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HomeMy WebLinkAbout032-539-33-1207-LUP-2022-409 SUBMIT COMPlE7ED 11PVlIUTION AND �cro: APPLICATION FOR LAND USE PERMIT Sawyer Wunty i'._�.3 '� El.M ..�+ ,1 `-� Q \ Zoning&Conurvation DeDart. � � t,`I ! I v f�`- U at�..y.�..��� ���. /� �� ; � 10610 Main St Suite 69 � � � ,,,�'-�`�`G�`*r•` 1 �_J Hayward,WI 54843 � �l��'aa- � ,��5►6�-�� Chk#� ._.. _._ _ ,._.. ��� � � ���� RCpt#A1o,c�v Inbr \d. ��3 1 '. . -...:� No permits will 6e issued uMil all ha are paid. ,� Checks are made parabk to:Sawyer County 2onM{Department. � . . r-;�.}r. � ni,_::: ti.+cr :.�sy.. y{YA �p�gy� ppI" pq�qUSTbesubmltre.d FIILOUTININK (NOPEN[ILI � _ ,.� , , , La^1i�P?/IiiVi.? !'t-�VIl� Owner(s)Name: ✓ _ Contoctods)Name � ,,��i�.\ �" i'�' 'G.�� I-`,�a_t�,� Mailing Addrcu. ( 1 / , Mailing Address: ��✓ I'�o�rl�t.�=�d �T (�h� -;.✓U i'q��) WZ Plwne: +� �-,�1�i�q Pho�re: �'3��-�{!�"� ���/� �• 1 ! '/��/ /��,{{ Emall: � od � w►�r�V GN�"�N��l� •(.�/� Email: She addrcss: � Or Date applkd lor. � c!'V o� Le`a[y VIN• n���� �� 1� J 1 v� 1 Town of: 1�yva PermkdNhery Method �UII Owner AMail Owner -Call Contrector �Mail Conhactor I J :���Is Properry/W nd within 300 feet of River,SGeam p�rci. Distance Structure is from Shoreline: Iz your c�cr.erty tmermitten�) �I Are Wetlands GeekorWndwardsideofFloodplaint ��- � :-�.:.::� � feet F :fpia�n r� �Shoreland ' ,. �j�Is Property/Wnd within 1000 feet of take,Pond or Flowage DisWnte Structure Is from Shordine: ���S --► �C� feet X•1�, x'� '�Non-ShorelaM Desaibe Project value at Time of Total p of Project type Foundatbn What Type&Capacity is the Completion Number bedrooms (Hause,garage,shed,deck, p{Stories (Basement, Sewer/Sanitary System(s) "�� Addltion,etc...� Crawlspace, , List separately Slab) � � S �1,� i DwNling �.4'.A C-31,..�.. S a,�a0 Accessory BM6 .... S . . -... a ..., . : nddfuon/aterauwi HefgM: TOWISquare Lowest Footage Gradeto Proposed Use � Proposed Structure Dimensions �mukiply per Highest story� Peak Residence ( X � Ft. with 2n0 story or lok � X � Ft. ( X � with Basement Ft. Attached Garege � x ' �Residential Use Ft. Accessory Structure(e.oin+�l ( � X \� , \� Ft. ,O ❑ Agriculturel ta�u��dn�.ce�,:n�es,no,tno�K:,�t<� Use ( X � Temporary Guest Quarters or Bunkhouse(circie type) Ft. ( X ) _ Commertial/ Deck/Porch/Patio Ft. Industrial Use ( X J (2nd)Deck/Porch/Patia Ft. C Municipal Use ( X � Other(ezp�atn� Ft. � Other ( X ► PfIfICi�Jdl$YfUCLU12(Agricuhural,Commercial,Municipal,Etc.) Ft. ( X j Addition/Alteration(ezviain� F�, Total Non-habitable square feet: � / Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures) I y"I Attach a��a n or Sk etcr your Property on 8.5"x 11"or 8.5"x 14"paper.•MusN Inciude locatfon and setback of proposed and existlng siructures,roads, 0►fveway,sanitary componeMs,well,lake,river,meam,and wetlands. Uescriptfon Set6ack ���Pt�� Setback Meawrements Meawrements Setback from the Centerline of Platted Road and/or Feet Setback from the Wke(o�d��.�Y n�gn-.ace.ma.k) gG Feet Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet �' Setback from the Biuff��t,�rome feet Setback from the North lot Line feet Setback from the South Lot Line Feet Setback from Wetland Feet Setback from the West Lot Line � Feet ; Slope within area of constructlon/disturbance %Slope Setback from the Easi Lot Line � � Feet f Elevation of Floodplain Feet —_ — I Setback to Septic Tank or Holding Tank Feet Setback to Well _ feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet , .. � �. . ..,. i.,. - . � . - . ., . ., �;d secb,,. , . �.. � , .. . ... . . ..,,.-� r�s��(r;,, .;,,.. . . .;t.y,.i,rvr• 1�., .� .. . ', r,.� rr,,.,:��,t� =I;•..-;:. _�:6y.i.� ii .... ... , �� .,. ._. .�, . .� . .h..Kr���.;.i . . ..,...� �. � .. . . . . � .r d'.'.h J i..i. ,�:. .. iCalculate impervious wrfaces.(Roofed,concrete,paved,and other surfaces that water nnnot penetwte.The Zoning OHke wn hNp you determine H a i surface is considered impervious) Calculate lot area: �/2 �j� indicate lot size from CSM or NOVUS(circle oneJ:___ � Acres;Multiply by 43,560=Lot area: "L 7��+�0 Square Footage �� Calculateimperviouswrfacearea: `rQ,x�Z� '�"�Y`S} ' Determine the total size,in square feet,of your projects lisced above(inciude eaves�: ��`• sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves): sq ft. I iDetermine the total size,i�square feet,of all existing paved/bricked/blocked surfaces: sq ft. I IAdd these measuremenu to determine total impervious surfaces: �� sq ft. � Calculate impervious lot percentage Total impervious surface: =Lot area: Sq h.X S00=impervious surface f/•R y % � (M�rtiga2ion�is requlred if towl e.ceeds 15%� � •'•Notice a separate greding permk needs to be obtafned'rf dizturbed area is withia the Shoreland district as indicated on previous page and meets criteria be�ow••• j �Greding on a slope reater than 20% � Greding of more than 1,000 Sq.Ft.on 12%-20%slopes Greding of more than 2,000 Sq.Ft.on Slopes less than 124� Grading is in excess of 10,000 Sq.Ft. I(we)dedare that this application(including any aaompanying Information)has been examined by me(us)and to the best of my(our)knowledge and bellef it is true,mrrett and complete.I(we)acknowledge that I(we)am(are)responsible for the detail and aauracy of all information 1(we)am(are)providing and that it will be relied upon by Savryer County in determining whether to issue a permit.I�we)further accept liabilrty 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 counry officials charged with administering county ordinances to have access to the above described property at any reasonable time for the purpose of lnspertion.Additionally,the undersigned person(s)hereby give permission for attess to the property for onsite inspection hy Municipal Officials. I � Owner Owner J rn�. l�. G,� l�a��r '� 3o/L z Signature Printed name y Date Vou are responsible for complying with the requirements of the Sawyer Counting Zoning O�dinances and law and regulations of the State of Wisconsin.Vou are also responsibte for complying with State and Federal laws conceming construction near or on wetlands,lakes,and streams.Failure to comply may result in removai or modification of constnxtion that violates the law or other penahies or cost5.For more iniormation,visit the department of natural resources weNands identification web page or mntact a department of natural resources service center(608)2fi73125 i Issuance Information(County Use Oniy) ��itary Number: i tt of bedrooms: ,�Permit Denied(Date�: Reason for Denial: mit N: Issuing agent: Date: �' �,�- �l D I ; ,. � , � �� , i Is Parcel a Sub-Standard Lot '-Yes (Deed ot Recoro) �-� MKigation Requlred .Yes �/No � '� Is Parcel in Common Ownership �l Yes (Fused/Contiguous�otlsl) o Mitigation Attached ��Yes ��!tl:• i Is St,ucture Non-Confonning �Yes � Granted by Variance�B.O.A.) I Granted by Conditional Use � Yes " o Gse Ih �.Yes o Gsc M: Was Parce�Legally Created '�Yes No I Were Property lines Represented by Owner �Ves : No Was Proposed Building Site Delineated '�Yes No Was ProDerty Surveyed .Yes -i No Office CommeMs '� Zone Districk Fee: �� ��� Hold For Sanitary: Hold For TBA: !iold For Affidavit: ro,.���.� � maa�zozo _ �i� � _ - - - - , � - M�bftab�e Living area / .ha�l not be created � ,.;,�;c�.ssory strur,tures � ,� � i / G\��� a�\ �p� i / \, / ���� / `L�\�. { I � \�� ��`°'\�. �,^\� - �, . � . . . . . Y � . .. �.. . J . _ ' •• - -• - •� � • ' _ ... .� . . . . . . � ' . . . . . A ' ' ' ' ' . _ - - . _ ' -i•. „ . _ � . _ . ' " : i - r- ' . • - ' . . . ' . . ' 'r � �� . - " -/.- t_ • . , . . . .. . ' � . . ' , ' ' . " ' l�. { ' •• � 1�• ! • .Yy . - � . . . • ' �. . J . ... . • . . . . ' . . . . - : r� .. . r � . - � .+ � , ' . . J - ,.• . . ...• • , '.. 'f � � • t. . -• ' .. . 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