HomeMy WebLinkAbout020-639-12-2203-LUP-2020-248 EICTE�t1.� I�t�IT 1 L 1- 2�-202Z.�„-, �az�-
SUBMITCOMVlEfEO AVVIICATION ANO N
FE¢.o: - APVLICATION FOR LAND USE PERMIT �
Sawyer Counry '
Zoning R Conservatlon Depart. 7 �n
10610 Main 5t 5uite 49 iJ3te� L..� �W • �
Hayward,w156843 1UL 2 3 2020
(715�636-8288 Chk# �U��
. � . r+oP.. w�nne��:�ed��cuanr«i..�P.�a. ��ER COUNTY Rcpt# Z O �,�('�
-� �- min I L3"
Chttks are made payabk ro:Awyer Counry 2onin6 Departmenc
�orvorsrnaTcorvsia.UCriorvuNTilALIvrRMirsl�nvE9E[NIsSUEoronariicnrvr. originalFpplicatlonMUST6esu6mlttetl FILLOUTININK (NOPENCIL)
Submittal oi tn'is aoo���at�on o��e_c,�.ol ir.ez do�s not const'itute nermit issuance.
Ownehs�Name: Contncror(s�Name
� Jf"Ob/'{�&7"/�QCN �1'QS�, jc/,� /���:1��,�-✓
( MailingAddress: ✓ Mail7ngAddress:
i e �c� yN7 t{o-�xosass�� ;- ; FL 3�yv7
Te�ePno�e:me;�.�resra�e(aGsa �f•�,,,, Te�oho�e:
� Cell Phone: �I I I-4"��-I(P�G Cell Phone:
srteaedras: �:�77�V� IV`���If"`Iiw���W' OrDatea ��,: 7-a3-a��o
IF� _0.20" '3 - -11-d-aet" ccts� 1
LeacYPlNk �7-0�3D"�-35'O�n-la.�a-0o0-4C[cJ Townof: �.�i�lV.�1:1
DermitdeliveryMethod �fallOwner �MailOwner =CallCantractor _MaIlContractor
� G2o -l�3 - 12- 2202 2 - 3 - 12- 2 3
I xls Property/Land within 300 feet of River,5 eam r�a. OisWnce Structure is from Shoreline: is your vrapeny
'freekor'LandwardsideofFloodplain? I�yes-cr,tlnue� �L' �eec inFloodplain Arewe�tna�tls
I �Shoreland ��^^P'
I -Is Property/tand within 1000 feet of lake,Vond or Flowage Distance Structure Is from Shoreline: �yCc� Yns
i�v��..-c ��� /eet ��'li
!.;Non-Shoreland
IValue at7ime af pro e��� P���e� 7ota1 p of
j rype Foundation W hat Type&Capacity is the
Completlon 8 NumbEr (Basement, bedrooms Sewer/Sanifary Sys[em(s)
I �ndudedon.it�d (House,gara e,sheC,tleck,
nddition,etc...� �Stories Post
c��me&mae=��ai Crawlspace, ��nstruction
, List separetely SIa6)
1 s/UO,1�f�C �-� '�Ci j/al� � lk/o�,�i��K �,' ��l�r
- i �wcllin5
I 5 A«��en o —
ory�e� L a ra--� l P,51"�n�-,r� D
5
I
� naainuolnneanoo
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Height:
Totai Square Lowest
Proposed Use � Proposed StruRure Dimensions Footage Grade to
(multiply per Highest
story) Peak
� Residence ���� � X �
� �� c��<--.-.:k: L-,�� �i0 Ft. �0
�I ,/ w�cn zn°story or bk � " � S 0 5 Ft. �a
i with easement � X �
Ft.
I ✓ Accessory Structure(exPiain� ( ��x 3�-� ) V I
! �esidentialuse �a.�.�n.ee.ne�,,.ti.a..eo.��o�Y,,e,�i 3 ��D pc. 5
IDeck/Patio � x �
I ❑Agriculturel Ft.
I Use ✓ Porch (�$.lsx �� ' �5 d Ft.
' - COmmerdal Attached Garage � x �
� Ft.
I U5e ( X �
, (2^^)Porch/deck/patio Ft.
� =Municipal Use
I , - Otherle.v�a��nl ( x ' Ft.
_ Other � g �
� Prineipal5true[ure Ingriconurxi,commeraaL momc�oaL ecc.)
Ft.
Addition/Alteration(expiein� ( x ' Ft.
Total habitahle square feet: 7ota1 Non-habitable square feet:
I��� (decks,patios,garages,sheds,storage area&other struc[ures) '�f r/
:s� - i►� - 1 .S t�T�1 f� ��►� s'�t�
O:i;-inal Application MUST be sut�rnitted
Anach a Plan or Sket<h your Property on 8.5"z il"or 8.5"n 14"paper.'Mus[•Include bution and setback of propoxd and e:lstlne structures,roads,
driveway,santtary componenu,well,lake,river,stream,and wetlands.
��P�ion �tback Setback
Measurement5 �K��P���� MeaSuremeMS
Setback from[he Centedine of Platted Road and/or �1� �}b Feet Setbatk from the Lake(om�nar�mgn wamr ma,x) h/ P Fee[
Setback from the Established Right-ot-Way 7 0 Feet Setback trom the Rive�,Stream,Creek �1 Feet
Se[back from the Bluff if aoP���=abie Af/ Feet
Setback from[he North LO[linP iJ Feet
� Setback from the South�ot Line 'a p Feet Setbatk from Wetland P/ Peet
i Setback from the West Lot Line � Q Feet Slope within area of wnstruction/disturbance %Slo e
P
Setback from the East Lot Line �3�D Feet Elevation of Floodplain Feet
iSetback to Septic 7ank or Flolding Tank �j D Feet Setback to Well � D Feet
� Setback to Drain Field �i/p, Feet
I� ck to Pnvy(Portable,Composting� N Feet
Setba
. ..0 � .. .. .-sii.mir, . , ._ if tot 3 . , �w eoscmaA�r vmar i �nv� �nt ..m�:k eas . � ��
. miislb- . retlrri,t� , . .
� . �_, �i _ , . .� It n�_�.�•IY I[�rn.i ��rtarkeObYah� 1 dNCv'.)': t9� ie. i. ,u.ii... , . . V1e
� mleplace t mnsw t rtue� :Fanfve5'�eetbutless��a i� 00'if .fmmtnemnno . y� �etleiba tbeb, �tlryinefmmwhchBesetbackm�s±hc
�.edm�stoe ' blef�o-noi pe� _ys rvey'4cornertoN ot�e Oevousi� � - y � � r orverfableOyJe�_u-�tr entb�vzeotamre[t=amm�a.�non aknownmr�er
n.i500feetofe�eprc0oseasn oY.nes_ucmre.mmueoenak-doyalctnsPdsurv�yoratt�e�wnei,sexpeme.
Glculate imperviaus surfaces.�Roofed,concrete,paved,and other wrfaces that water annot penetnte.The Zoning Offlce can help you determine if e
wrface is considered impervious)
� Calculate lat area: q y 5�, y a� '�
Indicate bt sire from SM r NOVUS(cirde one�: � � � -� l Acres;Multiply hy 43,560=Lot area: � Squace Pootage
�
ICalculateimpervioussurfa<earea:
iDetermine the total size,In square feet,of your projects listed above(indude eavesJ: ��9S'7✓ sq k.
I
�. Deiermine the mtal size,in square feet,of all exis[ing roofed struaures(indude eaves): � sq k.
I
' Determine thetotal size,in square feet,of all existing paved/bricked/blocked surfaces: 0 sq ft.
Add these measurements to determine total impervious surfaces: �°� IS '�� sq ft.
Calcula[eimperviouslot percentage
_ Totalimperviou5surface:�°1y5'7; e�otarea:'I��.�'� Syft.klGG=imperviuussurfaw + ��� %
i �Mitiga�ion rs rpuired i/[otal exwetls iSX)
i "'Notice a sepante grading permit needs to be obtained if disturhed area is within the Shoreland district as indica[ed on Orevious page and meets<tlterla be�ow^•
� Grading on a slope greater than 20% Gradin of more than 1,000 Sp.Ft.on 12%-20%slopes
� Grading of more[han 2,000$q,Ft.on Slopes less than 12% Grading is in ezcess of 30,000 Sq.Ft.
� FAILUNETOOBTMNAPEftMITorSTARTINGCONSTRUC�ION WITHOUTAPERMITWILLNtSUL'IVPENA�TIES
I(we)Oeclare that this application(induding any acmmpanying information�has been examined by me(us)and m the best of my(our)knowledge and 6elief it is true,correct and
� mmplete. I�we)acknowledge that I(we)am(are�responsible for ffie Aetail and accuracy of a��,l information i(we)am(are)providing and that It wlll be relled upon by Sawyer
. County in determining wnether to issue a permit I�we)further accept liabillty which may be a resWt of 5awyer Caunry relying on this information I�we)am(are�O�oviding in or
� with this application.I�we)mnsent ro wunry officials charged with administering county ordinances to�ave accesz ro[he above described propercy a[any reasonable time for the
purpose of inspection.Additionally,the undersignetl person(s)hereby give permisslon for acress ro the property for onsi[e inspection by Municipal OHicials.
Owner __,.§���""� Owner SY�uar� /�iYSfe-� 7-d�3 -,���-o
Signature V Vrinted name TrQ C� 1"✓'Q.C�CJI'� Date �—a3-��
��. �..,� .� i _,..._ -en�,
� ]m,
nouce r„ � , r���- r i �_� i��� � „�- u��o �. i i..��e�«
-:,�u�. ��..:�mo, ctr�rwo,esrw c � .i_�.,uu���. . i_ri�.o�c�wi r ��,�.���., , ,c...�, . . .��,������ �r_;����
Theloca w:r Stateor a�vncs „Y�so icpu o y .�_ • �
You are responsible for mmpHing with the reQuirements oi the Sawyer Counting Zomng Ordinances and law antl regulations af the State of Wisconsin.You are also responsible for
Iwmptying with State an0 Federal laws mncerning wnstmRlon near or on weHands,lakes,and streams.Failure to comply may resWt in removal or modifi�ation of mnstr�ction
thatviolatesth¢laworotherpenaltiesormsts. Pormoreinformation,visittheGepartmentofnaturalresourceSwetlanEsidentiFlcationwehpagearmntactadepartmentol
natural resources service renter(608)2613125
Issuance Information(County Use Only� Sanitary Num6er: xof bedrooms:
IPermitDenied�Datei: ReasonforDenial:
i
PermitN: Issuingage . Date:
2� — 2 � � .�.�_ � ay a�a
Is Parcel a Sub-Stantlard Lot ❑Yes �Deee of necord� �ryo
Is Parcel in[ommon Ownership �pyes (FuseE/Con[iguaus Lot(5)� L No Mi[igation Required J Yes o
IsStructure Non-Confarming C Ves bNo Mitigation Atta[hed ❑Yes �o
P
Granted by Variance(B.O.A.) Gran[ed by Conditianal Use
i J Yes kYNo Use M: .�Yes ,aMo p�p;
� Was Parce�legally Created �7;Yes No Were Property Linez Represented by Owner �{Yes �ryo
Was Propoud Building Site Delineatetl C Yes �Qdo Was ProOerty Surveyetl �Yes ❑No
OffiwComments: v�_,_� � �.
� 5 �c.ic:.�5,.�.�� t:�� �d��c� �t.�.�\:�. zoneoistrict: cee:
� ���a�_ _ ��.-� � �OL
Hold Por$ani(ary; Hold PorTeA: ��_ Hold ForAffitlBviL HoIA for Fees: .
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