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014-941-05-3304-LUP-2023-475 SUBMIT COMPLETED APPLICATION AND Feero: APPLICATION FOR LAND USE PERMIT � SawyerCounty SAWYER COUNTY,WISCONSIN W Zoning&Conservation Depart. � ����_�� 10610 Main St Suite 49 �l � �� ����3 � ' D � � _._� .��.� Hayward,WI 54843 � � (7151634-8288 ��m,���� .. ` OCT 0 Z 2U23 ,_.:: 3_�S�' '_, INSTRUCTIONS: No permits will be issoed until all fees are paid. � ,. " •�-� � � � ��-���--� " 1 Lhecks are made paya6le to:Sawyer County Zoning Department. DO N0T START CONSTRUCTION UNTIL ALL P�MIj$HAVE BEEN I551���.1��'NI�,�yQpjcatinn MUST be submitted FILL OUT IN INK (NO PENCII.) �vi• -- Submittal of this applicat�on or recelpt of fees does not toastitute permit Issu�nte. Ownerts)Name: Contractor(s)Name ` � Mailing Address: Mailing A ress: 3 � Phone: �`� �� � Q� � � T Phone: Email: Email: Site address ���(,/ Or Date ap lied for: Le6acy_PIN# U� � —_ � y � —�S� �3�� Town of; � � PermltdelfveryMethod �Call Owner �Mail Owner o Call Contractor ❑Mail Contrector '.'Is Property/Land within 300 feet of River,Stream pnci. Distance Structure is from Shoreline: 1s your Property Intermittent� � feet in FlooAntain Are Wet`and5 Creek or Landward side of Floodplain? If yes--contlnue rrcu�r? :_I Shoreland zo��� - Is Property/Land within 1000 feet of Lake,Pond or Flowa�;e Distance Structure is from Shoreline: �e5 Yes If yes---continue --► feet N� N" �Non-Shoreland Describe ` aroject Total#of value at Time of project type Foundation What Type&Capacity is the Completion (House, ara e,shed,deck, Number bedrooms "include donated g g (Basement, Sewer/Sanitary System(s) Additfon,etc...) of Stories Crawis ace, Post time&material (,�st separately Slab construction ) S ��A - Dwelling $ A[c� �`t/��JI S , $ Addition/Alterntion Hefght: TotalSquare lowest Pro osed Use ✓ Footage Grade to p Proposed Structure Dimensions (multiply per Highest storyj peak Residence � X � Ft. with 2"a story or loft { X � Pt. wlth Basement � x � Ft. �/' Attached Oarage ( x � st�l Residentiai Use Ft `/ Atcessory Strutture(exp�s�n) ( X J C`� �J Agrieultura) • (datechedgeragq6,�hedn,boathouses,atc.1 �a � � 3 Ft. ( �/ USe Temporary Gu��t Quarters or eunkhouse(circi9 ty��) � x � Pt. �l Commercfal/ Deck/Porch/Patfo � x � Industrlal Use �. Ft. (2"d)Deck/Porch/Patio ( x � ❑ Mun(cipal Use „� Ft. Oth2�(explain) � x � ❑ Other - _ Ft. Principal Structure(ngricuiturai,Commerclal,Munidpal,Etc.) � x � _ _ Ft. Addition/Altersiion(expla�n� ( X ? -- Ft. 7otai habitable square feet; Total Non-habitable square feet; ���) (dec,ks,patios,garages,sheds,storage area&other structures) �� Origin;,i AFplication MUST be submitted � � -0\���'�``��`L` s`�"`�� `n�``��~ Attach a Ptan or Sketch your Property on 8,5"x 11"or 8.5"x 14"paper.*Must"'Inciude location and setback of proposed and existing strudures,roads, driveway,sanitary components,weil,lake,river,stream,and wetlands. Description Setback Setback Measurements Descriptian Measurements Setback from the Centerline of Platted Road and/or � Feet Setback frorn the Lake(ordinary high-water mark� Feet Setback from the Esta6lished Righc-of•WaV 7 Feet Setback from tlie River,Stream,Creek Feet Setback from the eluff if applicable Feet Setback from the North Lot Line Feet Set6ack 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 Feee 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 plarement or construc[ion of a struRure within five(5)feet of[he rninimum required setback,the houndary lioe from which the setback murt be measui ed must be visible from one previously surveyed comer to the other previously surveyed corner or markeA by a licensed surveyor at the owner'S expense. Prior to the placement or construction of a structure more than five(S)feet bul less than ten f 10)feet from[he minimum required seihack,the boundary line from which the setback must be measured must be visible from one previously wrveyed corner to the other previously surveyed corner,or verifiable 6y the Department by use of a correcied compass from a known comer within 500 feet of the propose�i site of the structure,or must be marked by a licensed surveyor at tlie owner's expense. • . . . •�• � � • �• � �. � Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can help you determine if a surface is considered impervlousJ Calculate lot area: Indicate lot size from CSM or NOVUS(circle one): _Acres;Multiply by 43,560=Lot area: Square Footage �alculate impervious surface area: �etermine the total size,in square feet,of your projects listed above(include eaves): _sq ft. Determine the tota)size,in square feet,of all existing roofed structures{include eaves�: �q 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{t, Calculate impervious lot percentage Total imperoious surface: =Lot area: Sq ft.X 100=impervious surface / (Mitigation is required if total exceeds 15%) "'Notice a separate grading permit needs to 6e obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below"'• Grading on a siope greater than 20% Grading of more than�000 Sq Ft on 12% 20/slopes � Grading of more than 2,000 Sq.Ft.on Slopes less than 12% GradlnR is in excess of 10 Od0 Sa Ft 1 fAILURE TO Ui31 Hi�v F.FLHtJ�I I ui 7TANlING CONSiIiUCTION WITHOUT A Pf_RMIT WILL RL�ULI W P[N�1L(IFti I(we}declare that this application(including any accompanying information)has 6een examined by me(us)and to the best of my(our)knowledge and belief it is true,correct and complete. 1(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 Yhis 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 descrihed property at any reasonable time for the pur ose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Munidpal Officfals. Owner Signature Owner � ��L S �Q a Printed name �-n �..�{.J�r Date (Signature and Printed Name required) NOTICE: All Land Use Permits Explre One(1)Year from the Date of Issuance. For the Construction Of New One&Two Farnily Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code. The local Town,State or Federal agencies may also reqWre permits. You are responslble for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations ofthe State of Wisconsin.You are also responsible for complying with State and Federal laws concerning construction near oron wetlands,lakes,arid streams.failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For rriore information,visit the department of natural resources wetlands identification web page or contact a department of natural resources service center(608)267-3125 issuance Information(County Use Only) Sanitary Number: q of bedrooms: Permit Denied(Date): Reason for Denial: Permit#: Issuing agent: Date: -� f3_ �i � S � �.���-,�'�-�--__ 1��� �3 Is Parcel a Sub-Standard Lot I.i Yes (Deed of Recore� �'/No Mitigation Required Ci Yes `�f�o Is Parcel In Common dwnership �IXYes (Fused/Contiguous lot(sJ) il No Mitigation Attached LI Yes l.:3 No Is Structure Non-Conforming I I Yes ��9 No Grant�d by Variance(B.O.A.) Granted by Conditional Use Cl Yes'f'No Case t#: �!Yes No Case il: Was Parcei Legally Created �F�Yes ❑No Were Property Lines Represented by Owner Y�Yes No Was Proposed Buiiding Site Delineated '.�t Yes I_i No Was Property Surveyed !i Yes r No Office Comments: ���-��� �-� \��.,�- � Zone DistriCt: fe qqq. '7 `� r."�Z i�--.�.y-z� �•�• L�:�• �//////// �.� �� \GS..`.V�:-'\�� �t.. .�l��a''� CJ�.�� ^--�?�,.. cs-�� p�.:��.�i�'+ --,....�. +� l,(,[ �'�7 � cd _\�...-.. � �c\� ' —ti � — Hold ForSanitary: (; Hold ForTeA: '._l Hold forAffidavit: L: Hold ForfeeS:i� ,] �Fe62021 � Real EStdt2 Sawyer County Property Listing PropertyStatus: Current Today's Date: 10/2/2023 Created On: 2/6/2007 7:55:30 AM �'Description Updated: 1/8/2005 � Ownership Updated: 3/14/2023 Tax ID: 17625 DIANE C CHAMBERS HAYWARD WI PIN: 57-014-2-41-09-05-3 03-000-000040 Legacy PIN: 014941053304 Billing Address: Mailing Address: Map ID: .11.4 DIANE C CHAMBERS DIANE C CHAMBERS Municipality: (014)TOWN OF LENROOT 11734N HARPER RD 11734N HARPER RD STR: 505 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT SWSW Recorded Acres: 1.000 � Site Address * indicates Private Road Calculated Acres: 1.003 11734N HARPER RD HAYWARD 54843 Lottery Claims: 1 First Dollar: Yes � property Assessment Updated: 9/26/2014 Zoning: (RR2) Residential/Recreational Two 2023 Assessment Detail ESN: 400 Code Acres Land Imp. G1-RESIDENTIAL 1.000 9,000 85,700 � Tax Districts Updated: 2/6/2007 1 State of Wisconsin 2-Year Comparison 2022 2023 Change 57 Sawyer County Land: 9,000 9,000 0.0% 014 Town of Lenroot Improved: 85,700 85,700 0.0% 572478 Hayward Community School District Total: 94,700 94,700 0.0% 001700 Technical College • Recorded Documents Updated: 9/5/2023 C'J�'property History TERMINATION OF DECEDENTS INTEREST N/A Date Recorded: 3/9/2023 443572 TRANSFER ON DEATH DEED Date Recorded: 8/28/2023 446116 TRANSFER ON DEATH DEED Date Recorded: 10/25/2019 420729 QUIT CLAIM DEED Date Recorded: l0/25/2019 420728 WARRANTY DEED Date Recorded: 8/21/1978 166251 � ;� r --y ,e�'1 � ai�: � �. t . , . 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