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008-937-01-4207-LUP-2023-046
ws�rt�0�oteT�p�KAtw�uw APPLICATiON FOR LAND USE PERMfT FEE TO: � �� _ � �+ � � . onN{ngr&Conservaticn Depart- � ,�,_I.,,"'(�I.; ��� �� ;� ' -�� "� �� ' �' _ � `:, .....�,�_.,__..._-_._..... 1`i 10610 Main St Suite 49 ���-�— "r ��'` ; ` �,l HaYward,Wi 54843 i ,. ,- ���� � S w,. V V ,��5�6�.g�g8 MA� � 0 Z� 3 ;- _,_. __. . _.... , , . I _.% Rcpt# ew w�ri����� d ___.._ �� � � Nu Oermi[s wHl pe kwed uMd�d f�c�ra paW, e-.--- �'��'7 ChecYs are medo piyi��e tn-3suiye*CourHy ZoNnj 9epartmanG � ,__ , _, . C�,VV I R_.� � _ , .- '� ,'% ZONI{1�3r'�fCDAAI#�I��l�[Ntf�i�1�-,"::.' FILIOUT IN INN ,,�r;,:,�:; � _ __ _._ __—__ _.. --_ _. _.—.—_ __----_ _--- Awne�l51 nama� _ FaAtr�uwiq N� � Ro�-ev� Y NLusc� TU f f sh��( l N�a�✓�� De�o�- ; --- --- ----- - - ; MailingAddresr. . ... � Maii'mg�ddreu: -- .. . .... �9z1 1s}�1 � �i ('�Ot.�tN,s�'v✓j Ml� 559�! l�Ui�1�s�; MIJ S{'fl� __— . _____...... _ __^.... _ _ _ _ _ ; ' ahone: ��C��,�yL—�'� ' vnonr: /��Zl 3pU- gl� l i �:.Email:,.YI�)USGZYnC��G(��OO•�Yl� i Emsil: r5�1G�1 ��"Vt'��S�E'iA•Lf���._—`----... .....—_�'� . . .. __._. ._ .. _--_. ..__,- . , _�«�ae�,: . I�i4��.ri N(_W'u�c��u�e �t Birc6lWODr�: ao��eb.: ; . __ _ _.___, _._._ _. _._ J �,1 i ', te[xYVINN. .___�LO...�J���`"y�'L7 �. ._._ � TowaoF: ; �Gl��vv4�i� .. . . , . . ..A_ � _...... . ...,---`-i ��. vermk delivery Metlad ,i c�Gli Owner �Mel1 Owner -�Csu Contrxtor 'Mail[ontroctor � --_—__.----._ __ _._._--- -__- —�. �. ;n Is Property/Land within 300 feet of River,Stream t+��Me Stnicture is from ShoreNne: j is ynur Proporty I , , . i i�c..,a:E��l --►i .. , '� ��. � Creek or Landward sidQ of Ploodplain? ��- ' ' (�, O feet I �� � . � xShweland � _ _ -- --- _._ � '��, Is Property/Und witAin 1000 feet of Lake,Pond m Flowage . Distance SWRure is from Shorefine: /"� '�� . , F � � feet s � � Lf � I �� C -- ' --- - -- _ _. �-- ---t NomShoreland oesaibe D� rocs�x of Vs�ue at Ttme of Pr��� poundnion What Type&Capacity fs the Completion Numbtr bedrooms �House,garage,sned,deck ��� (8asement, ' Stwor/Sa�itary System�s) addttion.eu._i Craw{spxe, List seWroteh/ Slab) I I 5 ow«nr�q s � � ��� � °� .Shp,c� ' ' � sKlds/�ir o N f A Accessory Bld� $ IAddition/Alterarion I Height: ITotal Sqwre Lowest IProposed Use � Proposed Strudure p�^��S ��fO°�g� Hi�to � story) Ptak i Residence ( X ) � � i � Ft. � with 2nd story or bft ( X � Ft. � with Bssement ( X ' Ft. - � Attached Garoge ( x � � Res+dential Use ; Ft � Accessory5tructure;ezpiain� She� , , /� ^_' Agritultural �a«.�n.ac.•,�.�.sn�a..�:�n��H�..«� { ,�i x/"' 1 � v'1(� Pt. ��1 U� Temporary Guest Quartea or Bunkhouse(c-ck�Ypel ( x � ( Ft. _ Commerciai/ � Deck/Porch/Pat'a ( X � Industrial Use � ' ft. I (2^df Deck/Vorch/Patio ' X ' Ft. � Municipal Use � x � OLh2f(enpW�r) ft. _ Other � X � Prindpal5trudure(aqrK�dc�rai,co�e«�ai,M�„�cwai,ccc.) FL Additioo/Akeretion(apwml ( x ' Ft. 7ota1 habitab�e square feet: Q Totai Non-habitable square feet: �p 7't ���.� (decks,pados,garages,sheds,storage a�ea&o[her struct�sj �- c�kan�2d s l�.ed st�z y� i ��3 �i a -en�a�'I a+- o��s re�u.es-F-. M� � ws�+rtcpwvµ7�R�viKAna+wo APPtICATtON FOR LAND USE PERMR FEE TO: ,1 �r � Idfayp�����''_ry_�� c� .,. onVng&tonservation DeP�- � ^���. � �` ' ^ 1.1t�»� _..��aZ �� ..w._.._T._.,v,. � 10610 Mafn St Suite 49 ' ` Al � w VV Hayward,Wi 54843 , ���� ��/ ,,�5,6�_gZ� Ma� 2 0 2C� 3 '-- �� ___�... , % �St�� O , __.._ ._ __. Rcpt#��' wa-r id �. ... .�,. Nupermitawi0bakwWumOAtlf�a�apild. ` �'�'�''(" r fhecksaremad�pap6letn:3swybrCoumyloninsbepsrtmRnt. -- .". , _. . C_VVI R .� ,1.. . . : ZONIf�3�AiF�Af�lfiJ�hbtP►S�i�N �. ,`;, fIILOUfININi( iu�'�P�Nd'Itt �— — --- --- _—__ - --- _ _-- Awn��(c!Na� _ �NaF►Arl�K+m�? ; Rozev� Y l�.usc� Yuff Shp�( ll-���r� DPpoz- _ __ — _.; - — ----- - --- ; Mailfeg Addrcss:.� .-.. .. .-.. T MaiNng/lddreu: ; �; ��zi �t�4� A�- � 6�P'�'�� f�or.��es��r� MN ss9ol ���� �oc,lz�s�; Mr� sfore : ____�...__ . _-- __ --- _ _ --, .; snoRo: (5p}�990-�fi(:9� : onqnR: ���Z)3GU- S�f1? ' � ' emai:__..�'_il1U5GiY1�C��lGI-{iC0•�I'i�11-..---... '� e�a: __r'5�.�'1P�� �'�'VF.�<b1C"�.Gt'�v�_ _ _,.._—� ' s�«,a�.�,: ; 1y4��5 V�l W u��v�a�e �t B i rr�G1W OU��_o�o��e�..� � , .__ ._ --- _ _--; -- ._ , , iec.�rv�Na : C3L.,�.-�137 ' 0���-1�-t� ? .._— i ra.»a: i E.� eW,�__d�en'.._.,. _ � Oermit delivery Metlwd ; r�GII Owner �Meil Owner '�4�Contrxtur -Mail Wntractor ----_.-_ . .__.. .__--� ---._.._---- .. ....._._�_._.... __. __. _.... --r---` . . I �Is P'operty/Land within 300 feet of River,Stream(xa. ! p{staixe Strvcwre is from ShweNae: Is v�r Praperty i . ' iece.�,acE��1 feet ! , " . 90 . ., ; I Creek or landward side of Floodplain? - -�� ��' � � � �Shoreland - -- - _ -- - — - � Is Property/Wnd within 1000 feet of Wke,Pond or Flowage �. DisWnce Swcture is fium SharePine: . � /'� �. ' ,,. . . �� -♦'� feet . � . U �. I i .._ ._-----' -.._�— ....._,.�. _._._._ _.._--..-- _._. '—. , I �Non-Shorehnd � ! Oesaibe ���� Tobl N of ( V ComDletion� Vrojed tYC� Number ioundatbn �droo� Nthat Type h Capatity la the (Noux,gxage,st�ed,deck, �5��� �sasem�nt, i sewer/santtary System�s► � � Addkbn,e►c._1 �ry�g��Q, � list seW��eN' Slabl I I ' 5 I OwMfn6 r I � � I � 1 s • oD � Sj�Eti� IC'X��' � � � Skfds/r�ir U � N/f� ������ s ; �wcrw��aie�nno� Height: � Totat Sqwre lawest � Foota6e Grode to iproposed Use � Proposed Stn+dure Dimensions 4�h�pti�� Highest � � � story) Peak ( Residence ( X ' � Ft. witn z^"scory or�ofc � x � p�, _ ( X � wlth Baument Ft. � � x 1 � � Residential Use � AttaChed Garege Ft, I / ACCCSSOfy S[NC[U/C(ezplain) S��(/� � �ti� X �D, ' ��ni / Ft. (�1 � Agriculturel � ���a�h�n"�°°.m�o:.�rn,�,K:.��t U� i Temporary Guest Quarten or Bunkhouse(c•ck�YPeI ( x � � ft. ( X ) �_ COmMe►[ial/ Deck/Porch/Patio ft. Industrial Use ( x � I 1 (2nd�Oeck/Porch/Patio Ft. � � Municipai Use ' ( x � � + Ot�M 4ewu���4 Ft. _ Other ( x 1 Prineipal5trueture(�qrKwc�ro4 com�e.dai.mw�c�vai,cc�.1 Ft. � x ) Addition/Akeration(e.pianE Ft, Total Non-habitable square feet: 1�CJ�t � 7otal habitable square feet: � ' (decks,patios,garages,sheds,storage area&other strudur s� � _ -------- - ------_ _ _ Atta[h a - or ------ - - -.. ---------- ���your Property on 8.5"z 11"or 8.5'x l4"paper:•Must•I�rclude bcation and setback oi proposed and existing stnxtwe;roads, driveway,sankary canponents,we9.lakg r)ver,stream,a�d wrttends. __. _ _ _ ------ � _-_ ____ __ __._.__ ___ - - - ---- -�' - - -- - _ __ _ � --- -- - - -- ��PU� i Meawrements y i � i Setbatk � Meaw►emenu � _ - - - - 1 Setback from the Centerline of Ptatted Road and or --. / �.� Feet ;�-5etback from the 81uH fe�iKsa�h-w��e��++�k I -�--��Feet�� -- -_. . ._.- - �- -� Setback from the EsWblished Right-ot-Way � ieet Set6ack from the River,Stream,Geek feet �- --- �� � Setba[k irom WeNand . ..._..---.A. ' Feet� .... .-- --- ,_ -._.._. . --- - --- I Setback(rom the North lot Une I (o Feet _ � ! . ...... . ._ _� �. Setbatk from thc South Lot tine � � Feet i :_ ._. -- � , - . .;. ..._ . ___ , ' Setback from the West lot Line �, �Z feet � j Siope wkhin area of conshuction/disturbance � %Slope � .. ._ ._. _-- —_. -- ..._.._- r--7__ Setback from the East�ot�ine ', ��3 Feet � BevaUon of Fb lain Feet i . ._. __ . _ ._ . _ .-. i...__ �P - - ___ _ ._ i --i .._ .. ..._.-- -- - �.... ..--- -------- —.__._ ._� . Setback to Septic 7ank or Holding Tank ��� � Peet � � Setback to Well - ��Feet +, ;__......... ._..- - � Setbatk to Drain Field � ftet !-�—�_ -� � ��-� ' : Setback to Privy(Portable,Composhng; �__ Feet i � '�� � . . . . . . .�. . �. . . . - -.r•thdr4.i�^Goimdary Iln>4rom wr� . � . . �. . . � . � � p . . . .. . _ _ " � nr. HtihtC�.voe:"sgaFpcSn t 1 . . . . . . ' � ... !han fiv�!St`eet 1� . '�at frem thP rt±irir�um•��imed=,.1:.. � . .��4r�- ., �� . .... , .� ! � . . . . . . .;._ . . . . ,. o i ..., .p.,;�. ,. , . . . � . . . ` . . .. i . . . . .,. . ., _,,. . .,._ .. . ,. . . . . . . . . . . . . . , - . . . . . . . I � • • _"__ . _ ._" ........ . __ __ _. _.. __ -�ebate.The Zon Wfice un he Glcuiate imp�rvlous wrtaces.(Roofed,concrete,paved,and oihv wrtatts th�t watar cannot ' wrtace is eonsidered impervious) � �p Yau determine i/a Calcufate lot area: �ndicate lot size fiom CSM or NOWS(cirde one�:__ Atres;Muftiply by 43,560=Lot area__._ . Square Fpotage '� Caiculate impervious wrface area: I i Determine the total size, in square feet,of your projects listed above�irrclude eaves): ` sq h ; �� Determine the total size, in square feet,of all ezisting roofed structures(include eaves): sq ft. /�I � �il _ _� ��i ! Determine the total sixe, fn square feet,of all ezlsting paved/brickedJblocketl surfaces: sq ft. I Add these measurements to determine tota�impervlous surfaces: ___sq ft. Calculate impervlous lot percentage i Total impervfous surface: = �ot area _ Sy ft. X 100�impervbus surface % i (NAYI�i�h teWi.d 1I totat ev�eA+15%� I _' .._.�'"""' '_ ' "'Notice a separete grading permit needs to be obtained H disturbed area�s withln tAe Shoreland dlstrict as indicated on previous page and meets akeria bebw••' ,—' ___-- --_... .. .- ----- — .. . ----- __-- i _.._. . .._. ._....._�__._ . . _—, i L .....R�v Gradi�n�,of moret hanc'QQO SqnP tpn S�opei les5 than 12%` . �_ __ �_ Gra—di g_i5 tn exc ss Of 1,0 000 Sq tFtn 12%-20X slqpes� J i� : � _._..----.«_-_._ --- —_—.. I � . . . . � , . . . . . . � ; I(we)declare that this appliwtlon(induding any acmmoanying i�format�on)has been exam'�ned by me(us)and to the best of my(oor)know!eAge and beliel it is true,mrrect and � I complete. I(we)acknowledge[hat:(we)am(are)responsibie for the detail and accaraq of atl infornation I(we)am�are)providirg and that it wili be relied upon by S�wyer � County in determining whether to issue a permit, I�we),'urther au ept liabltiry wMcA may be a resWt of Sawyer Counq relying oo this information I(we�am(are)providing in o� ; w�th th!s app�Ication.t(wa)consent to counry oK,cials charged w�th admmistertng county orAinantes to have access to the abwe described proDerty at any reuonable iime�or the ; purpose o�inspectiort Addkronalty,[he und¢rsigned person�s)hereby give oermission for access to[he property for onsite inspection by MumciDal OHicials. Owner Owner r� `' Q -� � Signature - Vrinted name_�`v��lV � • M u�' I Date -� �h %,J i � r� i I � � Yoo are responsible for complying with the requiremen�s of the Sawye•Count�ng Zoning Ordinances and law and regulations of the State of Wisconsin.You are also res0onsible for � ! complying with State and Federal laws concerrting construction near or on wet!ands,lakes,and streams.Fail�re to comply may result in removal or modification of construRion � ,. that viola,es the law or other penalties or costs. For more i�formation,visrt the departmenc of oatural resources wet�ands identlfication web page or contact a department of i �atura�resources servlce center(60$)267-3125 � I �___ ._.._._._ _. _ __.. ...._ _._._ __._.__—! ISSUa(IC2 InfOrmation (COUMy US!Only) � Sanitary Number ! N of bedrooms: '------ -------� -- �-�.---_i__-- I � Vermft Denied(Date�: ' Reason for Denial: i i �--�-- ..__.. ..----._._�_.._. ___ ._-.__. __... _'_'--------__ . ----�' ; PErmR+t: � Issuingagent. Date: I � 3 � �' �fi � ' , 3/���a3_- ------ - ---__ __ . _ __. _ -- - ---- �� Is Darcel a Sub-Staodard Lot � '�.Yes �Deea M 2eco�al �� '� Is Parcel in Common Ownersh�p � � �Yes (Fvsed)Comi6wut 4ot�s)) o : Mitigatbn Reryuired �, ' �Ves �No ��, , I ��� Mitigation Attached ''.. � Yes . No is StrucWre Non•Conforming �� : Yq ; i �. ,__ _..__.._._. ..._._-----...._�_--._. ___._ .. .---' -_._.._�_ .__...._..__�_....---- -. Granted by VaAance(B.O.A.) � GraMed by Conditbnal Use - !�es ��.No Gse 7t: ' :Yes ..� No Case M: ���; `---- ----------� --__�---- .. _ _.- ----- � j Was Parcai�egai!v OPated ��� � Yes -� No i Were Property lines Represented by Owner Yi'�es No �'� Was ProDosed Building i.rte Del�n?ated �� � �Yes _ No ,. _ _ , Was Vroperty Surveyed � �Ves No __ . _ ____ _ _-_-_. . __. .. _ -.__. . . .____ _.. __'__. . _ . OHi-e Commert; �� � 2one Diztrict �Fee� S�ra�i �S1 D�+ ✓wtsn� ��� _ _ . _._�'-�_ ._�_ �_ ___._ _ .. ._ F��__ _._ � .�Q ------ -- ---�_ .._.._ . ,_ ____.________.__.___ •FeD2021 �� �� �-1 -�' 1 %S G�+�C/� �a1��� 0 t.�r+�G(' mvlsf C�f1�ac.�' 2�n•�J .i.,� a�r►G••G �c-r�:�- R2dl EStdte Sawyer County Property Listing PropertyStatus: Current Today's Date:3/22/2023 Created On:2/6/2007 7:55:15 AM � 'u^��'Description Updated:1/ll/2022 '�Ownership Updated:8/3/2022 ._.. __.. _..._ ....... . Tax ID: 8046 �� � R02EN&CHRISTA M MUSA ROCHESTER MN PIN: 57-008-2-37-09-01-4 02-000-000070 Legacy PIN: 008937014207 Billing Address: Mailing Address: Map ID: .14.7 R02EN&CHRISTA M MUSA R02EN&CNRISTA M MUSA Municipality: (008)TOWN OF EDGEWATER 4921 24TH AVE NW 4921 24TH AVE NW STR: 501 T37N R09W ROCHESTER MN 55901 ROCHESTER MN 55901 Description: PRT NWSE LOT 11 CSM 7/312#1487 1 Recorded Acres: 5.080 � Site Address *indicates Private Road Calculated Acres: 5.030 14665W WOODDALE RD � BIRCHWOOD 54817 Lottery Claims: 0 First Dollar: No �property Assessment Updated:3/28/2022 � Zoning: (Fl)Forestry One 2023 Assessment Detail ���� � ESN: 430 Code Acres Land Imp. G6-PRODUCTIVE FOREST 5.080 8,100 0 �-�Tax Districts Updated:2/6/2007 �1 ���� � � � �State of Wisconsin 2-Year Comparison 2022 2023 Change 57 Sawyer County Land: 8,100 8,100 0.0% 008 Town of Edgewater Improved: 0 0 0.0% 650441 Birchwood School District Total: 6,100 8,100 0.0% 001700 Technical College •�Recorded Documents Updated:8/3/2022 L11 Property History --�-- --.____...._ ..._... __..... .. . . ___. .......__.. WARRANTY DEED .... ...... . .. N/A... Date Re�orded:7/27/2022 440408 QUIT CLAIM DEED Date Recorded:12/2S/2021 436710 IN REM JUDGMENT Date Recorded:7/30/2020 425354 WARRANTY DEED Date Re�orded:3/5/1987 203842 CERTIFIED SURVEY MAP Date Recorded:7/17/1980 ll4668 - � . �. � �� � �� �; ' ' . �„ �: - `-- , � � c, , . � -. -: _ = rn -� ���� _ <,� .� y .+ ". ' .. �. �^. � � .. � 1 � V�1 q � � Ri • A x ��• '� �; �: A `t' 1! . ' '� , . . � - � U� � � - A i. _ . ._ _ ' _ � .._. ._-"- . 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