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018-837-23-3201-LUP-2022-509 SUBMIT COMPLETED APPLICATION AND - FEETo: APPLICATION FOR LAND USE PERMIT � Sawyer County SAWYER COUNTY,WISCONSIN c l Zoning&Conservation Depart. N 30630 Mdln St Suite 49 Date Stamp(Received) ���`� , � I 1 � ' � Hayward,WI 54843 , .�,.1 (715)634-8288 ��k# a (a� � �' �y ��� Rcpt#Ne,�.,� w-�-� �a *� �I�� � o INSTRUCTIONS: No ermifs will be Issued until all fees are paid. •--------�-� � Checks are mada payable to:Sawyer County Zoning Department. � ~ DO NOT S7ART CONSTRUCTION 11NTIL ALL PERMITS HAVE BEEN ISSUED 70 APPLICANT. O�igin8f AppliCetiOh MUST be SUbroitt2d FILL QUT IN INK (NO PENCIL) Submittal of this applicatlon or receipt o(fees does not conztilutP permit issuante. Owner(s)Name: Contrector(s)Name Z.0.c,�ac- � ���f �h :1�— ��� Mailfng Address: Mailing Address: � � IA�.+ A� � _h�l��`� � Phone: t��J� q7�-rJ la1 . �_ ,�—�-� Phone: Email: M1.WN� v�_�_' �� Email: Site address: Sw�- Or Date applied for: Legacy PIN# p�(7� J� , �3 -3a, c Town of: ��Z.Q r Permit dellvery Method Owner ,d`Maii Owner ❑Call Contractor r_Mail Contrector s Property/Land within 300 feet of River,Stream �inci, Distance Structure is from Shoreline: Is your Property ntermlttentJ --► feet in Floodplain A�e Wetlands Creek or Landward slde of Floodplain? If yes---continue 8 S'v Present? '.I Shoreland -- z°"e? kYes Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes If yes---continue � feet h---T�o Nn J Non•Shoreland Describe Project Total#of value atnme of project type Foundation What Type&Capacity is the Completfon Number bedrooms 'include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s) Addition,etc.,,) of Stories Crawlspace, �'ost time&materiai Llst SEparately Slab �onstru�tion ) $ .F;�c�DJ ( S,Gc...IS �w Owclling $ �5 flJ A[cessory Bldg S Additlon/Alteratfon Height: TotalSquare Lowest Footage Grade to Proposed Use ✓ Proposed Strudure Dimensions (multiply per Highest story) Peak Residence ( x � Ft. with 2"d story or loft � X � Ft. with Basement ( x ' Ft. Attached Garage� � f x � n Residential Use Ft. v (Aecesso ry Strueture(exPi�in� , w�� SL 1 t yFj X 8 ' 36 a Ft. Q 0 Agrieuitural �� detached aro es,sheds,boathouses,etc n���/ Use Temporary Guest Quarters or Bunkhouse(orcie cype) ( X � Ft. ❑ Commercial/ �eck/Porch/Patio ( X � Ft. Industrial Use � X � (2"a)Deck/Porch/Patio Ft. � Municipal Use � x � Other(explain) Ft. 0 Other ( x ) Principa)Structure(Agricuicurai,Commercial,Munidpal,EtcJ Ft. _ ( X ) Addition/Alteration�exPia�n) Ft. Total Non-habitable square feet: `� �� Total habitable Square feet: (decks,patios,garages,sheds,storage area&other structures) S Original Application MUST be submitted Attach a Plan or Sketch your Properiy on 8.5"x 11"or$.5"x 14"paper:�Must•inctude location and setback of proposed and existing structures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. Descri tion Setback Set6ack P Measurements Description Measurements — ___....__._----.__--. 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 Feet Setback from the River,Stream,Creek Feet Set6ack from the eluff 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 Siope within area of construction/disturbance �Slope Setback from the East Lot Line Feet Elevation of Floodpiain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setbackto Drain Field Feet Setback to Privy(Portable,Composting) Feet Prio�to the placement or mns[ruction of a s[ruaure within Five(S�feet of the minlmum required setback,the boundary line from whlch[he SetbacH musi be meawred must 6e visible from one previously surveyed mrne:to tne oth2r previously surveyed corner or marked by a licensed surveyor at the owner's expense. Prior to the placement or construction of a struRure more than five(5)feet but less than ten(10)feet from the minimum required sethack,the boundary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed corner,or verifiable by the Department by use of a corrected compass from a known corr�er within 500 feet of the proposed site of the structure,or must be marked by a litensed surveyor at the owner's expense. . - � . •�• • • • •• • • Calculate impervious surfaces.(Roofed,concrete,paved,and other surFaces that water cannot penetrate.The Zoning Offlce 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 fot percentage Total impervious surface: =Lot area: Sq ft.X 100=impervious surface % �Mitigation it required i(total exceeds 15%) •"Notice a separate grading permit needs to be obtained if disturbed area is withfn the Shoreland district as indicated on previous page and meets criteria below'•• Grading on a siope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes 6rading of more than 2,p00 Sq.Ft.on Slopes less than 12% _ Grading is in excess of 10,000 Sq.Ft. � Fa�LURE TO OUTAIN A P�NMi f or STAFi11NG CONSTftUCTiON LVITNUUT A PEKMIT WILL RESUIi IN PENALilES 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,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 Counry in determining whether to issue a permit. I(we)further accept Iiabflity 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 ordlnances to have access to the above described property at any reasonable time for the purpose of inspection.Additionally,the underslgned person(s)he�gi�e�ssion for access to the property for onslte fnspection by Municlpal Offltlals, Owner `•�QQ . er � ��"" Signature �l� Printed name Date (Signature and Printed Name required) NOTICE: All Land Use Pennits Fxpire One(1)Year from thc�Date of Issuante. for the Construction Of New One&Two�amily Dwelling: I�LL Municipalities Are Required To En(orce The Unifurm pwelling Code. 1 he locai Town,Slate or Federal agencies may also require permits. You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulatlons of the State of Wisconsin.You are also responslble 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 naturel resources wetlands identlfication web page or contact a department of naturalresourcesservice cenYer(608)267-3125 Issuance Information(County Use Only) Sanitary Number: tf of bedrooms: Permit Denied(Date): Reason for Denial: Permit it: Issuing agent: Date: ,�`�-- � �"� • 1 Is Parcel a Sub-Standard Lot I�Yes (Deed of Record) !!No . Is Parcel in Common Ownership ❑Yes (Fused/Contiguous lac(s)) I No gat' n quired C!Yes I.:No Is Structure Non-Conforming !1 Yes ;�Na Itig io Attached Li Yes 1:No Granted by Variance(B.O.A.) Granted by Conditional Use � ��� ;Yes -No Case q: ?Yes �:No Case�1: Was Parcel Legally Created i.:!Yes ''No Were Property Lines Represented by Owner I;Yes No Was Proposed Building Site Delineated I Yes IJ No Was Property Surveyed ;Yes No Office Comments: Zone District: Fee: � -� �/00 Hold For Sanitary: Hoid For TBA: Hold For AffidaviL ! Hold For Fees: �Feb2021 SU9MITCQMPLETEDAPPUCAT70NAND ��- +'—[—'`^^ �� �(�y�. KEETO: ��� . . �� ���k���,��'��d��l��{��� RMIT Sawyer caunzy 1r`��74�lER GK7��,.IN?Yr YV#S�D � IAi Zaning&Conservation Oepart. e —� . iQ610 Main St Suite 49 � {��� ��e�"�j�� �-�-'� Maywaed,W154843 +.� ��C� �'. i {7�s)6�a-�zas __�--- $pyVYER COUNTY IEdS?ftUCTiQBAi: Na permits witl be issued until all fees are pai ApAqINISTRATIO� Checks are made payahle to:Sawyer County Zonirtg Department. - " . I, . _.. .€�T, t �z ��- (v'r€35T Ese sesb�ii�#de� FILL OUT IN tlYK ('NQ PEN;.1l) 6U N�BTSFA3ifC3N5F7tF1�.TIYSN L1k1F A f k�Rhiti '�s AVt 3LEFd ESS ET1 Ti7 APVEtGa��t�. CYri?irF,.�I R ;f�traifoeR �i....., , ��_� � �ut�n�i4tzi:+f t(�is a�rt:4icat�¢��,r rr,cci�fl,f ter.s�%ces�...^,�c�x:r.e:£G=,e��,rn�rt!•,>�✓anc�e. i Owaer(5)Name: ! Contrattor�s)niame � � ��� I � ���, - /� + ' � ' � MailingAddress: ��Clk�d��MailingAddress: i / N Co�� �� � ��� � � � —� : ��n�: 3e3- 9�'^ �� , P�o�: �� EmaiL �!��.���.Q.G�.L�,y� : Email• i ;._.._m_-___ . .. . ....�..� ' .... . ... . ..... . � � Site adt€resst ��Q/+t L W Rdte dgpired ior. �� r ,. _.__€ ���1��L-��� � ___ _ s_...__ ..__�_ _� !.egary¢#td� C Tnwn of i Perm�de�4very Method�� �CaII Owner �Mail Owner -�.Cali Contractor n:Mail Contractor VIs PropertyJLand within 300 feet of River,Stream ;��d. ( R Distance Structure is from Shoreline: � is v�u Fr��ertv j � Intemittent; _�, � � ekfa.l4dPt(SR714 � ' Q f8et n FfcirssPgiai3r Creek or tandward side ot Floodplain? €'yc�s cc��s4�nue �S �� � �r u ns" ( Z n�:' K`Yt�S Shorelami # € : Is Property/Cand within 1000 feet of Lake Pond o+Flowage pi5tance Structure is from Shoreline: � ��� i �� ,` � ? � , —�; feet f� �'ttiri � �� r------ - - a Nqn-Sharela�d ........_..._._.�m...__._�:..__....i._�....._..�.. ._..,,. �-. .._,.m���. ..�._._....:��.._._...._._......._.,_::.._.� r: �..�.....,._...,�:_.�..__.:....��i De5cri6e Projett � ' �raiue at�im�of Total#of E Rrcrjc�k type Faundat3on- � What Type&Capacity is the Campletian iYumber � bedroorns � } y= �& ,���� (No�ise.garage,shed,deck, (Basement, � Se+yerf5anitary System{s) .additian,et�...i of Stor�es �csst' CrasvispaeeF, f "� ° � Csau�s�es�mEicrn � , "'� Lisfs�rarateiY ` S�abb � t _. _.�. . 5 ��.rt�vex.��S��"�7 S K,'e�S o.t � � l ��d� Dweifing ..... .. . 5 i� ... ... . . . Attessary Bldg � Add"+tEonjAiteration . . �� � ' �Het�ni:�{ Totai Square ► lawest E Faatage �rade ca � P►opased LiSe f Prop4sed SfrucLure Dimensions �mukipty per Mi�hest � sts�ry} Peak X ..:.__ } Residence � � Ft. with 2nd story or loft ( X � Ft. with Basement � X � Ft. Rftached Garage � x 1 � �Residential Use Ft• Accessory Structure E�xpia��� � ��, M � � `�/`c j[ ' � Agricultural (cer�nedaaage:,:nPe:,xacn e:,e:�:) •�l.^Q Ft. ��i E US�' Tempprery Gues#Quarters or Bunkhouse(c.irae tvpej � X � Ft. � Commercial/ Oeck/Porch/Patio t x � �t. industrial Use { X ) (2ne)DecFc(Pa�ch(Patia Ft. C' Municipal Use t X ) � �LhEf fexpla n; Ft, ^ Qther � � � --� sai�iac���ppk€��ti�s�t�[<���'��:saabrriit��� ___ . __ .._�..�._ —__._.._ �_ ,...�_._.__�_ _ Attach a?'?asa or`a_,:�your P�ap�-ty on 8.5"x I7"or 8.5'x 14"paper.�tMusf'�lnclude txatism and setls�e#of prpposed and existing sirucEures,roads, � i Qrivewayt�anitary com�e�ts,weU,fake,riuer,stream,and o�etiends., ' �__.. m,_ _ m.....� _ �.._ mm____ ___� _.,. ---� _ � -, ' �� ! Q��iption : S�tba�kk fl+�scriptYon Setdack , Measuremeni5 . � Measurements � u__� _ �. _..___ _ �, � -- __.__�._ _..�.___ _ .._. j � � f , � __� � _.� _ _...... _� _.._. Setback frnm tha Centerline of Platted Road and/or i ,�i� Feet Setback from the Lake fo-o�nary h �-w�ce�R,drk) Feet : i Setback firom the Established Right-of-Way I �Feet ;�, Setback from the River,Stream,Creek �� Fee tt�� �_ _— _ ._____ �---� � —Se 6ack from the BIuH aFW�:cab!e � fest � _�r..m..._.... .�.� �---^---- ` Set6ack from die North Lat Line -J�J�_ Feet [ .�_ � __._� �,.�.�, � Setback from the South Lot�ine //z V Feet , � Setback from Wetiand �—� � Feet� , ___�___ � Setback firom the West Lot L+ne ��, �pp Fe �et ; # S#ope wr�thin area of construction/disturbance �%Stope ; Sef6ack from the East l.ot Line � ;� �p Z(^ Feet ; Elevat;on of Floodplain � Feet i ._. ._.._,.,.�...,_ — _� _____—, �.......,,3_� Setback te Sepiic Tank or Holding Tankmm�� �OC� Feet , ' Setback to WeN �mm� �� Feet ; Setback to Drain Field ; Feet � -� SeTback ta Privy(Pnrtable Compostmg} Feet ^� m� .�.._. � -.. _. . ... ,... .,.,r�,.x..e:.4r _� :`2., . .,e�t-: ,� , � l.�_._.. . _.��ie.�a.-, rnf•__.�. r . .__�. . . �_ v. a�or��?.tmc>1k. , _._. , ±.^c� , r ,. .Y-i-'�;�S. ...�- t• .t,_. ��.E'P.�..��'.�t.L..Y J v . .. .... Y.nE�r�-< . ..+:..s F,' �.€sF£'.A 3.C.':.>:h'('<�_ _., ..- . _ . ,., ..., ..4. . �;r , r�. , re .,.... .,�. ._ e?'.�3^a h� .. ., ..'z. Ei__ .._..,. ., . ..'tr ,a:.._.< ,s z3 y. .,�.._ ! .._ .. .� ... _ ... _ _.. . . � � ....,s�e . -_._„z�„ , _. _,.,., <. �r- � ..., .... r, .._ _ �..._ _,_ -, , ., _.. �. i ✓ -s,.. ,i .��:'_ .� . _.. r �t.ra r= ., ,r.�,:�, �. , as,�F. :'t�s� _., ,.�-ds.r .� ;�h-ac , .�e,.;*, f I . c - e e sr^ a � � i � ,.............. ..._._—.�.___...__.____�_.�........._.........._......�'..— '_�' "____".� ` , i Glculate impervious surfaces.(Roofed,concrete,paved,and other wrfaces that water cannot penexrate.The ZoniRg Office can hefp you determine:f a ; surfaceis considered impervious) � Galculatelotarea: ` indicate tot size from CSM or NC?VUS(circfe onej: � Acr�s;Multiply by 43,560=Lot area:� j7yZ�yf� Square Footage I I Caiculate impervious surface area: � i ' Determine the toiai size,In square feet,of your projects listed above{include eaves}: �'� sq fr. ' ( �+ I ( Determine the toYal size,in square feet,of ail existing roofed structures(include eaves): �O�Z sq ft. ; iDetermine the totai size,in square feet,of ail existing paved/bricked/blocked surfaces:� sq ft. � ' Z�3� i � Add these measurements to determine total impervious surfacesr _____Sq'ft. i � Calculateimperviouslot percentage � i i I ' Total impervious surface: 2 3 =Lot area: 5'�J Sq ft.X 100=impervious surface , / � % � j �Mitigaticn is requlred if tvtal exceeds 1'a1) ' *'•Notice a sc�parate grad'€ng permit needs to be cbtai�ed if disturbed area is within the Shoreland district as iridicated an ptevious page and meeis criteria below'"• ' �_±��.. __ ---� ` Grading on a slope greater than 20% � *� Gradin�of more than 1.000 Sq.Ft.on 12%-20%slopes E �..�. m.___��_.�...._�.._ � �_ . Gradmg of more than 2,000 Sq.Ft.on Slopes less than 12% > Grading is f�excess of iQ,000 Sq.Ft. j � , �� �--- � € ,.�..r..._L c _s :-� E :,'.;, ,..._.��;, .;,_.'J r.._�Y :�o,.it .�t,�i•-<:,< E �(WP!dedare that this application(ind�d�ng any actempany:ne n erma:i�r)has been ex_m��ed by me!�s!and tc�the b�sT..,my{our)knowiedge and bel�ef it is true,correct and complet2. ��(we)acknowiedge tha:'�:(we}am;ara)resuonsible fo�-tFe deta��and accuraty of aG informaTion I�wej am(are;prov:ding and that i±wiN bz relied upen by Sawyer ! taunty in determfnmg wrsether�o issue a perm�t. I(we;turthes acceu:��ao�Uty�vhich may be z result of Sawyer County relying or,trtis!nformation!{v.ej am(arej provioing ir:or i � with ihis a�plication i iwe)consent to county officia!s charged with administerirrg county ordinances to have aaess to the above described property at any reasonabfe time`ortne � purpose o mspection.Additienally,tne undersigned person(s�hereby g!ve permisslon for access to the property for onsite inspection by Municipal Offidals. ( i Owner -_ Owner �� � � ( Signature s./ � �Pnnted naEt�e �� i„�,�„��� Date� � ���2- ` t f _ . .. . C�R. 9'�t'r, C� tlh � � �!�✓ ..k .. _„_;�� , r�, f...n r,_,. ... . , ,t...'.� ._._._ � ;�:;e �,,.-�.,t .F^yn, ¢ �u r:r r E�_, 7 I : � �� r i.fr. .r:�.t,; C,:� ... „�, � } :��vi ,..Y�i �E, r; (r ^ y ;i•�r,+� c '�t5 � Yeu are responsibie fo�comp�y�g+xith tne req�ireme�ts or the Sawy2.Co��irUn conine Croinances and aw and regulz;ions of the�tate of W'sco�si�Vou are also responsible(ar � complying wi:h 52a:e and Federal laws con,erning con>tructipn near or on wetlands,lakes,and strear.:s.railw e to r.omply may re;�'t in removal or mcdification ot mnstruc!ien � jthat v:olates the law er other penaitiec or costs. fer more ieforc�atien,visit the dep2R^�eni of natural resources wetiands identificaYlon web page or contact a depaRment pf � nawrai resourc�s serv:ce wnter(6031 267-3125 I ' _ __m.._.�,___----- _.__ ____ '�_�,. I < Issuance information{County Use dniy) ' sanicary Number: � tt ofbedrooms: Permit Denied(Da�e�: , ��eason£ar Denia3: � �� �������� E � Permit�: �� � � � ' !s<_umg agent�_ � � '�'� Oate: � , . , E .. E . - � i .....� . � . � i '. i . ..�.,......�---_-'�_ '� .� —�.. �.. . -^^-- '_--`__ . ` .. t i Is Parcei a Su6-Standard Lot - 'Yes (Deed of RecordJ No �� �i,�gation Required �Yes 'Nn � � 15�Par«I in,Comrston Qwn�rShip � '?.Yes (KusedfC��uguoas.l.ot(s!? .� '�Q ,; �y�jtigation Attached i =��Yes .:!40 4 ; Is Structure Non-Conforming I �.�Yes �.:No � t � .�.._..T. __,__ �_...._._.. � GrdntedbyVariance(B.O.A.) � GrantedbyCon¢itionalUse � 'Yes No Case ft: _ _ ._ .__�es.___�_.'N°r.m.�� fase#> .__._.._._._ Was Parcel Legafly Creafed f Ye& No ; Were Property tines Represented Gy Clwner t :Yes �Q i e.r,.n....,,.�,..+o�,,:.td..,.,c�a..n,t...�.,.a..d i ....v..> ��:r.t... .. :..i .. tnts�.c Drnname Cun�naari 1 .'�.�Yoa . '..Nn � 11/17/22, 11:23 AM Real Property Listing Page Real Estate Sawyer County Property �isting Property Status: Current Today's Date: 11/17/2022 Created On: 2/6/2007 7:55:34 AM ,,:� =�'Description Updated: 5/20/2019 °� Ownership Updated: 5/20/2019 Tax ID: 19924 ZACHARY&KELLY WHITE EXELAND WI PIN: 57-018-2-37-08-23-3 02-000-000010 Legacy PIN: 018837233201 Billing Address: Mailing Address: Map ID: .10.1 ZACNARY&KELLY WHITE ZACHARY&KELLY WHITE Municipality: (018)TOWN OF METEOR 1068N COUNTY HWY C 1068N COUNTY HWY C STR: S23 T37N R08W EXELAND WI 54835 EXELAND WI 54835 Description: NWSW Recorded Acres: 40.000 � Site Address * indicates Private Road Calculated Acres: 40.188 1068N COUNTY HWY C EXELAND 54835 Lottery Claims: 0 First Dollar: Yes _� property Assessment Updated: 5/4/2021 Waterbody: Badger Creek 2022 Assessment Detail Zoning: (A-2)Agricultural Two ESN: 431 Code Acres Land Imp. G1-RESIDENTIAL 1.000 5,000 88,300 �� G6-PRODUCTIVE FOREST 39.000 50,700 0 � Tax Districts Updated: 2/6/2007 — 1 State of Wisconsin 2-Year Comparison 2021 2022 Change 57 Sawyer County Land: 55,700 55,700 0.0% O18 Town of Meteor Improved: 88,300 88,300 0.0% 540735 Bruce School District Total: 144,000 144,000 0.0% 001700 Technical College �i Recorded Documents Updated: 9/17/2018 t=J'Property History WARRANTY DEED N�q _ Date Recorded: 9/17/2018 414407 MFL WITHDRAWAL ORDER Date Recorded: 6/8/2018 412697 MFL AMENDED ORDER Date Recorded: 2/12/2018 411080 TRUSTEES DEED Date Recorded: 2/5/2018 410985 TRUSTEES DEED Date Recorded: 342864 535/118 TRD834/496 WD342864 https://tas.sawyercou ntygov.org/system/frames.asp?uname=Jay+Kozlowski ��� S;�� p��.� , ,�-- Ij QS� ���,, I �� ��-- � s��"r..ic � � Er.�I+J �{ouk- I I V N M � '✓t '* ��t u 5er 6� T /��f'de Sc �e N — /� _i32d' —_jl Oes:y� ► 30- — ,y- ,s� I F-:e�,o��! 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