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Home My WebLink About014-941-01-3403-LUP-2021-340 ' G' '� ---_ - , � `''S a,� � � ►v�o�-�� e�-Kn�1"r�h - ��i � ,��a3 r��-.y . SUBMIT COMPLETED APPLICATION AND � I V FeeTo: � APPLICATION POR LAND USE PERMIT �� Sawyer County SAWYER COUNTY,LVISC�N,SIN Odt@ Z�Z � I Zoning&Conservatfon Depart. �;� 10610 Main St Sulte 49 oatestamplReccived� � { ; � A f\�t� � Hayward,WI 54843 �� '�" � y v � ) ':�� _ � , . � 715 634•8288 � • �� ' � � 2 ,� ^�� a ._•��I Rcpt#_�_L�CL�-�-� �. � �� ; _ ; � , � � INSTRUCTIONS: No permits will be issued untll all fees are paid. .. � � . � � Lhecks are made payable to:Sawyer County Zoning DeFartment . . 1 DO NOT STaR7 CONSTRUf710N UNTILAL�PERMITS HAUE BEEN ISSUEo 70 APPLICANT. Original Application MUST be submitted FILL OUT IN INK �NO PENCIL) � Su6mittal of this application or receipt of(ees does not�:onstitu[e�ermit issuance. ' Owner(s)Name: Contractor(s)Name �� ,��: �N y w�� ' �� pe.. ��fo .� Mailing Address: { Malling Address: ,��q Js,. � �3 �f��► Phone: Phone: 7!s_��'8-�bG� Email: Email: Site address: /� � � 7 -�r ST��,�� ; Or Dare ap Iied for: ' �eaa PIN it v I `�� -� l D l 3 y o 3 roW�or: L�t`IV�2oe�T I Permit delivery Method atl Owner ❑Mail Owner o Call tontractor ❑Mail Contractcr � ��I `� u ; !.Is Property/Land wlthir 300 fe.et of River,Stream po�i. Distance Strocture is from Shoreline: is our P�o ert ' Intermittent) _.� Y P Y A�t N2tId/lA5 � Creek or Landward side of Floodplain? If yes---conU�ue feet in flooAplam p,esen � � f Shorela�d zo„f�% � � Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes Yes � If yes---continue —� �� r feet Nn � i �Non-Shoreland i � Describe Pro ect ! Value at Time of � Total k of ' completion Project type Foundat(on What Type.&Capacity is the i (House,garage,shed,decK, Number bedrooms •include donated of Stories �gasement, Post Sewer/Sanitary System{s1 j addition,etc...) Crawls ace, time&material P construction List separately Slab) 5 p �� y�— 7 c5� e5 c'C! =�tt;.� �( ��u r � 5�-c�� i 1 �e p o St C� f-�c�C.t�r Nc 1 AN '. Dwelling I ; $ S�tl�� f;'< f'aa� j �'!°eC , � , Accessory Bldg S'r r �. --2 �7+tn+4 � ��'+tY l 5• � $ Z,v�� ' Ad�kiortfMlerallon Y'n��r � ' Height: � , � Total Square Lowest Pro osed Use: ' �✓ � • • � " ' Footage Crade to p . � ` Proposeb 5truttuTe Dimensions (multiply per Highest story) Peak ! �� Residence / f ( ��: X Z �� al- 1 k�'� � 7 Z Ft. /S_" with 2"'story o•loft ( x � Ft. ith Basement � X � ' Ft, Accessory S:ructure(eXPlain) �,,,f�y I � X Residential Use (detachedgaragec,sheds,boalhouses,etcJ �/ , `•� , ` , �' � � ) � �'� , Ft.�Z � I ; ❑ Agricultural Deck/Patio ' � G � x 12 � 7 Z � Pt. Use Porch � ( X � i i Ft. � Cammerciai/ Attached Garage � x � Industriai Use Ft. (2nd)Por�h/deck;patio ( X � Ft. ❑ Municipal Use Other(e�lam) -►--. _ ( x � �' ��, 71�,r7 �£:,� `lFj � � 7� L Ft. � � ❑ other ( x 1 Principal Strueture�ngricultural,Commercial,Municipal,Etc.) Ft. � Addition/Alteration�expia��) � x � Ft. ' Total Non-habitable square feet: Total habitable square feet: �'7 Z /' G ' (decks,patios,garages,sheds,storage area&other struc[ures) �p L p ��v� --� �Sc� ' - ,- _ , _�, i,riginai �, . .z'i.,ri I`-1U`�7 b�<_��:�r,�itted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:"MusN Include location and setback of proposed and existing structures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. Descri tion Setback 5et6ack _,_� P Measurements Description Measurements Setback from the Centerline of Platted Road and/or -. v Feet Setback from the Lake(ordinary high-water mark� Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line �/ Feet Setback from the South Lot Line Feet Setback from Wetland S"'� Feet � Setback from the West Lot Line Feet Slope within area of constr c 'on 'siurbar�ce • , %Slope i Setback from the East Lot Line � � Feet Elevation of Floodplain �• " ' � " " • � ' ' '• feet Setback to Septic Tank r Holding Tan _ ' Feet SeYba k tp Well .Feet Setbackto Drain Field Feet ' � • +' ' • ,t . .+ . •.) . � Setback to Privy(Portable,Composting) y. � Feet _.�'k ! Prior tu the placement or consvudion of a structure wrthln five(�)feeC of the minimum requlred seYback,Che boundary Iine Prom which tbe sethaci�must Ae m¢asiT�'gdl�ust beL7siB�r fr�,m une previously surveycd comer to the other previously surveyed corner or marked by a licensed surveyor at the owner's ezpense. . . • . • i � Prior to the placement or construction of a strudure more than five(5)feet but lesi than ten(10)feet from the minimum required setback,the boundary Ilne from afiich the setback rnusc he i measured must be visible from one previously surveyed mrner to the other previously surveyed corner,or veriflable bythe Department by use of a corrected compass from a known corner withln Sni�r.�..t o�th�F�roc�:s� + �itr�,f ih- � ,-:rurr �rn�.��.�'o�� r.�:_ ,";Ilcensed surveyorat the owner'S expense. i �.- =--- — — ---- -�-:� .�.._ � •d„+� !S_ ,,� � ICalculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine if a 1 surface is considered impervious) Calculate lot area: / t/ i Indicate lot size from CSM or NOVUS(circle one�: �� D + Acres;Multiply by 43,560=Lot area: /�� ? � Square Footage i iCalculate impervious surface area: iDetermine the total size,in square feet,of your projects listed above(include eaves):___�� dO sq ft. Determine the total size,in square feet,of all existing roofed stru�tures(include eaves): � � sq ft. � Determine the total 5ize,in s uare feet,of all existin ' q g paved/bricked/blocked surfaces: sq ft. Add these measurements to determi�e total impervious surfaces: /, 's�i' C Sq ft, Calculate imper�ious.tot perce�tage , ,.r., ' Total impervious surface: 3 (! �' =Lot area: � � �v� Sq ft.X 100=impervious surface �� <<7 / � (MitlgaHon Is reqWred ii totai exceeds 15%) I i i "'Notice a separate grading permit needs to be obfained if disturbed area is within the Shoreland district as indicated on previous page and meets uiteria below"' i 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 10 000 Sq Ft _ FAILUKF TO O(3TAIN A PFRMIT�r STARTINl9 CONSTRUCiION WITHOUT A P[RNIiT WILI I�FSULT IN PFNALTIFS I(we)declare that this application(including any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and belief lt is true,correct and � complete. I(we)acknowledge that I(weJ am(are)responsible for the detail and accuracy of all information I(we)am(are)providing and that It wlll be relled upon by Sawyer County in determining whether to issue a permit. I(we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)providing in or , with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner /�� pwner Signature ��'�� {h W Q(Kj�l � 2 � Printed name Date_�,�� Slgnature and Printed Name required� NOTICE; All Land Use Permits Expire One(1)Year from the Date of Issuance. . For the ConsVuction Of New One&Two Family Dwelling: ALL Municipalities Are Required To Entorre The Uniform Davelling Code. 7he local Town,State or Federal agencies may also require permits. j You are responslble for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsln.You are also responsible for �, complying with State and Federal laws concerning construc[ion near or on wetlands,lakes,arid streams.Failure to comply may result in removal or modification of construction � that violates the law or other penalties or msts. for more Information,visit the department of natural resources wetlands identification web page or contact a department of i naturalresourcesserviw center(608)267-3125 '. Issuance Information(County Use Only) sanitary Number: _ �� a of bedrooms: ',' Permit Denied(Date): Reason for DeniaL I Permit tt: Issuing agent: � Date: �. � - �''� � ' $ �zs � /�- I5 Parcet a Sub-StandaYd lot (7 Yes (Deed uf Rewrd) -- Is Parcel in Common Ownership U Yes (Fused/Contiguous I.ot(s}) �� o Mitigation Required CI Yes IJ No Is Structure Non-Conforming ❑Yes n Na Mitigation Attached f7 Yes !1 No Granted by Variance(B4O.A.) Granied by Conditional Use I i Yes ❑No Case ti: ❑Yes 0 No Case#: Was Parcel Legally Created ❑Yes u No Were Property Lines Represented by Owner L Yes No Was Proposed Building Site Delineated ❑Yes ❑No Was Property Surveyed ❑Yes No ' O�ce Comments: Zone District: Fee: `.t� �(�� Hold For Saniiary: i Hold For TBA; ' Hold For Affidavit: I Hoid For Peer.L_: _, �Jan2020 _ /