HomeMy WebLinkAbout002-940-21-1104-LUP-2020-440� 9i�g�a! ��'`z�':��-°�%lh�rdyL.da�`��/7�Iw�-e fp Q�oh.�130 114��DZd
,dOoLoL �
SIIBMITfOMVLE�EDAVPlIC4TIONAND � �,
reera �� APPLICATION FOR LAND USE PERMIT • '
sawyerCounry SAWYERCOUNTY,WISCONSIN C
Zoning&ConservatlonDepart. � � l�t� '�j 3� 2�ZU ' �
30630 Main St Suite 99 �.g\ �
Har„a�a,wi saeaa �'���'� \ Chk# �
tnsl baa-ezea ,�`,�L� n I—�m.m�_..
ocr �3 g �� Rcpt#� —p
.. ,. . ; nove.mrts.ineei::ueaunw,nfee:..ewie. �OGO � O
cne�x:,�em�eeaaramero:s..�.�,co��ryzo�mso�n,rtme�e "Ei4 �^�
oervors�aa-corvs*aucrionu�_iaii_vEaMiTSNavEeEFr�issu[�(��Rj�,n �}( 4YAp�iica[tonMUsrbes�bm�tted FILLOU7ININK(NOPENCIL)
s��e,r��i�i�rm�>roor,�r<��o�o.,�«�o�on��sm� �„�,��eoe,m��u.,�a��e1�bMIlvlS�r?i:TION
Owner�s�Name: Contractor�s)Name
' ���,�.t R I����K
j Mailingqddres5: /J q MailingpdAress:
� 6 � I�J�' ��I I� ����� wd�.u:.�, ��� `77��l
� P�one: r_ �. � Phone:
� �t� S�S-I�c,f
j ema�i: �'i lG VC��c G✓�l��C•bti •Cc 6�� eman:
i
site ad0ress: �`�J��-I 'L 6- L�V I'}L.��,,,d.�C��C Or oau aa Ikd Mr: (Q �T�Z � ,�)
k. P�Ns '� i�C:�`'� Ga I IIL,� rnw�cr: L����st LaKz
� PermitdellveryMethotl �[allOwner �YMailOwner �'�CaIlContractor .-MailContraC[or
l
II '. Is Praperty/Land wlthln 300 feet of River,Sveam����. Diswnce Struchre is from Shoreline: Is your vroperty
� ""') —► Are We[lands
lShOroland «eekorlanEwardsideofFloadplain? ifyas--concinue feet mFloodplain
zo�e? vresem?
Is Praper[y/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: �es /Y�'s
I if ves—co�tl�ue.—� feet <Ne'. (�+o\
� �
I �.Non-Shoreland
Describe Vroject
Value at Tme of Total p of
ProjeR type Foundation W hat T
Wmpletlon ry�mye� ype&Capaciry is the
c�.udedonated (House,Barage,shed,deck, (8asement, bedrooms Sewer/Sani[ary5ystem�s)
Addition,etc...) oi5tories Post
c�meamarer�ai �istseparately Crawlspace, �onstruction
Slab)
� ,r�^ I :I,.� U ���/�1
w,eni�`
i 5 6">,ci`U
nuessory em�
S
nddttian/Nteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Gradeto
(multiplyper Highest
story) Peak
Residence ( x �
Ft.
'. with 2n°story or bft ( X �
Ft.
� with Basement ( x �
Ft.
I `/ Accessory 5[ructure(explain� ( % �
'� C Residential Use " ie.�.m.aea�.e..,,�.a.,co.�no��«,.e��� Ft.
Deck/Patio ( x �
�Agricultural Ft.
Use Porch ( X �
Ft.
1 Commercial/ Attached Garage ( X �
Industrial Use
Ft.
(2n°)Porch/deck/patio ( x �
Ft.
_ Municipal Use
Other le,pia�nl l�.,' _ '�'`_'�_^. (�' r X ��i` � � ��� ��
� Ft.
r Other ( x �
Prineipal Strueture�ngnw�mrai,Commercial,Munk�oai,Erc.l Ft.
Addition/Alteration�e.pia�n� ( x �
Ft.
7otal habitable square feeC 7otal Non-habitable square feet (�}(;S
L� (decks,patios,garages,sheds,storage area&other structures�
� Original Application MUST be submitted
Attach a Man o�Sketch your Property on 8.5"x 31"or 8.5"x 14"oaver:•Must•Indude london and setWck of proposed and exisUng rtructures,rwds,
driveway,sanitary tomponents,well,lake,Hver,stream,and wetlands.
p i� Setback De�� Setback
eS�P� MeasuremenK ��� Measurements
SetbackfromtheCenterlineo(PlattedRoadand/or Feet SetbackfromtheWke(om���ann�¢n-wa«.ma.t) Feet
Setba<k from the ESW blished Right-of-Way Feet Setback from the River,Stream,Creek Feet
SetbackfromtheBluff aapoi�cable Feet
Setback from the North Lot Line � � Feet
Set6ack from the South Lot Line C Feet Set6ack from Wetland Feet
Setback from the West Lot Line � Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line �p c Feet Elevation of Floodplain Peet
Se[backto5e0ticTankorHOlding7ank L Feet SetbacktoWell V Feet
Set6ackto�rain Field S Feet
Setback to Privy�Portable,Composting) Feet
rnrt�+h.�..�.. � . ,:��ionolasvunure-�U Iceo;te. �rt�c�rr.in ��.�rvd�.r.i.-.: i �o„�i_aryi rv,im-.n �e�ra�-n�s�oemeesuredmest�evis�blePrn_r=
p'w owl� . . � � c�ner previo�slys� � .. r. n .�I.i�a u,�-n .� - � r at[h . . r..�>prm��
Giarm:i���. � . _ � . . .,t._ f�sVUUure IDauhve;5;(ee�butltsstM1anten(lOJ1ee:Lert�tnem� mreQuiretlset�ack,t�ebounOxryllnefmmwMc�tnese��ack�nus[be
., ._ i .., enr=vo�siy�urver c'orermtneotherpre�mus�ysurveyetlromer,avenfa�leey�]eocoanmentbyuseofara�retted:ompassfromaanownmrner
wlthin SOC�i cl J'tf e p'oC:>_^,zrte of tFe s:rucNle.or mUS:oB m3"YEtl Oy d IICCo5P4 SUNL'yP(dt tF2 OwfEl'S ExpPnSo_
Glculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water wnnot penetrate.The 2oning OHice wn help you determine if a
wrface is tonsidered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS�cirde one�: Acres;Multiply by 43,560=Lo[area: Square Footage
Calculate impervious surface area:
Determine the mtal size,in square feet of your projectr listed above(indude eavez�: sq k.
Determine the rota�size,in square feet,of all existing roofed structures(indude eaves): sq k.
I Determine the total size,In square feet,of all existing paved/bricked/blocked mrfaces: sq ft.
Add[hese measurements to dete�mine total impervious surfaces: sq k.
ICalculate Impervious bt percentage
�I Total impervious surface: x Lot area: Sq ft.X 100=impervious surface Yo
�MI[Ig�[ion is repulr<tl if total exceeds iSX)
"•Notice a sepaiate grading permit needs to be obtained'rfdis[urbed area Is within the Shoreland district as indi<ated on previous page and meets<dteria below^•
Grading on a slope reater than 20% Grading of more than 1,000 5 .Ft.on 12%-20%slo es
Gradin of more than 2,000 5 .Ft.on Slopes less than 12% Grading is in excess of 30,000 Sq.F[.
fMUJR6 TO JGTAIN P PERMIT or STANTING CONSTRUQION W!iHOUT A PEPMIT W ILL RESULT�N PENALTICS
I(we�dedare that this ap0�ication�induding any acmmpanying informatlon)has been examineA by me(us)and to the best of my(our)knowledge and bellef it is true,conect and
mmplete. I(we�acknowledge that I(we)am(are)responsible for the detail and accurary of all informatian I�we�am(are)providing and ffiat it will be relleE upan by Sawyer
Coumy In determining whetherto issue a permic I(we�further accept liahility which may be a result ot S�wyer[ounry relying on this information I(we�am(are�Oroviding in or
with this aOV�itation.I�we)mnsent to munty officials charge0 wi[h administering covnty ordinances to have access to the above Oescribed property at any reasonable time for the
i purposeofinspec[ion.Additionally,Meuntlenigne4person�s�herebygivepermissionforaccesstoUepropertyforonsiteinspec[ionbyMunicipalONicials.
� � � �
i , i
. � .J
� S�nture .�� � /�� ��V�tedname ��c�c.�/ �� ��='°w-� Date �����7 �U.�(%
� l�� g .,i���.. 1 F ted rc=. ;9utredl � /
, NOTICE�. .1:1I a l�� -in t � _ ,�'e fll -� Irnm Me Date of Issuan�e.
� PortheCon.tn,cun�D(t v.,,re& IwoFam�,��yUw.�lpn� �_ Lnl.nr�pal �re5equb d 'o'�_rto-ceTheJnb«nDwell ia=�do
-helowlTo n,5ldlcmFJr , .i. „Iti�.rc... _,_ �n(s
You are respons161e for mmplying with the repuirements of ffie Sawyer Counting Zoning Ordinances and law and regulations of the State of Wlsmns�n,vou are also rezponsible for
mmplying with State anE Fedenl laws concerning mnstruction near or on weUands,lakes,and streams.Fallure to comply may resNt in removal or modification of construction
tAat violates ffie law ar other penalties or cos6. For more information,visit the department of naNral resources wetlands identitication web page ar contact a department of
natural resour<es service center�608)2673125
���� Issuance Information(County Use Only) �^'�ry Number: n of beerooms�
IPermit Denied(Date): Reason for Denial:
t
I
IPermitM: Issuingagen � Date:
� 2(� - q C� �� a6 anao
Is Parcel a Sub-Standard Lot �-Yes �oeetl of aemral P Na Mttigation Requlred JJ vez `�7j No
i Is Parcel in[ommon Ownersbip �Yes �Fused/Contiguous Lot(s)) �%Na Mitigation Attached C Yes ,!1 No
Is Sttucture Non-Conforming C ves No �
�
IGranted by VaAanre(B.O.A.� Granted by Contlitional Use
I �'.Yes No Case ih f�yes Na Use#:
Was Parcel Legally Created '�Ves �No Were Droperty LineS Aepresented by Owner es No
I WasPmpasedBuiWingSiteDelineated "gtYes CNo WasPropertySurveyed Yes No
' OffceComments: ZoneDistrin: Fee:
� � �� �'ar'�'�.Q�
Hold For Sanitary: Holtl For TBA: Hold For Affidavit: Hold For Pees:
oao�mm