002-940-35-5206-LUP-2022-214 SU[SMIT COMPL�TEB dP9lICdYION�1NB
Fe�TO: k,PPt�I�:��'I(�ft! ��1��AIVp y�� �G��l1I� � `
SawyerCounfy � �IUS�fiI 7'-'
Zofling&Conserva4fan Aepart. 4J
10630 Main St Sui4e 49 e d� D +
W�ywarcl.WI 54843
(7b"a)C34-8288 ,�UN 2� ZA9� - �
uc
INSTRUCTIONS: No permits wfll be Issued until aU fees are paid. � �AWYER COUI�Ty �
Checks are made paya6le to:Sawyer County Zoning Department. ��N�N
DO NOi START CONCTRUCTI(lN UNTILl1LL P�R,fk11T5 H�Vg,¢,€�(V ISS,�JED TO APPLICANT� C?ri�;in?�A�olir�ti��n MUST hc submitted Fil,l dUT IN INK (NO PENCiI)
Submittal nf this applic��ion or rorn�pt oF fee�does not�onsHtute permit issuance.
Owner(sj Name: � � T Contractor(s)Name ��
_ ��i� �v�z� G�� ���-t��
� �
Mailing Address: � T Mailing Address: �
< <z�z_ ��.� c�� . � �,�1�
Phone: � �Z ,�2'-1 ( ��" ` � Phone: --_ __-
-_y � Z �� ( , c� "71 S�'_.���'� ro��5
E m a i l: t l\ ��r^E_,J 3� ry� F-- [mai l� �v
Site address: ���lo� �lJ�'�� �C�' - - -� - Or Date applied for. ,.�._.
LegacyPlNtl �O�`�M� l�� ^ 3�"'" S2' �*' Townef: �lss �Gt�C�
Permit delivery Method �Call Owner ❑Mail Owner o Call Contractor n Mail Contractor
s Property/Land within 300 feet of River,Stream ��n�i, pistance Struct re is from Shoreline: Is our Pro e
Inte mittent) Y P T�'
—► ��c Wetlands
� feet m Fleodploin
t Creek or Landward side of Floodplain. �f yrs---c�ntinue � , �resent?
�hareland ._..___---.— _._�_..__-_--�_� _— zo�c?
Is Property/Land within�000 feet of I.ake,PonrJ or Flowage Bistance Structure is from Shoreline: Y8s
� Yes
,,, , Nn
If yes--r.�ntinue —► feQ1 . �
'J Non-5horeland � ^
Describe Project
Value at Time of Totaf tt pf
Project type Found�tion What Type&Capacity is the
Completion Numbcr bedrooms
` nclude donated (House,garage,shed,deck, (f3asement, Sewer/Sanitary System(s)
Addition,etc...) of Storie5 �ost
time&material ��gt separately Crawlspace, construction
Slab)
$ � C,r'��� � "� 1 �
�
Dweliing ___..___ _. _
1
$
Accessory 61dg
$ ( � � ___- _
Addition/Alteration _-- ,
Hefght:
Total Square Lowest
Pro osed Use ✓ Footage Gradeto '
p Proposed Structure Dimensions
(multiply per Highest
story) Peak
Residence � � x �
Ft.
with 2"d story or loft � X �
—,.--------�--�_-- Ft.
with F3asement ( X �
Ft.
Attached Garage �y� � � X }
Resid�nti�i lJs� Fq.
n Accessory StrueY�re(explatr,) � ( X )
J A�YICUIYUI'�I . (detachedgarages,sheds,Goathouses,etc.) Ft.
�5� Temporary Guest Q�iartees or f3unkhr�use(a�de tyPe) � X } Ft.
— _ _ -- _ �..
❑ Commercial/ ✓ �eck/Porch/Patia f 1 D X �� , �j�� Ft. l �
I n d us4ri a l Use ---�----_�------
(2"d)�eck/Porcf�/t�atio ( X )
— _ Ft.
❑ Municipai Use - _ F _ _— --- _..- — —_W u�- ----�--
�t�'IE?P(explain) ( X �
Fg.
❑ Otf�cr � . _ — --- _ -
PYIfIC1��I StPUCt'UP2(Agricultur�l,Commercial,Municipal,Etc.) ( X �
-'._ ��.
Addition/dlgeraCion(exPiain) --_�..__ . .f_�.-..X�. , . __
� �4.
To4al habital�le squaee fee4: ��4ai Non-Fial�itable square feet:
(decl<s,patios,garages,sheds,storage area&other structures) ���
1
Origiq,�l A{��i�.�t�c�n�musr be s.�t��a�t�
� ___.__.�...�.._- —-._ _..__ __.___ __�� �`___._ _...__
Attach a��a»or Sketch ydur N,'operty nn H.S L1"oi �i 5"x 14"��per:"M�st'"Inslucle lacaeion anA se4gask ufi peeposed and exis-4ing seructures,raads,
Ariv�way,sanitary componen4s,well,lak�,PIxeP SCreari,and wetlanda.
-__---�-- -.�--�— __.___._._ —._._.._-�.__.._.__._._._ _ - �
..�,..-- _._�
�---- - --._.�_
.� �_._
Descri 4ior� ��e�ck I St?4back �
P f�Psgri�tion
�:�__ __ Measuremenxs � MeasuremenYs
�._`. v -� �— __L�� _._ _ __.__ _
Setback from the Ce�terline o4 Plaeeed Road and/or �--���� Feet Setback from the Lake(ordinary high•water mark� Feet
—_.,. ---�..... — 7��t' " _...n—.—._ . ___._�`
5etback from the Establlshed Right of-Way ___�_� feet Setback from the River,Stream,Creek FeeL
-- _,..� _ � -- ---a.._.- �
Setback from the 131ui� if applicable F@Et
Sett�ack from the North Lot Line � Feec � l�
�Setback from the SeuYh Lot Line � '7 Feet 5etback from WetlanA �� �eey
Setback from the West Lot Line � �� FeeY 51oye wi4hin area of construction/disturbance �� %Slope
_Setback from the�asY l.ot Line � Feee� �Elevation of Floody�ain _� � , h��q
SeYback to Se�Cic Tank�r Floldin tank � "(" Fe�c Setback to Well �� � ~ �� F@eq
.....�_.W..: __�_.._
Se4back to Dr�in field � Feec
Setback to Privy(Portable,Composting) _�^ � FeeY ^�
Prlor tu the plar.ement or consnualun of a stnicturc withln flve(5)feet of the miniinwn requlred,efbaek,the boundaiy Ilrle ffum which[he 9e[back ulust 6u ine�sui��.��1 niust be visible froni one
pruv'luusly surveyed Cufllel to the u[rler pr�vlolnl}'surveyetl COri1C�ul IrldrkCll by a(ic�niG'd fUrvky�ll�lt tlle owtlef's ex�)ep5l',
Prlor to the placement or construction of e structure more than five(5)feet bui Icss Nian ten(10�feet from the rnhilinum requirod see�ack,the boundary line trom which the setback must be
mensured must be vlslble from one prevlously surveyed corner to the other prevlously surveyed corner,or verlhable Uy the Depai tment hy use of a currected compass from a known corner
witf�i(i 500 feet of the proposed site of ttie s[ructu�e,or must be marked by a licensed surveyor ot the owner's enp��ns��
- .: � �Y�'d.�''" ,��,`",�"��f9'�9��`�ma�r �<..r- rr Y«y r�.�°r�r.�ri
<:.. ,� ..�
� . .
- - � ::, 4=��
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that waeer cannot penetrate.The Zoning Office can help you determine if a
surface ls considered impervious)
Caiculate lot area; ��C�
Indicate lot size from CSM NOWS(ci le one):__�!S� �___Acres;Multiply by 43,560=Lot area: Z�� o`'�1 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 slze,in square feet,of all exisYing roofed structures(include eaves); l��_�sq ft.
DetePmine Yhe total 312�,In square feet,of all exlsting paved/bricked/t,locked surfaces:__ sq ft.
Acid these measurements to deiermine total impervious surfaces:,,.���_ sq fC,
Calculate I�vrpervlous iCt qercenYage
Total impervious surface=����;=Lot areaZ� �2 Sy ft.x 1UU=Impervious surface � �� _%
(Mitigation is reyuired if[otal excee�ls 15%�
••`Notice�separate�rading perntit rieeds to be obi:�ined if diswrl�ed are�u r✓ithin tt�r Shaielaiid district as indicated on previous pa�e and mc:ets criteria beluev"'
Gradln�on a slape�;reater than 20% Grading of more than 1,OU0 Sq. Ft.on 12%-ZO%siopes
Grading of more than 2,000 Sc�. Ft.on Slopc;s less than 12%`����'� c�rading is in excess of 10,000 Sq, Ft.
__ � -�i�----__ --- _--- ---�. _.._
`r�Ail'UI�E I��)0'u;;1� ;:�I'FHf�li,�ur,,f;�.K����u CJi:'t;l I��UCTIQIv 4Ji��.�.-:vl,��..�`Eiilvlil�WILL I��S!I�-r IN i'kNNL�(It,:
I(we)declare that this application(including any accompanying informatlon)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,corred and
complete. I(we)acknowledge[hat I(we)am(are)responsible for the detail and accuracy of all information I(we)am(are)providin�and that it will be relied upon by Sawyer
County In determining whether to issue a permlt. I(we)further accept liabiliry 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 counry ordinances to have access to the above descri6ed property at any reasonable time for the
purpose of inspection.Additfonally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officlals.
Owner - \yJ\ ��� Owrier �\� � ���� P r�� �
Signature V v ,a,Prlr�teQ name SJ Date �� `'"V
(Slgn�tu<<t and Pri��ted Na�ne rcyulred)
NOl'ICL•; All land Use I''ernilts[xNln�One('1)Year from the DaCe of IssuanCe.
For the Construction c�i New One&�fwo Famlly Dwcllii��;: i>�l,Nlunlcip<ilities�re Requlred 1'o Eriforce Thc Uniforrn�wellirig Co�le.
i�he locdl Town,St�atr or f���drral agenci���.mc�y alsu�equlrr�ierniity,
You are re�ponsible for complying with the requirements of the Sawyer Cowiting Zoning Ordlnances and law and regulations of the State of Wisconsin.You are also responsible for
complying with State and Federel laws conceming construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construttion
that violates[he law or other penaltles or costs. For more informatlon,vlsit the depairtment of natural resources wellands identification web page or contact a departmerif of
natural resources service center(60F3)2G7-31Z5
�� �� Sanitary Number: ` � H of tiedrooms: � �Y �
_.._. - . �...�_�_ _ _ _ _ _
Issu��ce It�foPr►i�tlan (Cour�ty use�nly) N�
. _ _ •----�
Pef�rit Denic�d(nate): Reason for penial:
Permit N: __.,,__.r_._ Issuing agent: --_,--_-------�.____..^_-- -"Y_ ---Date: �
��-� I�-( , � S��'_
Is Parcei a Sub-Standard Let I I Y�s (Deed of Record) '��� Mi' ation Reyuired C i Yes I�No
IS Parcel in Comm�n Ownership I.l Yes �fused/Contiguous Lot{s)) ��� Mitigaeion Attacheci L�Yes C�Mo
Is Structure Non-Conforming !I Yes �_ ��. _ , �I M�
___._. __�______�� - _��.�-_�_— �______—�_�-___--_- -- .�_ __.
Caran4ecl 9y VarianCe(B.O.A.) Grantecl by C�nditional Use
i7 7@s i�fVo Case 8: '!Yes C!Mo Case H:
Was Parcel Legally Created i:�Y�S ;�'•Mo _.__ _ Were F�raperty Lines Represented by Owner I.:des ___ fVo
Was Pro�osed Building Sife belinaated ':.�Y�s I�f�o „s__..�___._ . _ Was Pro�erty Surveyed !1 Y�s �_a_ _ _._ fdo
�. - - -- �-�--�-1 --.__.-- _ .___-
_.—� .�- -._.._. ..,,-�—____ �_-�..
Office Comrnents: Zone DistricC: Fee:
�L� ' � l ��
�a_` __.___ . ._ .._..___..�_.::_ — _..__ —, -- R_,---- — ._ � _,� —
--_ y. _
Hold for5anrtary: L i Hold ForTBA. � � _. ",�tlold Foi Aftidavit I _ _.__, Huld For Fees: I ! I 1 .
�Feb2021
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6/20122, 10:09 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing �ropertyStatus:Current
Today's Date: 6/20/2022 Created On: 2/6/2007 7:55:08 AM
—�
�'Description Updated:9/24/2003 '�Ownership Updated: 11/3/2016
Tax ID: 4064 � � �� � � DAVID D&LVNN M MENZ LAKEVILLE MN
PIN: 57-002-2-40-09-35-5 OS-002-000060
Legacy PIN: 002940355206 Billing Address: Malling Address:
Map[D: :2.9 DAVID D&LVNN M MENZ DAVID D&LYNN M MENZ
Munitipaliry: (002)TOWN OF BA55 LAKE 16122 HURON CIR 16122 HURON CIR
STR: 535 T40N R09W LAKEVILLE MN 55044 LAKEVILLE MN 55044
Descrip[ion: PRT GOVT LOT 2 LOT 3 CSM 9/303
#1995 � Site Address ' indicates Private Road
Recorded Acres: 0.570 7569N WHITE BEACH RD * HAYWARD 54843
Lottery Claims: 0
Firs[Dollar: Yes U dated: 9/13/2012
Waterbody: Schoolhouse Lake � P�operty Assessment P
Zoning: (RRl)Residen[ial/Recreational One 2022 Assessment Detail
ESN: 407 Code Acres Land Imp.
G1-RESIDENTIAL 0.570 105,000 58,500
� TaX Districts Upda[ed: 2/6/2007
---� 2•YearComparison 2021 2022 Change
I � � State of Wismnsin Land: 105,000 105,000 0.0%
57 Sawyer Counry Improved: 58,500 56,500 0.0%
002 Town of Bass Lake 7ota1; 163,500 163,500 0.0%
572478 Hayward Community School District
001700 Technical College
�.� Recorded Documents Updated: 2/18/2019 "" Property History
O TRUSTEES DEED N�A
Date Recorded: 10/27/2016 403669
O CERTIFICATE OFTRUST
Date Remrded: 10/27/2016 403671
� AFFIDAVITOFTRUSTEE
Date Recorded: 10/27/2016 403670
O AFFIDAVIT
Da[e Recorded: 7/21/2003 313294
O WARRANTY DEED
Date Recorded: 7/21/2003 313293
O WARRANTY DEED
Date Remrded: 7/B/1988 209960
O CERTIFIED SURVEY MAP
Date Recorded: 6/13/1963 187169
https:lltassawyercountygov.org/IAccess/master.asp ���