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#.�.�
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(715)636-8288 �.Y .... � � � �(d�
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INSiRUCr�ni�Noperml6wlllbe tl tllall/ epaiE -��- �
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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
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',, Mailingqddress: MaIIIngAAEre55:y Q �xOC '
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'. Email: j � J �iT Email: L' � J T, fUU:S�O/�(,
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' �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�
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�'�, '� 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°
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� Non-ShOreland
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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)
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�'�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