $ ______Other $ ______

Check # or Cash OFFICE USE ONLY NAME ON CHECK PAYOR

DATE ______ZONING OFFICIAL INITIALS ______ZONING OFFICE REMARKS

______Application Approved ______20______Application Denied ______20______Application Revoked ______20______ApprovingYOU HAVE 30ZoningDAYS TOOfficial APPEAL ______ANY DECISION BY______THE VILAS COUNTY ZONING OFFICE TO THE VILAS COUNTY BOARD OF ADJUSTMENT.” “

“UNDERVILAS COUNTY PENALTY SITE OF LAW, PLAN NO R EQUIREMENTSCONSTRUCTION IS TO BEGIN WITHOUT A PERMIT APPROVAL AND A PERMIT CARD POSTED AT THE PROPERTY ENTRANCE.” NEXT PAGE OR A SEPARATE PIECE OF PAPER WILL RESULT IN THE PERMIT APPLICATION BEING RETURNED! Draw a on the to illustrate the following 7 requirements: Failure to illustrate the 7 requirements 1. Attach SITE PLAN to permit if illustrated on a separate piece of paper! 2. Draw lot and write in lot line dimensions. 3. Location, and name of lake(s), pond(s), river(s), stream(s). 4. Location, setback and dimensions of all existing structure(s), proposed structure(s), and/or structure addition(s). 5. Location, setback and dimensions of driveway. Location, setback and name of bordering . 6. Setbacks are from center of highway or road to nearest structure. (Contact town for setback.) 7. Location of septic tank, drain field and setback to existing structure(s), proposed structure(s), or structure addition(s). NOTE: ALL DISTANCES IN FEET INDICATE NORTH WITH AN ARROW Location and setback of water well to structure(s), septic tank and drain field.

ProvideRevisedwritten5-14-2018 directions to the property from the nearest major highway! 4

SITE PLAN “(Include all items listed in the 7 steps on previous page)”

Revised 5-14-2018