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024-641-24-4409-LUP-2022-131
SUBMITCOMPlETEO APPIICATION AND � FEE T0: I I F�IIf IT � Sawyer County � � � Zoning&Conservation Depart. o,i�samc la�ai�oa� � 30610 Maln St Suite 49 C q qy ``` Hayward,WI 54843 _ MAY O J LOLL v� (735)634-8288 '— SAWYER COUNTY iNSTaucrioNs.Nove�mit�w���be�s:��dunti�aureesa�ePaid. 70fVINGADMINISTRATIOM Checks are made Dayahle to:Sawyer[ounty Zoning Dapertment. �O NOT S7aRi CONST0.uC110N�NTIL_At�PERMITS HAVE BEEN i55UED i�novii[nrli Oriqinal Application MUST be submttted FILL OUT IN INK (NO PENCIL) SUEmi[tal of t�is appllc.�t��on or�ec¢ipt ol fees doe_ot u�rstit��te�e�m�•��s�..anrr. Owner(s�Name: Controctor�s�Name �`'U�� ,.S �-►eyl � S � �� ��-�cro� Gar�s'fit. Mailing Address: Mailing d�ess: /l� D �vaoa� o dS����'/f� � �0�� C��'�'/�q� G�/�� /�� Chone: a 7O �b�_ A �� Phone:^/t SS �/ a / 4 / / l /-� Email: Emaif: �C/ � % (jN �L���2 '—+^ �� �c' 51te address: /0.s`�9�/ "" // ���'l,�_ Or Date applied for: �"��� �a� Ll88[yPIN# ✓ � ( ( � y7 D7 Townof: �v h `'/,�l Oermit dellvery Method ❑Call Owner u Mail Owner ',I{�Cill Cp1ltMttO� r Mail Con[ractor / � 'Is Properry/Land within 300 teet of River,Stream U��t Oistance Structure is from Shoreline: Is your vroperty in���mrt�ene) � Are Wet�ands �� feet inFloodplain Creek or Landward sfde of Floodplaln? If yes—conNnue Pre�ent? �Shoreland -- �- — -- — zone? y,, ��.-Is Property/Land wlthln 1000(eet of Lake,Pond or Plowage Distance Structure is trom Shorei(ne: Ve5 '�'es If yes--continue —► . /eet �(1Jo N� :J Non-Shoreland Describe vroJect Value at Time of Total#of • Project type Foundation What Type&Capacity is the Completion Number bedrooms 'ind�.ide donated (House,garage,shed,deck, (RaSement, Sewer/Sanitary System(s) addition,etc...) of Storles Crawispace, Post time&material �jst Sepa�ately Slab) �onstruction 5 owe����s �vA i�� S 9 I� < S -i.�bitable Living are�a 5 � � all not be crea e Actts ory 91dg S � � � Addition/Alteration Height: TotalSquare Lowest Proposed Use ✓ Proposed Strudure Dfinensions Footage Gradeto (multlp�y per Hlghest story) Peak Residence ( x � Ft. with 2"^story or loft � X � Ft. with Basement � x � Ft. �Residential Use Attached Garage ( x � Ft. � Atcessory Strueture(exPlain) 0 �.�_ /� �( �J� ❑ Agrieultural Idetechadgange�,�heds.boathoaus,alc) {��1�'L�� !.)R� -2.�+ ��i� �/OO Ft,// Use Temporary Guest Quarters or Bunkhouse(a.cie rype) ( x � Ft. 0 Commercial/ Deck/Porch/Patio ( X � Industrial Use Ft. �2nd)Deck/Porch/Patfo ( x � Ft. L7 Municipal Use Other�expiai�� ( x � Ft. ❑ Other ( x � P�III[ip01$tfUCtUfO(Agricultura�,Commerclal,MUNtlpal,Etc.) Ft. Addition/Alteretion�ezpia��� ( X ' Ft. Total habitable square feet: 7ota1 Non-habitable square feet: (decks,patios,Rarages,sheds,storage area&other structures) I oo� l Ori�;iiidl i�:ppiicetion iv1USf br�ubcn�l`.e� nttach a P7an or Skecch your aroperty o�,8.5"x 11"or 35"x 14"paper.•Must�Include Iocation and setback of proposad and ezisting structures,roads, dr�vaway,sanitary components,well,lake,rlver,stream,and wetlands. Description Setback� Descriptlon Setback Measurements Meawrements - -- __. _-. _. ._.. Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(�rd��a��n��gn-wa�er m�rk) Feet Setback from the Established HlghFof-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff��t avpi��atie Feet Setback from the North Lot Line Feet Setback from the South Lot Line feet Setback frorn Wetland Feet Setback from the West Lot Line Feet Slope within area of constructlon/disturbance %Slope Setback from the East�ot Line Feet Elevation ot Floodplain Feet Setback to Septic Tank or Holdinq Tank Feet Setback to Well Feet Setback to Oraln Field Feet Setback to Privy(Portable,Composting� Feet ��i.; �.�„ ,._.. ., r�,.,.,, of a struccure wl[hin flve�5�f¢et oi[i-.�r,��.i„ r��� ,.�.,��k,ch�•�u�„aar�i r e�om wn�ch ihe srtback musi ne n easu�ea must be vislble from one ��r����i,�,, y � ,.�. �[c�t1� ;1� ���evouslVSurveycOcornC�o�niark�--t�i I rn��c.i.� _ ;il[heowr��'>exNe�se. Pnor to t�e plecement or wnstruction of e strunure more than fve(S)(eet 6ut Iess ihan ten(10)leet tiom the minimum requ�red s��iback,tne bnunAary I�ne fr��rn whicn��e setback n�ust be red must�e vis��le iram one pre�iously swveyed corner to the uther preV�ou;iv surveyed mrner,or verifiable by the Uepartment�y use nf a corrected con�pass(�om e known miner wit�in 500 feet of�he proposed si�e of the stru�tuie,or must be marked by a Ilcensed surveyor ai the owner's expense. Calculate impervlous surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrote.The Zoning Office can help you determine ii a surface is tonsidered impervious) Calculate lot area: � � Indlcate lot size from CSM or NOVUS(circie one�: Acres;Multiply by 43,SG0=Lot area: ��'"L Square Footage � Caltulate impervious suAace area: Determine the total size,in square feet,of your projects listed above(include eaves): ��� sq ft. 0 Determine the total size,in square feet,of all existing roofed structures(indude eaves�: � sq h. Determine the total slze,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. Add these measurement5 to determine total impervious surfaces:�7����sq ft. Calculate Impervlous lot percentage � ///��r''' Total impervious surface:��+Lot area: "��'-�"�h.X 100=imperviou5 surface ° � % (m�tlpation Is reqwred if ineal<xceees 15%) "'Notice a sepante grading permit needs to be abtained if dinurbed area is within tne Shorehnd datrict as indiated on previous page and meets ttiteria below••• Grading on a slope greater than 20% � . Grading of more than 1,0�0 Sq.Ft.on 12%•20%slopes � Grading of more than 2,000 Sq.Ft.on Slopes less than 12Y Grading Is In excess of 10,000 Sq.Ft. � >aiwi .:blaiN f�q9; � .r .t��hi;:oNSi�tuCriON'viMCU,,.�rtliMirtwL.R[5uL1iNPENn�fliS I(we)declare that this application(including any accompanying Informatlon)has been examined by me(us)and to C�e best of my(our)knowledge and bellef it is true,correct and cornpinre.I(we)acknowledge that I(we)am(are)responsible for the detail and acwracy o(all information i(we)am(are)providing and that it will be relied upon by Sawyer County In determining whether to issue a pennlL I(we)(urther accep[Iiability whic�may be a result of Sawyer Counry relying on this informatiun I(we�am(are)providing in or wi[h this application.I(we)consent m munry officials cha�ged with administering county ordinanws to tiave access to the above desuibed property at any reasonable time(or the purpose of inspection.Additionally,[he undersigned person�s)hereby give permission for acceu to the property for onsite inspection by Munlclpal OHicials. Owner /''/-�' I,, ,�`I Owner �9,' /y,p /�y� J�1 Signature/ I�VV%� Printedname�U//�4 K '�Q� Date /�/��vDl�� (sigr.,i�. arn��nmr,f Namc-co:��,._:i, NOTICE.All laud Use Pvinwti�xpnr Onc U)Y<'nr n,:�- u�.-OatN ni h�nnnre Fi�r the Cniistruction Of New One&Two Faniily Uw��.Ilii�R�AI L M�inicip�lltles�re N�Gulrc�To En�urce The Urilforin Dwrll�n�;Cod�. The bcal r�wn,State ur f-ederal igencies moy aLo require pNrmiLs. " Vou are responsible for complying with the reqWrements of the Sawyer Counting Zoning Ordinances and law and regulations of the S[ate of Wisconsin.You are also responsible(or complying wlth 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 violates the law or other penalties or[os[s.For more information,vislt the department uf natural resources wetlands identiFlcation web page or contact a department oi natural resources service cen[er(608)267-3125 Issuance Information(County Use Only) Sanitary Number: a of bedrooms: Permit Denied(Date): Reason for Denial: . Permit N: Issuing agent: Date• �2- 13 I _�.�--,�-- s� �8 ao� Is Parcel a Sub-Standard Lot I i Yes �Deed of Re<ord) 'I"0 Mitigation Required !�.i Yes o Is Parcei In Common Ownershlp I�Ves (Fused/Contiguous lot�s)) '� NO Mitlgation Attached !I Yes �o Is Structure NomConforming i i Ves )I No � Granted by Varlance(B.O.A.) Granted by Conditional Use :'�Ya� �'�No tasa N: ��!Yes �.No Gse N: Was Parcel Legally Created `,'J/Yas C!No Were Property�ines Represented by Owner Yes No Was Proposed Bullding Site Delineated ?'t�Yos i i No Was Property Surveyed �tYes No OH�ce Co ents: ��\_�� M� ��� � L� ��_ y�, 2one DlstricC Fee: � 00�� -�� a�- �� - 1 � �D Hold For Sanitary: Hold ForTBA: . � Hold For Affidavlt�. �� Hold For Fees: �FeD2021 i x � y f � . . • • � •' I �'k�' � . . . . � . "' .L. r ��.`. y� • , . ,.' . , � . . I� - � . . • ,. ' ' . ... . ;y�� f r. � . . ;• : ' : _ , • . . • ♦ . • '' : ' ' , . ,. y ry . r • . ; � � � . � , . .� , �, ' � . i '� , �r. � . _ • . . .i/�tf���. JF� d i^� �.�� � �,� r � . . I � . . .. - . . :1 ��.,�y f R ; 'v� ��`� '4 , � � , * .�r1 � _ . , . 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ESN: 402 G1-RESIDENTIAL 3.000 134,900 188,300 �`�Tax Districts Updated: 2/6/2007 Z'Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 134,900 134,900 0.0% 57 Sawyer County Improved: 188,300 188,300 0.0% 024 Town of Round Lake Total: 323,200 323,200 0.0% 572478 Hayward Community School District 001700 Technical College �Property History - ---------------------- ------ ���Recorded Documents Updated:4/4/2008 N/A — —— --------------------- � WARRANTY DEED Date Recorded: 295418 WD703/500 https:lltas.sawyercountygov.org/IAccess/master.asp 1/1