010-941-33-4301-LUP-2022-100 SUBMIT COMPLETED AP9lICATION AND
FE¢Ta: AP9lICATION FOR LAND USE PERMIT -
Sawyer County Fr� � �
Zaning&Gonse►vation pepart. �' (J
1561tl M�ln St Sulte 49 — ;a i _ 1
Nayward,W!54843 APR 2 8 2022 'i'i (
(715)634-8288
�
SAWYER COUf�i Y Q
�NSTRUCTIONS: No permiu will be issued until all fees are paid. ZO�INGADMII�ISTRATION
Checks are made payable to:Sawyer Cou�ty Zoning Department. -
DO NOT ST-ART CONSTRUCTION UNTIL ALL PERMITS HAVE,BEEN_ISSUED TO APPLICANT Original Applic�tion MUST bC Submitted PILL QUT IN INK (NO PENCILJ
Submittal of this application o�receipt of fees does not constitute permit issuante.
Owner(s)Name: Contrector(s)Name � �
A�l��'1���� _ __ �a�o6 ��,1��,�;�1�
Mailing Address: �$c,� � S�v��s� �� Mailing Address:
����L��, wz s¢��-3 --- l6 b'S� c,� �clb�a�� Lc��e ��, +��� �
Phone: 7�5_s'S�-/�� Phone: '7�� Q��-� /� I
/ (
Email: EmaiL• (/1 L ' '�!L`Z � {�( � /jit(,� �Q�
/
Site address: C� �u�("(,,J�(;zU �y-� F Or Date applied for. �'` j�-
�_�--
Legacy PIN# (/�C/ � ,3 L Town of: l '1
Permit delivery Method u Call Owner u Mail Owner �ail Contractor n Mail Contractor
'_:Is Property/Land within 300 feet of River,Stream �ind. Distance Structure is from Shoreli�e: Is your Property
MtermittentJ _� AfC Wetiand5
feet in Floodplain
Creek or Landward side of Floodplain? If yes--continue Present?
15horeland - --- ---- -- z�nc�
Yes Yes
Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Ne
If ycs--continue —► feet
Non-Shoreland
Describe Project Total tt of
value at Time of praject type Foundation What Type&Capacity is the
Completio� Number bedrooms
(House,garage,shed,deck, (BaSement Sewer/Sanitary System(s)
" ir dude�ion,ited Of$torle5 ' �'ott
� Addition,etc...) Crawls ace,
t;r�,E�&mar��rla, ��st separately Slab ��nstrur.tion
)
s .�oov 3 3 6 u�e .1 51�.6 � 4� bec�'rvv.�r.
Owelling � ��� /
ra.� �e��,l
5
� �j�-;� S>-�.---
AaessoryBldg ��t �`
$
Addition/AI[eretion
Height:
Totai Square Lowest
Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to
(multiply per Highest
story) Peak
c'3� X .�6 f :�
Residence �\v��-' Ft. �
with 2"d story or loft ( x �
Ft.
with Basement � x �
Ft.
�Residential Use Attached Garage { x , Ft.
ACCe55o1�15tfUCtu�2(explain) � X )
❑ Agrieultural (detachedgarage5,sheds,boathouses,etcJ Ft.
Use ( x }
Temporary Guest Quarters or Bunkhouse(c��de cyPe) Ft.
-, 36 X 6 } a � 6 _ ��
�' Commercial/ ✓ Deck/Porch/Patio ��
Ft.
lndustrial Use ( x �
(2"d)Deck/Gorch/Patio Ft.
i i Municipal Use � X �
Other(explain) Ft.
❑ Other ( x �
Prineipal Strueture(agricu�cu�ai,Commercial,Municipal,Etc.) Ft
Addition/Alteration�exPia�r,) ( X , Ft.
� /� �� Total Non-habitahle square feet: ��Ei
Total habitable square feet: ,V (decks,patios,garages,sheds,storage area&other structures)
_ _
__ _- ��c — --_ _ 15
Uriginai Ap�ri;tatiun iViUSi:b�� �ui�iisiE:td
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must`fnciude location and setdack of proposed and existing structures,roads,
driveway,sanitary components,well,lake,rlver,stream,and wetlands.
Description Setback peseription ^ Setback
Measurements Measu�ements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way S � Feet 5etback from the River,Stream,Creek Feet
l � SetbaCk from the Bluff if applicable Feet
Setback from the North Lot Line Feet �
Setback from the South Lot Line ,j Feet Setback from Wetland Feet
Setback from the West Lot Line ,S Feet Slope within area of construction/disturbance 96 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 ,SQ Feet
Setback to Privy(Portable,Composting) Feet
P . t�:�,V e�i.��rn�,rn:cr cni�str�� �.n ci:�s±�u�ture within tive(5)feet o+the m�iinum•..requlred sPthack,Uie boundary line from whkh Ihe setback must he rneasured must be visible from one
prcviously wrveyed corner to the u�her prev�ously suiveyed mrner o�marked by�+hcensed surveyo�at the nwnei's expense.
Prier to the placemen[or construction of a struRure more than five(5)feet but less than ten(10)feet from the minimum required set6ack,[he boundary line from which the setback must be
n,easured must be visible from one previously surveyed comer to the other previously surveyed rorner,or verifiable by the Department by use of a corrected con�pass from a known corner
within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense.
. • • � . ••• • . • .- • . .- .
Calculate impervfous surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can help you determine if a
surface is considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one):� Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves): sq ft.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces: sq ft.
Calculate impervious lot percentage
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•"
Gradln on a slope reater than 20% Grading of more than 1,0�0 Sq. Ft.on 12%-20%slopes �
� Grading of more than�,000 Sq, Ft.on Slopes less than 12% _ Grading is in excess of 10,000 Sq.Ft. � _
FAI�Lii�Li�)Ulii��liivAPtkNr. ��r �l�At.l v� �.:,iv.`i1RUCTlUI� �dli�l��i'�; `Ill�ivl� vVlLl.ti1:�'��LfIfvPE1VHLI!F':
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
compiete. 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 6y 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.Additionaily,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officiais.
Owner ��,^ Owner � �
Signature �-' ✓ Y" `� —" Printed name � r�V�'1 �G✓� i� �f Date � �-��-�`Z
(Sign.ilure and Printed Name req�ired)
NOTICE: Alt Land Use Permits f�_xpirE�One U)Year troin ihF Uate of Issuance-
Fur the Con,lrucGon Of New Onc&Two�amily Dwcllin��� Al L MuniciFiall[ies Are Kequlre�l Tc Fn�orce The UnifUrrn C�w��lling(.ode.
'hr i ,i.',_�. �.it.�t��n. =•:il.i��� . ,:n:�� i'�:n�r_luu�.-urinutti.
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 inforrnation,visit the department of natural resources wetlands identification web page or contact a department of
natural resources service center(608)267-3125
ISSUdf1C2 I�f0�R18L10t1(COU�ty USe Only) Sanitary Number: ��_�c.� '�, #of bedrooms:
Permit Denied(Date): �v Reason for Oenial:
Pe�mit p: issuing agent:' � Date:
22 - I OU _ j� /
_�.�_ � _�.______ �� ' / `�`'���
Is Parcel a Sub-Standarcf Lot I i Yes (oeed of Record) '��� Mitigation Required !:Yes �I�No
Is Parcel in Common Ownership �'11�Yes (Pused/Contiguous Lot(s)) I No Mitigation Attached LI Yes �'�Na
Is Structure Non-Contorming !I Yes _ _ _ , �No
Granted by Va�fance(B4O.A.) � Granted by Conditional Use �
�;Yes �.,No Case 1►: !Yes i�No Case N:
Was Parcel Legally CreateQ Xi Yss '�'Na Were Property Lines Represented by Owner ��:Yes _ fVo
Was Proposed Building Si4e Delineated �Yss ;�No _ _ Was Property Surveyed jv Yes _ fVo
_ - ,�,_« _ — _ _
Office Comments: Zone District: fee:
----�-�_ — - — - — �- � � J� J
HoidForSamtary: HoldForTBA: � _____� HuldForAftldav�t� ______ HoldForfees: _�_.____ __,
�Feb2021 �� �
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4/28/22,8:45 AM Novus-Wisconsin Access rev. 13.1108 .
Real Estate Sawyer County Property Listing Property Status: Current
Today's Date: 4/28/2022 Created On: 2/6/2007 7:55:23 AM .
�'Description Updated: 8/9/2021 '� Ownership Updated: 8/9/Z021
---- _----. __ —------ --- -- ___- _ _ _ __ _ _ ___ __. ._ _ ___ _ _— - ___ __---_ —----------------
Tax ID: 13308 ARLYN G MARTIN HAYWARD WI
PIN: 57-010-2-41-09-33-4 03-000-000010
Legacy PIN: 010941334301 Biiling Address: Mailing Address:
Map ID: .15.1 ARLYN G MARTIN ARLYN G MARTIN
Municipality: (010)TOWN OF HAYWARD 15950W SAVITSKI RD 15950W SAVITSKI RD
STR: S33 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT SWSE&PRT NWSE LOT 1 CSM
16/89 #4048 � Site Address * indicates Private Road
Recorded Acres: 0.890 _ ---.__ _. _ _ _ _ _. . ____ ._--__---_�_-----,-
9804N FAIRWAY DR HAYWARD 54843
Lottery Claims: 0
First Dollar: No
Zoning: (R-1) Residential One � Property Assessment Updated: 11/9JZ015
__ ___ ._. __. _ _._. _ _ __ ------ --- --
ESN: 444 2022 Assessment Detail
Code Acres Land Imp.
''� Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 0.890 18,500 0
--.----------.__--- --____-- ---___..____--. ___ __ _ _- -
1 State of Wisconsin 2_Year Comparison 2021 2022 Change
57 Sawyer County Land: 18,500 18,500 0.0%
010 Town of Hayward Improved: 0 0 0.0%
572478 Hayward Community School District Total: 18,500 18,500 0.0%
001700 Technical College
'�� Recorded Documents Updated: 10/16/2019 ,
- -----___,.___ -----_. .--._.__.__...____ ___ _.__ _ _ _ _ _. �Property History
� WARRANTY DEED ___ __- —_---.__ _..---_.___.—_---------
Date Recorded: 8/6/2021 433811 N/A
� CONVEYANCE RECORDED NOT USED
Date Recorded: 12/3/2021 436300
� TRANSFER BY AFFIDAVIT
Date Recorded: l0/15/2019 420523
� WARRANTY DEED
Date Recorded: 1/6/2003 306981
O CERTIFIED SURVEY MAP
Date Recorded: S/16/1994 243452
1/1
https://tas.sawye rcountygov.org//Access/m aste r.a sp
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