026-939-20-5209-LUP-2021-009COMPLETED APPLICATION AND
FEE TO:
Sawyer County
Zoning & Conservation Depart.
10610 Main St Suite 49
Hayward, W154843
(715)634-8288
INSTRUCTIONS: No permits will be issued until all fees are paid.
Checks are made payable to: Sawyer County Zoning Department.
APPLICATION FOR LAND USE PERMIT
SAWYER COUNTY, WISCONSIN
Date I ZQ 202-I �
Chk# i O
q y�pq RCPt70 �� O
DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUEQMMK&)kf),%.Ilt,68JWXQnation MUST be submitted FILL OUT IN INK (NO PENCIL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(s) Name:
%" & S 0, Gr, S lc q A"
Contractor(s) Name
Z_ C) l✓U
Mailing Address: /
7/5 S, 6� SJ`/
I Mailing Address:
tt""l s/
Phone:
Email:
Phone: % %s �( !� S3 2—
Email: (t Sla4 NCdlf 'z 64 G( /i/V ,
s/1��
Site address: U/V 11VeS �� LCD,� P `er ^'
Or Date applied for. —
Legacy PIN # 1 02 V c,- Z- C5_2 6
Town of:
Penh delivery Method
Call Owner ,VVlail Owner ❑ Call Contractor Mail Contractor
I Is Property/Land within 3D0 feet of River, Stream (Ind.
Distance Structure is from Shoreline :
Is your Property
Intermittent)
feet
in Floodplain
Are wetlands
Creek or Landward side of Floodplain? If yes ---continue
:I shoreland
zone?
Present?
Distance Structure is from Shoreline :
Is Property/Land within 1000 feet of Lake, Pond or Flowage
7
Yes
Yes
If yes ---continue —►
feet
Ji; No
No
Non-Shoreland
D c be
Prolm
Value at Time of
etype
Foundation
Total # of
What Type & Capacity is the
include donated Come donsted etion
(House, garage, shed, deck,
Number
stories
(Basement,
bedrooms
Sewer/Sanitary System(s)
time &material
Addition, etc._)
List separately
of
Crawlspace,
Post
construction
Slab)
$
!4dJ
C1(i.'V Er P
Dwelling
s
Accessory Bldg
+II
$Addition/Alteration
I
Height:
Total square Lowest
Proposed Use
Proposed Structure
Dimensions
Footage Grade to
(multiply per Highest
i
story) Peak
Residence ( X )
Ft.
with 2"d story or loft ( X )
1 1 Ft.
with Basement ( X )
Ft.
Accessory Structure (explain)!46 (e-,i C�iNF,r� �'2 YtsrpS•
e t \
(� / X `� ) I�� f
L 61
Residential Use
(detached garages, shads, boat houses, etc) a r-e G, 111ei /
Ft.
Deck/Patio
( X )
fJ Agricultural
�
Ft.
Use
Porch
( X )
Ft.
Commercial/
Attached Garage
( X )
Ft.
Industrial Use
(2"d) Porch/deck/patio
( X
Ft.
Municipal Use
Other (explain)
( X )
Ft.
� Other
( X )
Principal Structure (Agricultural, Commercial, Municipal, Etc.)
Ft.
Addition/Alteration (explain)
( X )
Ft.
Total habitable square feet:
Total Non -habitable square feet:
(decks, patios, garages, sheds, storage area & other structures)
Original Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5" x 11" or 8.5" x 14" paper: 'Must* include location and setback of proposed and existing structures, roads,
driveway, sanitary components, well, lake, river, stream, and wetlands.
Description f Setback � — rip6o Setback
l Measurements 1 I Measurements
Setback from the Centerline of Platted Road and/or Feet
Setback from the Lake (ordinary high-water mark)
J Feet
Setback from the Established Right -of -Way ! Feet
Setback from the River, Stream, Creek
Feet
Setback from the Bluff if applicable
Feet
Setback from the North Lot Line
Feet
_
Setback from the South Lot Line
Feet
Setback from Wetland
Feet
Setback from the West Lot Line
Feet
Slope within area of construction/disturbance
% Slope
Setback from the East Lot Line
Feet
Elevation of Floodplain
Feet
Setback to Septic Tank or Holding Tank
Feet
Setback to Well
Feet
Setback to Drain Field
Feet
Setback to Privy (Portable, Composting)
Feet
Prior to the placement or construction of a structure within five IS) feet cfthe minimum required setback, the boundary line from which the setback must be measured must be visible from one
previously surveyed corner to 'he other previously surveyed corner or marked by a licensed surveyor at the owner's expense.
Pro: to the placement or construction of a structure more than five (5) feet but less than ten (10) feet from the minimum required setback, the boundary line from whicn the setback rnust be
measurec must be visible from one previously surveyeb corner to the other previously surveyed corner, or verifiable by the Deoertment by use of a corrected :ompass from a known corner
within 500 feet of the proposed site of the structure, or must ce marked by a licensed surveyor at the owner's expense.
*For Shoreland property, complete the impervious surface worksheet below*
Calculate impervious surfaces. (Roofed, concrete, paved, and other surfaces that water cannot penetrate. The Zoning Office can help you determine if a
surface is considered impervious)
Calculate lot area: j C
�; y
Indicate lot size from CSM or NOVUS (circle one): ■ ✓ Acres; Multiply by 43,560 = Lot area: Square Footage
Calculate impervious surface area: 6,75
Determine the total size, in square feet, of your projects listed above (include eaves): `L Sq ft.
��
G��/
Determine the total size, in square feet, of all existing roofed structures (include eaves): I / sq ft.
Determine the total size, in square feet, of all existing paved/bricked/blocked surfaces: sq ft.
L)
Add these measurements to determine total impervious surfaces: v sq ft.
Calculate impervious lot percentage
` `
1/� �j �ft
Total impervious surface: � =Lot area: / Sq ft. X 100 =impervious surface
(Mitigation is required if total exceeds 15%)
•"Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below*••
Grading on a slope greater than 20% Grading of more than 1,000 Sq. Ft. on 12%-209/. slopes
Grading of more than 2,000 Sq. Ft. on Slopes less than 129/o Grading is in excess of 10,000 Sq. Ft.
FAILURE TO OBTAIN A PERMIT gl STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES
I (we) declare that this application (including any accompanying information) has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct and
complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information I (we) am (are) providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit. I (we) further accept liability which may be a result of Sawyer County relying on this information I (we) am (are) providing in or
with this application. I (we) consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
purpose of inspection. Additionally, the undersigned person(s) hereby give permission for access to the property for onsite inspection by Municipal Officials.
1
Owner Owner /
S�G`�/
Signature _ Prfntdd name Date
r
(Signature and Printed Name required)
NOTICE: All Land Use Permits Expire One (1) Year from the Date of Issuance.
For the Construction Of :New One & Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
The local Town, State or Federal agencies may also require permits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin. You are also responsible for
complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Failure to 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 wetlands identification web page or contact a department of
natural resources service center (608) 267-3125
mJan2020
Sawyer County Application for Grading `I
10610 Main St. Suite 49
Hayward WI 54843
715/634-8288
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN
ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED. o
lrl P
Owner:�� Contractor:
Mailing Address: 7ls `C,Mailing Address:
City, State, Zip: ��✓`�� w, -City. State. Zip:
Phone: �� 5 l� �g �32 Phone:
v
Email: Email: fD
Site address: lf/�SI�S'��f P L 4% SIcA""
Calculate grading area: (Total area disturbed including excavation, fill, grading,
landscaping, equipment rutting, and/or other areas vegetation will be removed resulting
in exposed soil)
d�
Determine width of disturbed site in feet: �� �- ft. x depth of disturbed site in feet: S_
Total = 6z 5 sq. ft. (this is the area calculation)
Determine Slope of disturbed area: Vertical height in feet = Horizontal distance in
feet = Slope X 100= % Slope
(1 V/1 H= Slope X 100= Percent Slope)
"For any filling or grading of any area which is within 300 feet landward of the ordinary
high water mark (OHWM) of navigable water and which has surface drainage toward the
water and on which there is either:
(1) Any filling or grading on slopes of more than 20%.
(2) Filling or grading of more than 1,000 sq. ft. on slopes of 12% 20%.
(3) Filling or grading of more than 2,000 sq. ft. on slopes less than 12%.
(4) A Grading Permit is required for any filling or grading in excess of 10,000 sq. ft
within 1,000' OHWM of navigable lakes, ponds, or flowages OR within 300' of OHWM of
navigable rivers or streams.
Date activity will begin if permit is issued:y/^'?,!�'2/date to be
completed:
Attach engineering design or complete the following using additional sheets:
1. Describe proposed erosion control installation, construction phases, and finished site grading.
Include timeline, methods, and materials. (Silt Fence alone is not ample erosion control for
most sites)
m
2. List temporary seed type and rate, permanent seed type and rate, fertilizer type and application rate
(if applied), and mulch type and application rate.
3. Attach a plot plan of project area including location of any weband(s) and/or waterway(s) (indicate
area between grading project and water body to be left undisturbed), location of excavated material,
location of all storm water and erosion control Best Management Practices (BMP's), property lines,
existing drainage, post grading drainage pattern, and north arrow. (Silt Fence alone is not ample
erosion control for most sites)
SAMPLE EROSLON CCONTROL .
FOR T OR 2
FAMILY 1
OWELL.I GS ,
i •
I
1 �
� I I
� T�FvoL
CRANAM
srwLE
� I
•
ARE,�TO ETpPSJ
..a &A.&M-M
j
VV 0VW MAr' FE
jl
I
If
{
I .0 \
—
MW LAM
=1LTYPa=3YCt"
CN.e 3%
T6
�
FR SM
LEGEND
PROVE Y
LIE
EXWENG
— � M"WGE
T O 7OWPCUW
or.15%c w
rVeselm
CRARAA f
UAITS OF
GRY1OlLC
SUX
.— - F&#=
_ STPURM
BALM
VEGEWWO
I�
L� specv4calOM
® 1'REE
i1�L101Q10M
moL
scAur-- , • _ w'
4. Attach a cross sectional view of project area including the existing and proposed slope of the bank,
water level of any existing waterway, and horizontal and vertical scale.
Initial below
All BMP's and erosion control devises will be inspected weekly and after rainfall of/z' or
greater within 24hr period.
In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On
Adjacent Properties). I hereby declare that the construction and/or grading permitted under
this permit will not affect or interfere with neighboring properties drainage patterns. Any change in
drainage patterns which are determined to be detrimental to neighboring properties will be
corrected at the expense of the property owner referenced on this permit.
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.
Original Signature of property owner (or agent with Power of Attorney).
Permit Fee:
Rev-1/2020
TOi,�, i L0-1 ,S
/,s i9c. cs, /00'
dPt-c &
sGN�c 1 C4 Ile-
Ad ress
Tax ID
PID
Lot size
Square feet
Usisting Item
Cabin
Decks
Side Walk
Side Walk
Slab
Shed
5960N West Shore LN. Stone Lake
28726
57-026-2-39-09-20-5 05-002-000090
1.5
65,340
Sq Feet
1,200
744
120
102
161
96
Total Usisting
2,423
3.71%
Proposed slab
625
3,048
4.66%
Will be redoing
Will be redoing
Will be redoing
See Red on drawning
Dallas Sloan
From:
Sent:
To:
Subject:
Sent from my iPad
Begin forwarded message:
Dallas <ddsloan@chibardun.net>
Sunday, January 24, 2021 8:18 PM
Dallas Sloan
Fwd: Land Use Permit received
From: Jay Kozlowski <jay.kozlowski@sawyercountygov.org>
Date: January 19, 2021 at 3:09:48 PM CST
To: "ddsloan@chibardun.net" <ddsloan@chibardun.net>
Subject: Land Use Permit received
Our office received your LUP for driveway/parking area. There is a permit fee for this type of project and
that amount is $75. Please send a check to the address listed below to Sawyer County Zoning so that we
can process this permit. I have looked the rest of the information over and everything looks good.
Jay H. Kozlowski
Zoning & Conservation Administrator
Sawyer County Zoning & Conservation
10610 Main Street, Suite 49
Hayward, WI 54843
main office: 715-634-8288
direct line: 715-638-3224
fax: 715-638-3277
i ay. kozlows ki @ sawverco u ntygov.o rg
This Transmission is from Barron Electric Cooperative.
7ON�Y1 IAL74ulIF�1ST RAC i0
THE INFORMATION CONTAINED IN THIS TRANSMISSION IS INTENDED FOR THE PERSONAL AND CONFIDENTIAL
USE OF THE DESIGNATED RECIPIENTS NAMED ABOVE.
This message may be privileged and confidential. If the recipient of this message is not the intended recipient or an agent responsible
for delivering it to the intended recipient, you are hereby notified that you have received this transmission in error, and that any
review, dissemination, distribution or copying of this message is strictly prohibited. If you have received this communication in error,
please notes us promptly by telephone at (800) 322-1008 and delete the transmission from your system immediately. This institution is
an equal opportunity provider. Thank you.
Sawyer County Zoning
Dear Jay
l� JAN 19 2021
low
Attached is my application to increase my existing parking slab by about 625 sq feet (see red on map). A
map attached shows the existing area that will be replaced during this new addition so we end up with
one new slab. I will also be replacing the existing sidewalks, same size and location. I am hoping this
concrete work will begin sometime after road bands are removed.
I did not see what the fee will be for this application.
I can be reached at:
Dallas Sloan
715 South 6t" Street
Barron Wi 54812
Cell 715-418-1932
E mail at ddsloan@chibardun.net.
Call with any questions.
ax,
Dallas Sloan
Real Estate Sawyer County Property Listing
Today's Date: 1/15/2021
Property Status: Current
Created On: 2/6/2007 7:55:48 AM
Description
Updated: 9/3/2013 , Ownership
Tax ID:
28726
PIN:
57-026-2-39-09-20-5 05-002-
000090
Legacy PIN:
026939205209
Map ID:
:2.8
Municipality:
(026) TOWN OF SAND LAKE
STR:
S20 T39N R09W
Description:
Recorded
Acres:
Lottery Claims:
PRT GOVT LOT 2
_... _ ........
1.500
0
First Dollar:
Yes
Waterbody:
Sand Lake
Zoning:
(RR1) Residential/Recreational
One
ESN:
423
Tax Districts
Updated: 2/6/2007
1
State of Wisconsin
57
Sawyer County
026
Town of Sand Lake
572478
Hayward Community School
District
001700
Technical College
Recorded
Documents
Updated: 11/3/2010
WARRANTY DEED
Date
398212
Recorded: 10/19/2015
-, QUITCLAIM DEED
Date
398211
Recorded: 10/19/2015
, SHERIFFS DEED
Date
395344
Recorded: 4/28/2015
.
17 QUITCLAIM DEED
Date
389395
Recorded: 2/18/2014
,,, WARRANTY DEED
Date
369370
Recorded: 10/21/2010
Updated: 11/2/2015
DALLAS N & DIANE K BARRON WI
SLOAN
Billing Address: Mailing Address:
DALLAS N & DIANE K DALLAS N & DIANE K
SLOAN SLOAN
715 S 6TH ST 715 S 6TH ST
BARRON WI 54812 BARRON WI 54812
Site Address * indicates Private Road
5960N WEST SHORE LN STONE LAKE
54876
Property Assessment Updated: 9/28/2017
2021 Assessment Detail
Code Acres Land Imp.
G1- 1.500 205,500 98,900
RESIDENTIAL
2-Year 2020 2021 Change
Comparison
Land: 205,500 205,500 0.0%
Improved: 98,900 98,900 0.0%
Total: 304,400 304,400 0.0%
Property History
N/A