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Home My WebLink About024-741-14-4205-LUP-2022-014 N SUBMIT COMYLEiED AVVLICATION AND h.J Fc¢ro. APPLICATION FOR LAND USE PERMIT 1 Sawyer County H�V'YER GOUN�'N-1�� 2�� 1 Zonin 8�nservaSion� K. � ��_,� - I O a na - o.�Rs��onR�m—t '�as��_ 1O610Main5t5mte69 FEe �o ?�zz ��' �hk# �i� q -� � O Hayward,W154843 (715�634-8268 Sk,:`iYER COI.JNTY RCPt# � INSTRucTIONs:Nooermibwillbeissueaun�ilallfeesareoaid '.�'�H � [�ecks are made payable to:Sa�uyer Counry Zoning Uepartment. ooNOiS�aaT(nr�sraucii�)r�'�.�rvrilaiii�taMi-s��avEeE�NissuEoroavP�itnnT OriginalAop��«i�onMU516r.subminee FlLLOUiININK(NOPENCIL) s�em��ai ei�n�z r�oi�.c,uno�o,.t��e�oi or re��.�m_oo<<o�sr�w�e ve,mn��.��a��o_ Owner�s�Name: Contra<tor�s�Name � S G�, �F � Mailing Address: Mailing Addreu: /Ln� ?��3r� /-� �" P one:7/S_SS-,�_Z.�f O� Phone: � Email: (Jv�'/� .�y�, � /' �. Email: (� sie�aeeros: �IG.F i� AI I''1_iF't> FO'iZ Z�Ir, �L oroaee,00u�dro.: � ieawviN• cUcf'1'�H�— \`I-L(,�.�S Tm�.�w: (�I VermkAellveryMMhod �all Owner �Mail Owner n Call Contrac[or r Mail Contractor 1fv' \' L 77 � /�\ IsProperry/Wndwi[hin300feetofRiver,SVeam�m�i. Distance5tructure isfromShoreline: isyourProperty �j `"�� —� feet in FlooOplain A�e WeUands ICreek or lantlward side af Floodplain? I�yes--cantinue Zo e� ❑resey* I:�� horeland ��- Ve5 ves,� � r Is Vroperty/land within 1000 feet of Lake,7ond ar Flowage Distance 5[ructure is irom Shoreline: No , C I(yes-�continue� �� feet � No� ' ,Y �-ShoreWnd _ _ ___ C V Describe Projec[ 7otal p ot Value at Time of project type Foundation What Type&Capacity is[he Completlo� Number bedrooms (House,garage,shed,deck, (Basemen[, Sewer/Sanitary System�s) 'include den.��.t��:.� of Stories Post 7' time&maten�l Addition,ete..� Crawispace, �� listseparately Slab) onstruction 525°� C°ahr 2. ' �.., 3 / ,' Dwellin6 ,(� L/ S /\ �. Accesmry Bldg � 5 y nam�mNnrt�neo� G 1 � HeigM: TotalSquare Lowest d Proposed Use ✓ Proposed StruRure Dimensions Footage Grade to (multiply per Highest Q� story) Ceak C � Residence � Z�' X 36 � �/ Zap �3J'f' Ft. ZC. \ with 2n°smry or laf[ ( X � 7Ll �\\ Ft.zZ� � `�1 with Basement v � X � �3310 Ft. z�� Attached Garage 1 X ' �1-Residential Use Ft. Aecessory S[rueture Ie�pia�n) � X � ❑Agritulturel �a°` •ae"s°' ',"�„ "� Ft. Use TemporaryGuestQuartenorBunkhouse�o.cie�ypq ( X � Ft. C Commercial/ oeck/vorch/vat�o . S��„ � X � `Z pt. \y� Industrial Use � �� ✓ � x ) (2ntl)Deck/Porch/Patio Ft. :�Municipal Use , � ( - x ) � Other le,pia�ni � � Ft. '� Other ( x � PlI�CIP2I SLNCtllf2(Agricultura�,Commerdal,Municipal,Etc.) FS. Addition/Altera[ion h.v�a�N ( x , Ft. Total habitable square feet: 7 Total Noo-habitable square feet: z// �r Q �� (decks,patios,garages,sheds,storage area&other stmaures) � � I f t-\ � Ori�inal Application MUST be submitted Attach a Plan or Sketch your Property o� 8.5" x 11' or 8.5" x 14" paper. 'Must• Include location and setback of proposed a�d existing structures, roads, � driveway, sanitary components,well, lake, river, stream,and wetlands. ' p�ry Setback Setback ption Description Measuremenu Measurements �-/ Setback from the Centerline of Platted Road and/or � Feet Setback from the Lake (ordinary high-water mark) � :.J 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 �p feet Setback from the South Lot Li�e Feet Setback from Wetland Feet Setback from the West Lot Line Feet Slope within area of construction/disturbance 95 Slope Setback from the East Lot Line /Sb Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank 5 Feet Setback to Well Feet Setbackto Drain field Feet Setback to Privy (Portable, Composting) Feet P' -- �' .' e c'-�.� r�,�_:;� cons[ru�tion of a structure within five(5�fee' ,��"r ; •n��.�n.�r� req�.ired �etnack, the ooundary line from wh�c'�� ih.e �e[besl i�i�i;' o� rneasu�ed must be visible 6om orie p�• _�or.s!y sur��yea �orr.e- to tne ocher prevtously surveyed comer o� Tarkr� py a i�.censed surveyor at the owner's expense. Pnor to the placement or constructfon of a structure more than five (5) teet but less than ten(10)feet from the minimum required setback,the boundary line from which the setba�k mus' be rn=asured r�ur he visible trem one previously s.:r�eti�ed corne�b tne uther prev ous'v su�veved comer, �r ve^tiable 6y the Uepartmen; r�y u,r nf a corre�ted compass (rom a 4nown co�ner w�thin 500 feet of t5e proposed srte o�;he slr�crure, or must be marked by a liwnsed suveyor at the owner's expense. � . . . . • . • • . • . - . • •- . � Calculate impervious surfaces. (Roofed, concrete, paved, and other surfaces that water cannot penetrate.The Zoning O�ce can help you determine if a wrface is considered impervious) Calculatelot area: ,� / Indicate lot size from CSM or NOVUS (circle one): �1.��7�Acres; Multiply by 43,560= Lot area: y7v�d�_Z�_�7 Square Footage Calculate impervious surface area: �J Determine the total size, in square feet, of your projects listed above (include eaves): sq ft. Determine the total size, in square feet, of all existing roofed structures (include eaves�: � sq ft. Determine the total size, in square feet, of all existing paved/bricked/blocked surfaces: � sq ft. Add these measuremenu to determine total impervious surfaces: � U �. �i sq ft. Calculate impervious lot percentage Total impervious surface: � �f"'`� = Lot area: ��'73,6 Sq ft. X 100= impervious surface � �� % (Mitigation is required if total ezceeds 15%) '•'Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland distrid as indicated on previous page and meets criteria below"' Grading on a slope greater than 209'0 . Grading of more than 1,000 Sq. Ft. on 129'0-20% slopes Grading of more than 2,000 Sq. Ft. on Slopes less than 12% Grading is in excess of 10,000 Sq. Ft. �� - � �� :prvsr�;uCrioN �virHouT ,� f�riirnr wi�� r.� � �, ��rva�Tits I (we)declare that this application(induding any acwmpanying 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 acwracy of all information I (we)am (are) providing and that it will be relied 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 informa[ion I {we) am(are) providing in or with this application. I (we)consent to county officials charged with administering courtty ordinances to have access to the above described property at any reasonable iime for the purp se of inspedion.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municlpal Officials. Owner Z Owner \ 2 / � Signature � Printed name J�l✓1 � / .Y�`j��T Date �2 —�Pj — LUzZ1 . _ >rirnr�,] r�. �.�,�. . . NOTICE ;;i'�. ..:�, . , .. , � . .. - . �, ,�� , . . ., .� FLf 1F19 CO'lStfuCli3'I �J� iv�'.v �_. � . .. . . . _ . . . . . . ... . ;u r...- ,_ ..�_ r� C�:d.. 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 construction that�iolates 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�enter(608�267-3125 Issuance Information (County Use Only) Sanitary Number; � _ � 1 tf of bedrooms: N/� ��'�' 1 \ Permit Denied (Date►: Reason for Denial: Permit tt: Issuing agent: Date: ZZ - ol �- — a >o � �� Is Parcel a Sub-Standard Lot :, Yes �Deed of Record) "�;No Mitigation Required Yes �/ No Is Parcel in Common Ownership '�Yes (Fused/Contiguous lotls�) No Mitigation Attached ? ; Yes p No Is Structure Non-Conforming : I Yes ��1,No / � Granted by Variance(B.O.A.) Granted by Conditional Use � Yes _ No Case ti: i Yes =' No Case tl: Was Parcel Legally Created !� Yes C! No Were Property Lines Represented by Owner � Yes No Was Proposed Building Site Delineated '�"Yes ',J No Was Property Surveyed � Yes No Office Comments: _ Zone District: Fee: n��.. � �'=�-.-�� —\ [`�e�--�Cu�'i CVi� � �.�,e_,,. � � /� � S�C7 Hold For Sanitary: _ > Hold For TBA _ Hold For Affidavit Hold For Fees: �Feb2021