020-638-04-2205-LUP-2022-275 SUBMIT COMVLEfEO!PVLICATION AND
cEero: APPLICATION FOR LAND USE PERMIT
Sawyer County 5 Y�"� - �' �
Zoning&Conservatlon0epart. �`� �niK4nPUu�r�="-' �
10610 Maln 5[Suite 49 . -- DatE,�,a� ��
Hayward,WI 56H43 l```v' ` q � I
(7151634.8268 �'y ��lL � � ���L Chk# ���S G l
1\ _ \, F'
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iNsrnuaiums:Nove�mi�winbeis:o�a��i�ianree:a�easie. 5' ,; :.,;;�tfthilON p
CMck�ere made paysble to:Sawyer County Zoning Departm¢nt � � �
UONOTS1I1R1CONSfRtICTIONJNTIL�LLPFNMI�5IV�VFfSEENIS5UED10�FPLICANT Origi�alApplicationMU57besu6mitted FILLOUTININN (NOPENCIL)
Submittal of th'is ap0licition or recel�t o(fees docs nat cons�itute permitlssuance.
Owner(s)Name: Contracmr(s)Name
�o�� and l-�olL� �ylewsk�� J���-� lL>Wv�e��
Malling Address: Malling Address:
1��3 ��JI7���' �,�meron,l,c.u-5�{8�; 5a.mc
Phone:;OdQ ��S�S�+10�v�3I� Phone: CQ�,e
J
Emall:��OCI�TL � MQ.�� . ��� 1 y Emall: Jam�-
Site atld�ess: ��3U/V`/V�Jz.I.(LC�{Tfi7.t/ �1 bLt1Q$�f Or Date apolied for:
Lepc PINp o�0�3�o yaaos 7ownoF. ' 6��Q-
7vmit dellvery Method Call Owner u Mail Owner n Call Contrector c Mall Contre<tor
'.Is Property/Land within 300 feet of River,Stream Itnc�. Dlstance Structure Is from Shoreilne: i��our vroperry
Inmrmrtmnt) —► flet in Floodplain �rc Lb'�tlands
I�.!Shoreland _��eek or Landward slde of Floodplainl If yes--roncinue ��es���"
zonc� �
���.Is Vroperty/Land wlthin 1000 feet at Lake,Pond or Flowage Distance Structure le trom Sharellne: Yes 5
if��s-mnc'�n„e—► feet No
�. Non-Shoreland
Desafbe vroject
Value at Time of Total p of
Projea type Foundation What Type&Capacity fs tM1e
Comvletion Number bedrooms
,,,,d.-� ,^r, (House,garege,shed,deck, (Basement, Sewer/Sanitary5ystem�s)
Addition,etc...) of5torfe5 Pact
r�m=��ln,ate-��sl Crawlspace, mnstrurtinn
List separately Slab)
5 ��f��D0� l-0-b�rl ' � n,� e � N ✓"� � �lvrle,`�vl
owelling �+�
ConCr G N �
5 c1r � . s`a�
� �o�
Ac[efsory Bld6
S
110dltlon/Altere[len
Heighi:
Total Squara LowesS
Proposed Use ✓ Proposed Structure Dlmensions Footage Gradeto
(multlply per Highest
story) Peak
� �, i � I Q C.
� Residence A x � g I 1,;> Ft. 4 �
with 2^a story or loft � x �
Ft.
with Basement ( X �
Ft.
p4,Residential Use Attached earege ( X �
/ Ft.
Accessory Structure(e.via�nl — ( x � � )G`� ��
❑Agritultural Ia.ra�n.aes,.sa,,.n�a.,eo:itio��.:..«i � � Ft�l� f y
Use Temporary Guest Quarters or Bunkhouse(a�ae eyoe) ( X �
Ft.
L, C0117rt10fC(el� � Detlt���Patio ��Un�(�O'(�GYI ( � x � , I � I� ,I�
Industrlal Use I' v Ft.
(Zne)Deck orch atio �J��ye f�0'�� ( ��X `� ' 0``� Ft. ��
❑ Munfdpal Use -. � ,7
� Other(e.Piai�l /��I� ( � x � ' �� Ft. V ��
�
❑ Other ( x �
Prinefpal Strueture(ng��cwtwai,comme�aai,mu��cipai,ecc.) Ft.
Additioo/Alteretion�e.oiai�� ( x ' Ft.
Totai habitable square feet: � ' �j Total Non•habitable square feet: ��
(decks,Patios,garages,sheds,storage area&other structures)
1
Original Appiication MUST be submitted
Attach a Ptan p� Sketch your Aroperty on 8.5" x 11" ar 3.5" x 1a" paper: *Must" Include locat(on and setback of proposed and existfng strudures, roads,
driveway, sanitary components, well, lake, river, stream, and wetiands.
Description Setback Description Setback
� Measurements Measurements
Setback from the Centerline of Platted Road and/or (p Feet Setback from the Lake (ordinary high-water mark� 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 (] Peet
Setback from the South Lot Line Feet Setback from Wetland Feet
Setback from the West Lot line Feet Siope within area of construction/disturbance % Slope
Setback from the East Lot Line /y Feet Elevation of Flaodplain Feet
Setback to Septic Tank or Holding Tank �l Feet Setback to Well Feet
Setback to Drain fieid pe��
Setback to Privy (partable, Compoating) v Feet
Pnor to the placement or constructlon of a sti ucture within five (S) feet of the minlmum requlred setback, the boundary li�e from whieh the setback must be measured must be visibie from one
previously suroeye� curne� tu ihe other previously surveyed comer or marked by a licensed surveyor at the owner'S expense.
Pr�or to the placement or tonstruction of a struc[ure more than five (5) feet but less than ten (10)feet from the minimum reqwred set6ack, the boundary line from which the setback must be
measured must be visible from one previously surveyed comerto the other previously surveyed corner, or verifiable by the Depanment 6y use of a corrected compass from a known corner
within 500 feet of the proposed site of the structure, or must be marked by a licensed surveyor at !he nwner's experise
. � • � . • � • • . • : � . .. . • .
Calculate impervious surfaces. (Roofed, concrete, paved, and other surfaces that water cannot penetrate. The Zoning Office can help you determine if a
su�face is considered impervious}
Calculate lot area: u' I �./
Indicate lot size from CSM or NOVUS (circle one): � � � � � Acres; Multiply by 43,560 = Lot area: �� !i ���. (D Square Footage
Calculate impervious surface area:
Determine the total size, in square feet, ot your projects listed above (include eaves): i� �'l�� 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:_ ( U C.�V sq ft.
Add these measurements ta d�termine total impervious surfaces: ! 2 `'' �� sq ft.
Calculate impervlous lot percentage
Total impervious surface: � Z�'�3 + Lot area; � �� �Sq ft. X l0U = impervious surface „?. 3 /,
�MItIQaYwn is required if total exceeds 15�/,)
••'Notice a separate grading permit needs to be obtairred if disturbed area is withln the Shoreland district as indicated on previous page and meets criteria below"•
• Gradln on a slope reater than 20% . Grading of more than 1 000 Sq. Ft. on 12%-20%slopes
� • Grading of more than 2,000 Sq. Fc. on Sfepes less than 12% Gradfng is in excess of 10,000 Sq. Ft. �
FAfLURE �IO UBTAIiV A Fi_nls�.. r,i�?ING CONSTHUCTION Wfi yUU�A PEKMIT WILL FiESULT IfJ PEN�:ITiF�
I (we)declare that this application (including eny accompanying information) tias been examined by me (us) and to the best of my (our) knowledge and belief it is true, correcc and
complete. I (we) acknowledge that I (we) am �are) responsible for the detail and accuracy of all information I (we) arri (are) providing and that it will be relied upon by Sawyer
County in determining whether to issue a permlt. I (we) further accept Iiability which may be a result of Sawyer Counry relying on this information I (we) am (are) providing in or
wlth this applicatlon. e)consent to ounty officials charged with administering county ordlnances to have access to the above descri6ed property at any reasonable time for the
purpos inspection itionall , he undersigned person(s) hereby give permission for access to the properry for onsite inspection by Municipal Officlals.
Owner ' Owner �'d �T�ewsI k � �
Signature Printed name L � l�wg�'11 Date 13 d�
(Signature and Prin[ed Name required)
N ICE: All Land Use Permits Explre One (1) Year from the Date ot Issuance.
For the Constructlon Of New One & 7wo Farnily Dwelling� Al� Municipalities Are Required To [nfome The Uniforrn Dwelling Code.
The iGcd� '��wn �ial.� i�r �- t' .ral .iE:r i..ir-s �n�r a�-.t� requiri° prrn�iit�;.
You are responsible for complying with the requlrements of the Sawyer Counting Zoning Ordinances and law and regulatfons 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 modificatlon of construction
that violates the I�w or other penaltles or costs. For more inforrnatlon, visit the department of natural resources wetlands identificaYion web page or contact a department of
natural resources service center (608) 2673125
Issuance Information (County Use pnly) SaNtary Number; `^,v � fl of bedrooms:
�� - 00 1
Permit Denied (Oate►: Reason for Denial:
Permit q: Issuing agent• Date:
� � - � "] 5 �� - �la� 2na�,
Is Parcel a Sub-Standard Lot l I Yes (Deed of Record) '�No Mitigation Required I � Yes �v�y'�t�u-o
IS Parcel In Common Ownershlp �1 Yes �Pused/Conciguous lot(s)) ' i No Mitigation Attached !J Yes I" No
Is Structure Non-Conforming I I Yes 'ptNo
Granted by Variance (B4O.A.) Granted by Conditional Use
CJ Yes No Case#: i Yes 'JFNo Case t1:
Was Parcel Legally Created � Yes !7 No Were Property Lines Represented by Owner �Yes No
Was Proposed Building Site �elineated `!-�Yes i i No Was Property Surveyed "'�Yes No
Office Comments: Zone District: Fee:
�Z '� `� `�e �
Hold For Sanitary: Hold For TBA: _ Hold For Affidavit, Hold Fa• Fees:
mFeb2021
7/14122,339 PM Novus-Wisconsin Access rev.13.7108
Real EState Sawyer County Property Listing Property Status:Curren[
Today's Date:7/14/2022 Created On:2/6/2007 7:55:34 AM
�Description Updated:5/28/2021 �Ownership Updated:12/D/2017
Tax ID: 20442 TODD A&HOLLY N TVLEWSKI CAMERON WI
PIN: 57-020-2-38-06-64-2 02-000-000050
Lega�y PIN: 020638042205 BIIIing Address: Mailing Address:
Map ID: .6.5 TODD A&HOILV N TYLEWSKI 70DD A&HOLLY N
Municipality: (020)TOWN OF OJiBWA 1283 21 7/8 STREET TYLEWSKI
STR: 504 T38N R06W UIMERON WI 54822 1283 21 7/8 STREET
Description: PRT NWNW L0T 44 CSM 27/181#7079 CAMERON WI 54822
Remrded Acres: 12.510
Lottery Claims: 0 �Site Address 'indicates Private Road
First Dollar. No 4630N HORSE CREEK TRL * O]IBWA 54662
Zoning: (RR2)Residen[ial/Recreational Two
ESN: 442
�Property Assessment Upda[ed:10/3/2013
2022 Assessment Detail
�Tax Districts Updated:2/6/2007 Code Acres Land Imp.
1 State ofWisconsin G1-RESIDENTIAL 1.000 3,000 0
57 Sawyer County G6-PRODUCTIVE FOREST 1L510 12,700 0
020 Town of Ojibwa
576615 Winter School District 2-year Compadson 2021 2022 Change
O01100 Technical College Land: 15,700 15,700 0.0%
improved: 0 0 0.0°/
•�Recorded Documents Updated:li/24/2009 Total: 15,700 15,700 0.0%
O WARRAN7Y DEED
Date Recorded:5/27/2021 432185 [�
O LAND CONTRAR F.:�Property History
Date Recorded:5/19/2015 395700 N/A
�QUIT CLAIM DEED
Date Recorded:11/12/2009 363712
O AMENDED COVENANTS
Date Recorded:l0/15/2007 349639
O AMENDED COVENANTS
Da[e Remrded:10/4/2006 342058
O AMENDED COVENANTS
Date Re�orded:6/24/2006 391110
0 COVENANTS
Date Remrded:8/29/2W5 332945
O CERTIFIED SURVEY MAP
Date Recorded:8/11/2005 332516
https:lltassawyercountygov.org/IAccesslmastecasp ���
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