HomeMy WebLinkAbout026-182-06-1000-LUP-2022-340 SUBMITCOMVLETED AVYIICATION AND
FEETo: APPLICATION FOR LAND USE PERMIT �\
SawyerCounry r 3AWYERCOklP1TX,W��iGAT15� y�J
Zoning 8 Conservallon Depan. � ;� � ( �
1O630MaIn5t5uite49 . •�eStamE1M<fi•o?I_ _ �`' $I��-��_ 1
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Hayward.W150843
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{ AUG 19 2022 �' cr: c�4ly_. c,�
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ooNOrs�aarcorvst=,ucriorvunlilnl�.vExMilsHnvE9EEN�ssl�Eoronvvlicnrvr OnginalApplicationMuSibesu6mitted FILLOUTININK (NOPENCIL)
SUEmlttal of�his appl�ica[�ion o..ecc�ipt of fees does no nstitute permR i«uancc.
ow�er�sl Name: tontnaoHs�Hame
DA1� P��o �e��
Mailing AAdress: Malling Address:
P. . o s�, o �k w ��
; 'nOOe 6�2-SG8-5b9y Vhorre:
Email: Q�I n �I. Email:
Slte adEress: I 5 .S � '!1 `F Or Date� IIM br: �.C� d�I^1a'
�ep� P�N« Daic-1"6a-b1�- IcoO To.��: Sard �ak-e
PermktllllveryMNhod `�GII Owner �Mail Owner n Call Contnctor -Mail Contfa<ror
Is VropeM/��d wi[hin 300 feet of River,SVeam�m�i. Distan<e StruRure is irom Shorellne: is yo�r aroperty
ime,mv�
'"�) —� /eet in ftaodplain Are Wellands
[reekorWndwardsideofFlaodplain? ifyes---con[inue i E, Presen�?
l Shareland Ves
� Is Property/Land wi[hin 3000 feet of Lake,Vond or Flowage Distance Structure is irom Shoreiine: Ves �
if���s---cor,Nn�e� feet No °
�Non-Shorebnd
Describe Project Total#ot
valueatnmeof projecttype Foundation WhatType&Capacttyisthe
compietlan Number bedrooms
� .. ,� (House,garege,shed,deck, p{Stories (Basement, post Sewer/Sanitary System(s)
�� � Addition,etc...) Crawlspace,
.��.�._.�,at.���,��� ��y�separately Slab) construction
s3oo,obo Kow� (,M.. ,.�-� Z S�hb 2 c.oh.rem-�;,hal - �O�O c�ifl��s
owdimc
S
Puosory 91E8
5
namcmNnie�..no�
Height:
7otal5quare Lowest
Proposed Use � Proposed Structure Dlmansions Footage Grode to
(multlply per Highest
story) Peak
,� Nesidence ( y 5 x y V � �60� F� 2(
Uso
✓ � x )
with 2^a story or lait �b 1'1.5 $bb FL ZE
with Basement ( x �
Ft.
✓ Attached Garoge � `�1D X U 0 � I 6 p� '���
�Residential Use Ft.Z�i
Aecessory5trueture(e.oia��) � x � _
❑Agriculturel �a.<.m.as.,�....n.e..�.�no�,....�=i Ft.
U5e TemporaryGueStQuartersorBunkhouse�c'�.derype) ( X ,
Ft.
C Commercial/ ✓ �ec vorch vatio ( x J �S�
Industrial Use �g� Ft.
(2n°)Deck/Porch/Patio � x �
Ft.
�Muntdpal Use
Other�e.Piainl ( x �
Ft.
^ Other ( x �
PlInClPal St�U[[uf2(Agrimlmral,Commerclal,Munidpal,Etal Ft.
Addition/Alteretion(e.oia��� ( X ) Ft.
Total habitable square feet: Total Non-habitable square(eet:
2 r,�6 (decks,pa[ios,garages,sheds,storage area&other structures) 23 g 0
Original Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5"�11"or 8.5"z 14"paper:•Must•InNude lontlon anA setback of proposed and existing rtructures,rmds,
driveway,sankary camponanK,well,lake,river,stream,and wetlands.
Description Setback Descriptian SM6ack
MeasunmeMs Meawrements
Set6ack from the Centerline of Platted Road and/or Feet Setback from the Lake lo�a�o.ry men�w,:e,m„k) --- Feet
Sethack from the Esiablished Righo-o6Way Feet Setba<k from the River,Stream,Creek Feet
Setback fram the eluff a.poik•bi• Feet
5 tback from the Nanh Lot Line I Feet
Setback from Ihe South Lot Line Feet Sethack from Wetland Feet
Setback from the West Lo[Line 6 Feet Slope within area otconstruc[ion/disturbance %Slope
Se[back from the East Lot Line ( Feet Elevation of Floodplain Feet
' Setback to Septic Tank or Hoiding Tank } Feet Setback to Well Feet
Sethack to Drain Fidd Feet
Set6ack to Privy�Portable,Composting� Feet
G .. .� _ -. �i . ., . „rasr�rturewiri�i�five(S�fee[o�t�em�nimur^r-��.redaem+rMrhPc,��oayL�e°�oTw�ICM1�beeetbackmustbemeasme0mustbevisiblehom��ne
L� � �� . .'t�tx [ -�p'av'orzslV�uroeycdmmerorma�kelF��aN _ 5� . rve� r.t.� , r
. _. _.[V'-nze.
Prm:b i�e o�acer=r�or:wsbunion of a snua��=more aan fne�51(eet b�t less tna�ten�;0)feei from tM1e minumm�eeoulretl seIDah.eno bo�ntlary Ime f.om whir�Ite set0ack m�s;'_�
euureomus'�evisl�lelrononepreviouslysn�.epe�comer[otneotlierGrpvlouslvs�rveyedmr r,orve�JlablebytPeUepartment�vmen!a<c�reclydmmpassGo�ieknewnmrner
wiIDln SOO Yeet of�ne pioposeo site'�`Ne siw�uie,m�rnr be marved Oy a licensed serveyor xt the�owneYs exoense.
Giwlate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetnte.The Zoning Office un help you determine if a
wrface is considered imperWaus)
Calculate lot area:
Indicate lot size from CSM or NOVUS(cirde one�: Acres;MWiiply by 43,560=Lot area: `j�by� Square Foo[age
Calculate impervious surface area:
il Determine the total size,in square feet,of your projects listed above(include eaves): 5 "�D� sq ft.
� Determine the total size,in square feet,ot all existing roofed struRures(indude eaves�:_.__ sq ft.
Determine Me total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these meawrements to determine total impervious surfaces: sq ft.
Calculate Impervious lot percentage
Total impervious surfaCe: S y 0 I +Lot a�ea: �� fl�_Sq k.X 100=impervious surface %
—1 IMui¢�non I:ieautree It mnl exaces 15%)
•'No6ce a separate grading permi[needs to be obtained if disturbed area is within[he Shoreland dis[rict as indicateA on previaus page and meets criteria Debw"'
Gradin on a slope reater than 20% Grad�ng of mo e[han 1000 Sq Ft on 127' 20Y slo0es
� Gradmg of more than 2,000 Sq.Ft.on Slopes less than 12% G ad� R is in e ess of 10 000 Sa Ft
��-W RC lJ cHiAW AP�qM�I orSiq,�pG.'ONSTRUQiGV WiTHOUT�;��NiMI?WILL ftCSU�T iN PLYni 19�
I(we)declare that Ihis application(incWding any acmmpanying informa9on)has Oeen examinetl by me(us)and to the best of my(our�knowledge and belief it is true,mrrect ane
complete. I(we)acknowleEge that I(we)am(are)responsible tor the detail an0 acwracy o(all informatlon I(we)am(are)pmviding and that it will be relietl upon by Sawyer
Counry in determining whether ro issue a permiL 1�we)further accept iiabilih/which may be a resWt of Sawyer County relying on this information I(we)am(are)Droviding in or
with this avGlication.I(we)cansent m county officials charged wi[h administering covnty ordinanas ro have access to the a6ove described property at any reazonable time for(he
purpose of inspectlon.Addition ,[he unEersigned person�s)hereby give permissio�for access ro the property fo�onsite inspection 6y Municipal�cials.
Owner �{ Owner n p p p
Signahre �� /L���' Printedname 1�1P`1 Tlnfl Date o , I a�
r .�. .i-. n�rseM1ame-ec�i,=��
NOTICF all _i�. . . Cnf;llvCalilC^���`Utrrui,�,_i�_
p�._�:r� ..���.i�o���� a «.,., .-�. , i. ,...:��� :.i i m„��apai r ,n�e Rea�u r_��ic.c=�rr . :.r�,,o�::�.��,�y:c;,n�.
�..a �,5tateo 'eGn,ala�ences -aY �lso�eou .�orrinrn
You are responslble for mmplying with the requirements of the Sawyer Counting Zoning Ordinances and law antl regulations of the State of Wlsronsin.Vou are also responsible(or
complying wtth Sta[e anE Fedeal laws concerning mnstruttion near or on weUands,lakes,aM streams.Failure to comply may resWt in removal or modification of mnstruction
thac violates the law or o[her penalties or cos6. For more information,visit[he department o£natural resources wetlands identification web page or mntact a department o/
natural resources service cencer(6061 Z6�-3125
Issuance Information(County Use Only) Santtary Number: a�� I d-3 pof beErooms:
Permit DenieO(�ate�: Reason for Denial:
Permit k: Issuing agent � Date:
�a - 3yc� �,�Z.�-�.-y�_ ��a ar;��
Is Parcel a Sub-5[andard Lot !Yes �oeed of Remrd� �('No Mitigation Requiretl '�Yes
Is Pa¢el In Common Ownership �'Yes �Fused/Comiguous lorys�) I�.No Mitigation Attached ��Yes �
155[ructureNon-Canforming i' �.'Ves �Np
Granted byVariance(B.O.A.) GranteE by Conditional Use
��1 Y�s �. o Use N: '�.Yes 7 No Use N:
was Parcel Legally Created .�Yes "'No Were Vroperty llnes Represented by Owner `�Yes No
Was Proposed Building Site Delineated �f Ves r No Was VroOeM Surveyed yYes No
O(flceComments: ZoneDistrict: Fee:
�-F-� � �5'S�
HoldforSanitary: HoldForTBA: HOIdForANidavit HolAForFees:
OF<02021
8/19/22, 2:49 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Propertystatus: Current
Today's Date: 8/19/2022 Created On: 2/6J2007 7:55:45 AM
_�
�' Description Updated: 5/13/2011 � Ownership Updated: 6/20/2022
. ___ _.__ _ . _ _-- . _ _._
Tax ID: 27049 DALE O PINO STONE LAKE WI
PIN: 57-026-2-39-09-03-5 15-133-061000
Legacy PIN: 026182061000 Billing Address: Mailing Address:
Map ID: -16.6.10 & 11 DALE O PINO DALE O PINO
Municipality: (026) TOWN OF SAND LAKE PO BOX 306 PO BOX 306
STR: 503 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54876
Description: VICTORY HEIGHTS 2ND ADDITION LOTS t�B
10-11 BLK 6 f Site Address * indicates Private Road
Recorded Acres: 1.138 __._ . . -----_____--- _._ .._ _ _. __._�_ -------
N/A
Lottery Claims: 0
First Dollar: No U dated: 2/6/2007
Zoning: (RRl) Residential/Recreational One � Property Assessment P
_ _ ____
ESN: 423 2022 Assessment Detail
Code Acres Land Imp.
� Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 1.138 11,400 0
_ _-- _
1 State of Wisconsin Z_Year Comparison 2021 2022 Change
57 Sawyer County Land: 11,400 11,400 0.0%
026 Town of Sand Lake
Improved: 0 0 0.0%
572478 Hayward Community Schooi District Total: 11,400 11,400 0.0%
001700 Technical College
• Recorded Documents Updated: 11/6/2019 a� property History
0 WARRANTY DEED —
Date Recorded: 6/10/2022 439612 N/A
� WARRANTY DEED
Date Recorded: 11/5/2019 420939
0 WARRANTY DEED
Date Recorded: 4/3/2001 289984
https://tas.sawyercountygov.org//Access/master.asp 1/1
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