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HomeMy WebLinkAbout010-941-26-1301-LUP-2022-419 SUBMIT COMVLETED APPLICATION AND FEETo: APPLICATION FOR LAND USE PERMIT Sawyer Counry SAINYER COUNTY,WISCONSIN O� �I �� �� Zoning&Conservation�epart. ���' ".�_.'�,-`�'."""." :""—' `..,...'.." � 10610 Main St Suite 49 �r �i' f���P��� ��� P�1,, J.F h HaY�+�ard,WI54843 � � � . ,. , �. � � l.l lktt.,.._...,_�' V� ,�,�.�.,_ (715)634-8288 � ''` .s:_ _ .�_ . .. . -. � � � � j � � SE�' 0 8 �022 ' Rcpt;:_!�ew._.�v.,Qr �_d �3SS�- � , ; ,�. tYSTPUCTIONS�. No permiu will he issued until alllees are pa� � µ. (� Checks are made payable to:Sawyer County Zoning Department. ._y DO t10T 5'ART CONSTRUCTION UNTIL All PFP.MIT$HAVE JEEN ISSI;ED�APPI��arv7 Diiginal P.pplkation MUST be submitted FILL OUT IN INK (NO PENCIL) �t, --- � Submittal of this apv���aY��.on or recelpt of tecs tlnes no;con t tute permR dS�rydte�.��i : .. _ Owner�s�Name: " " '" 'Co4�tfact � � ame �Y/ `�"t-�l�'L'Ll ��(. !`�.V"�"" ---- MailingAddress: MailingAddress:� 7r � �tt� ��� ti c�-rs��:'M�/ �<,Kz� Phone: ��� ��< ��� � Phone: J Email: � �tvi'.� l/c.,C �ev�(�WTi��•�r� Email: Ske address: � �7� <:, �� l�V l i r � �'� ! r� Or Date applied for: i � �' ) tegaty PIN it � � � �? -U � �� � 7own of: F..i�-. �n.�� �.^ � � I I Oe!m8 delivery Ma!no4 i :;Call Owncr �(Maii Owner -..'al!Contractor �Mait Contra:W r I /\ �- Is ProDerty/Land within 300 feet of River Stream p�d. _._. �„ � InLe•m,t`e^') �: Distanr �^ e is from Shoreline: Iz your vrovcrty are wetlands : i / feet in Floodpiain Creek or Landward side of Floodplain? If yes--continue � ��-1 v� Zone? P�esent? �Shoreland � ves Is Properry/land within 1000 feet of Lake,(pond r Flowage I Distance Structure is from Shoreline: Ye �I"'pes--[cntinue --� �7 feet O No (i�/ ''�Non-Shoreland Describe Project Value at Time of Total 7f of Project type Foundation What Type&Capacity is the Completion Number bedrooms '�.ndude donaud (House,garage,shed,deck, (Basement, Sewer/Sanitary System(5) Addition,ecc...) of Stories Crawlspace, Post cime&�•ater�a' �ist separeteH Slab) mnstrudion 5 (,"���� � ��`�� Dwelling 5 ����� Accessory BIEg � �� ._ .,.. .,.. . . . nddition/N[eratlon Height: TotalSquare Lowest Footage Gradeto Prorosed Use � Praposed Siru�lre Dimensions �multiply per Highest story) Peak Residence ( x � Ft. with 2n°story or loft � x � Ft. with Basement ( x � Ft. � Attached Garage ( x � Residential Use Ft. Aecessory Strueture(e.Pia��) ( � 7 X �� � ❑ Agrieultural �e«a�n�eea,a.�.,�nee.,boa�no�,..,.��� � ' � Ft. U52 Temporary Guest Quarters or eunkhouse(circie rype� ( X � Ft. � Commercial/ oeck/Porch/Patio ( x � Ft. Industrial Use � X � (2n°)Deck/Porch/Patio Ft. C Municipal Use � x � OChEr(explain) Ft. � Other ( X ) Principal StruCture(Agrimltural,Commertlal,Muniupal,Etc.) Ft. ( X ) Addition/Aiteration(expia�n) F� 7otal habitabie square feet: Tatai Non-habitable square feet: �y �` (decks,paeios,Barages,sheds,storage area&other structures) ( j1,� M 4-� Originai Applicatian MUST be �submitteci Attach a Plan or Sketch your Property on 8.5" x 11"or 8.5" x 14"paper. 'Must• Include location and seMack of proposed and existing strudures,roads, I � driveway,sanitary components,well,lake,river,stream,and wetlands. ! - L __�_._._ .—�._—_ —._—._ _...T..._ _....._._'�__ _' '_ Descriptfon Setback I Descrlption Setback � Measurements Meawrements ______� __ ..—.. . , - � Setback from the Centerline of Platted Road and/or � 7 Leet i Setback from the Lake(o�d��.ry n�gn-wac�.ma.t) ��� ` feet i Setback from the Established Right-of-Way Feet I Setback from the Rfver,Stream,Creek ' '- v Feet i ----- --- --- I � � Setback from the Bluff if applicable F00t ' Setback from the North Lot Line U Feet ---.._ �. ---- Setback from thc South Lot Line � U G Feet ( Setback from Wetland ', � Feet �_..__...__ _�.._..T � ---..,. .� Setback from the West Lot Cine Feet Slope wi[hin area of constructlon/disturbance %Slope . ,.— - --- --...._. __..� Seiback from the East Lot Line Q Feet Elevation of Floodptain Feet ! Setback to Septic 7ank or Holding Tank �� Feet ' Setback to Wel� i �,l;) Feet ...._ ._.._.....- -- Setback to Droin Field Feet �� Setback to Privy(Portable, Composting) feet � ... i �t. � '.:e� i i _ ,. t .rtnFd[ „_ . �z�^t ��p,y� f^ ini7i r cP�:S . ^.iY._ , ua§ �,"Y-'h. , .n�'.' .nu_G �'r� . _.f,r • �'..4r� � r ..� tl. i-..� . ..:... . � ., .,.: � �,.,�� . . � �,...�., , . . ,..T , _. � - . _ . . . � o .. � . �� __ -.. .F..� . _ ,�c. . � .,�.i .. ,^.S?`t , - _� _. .. .. �. _ . . ' i"�',. . . ___ :h ,. . �.,.ti � , '�:1C .,. .__ CC . (. . ��� .., . , , „ ,.. i , . . . . .. �_ � . ._, i ... . . .�... � . . .�.,..- �L.. ..< < �,:�" . � �. � t.:: . .. � .. , .,_, , , _ _ �..c.�, ..., i _..-. , . ,. . �, -..��-c • , �>F ..- I �� � � • t�• � r ' �• � • �• r �G� Calculate Impervious surfaces.(Roofed,concrete, paved,and other wrfaces that water cannot penetrate.The ZoNng Office can help you determine ii a ( surface is considered impervious) i � , -� ,/�.� Lalculate lot area: � / l � .� J � / /� Indicate lot size from CSM �NOVU �cirde one): � �.� Acres; Multiply by 43,560= Lot area: / �' �� Square Footage , (%U y � Calculate impervious surface area: ' 1 �✓t � � L � ` �� p���«�� ' Determine the total size,in square feet, of your projects IisteA above (inctude eavesj: � `� sq ft. � � � U C, �� � � i / p � �, � [ �(/� V�K,�` ����'- Determine the total size, in square feet, of all existing roofed strudures(indude eaves): - % `—V sq ft. � �O� � � .� � r�<5 Determine the total size,in square feet, of all existing paved/bricked/blocked surfaces ( ` ' � sq ft. Z e I � /` ,.I i..{' L1 � f _ � ��p' � I�J ��� �� �~���_�������Add these measurements to determine total impervious surfaces: � tv .___sq ft. I� �� ��P�^�-'i �� t' L ✓/w �� ( J � ,� x t�j'} 7 �� Calculate impervious lot percentage /'7 x � �-/ � ZG � �( � � ��c ��� � f� ��S\ C ��(, v`�� Total impervious surface: � = Lot area: 7U�'v Sq ft. X 100=impervious surface U % 1 (M¢Igation Is required if total exceedi IS%� � •"Notice a separate grading permit needs to be obtained if dizturbed area is within the Shoreland district as indicated on previout page and meets criteria below•" �... ---- —......._.._ i Gradin on a slope greater than 20% �T Grading of more than 1,000 Sq. Ft. on 12Yo-20`Yo slopes ��. . Grading of more than 2,000 Sq. Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq. Ft. __ � � . ;;z . ., . - ., .. .. ., . . . „ .tr,F... .... i(we)tledare that Ihis applitation(induding any accompanying informat�on)�has been examined by me(us)and to the best of my(our) knowledge and belie(i[is true,�orrect and complete. I(we1 acknowledge that I (we)am(are) responsible for the detail antl accuracy of all information I (we)am(are) provlding 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 resuk of Sawyer County relying on this information!(we�am(are�providing in or . with his application.I (we)consent m�ounty off�cials charged with administering county orAir.ances m have access to the above described property at any reasonable time for the , purpose of inspection.Additionally,the undersigned person�s�hereby glve permission for acress to the property for onsite inspection by Municipal Officials. � � i ' Owner �y'���`�_Y � ro .r Owner � ' .-. . � � i�� ;�� � � � �' � ( Signature Prir.tcd name � �� � � �� � �" ���� '�• Date � �� � ��� � � .n „ R:U IfF .� ._. . r fr^. �`( „tcB Wnr:i� � n _ �.:'.i. ' :nr, � 'd���: , ; '-.,:E� . ;):_:� . ,. �.:�,. ..,I .nr: i ... .��. . . �ir. . . ..,,., . . "_ i( , .._lili.,v .`.L i'_ ^. t _ ... . ir � �.��h �. . i ..Fa....it5. .. You are responsi6le for complying with the requirements of the Sawyer Counting Zoning Ordinancez and law and regulations of the Sta[e of Wisconsin.Vou are aiso responsibie for � complying wrth State and Federal laws conceming consVuction near or on wetlands,lakes,and rireams.Pailure to r.omply may result in removal or modi'ication of mnstruction thac violates the law a other penalties or msts. Por more information,visit the department oi natural resources wetlands identification web page or con�act a department of naturai resources servite center(608)2673125 Issuance Information (County Use On{y) Sanitary Number: � p of bedrooms: � Permit Denied(Date): Reason for Denial: � ------- Permit N: issuing agent Date � —�— --- q�3�a� � � Is Parcel a Sub-Standard lot ' -. Yes (Deed ot aemrd� �NO Mitigation Required .Yes o Is Parcel in Common Ownership �Yes (Fused/Contiguous�ot(sl) �'. ' No Mi[igation Attached �Yes ! � Vo �� is SVacture Non-Conforming � Yes ^�No '��, Gronted by Variance(B.O.A.) 6rented by Conditional Use �� Yes No Case p: "�,Yes o Case p: Was Parcel Legally Created �Yes No ' Were Property Lines Represented by Owner .Yes �.�.� No Was Proposed Building Site Delineated ves No . Was Property5urveyed Yes I: No Offite Comments: � Z e Dis[rict: Fee: � � �� � � � �� � Hold For Saritary: FiolA Far TBA: � � Nold f-Ur fif[a�.vit� ......_---,__- � Hold Far Feis . � a7an2020 \ . . • �� S �.. }�a9 e,_._.,e�..�._. ` � . � 1' � � s � .c � �'� � C\ J �' � .�-� $_ $_ �o i? 4,_ ` n � � �C £.. -- ` p �� � � � -o e / `g. � � °4� . f � / a � ' � '�3► -— -x --, 4 Q, 'I � p w i S�+ O � �`� � tr p �� �� �� 1 C ��r ' 3 = '� i V "� _ - --� ( ` 1 p �� ( � � �� � `�� =i� � ( �� � �`a � R,� _�e ;�{��„ �� .� � �� � � � �� � o r� n.�. � 7> � � � �� �h ; � � �� : � � � e � � s � _ — � � � � � �, �, � � �� '9 f_ � o �Z� v � � Y i p O M1y P W P G� m - Z � ° fD � N � m w v - 3 r Z a F E `•' � C� � m - � -� � � - � ' — L ov_ " a �' � �, � ,� � o � - E � �, - 3 j' � � �1 c' S� � '� � o C� 2 "� # ft'1 - � v a o p � m Z � � z .'�o �► � r�' �-' � c�s x-' V1 . — � `C � �0 0 .� 0- .° :' 1 � � � � O Zg_�S-o3 � '@ � - , � � �� ? j � .: �� . ' ��� �i� ,.�, r � � . � ,s� "' ,+. � t� .� ( i. 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