The URL can be used to link to this page

Home My WebLink About018-837-09-2301-LUP-2021-452 SUBMIT COMPLETED APPLICATION AND Feero: APPLICATION FOR LAND USE PERMIT , � `, SawyerCounty �t�tW1lER•COUNTY�W�SCQNSIN 1 v Zoning&Conservation Depart. -- ' . '�� (U ��I �U2'I ' ��Da[e StamP I�ceived� �"-'�-'—' ' J 10610 Main St Suite 49 �' ` '],.� � ' ' . C h k#o...��..�.L. -- Hayward,WI 54843 �� is,e3a-siaa � �:.i4 .�'.• : ^� z�� i�cpt# � � q � --`��-�� No permits will be issued until all fees are paid. �►AWYc'r; ;-;r.:; . �� `iJ Checks are made payable to:Sawyer County Zoning Department. - _ . __ FILLOUTININK �NOPENCEL�� Owner(s)Name: Contractor(s)Name ��-tU�� . (Jl�1�1�t.� � �`�r` �►4�r� J�-�� (�N3 Mailing Address: Mailing Address: � ��oo, s�o a� Ji� �-rl�z ��. 3 3�zo iY_ co�rvrY lCa�� c.. ��c��-►Fw�, �`r sZ+�3s � Phone: ��3- �Z`fi- (y-{f S Phone: -.71 S 2`jla.Yo,�S'-� � � Email: Email: X Site add►ess: ?j �p 'wla" ; �CU4A1 � W i S�-( � Or Date applied for: Legacy PIN It � �� —�� Town of: ��CU'— 0 Permit del'rvery Method ❑Call Owner ❑Mail Owner all Contractor �Mail Contredor � � �� - � -''Is PropeM//Land within 300 feet of River,Stream I�nci. Distance Structure is from Shoreline: r�repeny �r Intermittent) —� -`�-� - �- � Creek or Landward side of Floodplain? feet •.:.elain presE 3� ': ; Shoreland `` ye; Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: ��' ` —► feet •. fTl '_; Non-Shoreland h � Describe Project Total#of � Value at Time of v� Project type Foundation What Type&Capacity is the Completion Number bedrooms (House,garage,shed,deck, of Stories �8asement, Sewer/Sanitary System(s} ,addition,etc...) Crawlspace, � list separately Slab) —' � S ��G�c� ��JSu /��j2l�le� �j�5c:-w�t;n.� � �'' owdr�g ll} $ �c � Accessory Bldg � $ (l U Addition/AI[era[ion � � � Height: — Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to (multiply per Highest story) Peak Residence � � x ��O ) Z I loo Ft,L6` with 2"d story or loft ( x ) Ft. with Basement � � x '(3 1 Zf(op Ft. Attached Garage x �Residential Use ( �� 3� l DO� Ft. LO� Accessory Strudure(expiai�) ( x � � Agrieultural (detached garages,sheds,boat houses,etc) Ft. Use Temporary Guest Quarters or Bunkhouse(circie type) � x ) Ft. '�� Commercial/ Deck/Porch/Patio � �� x $ � � �j0 Ft. Industrial Use ( x � (2"d)Deck/Porch/Patio Ft. ❑ Municipal Use ( x � Other(explain) Ft. ❑ Other ( X ) Prineipal Strueture(ngricuicurai,Commercial,Municipal,Etc.) fL. ( X ) Addition/Alteration(expia�n� Ft. TotalNon-habitablesquarefeet: �D�� _�D✓ Total habitable square feet: LI�� (decks,patios,garages,sheds,storage area&other structures)�� 1�v � �" �`' �r�' M�� Attach a or your Property on 8.5"x 11"or 8.5"x 14"paper:'Must'Include location and setback of proposed and ezisting structures,roads, driveway,saniWry compa�ents,well,lake,river,stream,and wetlartds. Descriptfon Setback ��pt�� Setback Meaw�ements Meawrements Setback from the Centerline of Platted Road and/or Z.Lt;'} 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 jpr�'k Feet Setback from the South Lot Line zp`.}- Feet Setback from Wetland Feet Setback from the West Lot Line �ap'.y- Feet Slope within area of construction/disturbance 9b Slope Setback from the East Lot Line pp`-� Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet i Prior to the platement or construtUon of a structure more than frv- � � � � �-=t�� . � ...:�_�seroa;< :r.: . �� . . ��:�:.. - � _ , �.� -�-- ...,,,�,...a,..�.:'�e vi5lble f�.,�,..� ,.o„�.,,�.�I ,�,r�.��yoA cnrner t�,-� . . .,..net,r� . :c;..r:,�.,�..r .,. � ... � . . � � .. . _ .._ ... he he c:: __.__ , I �' � . ' +... _ . Calculate impervious wrfaces.(Roofed,concrete,paved,and other wrfaces that waier cannot penetrate.The Zoning Office can help you determine if a surface is considered impervious) Calculate lot area: Indicate lot size from CSM or NOVUS(circle one): Acres;Muliiply by 43,560=Lot area: Square Footage Calculate impervious sur4ace area: Determine the total size,in square feet,of your projects listed above(inciude eaves): sq ft. Determine the total size,in square feet,of all existing roofed strudures(include eaves): sq ft. Determine the total size,in square feet,of all existing pavedJbricked/blocked surfaces: sq ft. Add these measurements to determine total impervious surfaces: sq ft. Calculate impervious lot percentage i I Total impervious surface: =Lot area: Sq ft.X S00=impervious surface �'o I �Mrtigation is required if total exceeds 15%) •*•Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as i�dicated on previous page and meets criteria below•" Gradin on a slope reater than 20�o Grading of more than 1,000 Sq.Ft.on 129'0-209'o slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. 1(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 it is true,correct and complete. I(we)acknowledge that I(we)am(are)responsible for the detail and accurecy of all information I(we)am(arej providing and that it will be relied upon by 5awyer County in determining whether to issue a permit. I(we)further accept liabilfty 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 inspe,�n.Additionally,the undersigned person�s)hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner � Owner I/ � � Signature� �' Printed name�"' rQ v� 1\ t�� / Date � � % You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for complying with State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construdion that violates the law or other penalties or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of naturalresourcesservice center{608)267-3125 Issuance Information(County Use Onty) �nitary Number: ��_�� #of bedrooms: � Permit Denied(Date): Reason for Denial: Permit li: Issuing ag Date: 2. ` — � 5� � /n 1e/��a� Is Parcel a Sub-Standard Lot `'.Yes (�eed of rtecord) �NO Mitigation Required Yes �IYo Is Parcel in Common Ownership �Yes (Fused/Contiguous lotls)) ''NO Mitigation Attached i Yes l��No Is Structure Non-Conforming �'Yes '�XNo Grented by Variance(B.O.A.) Granted by Conditional Use ;Yes No Case it: Yes �No fase p: Was Parcel Legally Created ��Yes No Were Property Lines Represented by Owner �'es 'No Was Proposed Building Site Delineated �C'Yes No Was Property Surveyed Yes �� Office Comments:�w? �� -�.r�...�� 4 ��a� Zone District: Fee: ��---��-- ��.z.�.�.- �c�..--�� , a� 3� a�- ...,.a:.� c�4/ a�f�3 ,� _} ' �I�o 9 al � �`i _ �r� _ - -- — � �Jnn2020