HomeMy WebLinkAbout024-541-19-3102-LUP-2020-321 SUBMITCOMYLETEOAVVIICATIONAND � _Du � � •
Feeto: � APPLICATION FOR LAND USE PERMIT U � X � � �}
SavryerCounty SAWYER COUNTY,WISCONSIN ����" O � �'
2oning&Conservation Devart. ,�A
10610Main5tSuite49 '� �"����� d w' �
Hayward,WI5A843 � �.;� � Il D8L2 q � ZOZO � � � �.1
pisl saa-ezes �1,. "_�" �-- ���U Chk�i y �N
' �,11G 2�a �s;?3 Rcpt# 34�q � �
S No permib will be issuetl until all hes are paiA. �_ ^^ ___^_ �'
Ch ks dep Y bl t Sa y C ry2 n80 p rt [ l�Ir
H�4�1� �(�'vV�V Y. �
uo otsra co srauc o ���v� ni : r.�rs a Fn[r ssu o ry .,p�M�py��y�onMUSTbesu6m'�.tted FILLOUTININK (NOPENCIL)
Subm'ttalaltliisapplcat:o�o�rec�ptolleesdoes st'itutep r7����GiL�1�iVi3�tf 1`1�
Ownehs)Name: Con[rac[or�z�Name ��C.(L�_1 /��EG/i /C�157"A.��t(v
µtCrrhE�� .�C�e2��( titunr2�c�— 7,�usr ��r,, N �. �o— �.. ,.. �._
T�N Sb�Ex�S&JJ
MailingAddress: 'L1�� L/2Ct"�(� �Ci �V�? Mailingqddreu:
l (07 0( nI �VElZETt 2�
Nc�w�t S u7 fi ,,ri� w i f
Te�ePho�e: ?�S, �L_�9y� Tekphone:
�e��P�o�e 3r .— �— S"l a �e��Pho�e:
?ls- SS�- (S�o, 7l�-Y�z-4�1
sae aearcsz: �Z (Ai� WSC � or oate a Ikd(or:
� �e a<vriN« OZq�J� �— I q—.3��Z ({�4 u'/1R{� row�a: Ul�f�fj� 1��
PermitdeliveryMtlhod �WllOwner y[MailOwner cCallContractor cMailContractor
i
� '�..Is Vroperty/Land within 300 feet of River,5tream p�a. DisWnce 5tru<ture is from 5horeline: Is youi vrapeny
I Inxe�ete��� � are wetlands
Creek or landward side of floodplain? if yes--�continue feet in Floodplain p.rsent?
�Shoreland Z�^a'
�IsProperty/Landwithin1000teetoflake,PondorFlowage DistanceStructure isfrom5horeline: �es Y,�
ifvP�..-co�t������—► (1� feet N�o �
(/
':���Non-Shoreland
ValueatTlmeof Pro��be ProJeQ Totalkof
j type Foundation Wha[Type&Capacity is the
Completion Number bedrooms
�clud�.aona[cd (House,garage,shed,de<k, Of StOri05 (Basement, Post Sewer/Sanitary System(5)
,m ,.a p,ai nddition,eic...) Crawlspace,
���� Listseparately Slab) �o^struction
5�25 0�� l}�1����1�N� � �u.^i�r e J �5d �� ��1G�i.v� �A.JJ�
s �C�'— 6v�in1C S
n«�:ary aias
5 �i' �(1�
a�,��o���.,�,o�
Height:
7otal5quare Lowest
Pro osed Use � Footage Gradeto
p Proposed Structure Dimensions
(multipiyper Highest
s[ory) Peak
Residence ( �� x � //�
(17�� Ft. �S
with 2n°story or loft ( X �
Ft.
� with easement -`_A ( x �
i �`Cf:U 0'S Ft.
AccessoryStrucfure�expiain) n.e�ry„�1 ( X �
�- � �ResidentialUse m.��«.ze.n,.,,.n�a,,c�,.no��.,e��.i �•"' � pt.
� Deck/Patio r � x � `�
� �Agricultural � � �,7 Ft. 3
use Porch ( x 1 b
Ft.
�- Commercial At[ached Garoge � x �
U52 Ft.
(2nd)vorch/deck/patio � x �
Ft.
_ Pnunicipal Use
Otherta•viT�N ( x �
F[.
— Other � X �
Prineipal Strue[ure Insricuicurai,commerc�ai,mun�cioaL Et<.� F�
Addition/Alteretion(«pia��� ( x �
Ft.
7otal habitable square fee[: '/g� Total Non-habitable square feet:
( (decks,patios,garages,sheds,storage area&other structures) �-5 k'
Original appiiit�Gun MUSI be suDmitted
Attach a Pla•i or Sketcn your Vroperty on 8.5"x il"or 8.5"z 14"paper."MusN Include loration and setWck of proposed and enistine structures,roads,
driveway,unitary componenu,weli,lake,rlver,rtream,and wetlands.
p�xri SetWck
��� Measurements Des�rlpHon Setbadc
Measurements
Setback from the Centerline of Platted Road and/or (� Feet Setback from the Wke�om�,,.v n�¢n-waof,ma,x) Feet
Se[hack from the Established Right-o4Way O Feet Setback from the River,Stream,Creek Feet
Se[back from the Bluff ir appiicabie 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 Slope within area of wnstruRion/disturbance (� %Slope
Se[6ack from the East lot Line Feet Elevation of Floodplain 1 �. Feet
ISetback to Septic Tank or Holding 7ank J Feet Setback to Well Feet
Setback to Droin Field �/J Feet
Setback to Priry(Portable,Composting) Feet
.. � . . . °_ . . , � � 7..:v1 , .�wn,mtL _tb��k��u:st� ��,�erlr.xr _n,u�h.,�, ,i,
'�'��� . . : F five� �; ���_ Ue nmum ea etl u'bac meb darya f rncFrP bo . � st..��
, � '- � - � �' � o ,e t .P= �� . � i � �et(a�lebyJeD � t -er[v. �.__ a[orrea Qce�G ��-� �m .�4�rn �
� ✓ � +�.. � � ...iuic.�. ids�bema�ktl .yalcxnsetl �rveypra[the�o�� r'sexp:nse. -�r ��
Calculate impervfouz surfaces.(Roofed,concrete,paved,and other wrfacesthat water annot penetnte.The 2oning Office can help you determine H a
wrface is considered impervious)
Calalate lot area: � , / p
Indicate lot size from CSM or NOVUS(cirde one�: �5 Acres;MWtiply 6y43,560=Lo[area: �-l�p�Square Foo[age
Calculate impervious surface area:
Determine Ihe total size,in square fee[,of your projecYs listed above(include eavesl� �o� sq k.
� Determine the total size,in square feet,of all existing roofed s[ructures(indude eaves): �- !� sq ft.
� Determine the to[al size,in square feet,of all exis[ing paved/bricked/blocked surtaces: ��� sq ft.
ndd these measurements to determine total im �
pervioussurfaces: S�-(� sqft.
Calculateimperviouslot percentage
. Totalimpervioussurfare: 31'Bp =Lotarea: � O V Sqft.X100=impervioussurfare��S•o
} 7} � ^OO (Mitigationlsrequiretlif[ollleNceedsl5%)
I 1 t0
'••Notice a separate grading permit needs to be obtained if distur6ed area is within the Shoreland district as indicated on previous Dage and meets criteria below•••
Gradin on a slope greater than 20% Gratling of more than 1,000 Sq.Ft.on 12%40%slopes
' Grading of more than 2,000 Sq.Ft.on Slopes less than 12% 6ratling is in ezcess of 10,000 Sq.Ft.
I
� FAILUHE TO OdT�;N A PERM.T m STARIING CONSTNUClION bVITHOUTA PENMIT WILL Nf$ULT IN?tNAITIES
I(we�dedare that this application(induding any acmmpanying Informationj has been examined by me(us)an0 m the best of my(our)knowletlge and belief it is true,mrrect ana
mmplete. I(we)acknowledge that I(we)am(are)responsible for the detail ane accuraq of all information I(we)am(are)pmviding and that It wlll be relied upon by Sawyer
Counry in determining whether m issue a permit I(we)further accept liabillty which may be a result of SawyerCounty relYing on this information I(we)am lare)pmviding in or
with this application.I(wel�onsen[[o counry officials<harged wiffi administering counry ordinances to have access ro[he above described property at any reasonable time for the
purpose of inspMion.Addkionally,the undersigneG person(s)hereby give permission for acress ro the property for onsite inspec[ion by Municipal Officiak.
Owner / ���� �� Owner I`/�// / `
Signature ��/�/V�'✓�fC �_printedname�4UNSW� ���1: L� p �
Date�__
_.. ._,.�r:,�tl F-,me�nam�icar.��,�di
NOTICE qi���v 1 -s m� I �� 0.�..�11 =iv-.��J. U i , ,,_
m
-o�o-��e, .. ��..ir _,�„n1w� ...i:��,eip��E ni r,i�.��co,�i.r. � .,..�.�r.r �, -��i, ����:..� _�..�.
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i ,,-.a -,,._� -� -,, . „ .,�:.����� ..
You are responsible for complying wiffi Me reQuirements of the Sawyer Coonting Zuning Ordinances and law and regulations of the State of wismnsin.You are also responsible for
i complying with State and Federal laws concerning construRlon near or on weHands,lakes,and streams.Failure to comply may result in removal or modificatlon of construction
that viola[es the law or other penatties or costs. for more information,vizit the department o(na!ural resourcez weHanEs identification web page or mn[ac[a deoartment o(
naturalresourcesservice center(608)26]-3125
I55u3nce InfOrmation(COUOty US2 Only) Sanitary Number. . p of 6edrooms:
Permit Denied(Da[ej: Reason for Denul:
Permit p: Issuing agent Date:
2� �Z � ��ry� 9 �/ aa��
Is Partel a Sub-Stantlard Lot Ves �oeea ot Reco�d� C No Mitigation Repuired J Yes '�//�/'No
15 Pdfcel in Common Ownefship Yei (FuseE/Contiguous Lot(s)� L N� Mi[igation l+ttached 7 Ves /S�No
Is Struc[ure Non-Conforming '3gYe5 \a-. 0 No
Granted by Variance(B.O.A.) — Granted by Conditional Use
_l Ves No Ose M: 7 Ves ��� o Use N:
Was Parrel Legally Created �Yes No Were Property Lines Represented 6y Owner �Yes 7 No
Was Praposed Building Site Delineated �Yes No Was Property Surveyed �.Ves No
OffKeComments: ZaneDlstrict Fee: \Sp h 7S
`��-� aa�S
Hold For Sanitary: Hold For TA:.� Hold For nHidavlL Hold Por Fees:
mSen2020 — �