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HomeMy WebLinkAbout024-741-30-5238-LUP-2020-461 SU6MIT[OMVLEtECAPPIiCATIONAND . � reero: -� APPLICATION FOR LAND USE PERMIT �� ��'G O� sawyer[ounry SAWYERCOUNTY,WISCONSIN t ZC 2,GL U y ZoningBConservationDepart. w s olaearv.di Date�..l(. � � 10610 Main 5t Suite 49 ' f -i— � � Harwa�a,wi saeas ry � Chk#.�.� I"� : y _ (715)636-8288 �.Y .... � � � �(d� , 1 � ' Rcpt# x� INSiRUCr�ni�Noperml6wlllbe tl tllall/ epaiE -��- � ��� � �� Checkz are maEe paYaEle fo Sawye C ry Zomng�p rtment�. � - Q_[J oe N�r Siaar corvsl3ucr ov ur+ . EaMrs vE 6EEN issu[o ro ncv�iCnrvr Orisfnal Applicatian MU57 be s�bmitte�i OUT IN INK (NO YtNC � Submit�alo'tnisapo'��icx�ionorreceiptofleesEoes nsri�veoemitissuance. � Owner�s)Name: Cont2qor�s)Name ; 5 ThUf �` /=iv C" �O�N/�24r.�i�.e `t��„_:s ',, Mailingqddress: MaIIIngAAEre55:y Q �xOC ' �� �%oZ� �r.9-se.�- T�ir�� 9 lv<i �, `' � .v '—� E �v 5S�/3G �I rno�e: y� L's' C•s.—� s—��S/.; vna�e: z 3 ioo w.�k �3�s�.>0 9 s� -y s—y ��rcc(</Z-�1/O•Z7�: I i/..0-r �J" �' � � '. Email: j � J �iT Email: L' � J T, fUU:S�O/�(, �pl '..... Skeaddress: � OrDateaP ledhr. /�—/2�—�C�Z� ' �e ry w�. ', c�Z`�J% 3 n s 23 F� To.�a�: a v �o.(- ,e� i 0 3 9 !� . �.. VermR delivery MethoA I ��GII Owner n Mail Owner Call Contractor r Mail Can[ractor s�ND� , , � e �'�, '� Is Property/W nd within 300 feet of Rive/.Sveam�i�tl. Distance Structure is from Shoreline: ; ����� IsyourProperty —� feet inFlooOplain AteWetlands � [reekorLandwardsideofFloodplain? ifyes--continue vresem? � ."Shoreland � zo�e? yes I � xls Property/Land within 1000 feet of lake,Pond or F�lowage Distance Structure is from Shoreline: Ves � if,�c.,__. ." —► � feet �7 CIV° I 1....�{ .✓ � Non-ShOreland i i , Describe vrojeR ' Value atTime of Total p of Project type Foundation What Type&Capaciry is the Completion Number bedrooms indude donac>L (House,garage,shed,deck, (Basement, Sewer/Sanitary Sys[em�s) Addition,etc...) �StOfies �faWis A[e, Pos[ nme&mai=nal P onstruction List separatety Slab) � � � �'�Sy /3 :s .e, ���> > Uweii�ng 5 S' �9� I n«e::o,�eme S addttion/Rkeracion Heig�ht: TotalSquare Lowest Proposed Use ✓ Proposed Structure Dimension5 Pootage Grade to (multiplyper Highest story) Peak Hesidence .rl�e �,�til (�'� � j���� �j�: F 1 Ft.3'�, • � � with 2n°story or loft ( x ' Ft L with Basement � x � � 3���.� F�.'33,s Acressory Strueture le.plainl ( x � Residential Use ta.nrn.aw�.e.+,:r..e.,�,aena�w:.�ml Ft. Deck/Patio ( X � fJ Agriculturel �e ��'� Fc�Z— Use Porch ( X � Ft. 1 Commercial/ Anached Garege ( X � See p/.� F�./.��8 Industrial Use ( X � (2"^)Por[h/deCk/patio Ft. . r Municipal Use ' x ' Other�exviain� F� ri Other Pf1I1CIPdISLNCLU(2(AgricWtural,Commercial,MuniciDal,Etc.) ( x ' Ft. Addition/Alteretion 1e=oia�N ( x � Ft. Total Non-habitable spuare feet: Total habitable square feet: -�;7�� } �j�� (decks,patios,garages,sheds,storage area&other s[ructures) 7��d ! I S� 'r �� �'?7 , Orig!nai Application MUST be�ubmitted Attach a vlan o�Skecch your Property on 8.5"x 11"or S.5"z 14"paper:•MuR•�ndude bration and setback of propoxd and existing rtructures,rwds, dAveway,sanitsry componenb,well,lake,river,stream,and wMlands. p���� Setback Deuription Setback Measuremena Measurements SetbackfromtheCenterlineo(PlattedRoadand/or Feet SetbackfromtheLake(o�a��..�n�en-w•�e�m=�k) 5 Feet Setback from[he EsWblished Rlght-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the BIuH �n.ov���ae�� Feet Setback from the Nonh Lot Line " Feet Setback from the South Lot line Feet Setback from Wetland Feet Setback from the West�ot Line Feet Slope within area of construction/disturbance %Slope Setback from the East Lot Line Feet Elevation of Floodplain Feet Setbackto5epticTankorHoldingTank ieet SetbacktoWell Feet Setbackto Drain Field Feet Setback to Privy(Portable,Composting) Feet , , . � .�,�oonofngrutture v¢hln6vei5jree__'IDer,r.,. r ,.� .]:r'nqc I�r�;ary i �lrem�vhichchesetpaakmiatbemeascrrdmustpevsblet���.n.�r_ p� . ,.,. r .�.cmrr preeiousiv surveYea mrne�n . !i a r ..,. . ..n ai:r .v i�i..p�n.r. P�-rmt�epiacen- i rcensV�<Ilo�ofastiu�W�e ' � _:PoiifioelSJleet�uilesitha 1 nalUl(ep;Lc .i' ..nin, rn�eqvretlsat�a�k,[ntbe�edaryCn�frome�hic�tnes¢��a[k�nust0e redmastbevlsiblefmmonepe �uSV�urvuy J�� nwtatheol�erprevoxl�� .�.1ror�cl. edaple�y��eLe,.nrtmm�[Oyuseo�amerectedmmpassfromaeno.vnmmer �vitnin soo tee[o`:re;.�000s�sne arme si�u.r re.or mu::o=_ma�ueu ova Gmnsea•.�in=yo,o���e owr:r;ewer�sc. Ulculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water annot penetnte.The Zoning Office wn help you determine if a surface is considered impervious) Calculate lot area: U / Indicate lot size from CSM or NOVUS(cirde one�: `�i / � qcres;Multiply by 43,560=Lot area: .1 � 7n�Square Footage Calculate impervious surface area: Determfne thetotal size,in square feet,of your proJects listed a6ove(indude eaves�� �S�_� sq ft. ��� /DO L����G�, Determine the total size,in square feet,of all existing roofed struRures(indude eaves): sq ft. '.�- ��d C BU���f"� c C v�iuy ' Determine the total size,in square feet,of all existing paved/6ricked/blocked surfaces: sa k. O��� I Add these measuremenb to determine total impervious surfaces: /�i ��7 sq ft. I' CalculateimperviousbtpercenWge ' ; Totalimperviousturface:3��33 +Lotarea�3��rZSqft.%300=impervioussurface � .� % , �m�oieano�'iz�eam,ee�r meai�x�eea,isx� ^'Notice a separate grading permit needs m be obtained if disturEed area is within the Shoreland distric[as indica[ed on previous page antl meets ulteria below'^ Grading on a slope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 30,000 Sq.Ft. I � FAI W N6 i0 ONTAIN A PEftMIi orSTARLING C�NSTRUC`ION�A9THOUT A PERMIT W ILL RFSLLT'N PFNA�TIFS � I�we)tledare Ihat ffiis application�induding any acmmpanying information�has been evamineG by me(us)and ro the 6est of my(our)knowledge and beiief it is true,mrtea anc � complete. I(we)ackrowledge that I(we)am(are)respomlble For the detall and accuracy of all informaiion I�we)am(are)providing and ffiat it will be relied upon 6y Sawyer , County in determining whether to iszue a permit I(weJ further accept liability which may�e a result of Sawyer Counry relying on ffirs informa[ion i(we)am(are�providing in or ! wi[h this application.I(we�mnsent ro munry officlals cnarged with administering munty ordinances to have access ro the above described proDerty at any reasonable time for the pur inspectioaAdditional���y,theunde i d erson�s�herebygWepermissionforaccesstothepropertyforonsifeinspection6yMunicipalOfficials. / �. Owne �. % ner J ) Signat re ���/� L ��'�v .N'� rinhdname� �: ' �" - /(J '�'//�,�'pate `/ `�Z — Z�L� ..�i�. ,��i F,�riad rezm�r.,qulredl �. All i .. .�� f . :.,•�llr:.:-hom[heDateo°� _ ... � . c. -no�'..tA , ra3lwr �L :..II� L ,.1 �n ;el '.v�u.r 1 � r -_.l .. i ,inliw.. _ .�1-.� � -Fe�o�.a +n 51a[.oi F 1 .I =F- u'= I .,i.::�l � i•.•�i, • .. , II Vou are respon961e for mmplying wiM the requ rements of the Sawyer Coonting Zon ng Ortl�nances a d law and regulations of the State of W�ismnsin.vou are also responsible for comprying with State and Federal laws conceming wnstruction near or on weNands,lakes,and streams.Fallure ro romply may result in removal or modif¢ation of mnstruction that violates the law or other Oenalties or msts. Fo�more Information,visit the department of remral resources wetlands identification web page or contact a department ot natura�resour<es serviw cenrer(608)267-3C25 Issuance Information(County Use Only) �^�^�Numher. ^1� aof bedrooms: S— I ( Permit Denied IDate): Reason for Oenial: Permi[»: Issuing agent: Date: �-�?;ZG - 4wI ,�� �14� �- 3s1 r.�.� G%`Z � 11 9 " �� Is Partel a Su6-Standard Lot C�,yes (Deed of RecorO) u Na fti at n AeqUired L Yes '�No Is Parcel in Common Ownership ❑Yes �Fused/CoMlguous Lot(s)� '���N Mitigation Attached G Yes '�.,No IS Stfuc[ure NOn-COnformin$ C;Yes C NO Granted 6yVarianre(B.O.A.) Granted by Conditional Use '��.Yes :7 No Use 7F. 0 Ves G Na fase%: Was Parcel Legally Created "1 Ves �_No Were Property Lines Represented by Owner !Ves No Was Proposed BuiWing Site Delineated 7 Ves C No Was Property Surveyed �,S Yes No ' OffceComment5: ZoneDisbict: Fee: -,� /3a o htold for Sanitary: Hold For T6n� Hoid Por Affloavit Hold For fees'. �7an2020