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026-939-29-4301-LUP-2022-099
SUBMR COMPLETED AFPIICATION AND - f� ' c�ETo: APPLICATION FOR LAND USE PERMIT {� Sawyer County '' , -. r, (� 2oning&Conservation Depart R - � 10610 Main St Suite 49 �r^�p Ia���e� , ' HaywaM.W154843 � ^ (735J634-8288 � � APR 18 2022 ; � INSTRURIONS:no pe�mits will be iswed until all fees are paid. -�___ (, Chetks are made payable to:Sawyer County Zoning Department. � ' •��,j LJC1i�'1 Y DO NOT START CONSTRUCTION UNTILALI,PERMITS MAVE BEEN 155 QQQ����7ryry/i � 1�q0.�f��15T be submitted fILLOUTIN INK (NO VENCII) Subm'ittal of this application or receipt of fees does not constkute v��e� ����J �(J� ownehs)Name: Contnctohs)Name Lcfca,J �hs�� �'JQf� E�x�s ' Mailing Address: '/ Mailing Addreu: . / qyo�a �sCL,�/� �d�i^� j✓2 ,�0� Sy36,�1� G.T ,� AO ST�'�C /'�'!�� �T��O i�i .L Plrone: Phone: �� �- ��z -�sg, �.; 6� �11..�3 �,�- y�.� -,.09 Email: Email: Slte addreu: ���r Z y�r(�(/�qh.0 l��� s�HC�f C� Or os[e a Ned tor. �—�•J� 2 Q Z� PIN• v�y q.?5 ys a r Town Of: �7 (� � i 'PermB dNivery MetAod ; ❑Call Owner {�Maii Owner -:Call Contractor n Mail Contractor I /• �_'Is Property/Wnd within 300 feei of River,Sueam p�a. mt.�m�eee��) �,�' Distance Strutturc is hom Shorcline: Is your Property qre Wetiands Creek or landward side of Floodplain? If yes--mntinue ' feet in Floodplain o�esent? Shorelaad zone? Is Pro t Yes �es perty/Land within 1000 feet af Iake,Pond or Flowa e I Distante Strutture is from Shoreline: '�. If yes•--continue ---�! feet No �' � Non-Shoreland ! value at Time of ��� P�� Total N of Project type Foundatbn What Type&Capacity is the Lompletion Number bedrooms •��ndude;ona[ed (House,garoge,shed,deck. �Stories (Basement, PosF �er/Sanitary5ystem(s) Addition,etc...) Crawis Ce, time�materia', Ust sepantely $lab) �onstruttion SZD000 Ct,s:y / S�ti.� � 7��� � DweI1Mg $ Acc<ssory BMg S 5'DO ArJ D � !Owe� �r-e Addkion/Alrcratbn Hlight: TotalSquare Lowest Footage Gradeto Proposed Use � Proposed Structure Dimensions (�hiply per Highest s►ervl oe�k Residence (S Z x S Z � > O �7 LjCli` Ft. with 2n°story or loft ( x � Ft. with Basement ( X � Ft. �Residential Use Attached Garage (ZZ X �� � a�'6 Ft. �7 �� Aecessory Strue[ure�e�Pia�o) ( x � � Agrieultural Ia�e.�n�a"�i.:,,n�e:,eoarno�:a:,.«� F2. U52 Temporery Guest Quarters or Bunkhouse(circie trpe� ( X � Ft. � Commercial/ Deck/Porch/Patio ( � x�f� � Z�Q pt. � �� Industrial Use ( X � (2n°)Deck/Porch/Patlo Ft. C Municipal Use ( X � Other lexp�ain) Ft. � Other ( x ) PfIOClP21 SLrUCLUfC(Agricultural,Commercial,Municipal,Etc.) F� � x ) Addition/Alteratian�e.via�n� p�, ///O TotalNon-habitablesquarefeM: � 6 Total habitable square feet: �' (decks,patios,garages,sheds,storage area&other structures) Original Application MUST be submitted . Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x id"paper:'Must•Indude locado�md selback of p►ayosed and e�ddst�g structures,rosds, driveway.sankary componeMs,well,lake.rlver,sheam,and wetlands. Setback Setback DesMption Meawrements ���0� Meawrements Setback from the Centerline of Platted Road and/or Feet Setback from the lake�o�dm,ry n�gti-w,«.ma�w) "�' Feet ; Setback from the Established Right-of-Way Feet Setbatk from the Rfver,Stream,Creek — Feet �� Setback from the Bluff��r,�u�.bi< Fcet Setback from the North Lot Line / feet Setback from the South Lot Line 'L Feet Setback from Wetland Feet Setback from the West Lot Line Feet Slope wiMin area of construction/disturbance 9G Slope Setback from the East Lot Line Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding 7ank 'j y Feet Setback to Well / Feet Setback to Drain Field 2�/!� feet Setback to Privy(Portable,Composting) Feet �'c"o t'�?o�a�e^e�t�r cJ�Y.n�ctlon ef a st'utt�,e wlttii�{'iye;`I�e'o`:he'-� r^.reeulretl setback,Lhe heun.eary iire�'re^�whl_F'n=sztb3ck-ius'Ce n'easu�e�m.ust be v�s��Sle frpm one p�=v��ously surveyed�or^.er;o:he o[her prero�s'�y;urveyetl<omer or marketl ov aTcensed surveyor at the owner'S expense. Pr��o�to th=placement or w�str��cLon of a st�uctu�e more than five(5;fPRt but I^ss tha�!e�^',..C'�feet`-om the minimum�ecu��eE se;back.the bour^�ary i��.ne f.om wh�;h the set]ack rus:be measured must be visible from one previously surveyed come•to the other previo��sly surveye:f co•ner,�rvei�ifiable�v the Dev2rt�ne^,t by us^a`a c:,ne:te0 ccmpass l�cm a Ynown corne� wit�in SW`eet of t�e pr000sed site of the z!�u:ture,o�musl be marked Cy a hcens?G su���evcr a'tP=c�+�e�s experse I Calculate ImperWous surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning OMfce un help you determine If a surfacaiscc�sid2:c�:�pEn,�ous) Calculate lot area: �� Inditate�ot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage ' Calculate impervious wrface 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 structures(include eaves�: sq ft. ��, Determine the total size,in square feet,of all existing paved/bricked/blotked surfaces: sq ft. �.; Add these measurements to determine total impervious surfaces: sq ft. 9 '��, Calculate impervious lot percentage � ' Total impervious surface: =Lot area: Sq ft.X 100=impervious surface % ; (Mitigation is required if robl eKceeds IS%) �'�. •"'Notice a separate grading permk needs to be obtained if disturbed area is within the Shoreland district as indicated on prevaus page and meets criteria below•'• � Gradin on a slope rea[er than 20% Gradin of more than 1.000 .Ft.on 12%-20%slopes Gradin of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. au.�.;^I � 1'�":r,s avpi TF71hECC.,.;yF.C��pn:�;�,�, J'4'r`Fk/,"NP.!RFc..Ut"�v-�kv.aL71c5 I(we)dedare that this application(induding any accompanying�mformation)has been examined by me(uz)and to the best of my(our)knowledge and Gelief R is true,corrett and i mmplete. i(we)acknowledge that i(we)am(are)responsible for the detail and acaracy of all information I(we)am(are)providing and that it will be relied upon by Sawyer �� Gounty in determining whether to issue a permit.I(we further accept liability which may be a resuh of Sawyer Comrty relying on this information i(we)am(are)prwiding in or ' with this ap0���ation.I(we)consent ro c o arged with administenng county ordinances to have access to the a6ove described property at a�ry reasonable time fw the purpose of inspec� itio , e undersigned person�s)hereby give permission for access to the property for onsite inspection by Municipal Offitials. � Owner Owner �(�(�'G r a��j/�,Sy�.� y�-�� � �.1Aa�Z ' Signature Printed name ���� Date ��V� �,��n� ..- _- �ce�4ame r_ Ired; ! c=ice�;.u�a ._ _ _ — �:,«� �_ � __ � For�ne Co�str��c*.ion Of New Ore&Two Fa^�.r .�e ,. S'.'�M��� �.c- zli��ies p�e Rea���red-o�nfo•c=T�e Jni'�-m D•ve�'��ng Co,-e 'he�ocal Tow�,State,��-=dera'aeenaes^�ay ais�requ:re per^^its. You are responsible for complying wlth the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.Vou are also responsible for complying with State and Federal laws concerning tonstruction near or on wetlands,lakes,and streams.Failure to comply may rezult in removal or modification of constnxtlon that violates the iaw or other penalties or cosu.For more information,visit the department of natural resources wetlands identification web page or contact a department of i naturel resources service�enter(608)2673125 i i Issuance Information(CouMy Use Only) Sanitary Number: ^�` _��,,� M of bedrooms: � c�- . Permit Denied(Date�: Reasoa for Denial: ....'. Permit7t: ! Issuingagenj� Date: �2-�_ ��`� ' '�/��;t---____ � �� a��a Is Parcel a Sub-Standard Lot ':Yes I�ed ot Recore� vf10 �� Is Parcet in Common Ownership 70�es (Fused/Contiguous Lotlsl) �rryo MRigation Required ,Yes No 1'' Mitigation Attached ''�Yes �No Is Structure Noo-Conforming �Ves '�No Grented b Variance(B.O.A.) Granted by Conditional Use � Yes Case N: Yes � No [ise Nc Was Parcef Legally Created '�Yes No � Were Property Lines Represented by Owner �CVes . No Was Proposed Building Site Delineated �Yes No ± Was Property Surveyed Ya �No Office Comments:� Zone Distric[: Fee: /O G-C_ '�c'c�\ ,�� \ � ( �� � � Hold For$anitary: Hold For TBA: . Hold For Affidav���t: Hold For Fees.. BJan202o �..�s �,�� z yv ' Stt�'` 2 Z S (----- � � -----• Z vo� I N vw�/��f �.�� M � � �7-�� � ; - � � �. � � �� ��� Real EState Sawyer County Property �isting Property Status: Current Today's Date: 5/4/2022 Created On: 2/6/2007 7:55:49 AM —� - '��'u�'Description Updated: 1/1/2007 � Ownership Updated: 12/9/2020 ______ _. Tax ID: 29193 LUCAS]]OHNSON ROBERTS WI PIN: 57-026-2-39-09-29-4 03-000-000010 Legacy PIN: 026939294301 Billing Address: Mailing Address: Map ID: .15.1 LUCAS J JOHNSON LUCAS J JOHNSON Municipality: (026)TOWN OF SAND LAKE 940 107TH AVE 940 107TH AVE STR: 529 T39N R09W ROBERTS WI 54023 ROBERTS WI 54023 Description: SWSE �lt Recorded Acres: 40.000 r Site Address * indicates Private Road Calculated Acres: 37.654 16246W PANK RD STONE LAKE 54876 Lottery Claims: 0 First Dollar: No ��.-� Property Assessment Updated: 2/6/2007 Zoning: (RR1) Residential/Recreational One 2022 Assessment Detail ESN: 423 Code Acres Land Imp. G6-PRODUCTIVE FOREST 40.000 60,000 0 � Tax Districts Updated: 2/6/2007 _ __ 1 State of Wisconsin 2-Year Comparison 2021 2022 Change 57 Sawyer County Land: 60,000 60,000 0.0% 026 Town of Sand Lake Improved: 0 0 0.0% 572478 Hayward Community School District Total: 60,000 60,000 0.0% 001700 Technical College .� Recorded Documents Updated: 12/9/2020 �Property History TRUSTEES DEED NJA Date Recorded: 11/16/2020 428039 QUIT CLAIM DEED Date Recorded: 4/12/2017 406158 WARRANTY DEED Date Recorded: 8/30/1982 183872 34�/408 ..t,�t �i � '. � `}h� A�•' � . ��" ' y+S•+��'�- �j.'�� :.y �• _ .I�, �:�r� ",� �d:~ ,`v." c� '.«�� ��� f' �'.i^ _�� 4 � +;� .�'v � �:{ � :��.> �� � ). � ki y�+ � . ♦,.a- �'. h'� AIrT .. � af ' `� - . � .� �`�� .�'d'�y� '. 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