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026-938-07-5621-LUP-2023-100
SUBMITCOMVLEffD APVIICATION RND APPIICATION FOR LAND USE PERMI7 fEE T0: • SawyerCounty SAWYER COUNTY,WISCONSIN - Zoning&Conservatbn Depart. � �� �'` ,\ � 1 l'P+eS{�vAP«e�•W'' ' •'�. I 10610 Main St Suite 49 + • . ' �lN ,�.3 • � Hayward.WI5G843 I�� � ,;. ..�;_.._ ....!_.......__....��_._ . � (7151634-8266 '��� `e...� L � ^��� ' �11k# I��`�lD__...__._.._..___ �' � , " � � iNSTauc'il)vs�rvopermkswillbeissuedunblallfeesarevaid. -���Y�� 'na"y ���i"��+' ,�5� � O ""'_......__._ Chttks are made payable to:Sawye�Co�nq Zon ng Department. . �. a; ' ' _—_—`�� DONOT�TARTCONSiRUCT10Nl1NTIL_�II.vFRMITSHaVEPEENI55UEDiO��PIICANT Ong ApplicationMU$TbEsubmitt2d FILLOUfININK(NOPENCIL) SuCmittal ol t�is appl-ic,it'ion or receipt o(Ic�i�s does not cons�itute Oermit issuance. Owner�s�Name: ' ' [ontrector�s�Name P��//�u�/y 1-FIinG+ /�dR /.S:!1 5�.� ' c � l MailingAddress:3i3(J `J �/t/�� AJ1�sv�CDw� �L/ MailingAddress: S�/��6 O � �n/ / A.T£ (.v Phone: ��p� li/Z O~ �.j 2 3 Phone: ',IS Y�5�—Z�o� (/ Email: I�y��� Email: d oN F .a/�[ Site adAras: (�..) Or Date appiied(or. 4p PIN p Q,z, Town M: Q L VermitdeliveryMethod n UII Owner u Mail Owner �Call Contrec[or -.Mail Contractor x Is Vroperty/Wnd within 300 feet of River,Stream����. Distance Structure is from Shoreline: Is yaur Property �"",""`""�) � i feet inFloodplain Q�eWetlands Creek or landward side of Floodplain? If yes--continue Zo�et Present? �Shoreland ves Is Property/land within 1000 feet of Lake,7ond or Flowage Distance StruRure is from Shoreline: �e5 If yes--continue� feet No No '�.�.1 Non-Shorcland Describe ProjeR Total p of Value at nme af Projec[type Foundation What Type&Capacity is the Wmv�etion Numbe� bedrooms Ind��de Aen-��-r�� (House,garage,shed,deck, (Basement, Sewer/Sanitary System�s� Addition,etc...� �Stories Crawlspate, Post t�ime&materizl List separately Slab wnstruction ) 5-�°��� � Q„S i c� w� yo �- owNlin6 S ��Jl�l� I�. . Accessory Bldg � lddkion/Allmtion Height: TotalSquare Lowest Proposed Use � Proposed Structure Dimensions Footage Gradeto (multlply per Highest story) Peak �3� x <d 1 !Yd_/�, � Residence �6 F� 7�„ M with 2n°story or loft ( x � Ft. with Basement ( x � Ft. Attached Garage ( X � � Residential Use Ft. Aecessory Strueture Ie.Pia��N ( x � n AgfiCultUfal fe.ea<n,ae•�•e•:..n.d:,c«eno�:.:,:r�i Ft. Use Temporary Guest Quarters or Bunkhouse(orcie�yoe) ( x � ft. ❑ Commercial/ � ��e� vorch/aatio � g X ZO � l60 Ft. Industrial Use ( x ' (2"^�Deck/Vorch/Patio Ft. � Municipal Use � x ' Other�e.n�a��l Ft. = Other ( x � Prineipal Strueture(agr���imrai,Commer��ai,Mu��dna4 etal Ft. Addition/Alteration(e.oia��) ( x , Ft. 7otal Non-habitable square feet: 7otal habRable square feet: /� 36 (decks,patios,garages,sheds,storage area&other structures) � '�N � Original:.pplitation MUS; U, �::��nitted Rttath a Plan or Ske[ch your Property on 8.5"x 11"or 8.5"x 14"paper:�Murt'Include lootion and Setba[k of proposed and exittin`structufef,roads, dAveway,sanMary componenu,weU,lake,rlver,stream,and wetlands. �. Deseriptlon Setback Dexrfption Setback Measunments Meawremenes Setback from the Centerline of Platted Road and/or , � 2 Feet Setback from the Lake(ora�o,�y n��en-w,i�,m,rk) Feet Setback from the Eswbllshed Right-of-Way Feet Setback from the River,Stream,Creek Feet Setbatk from Ihe Bluff �r.porobk Feet Setback from the Nonh Lot Line Feet Setback from the South Lot Line Feet Setback from Wetland �7 Feet Setback from the West Lot Line Feet Slope within area of construttion/disturbance %Slope $etback from the East Lot Line Z, Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet Setbackto Orain Field Feet Setback to Privy(Portable,Composting) Feet w��� :�.Ys cbcement or ronstm¢ion of�s[ruaure wiUin five(5)feet ofthe mm��mu i r �g � C,cm„�4 :.i-noundary Ilne£mm whlch the setba�k must De measu�ed must ba�+isC<Lom,z,. pre:iomP�surveyeo mme�to�ne oth�r p�z�ipi�sry tio�veyetl corner or marked by a ficensert aurvryor e�;he ov:ne�'s expense- 7rlor M ffie F'acemert or mcsouc;ion of a sm�ia�.•e more than five(5)feet bu�less ihan ten(30�feet fiori the mlmcmm�equved sethack,Me bo�ndary Lnc f�am w�icF the setback murt�e meawred nus!=r.�iv�ie tron one 0�=mousW s.,�:�=yrd wrner to me ot�er previously surveyed mmer,or venfiahle b4:he Ueportmeni by use u`a cor�,�ted mmpass!mm a known comer withi Of ucnV:.�� �� , ,.i� , r sn.. �.�, .,, m�s:Gemarkedbyalicensetivurveyorattheowner'�e*oenve. Calculate impervious surfaces.(Roofed,concrete,paved,and other wrfaces that water cannot penetrate.The Zoning�ce wn help you determine if a wrface is considered impervious) Calculate lot area: ) Indicate lot size from CSM or NOVUS(circle one): 30 66d Acres;Multiply by 43,560=Lot area:_1.S 5� �) 2�i��i/� Square Pootage Calculate impervious surface area: Determine the total size,in square feet,of your pwjects listed above(include eaves): �� �fl Z sq ft. Determine the total size,in square feet,of all ezisting roofed structures(indude eaves�: ��O sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. Add these measurements to determine total impervious surfaces: �3s� sq R Calculate impervious lot percentage Total impervious surface:.��Z e Lot area:��Sq ft.x 100=impervious surface r �v. % (MltiQation is reQuired if mnl eviceeds 15%) ••'Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria bebw"" Grading on a slope reater than 20% Grading of more than 1 000 Sq Ft on 12%-20'Y slopes Grading of more than 2,000 Sq. Ft.on Slopes less than 12% Grading is in excess of 30 000 Sq Ft Fn�wHtr.io¢rn;aari �;rnH���,vccoNsraucnoNwirr,ouTnv�iem�iwn�a�su���NVENn�nrs I(we)dedare that this application(induding any aaompanying'mformation)has been ezamined hy me(us�and to[he best of my(our)knowledge and belief it is Irue,corrett and comple[e. I(we)acknowled e that I(we�am(are)responsible for the detail and accuracy of all information I(we)am(are)prov'�ding and[ha[it will 6e relied upon by Sawyer County in determining whether t issue a permit. I(we)further acrept liability which may he a result of Sawyer County relying on this information I(we)am�are)provlding in or with this applicaBoa I(we)mnsen to county officials charged with administering county ordinances to have access to[he above described propeRy at any reasonable time for the pur0ose of inspe<tion diti 1 ,the undersigned person(s)hereby give permission for access to the proOertY for onsite inspection by Municipal Officials. Owner �- — //I ,/1 Ow�r /7L f� 9 Signature PflMed name.� ��L ' " /�' 1 Date `/ �� _�O ��3 �)ign.tu2 anc�nri_�a harne rpuune9l NOTICE Ail t�r l.c Pcrm!'� .�- „i�;1)Yi nr from thr D •c J��.-u.in,.r� F [r��o� i i ,_.,'�+N �. _ -:.r,laiily �r,elLr� �. Livli.���:ip�Inar.4�eHe4ur �T�Cnfnr�� l J ��_r,��iD.. �r=l.�tl^. I.� ��a ltdbr n� .�.� , r�e�so re�arca urnnu�. Vou are res0ensible for romplying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the Stare of W ismnsia You are alm responsible for complying with State and Federal laws conceming construction near or on wetlands,lakes,aM streams.Failure to comply may result in removal or modlfication of construction that violates the law or other penalties or msLs. Por more information,visit the department of natural resources wetlands iEentification web page or<ontact a department ol naNral resourtes service center(608)2673125 Issuance Information (County Use Only) Sanitary Number: �-3 ^ ��� a of bed oms: � Permit Denied(Da[e�: Reason for Denial: Permi[N: Issuing agent: Date: �3 - ( c� �—i� s �; a�a�3 Is Parcel a Sub-Standard Lot I I Yes (DeeE o(Recortl) ��I No Is Parcel in Common Ownership `�Yes (FuseE/Contiguous lorys)) '�. �.No Mitigation Required �.�'Yes No is Structure Non-fonforming I�Yes �`�No Mitigation Attached L��Yes .��No Granted by Variance(B.O.A.) Granted by Conditional Use ";Yes �, No Use p: ::Vez ��No Case N: Was Parcel Legally Created �`(Yes :;No Were Property Lines Represented by Owner ��Yes No Was Proposed Building Site Delineated �Yes ;_No was Property Surveyed �Ves No OfficeComments: ZoneDiztrit[: Fee: ���- ` � ��c-� HoldForSanitary: HoldFor78A: HoldForAffidavit�. HoldForFees: �Fe62021 R2dl ESt8t2 Sawyer County Property Listing Property5tatus: Current 7oday's Date: 5/4/2023 Created On: 2/6/2007 7:55:47 AM �Description Updated: 6/8/2020 � Ownership Updated: 6/8/2020 Tax ID: � 27751 � PAUL 5 HLINA SOUTH RANGE WI PIN: 57-026-2-38-09-07-5 OS-006-000210 JUDITH SWANSON-HLINA SOUTH RANGE WI Legacy PIN: 026938075621 WILLIAM]AMES SWANSON OSWEGO IL Map ID: :6.21 ESTHER E LEE OSWEGO IL Municipaliry: (026)TOWN OF SAND LAKE STR: 507 T38N R09W Billing Address: Mailing Address: Destription: PRT GOVT LOT 6 LOTS 1-2 CSM 4/137 PAUL S HLINA PAUL 5 HLINA #741 3130 5 CAMP AMNICON RD 3130 S CAMP AMNICON RD Recorded Acres: 3.660 SOUTH RANGE WI 54874 SOUTH RANGE WI 54674 Calculated Acres: 3.857 Lottery Claims: 0 � Site Address ` indicates Private Road First Dollar: Yes 4364N HATHAWAY LN STONE LAKE 54876 Waterbody: Sissabagama Lake Zoning: (RRl) Residential/Recreational One l� property Assessment Updated: 9/28/20ll ESN: 423 � -� � 2023 Assessment Detail Code Acres Land Imp. � Tax DistricGs Updated: 2/6/2007 Gl-RESIDENTIAL 3.660 299,100 7,300 1 S[ate of Wisconsin 57 Sawyer County z-year Comparison 2022 2023 Change 026 Town of Sand Lake Land: 299,100 299,100 0.0% 572478 Hayward Community Sthool Distrid Improved: 7,300 7,300 0.0% 001700 Technical College Total: 306,400 306,400 0.0% -• Recorded Documentr Updated: il/8/2019 � TRUSTEES DEED ��t'�'Property History Date Recorded: 12/23/2013 388780 N�A �� �� �� � -�- SCRIVENERS AFFIDAVIT Date Recorded: 6/3/2002 300607 QUIT CLAIM DEED Date Recorded: 8/6/1996 z55864 LC583/313 SCRAFF805/920 CERTIFIED SURVEY MAP Date Recorded: 3/15/1976 154507 a � { � � �� w 2 o � Q � � , ��� � � y, �� � F s w ��"3 I � �` („ � o`' � � 4 o � - � • � � � � � � � � � � � � N� � � x � � � -� z M S �� .� � n � � ? � i � � � � -� ' � �; � � w 3 � � �� �,� - � � �' � "� � � cv �. � w � � -� � v � 3 e x � � '�t� � � HL I NA PROPER T Y N 4364 HA THAWA Y LANE STONE LAKE, WI 54876 W ' ,_ E i� S 1��, � BIG SISSABAGAMA LAKE 01�' � FLOOD ELEVATION = 1321 . �7 � eQ�+ \ 'qQ Q '9 p � \ �Xs SCALE 1 ' =60 ' F � C,S�p� <Op\ 09(rNcc � �2 F<F`� 0 60 120 O 4l \90� rO� �E f 21. � },p N07E: ELEVA7ION 37 � � \ 7HE AREA OF THIS PARCEL BE7WEEN � 'rL F�OOOLINE ANO PRIVA7E ROADWAY 9.� ABOVE FLOOD ELEVAiION OF \ \ BIG SISSABAGAMA AS N07ED � 9 � � \ � �� v` p� \r �� � 01 �'c ��T LINE � �W=O� Q�_ BENCHMARK 'n~��� OFI4r DIAME�ERTBOULDER, �J O`j� I ELEVATION 7325. 19' SS �y JWCI W f� m W C�tli / QW� ,.�jZO: ¢I�l•Jo0 ? z a U�a �J ` IIIiI/ � \�� / o J�a u � / ���\`��SC�h/S�'l i�� �� �' �. �i / ` ... ... �i iiQc!) ,.. -i *;��� • ��'•. *i ��`` z U � / � MICHAEL C. • � V�� `: — :• CLAMER i .- �w _ - ;;_ u' — 5-2345 — / � �• . S1one lake, : � � �,. <�• Wis. f � �,•9�.��. ...... •y0��. / ''����lli 11��``` / / ���� ��Z9,��2� ICHAEL C CLAMEA. WPLS 5-2345 W235 COUN?Y HIGHWAV B / STONE LAKE. WI 54876 FIELD WORK C�MPLETED 04/25/2023 � �� i � 3 i `� � � W 4 � 2 �}� � ti S ,����.,�,����,,,,�� � �ti �� ��•, � ',',� � �t `!� � � _� l `rp ii � � �p c� � �~f��Q �''L r . � _ • �� � = � � Q r� : ����� � _ � � m r' a� � a ' - � �' = : � \ '•'.� '••,4wY�R• a'C�•: ' � �' 3 -., ��.- v. � � m '''��•..�;�....•••`� � 'a $ � // K � � . � ry/ � � � . . � �I =�u � � . � � �yo �� -o'�'�� � � � � l� � ,o�• S�I �s� " �'Q�. �-¢ � � , // � . _ s / ��� � ,�j/ h o �q, . �� ry,N // �d t°� s-G� . 0� . / � '�5 _� , �Ig ! .41 • a\ � � iz¢ .Fv�s" r��"�� � /,p. ,�o d � ,a � �, ,7 � q O \ 2 O � �N �� r � 1k�� � �� � 5 �O /� '�"� Z 1 92 �Q �� � �` `��i '� "�` ��' ti CWi .� .i� -c� � Q � W �` , _ , Q a — .-- � 9 � � � � �� o r�R0A0 _..-- -(�� t�i� l� W � — �J � Pi4G�s�` �� Cp �1 ` � � Q� f � � � � � �� � —^ _'l� •� � i11 � � � � ` � � �� /�9 � `� � � � � •� �W o � � � � .c= �j � � q� /y 7 S`� -� � �J O � N C;�,�� � ' � - z ���� �'_ �.�,�'y a`.�`' h� � � _ � � � z � � � � �0p3' /5r - � . .Pi'� — � ,� 6 ,6 ,30 x� � - Page 1 oE 2 Pages . tJ9 �g3,09 � �,saso�� 1V� ,� Lt'� `� �O /d����'� -- J �.-� `; i ,i _. ,5: ;::z ,J M� ,'» �`� �'> ��i � � 3 ._ ,.� r .. '. . � ,�,�, k • � 3: �v� �' '�. y`-. ` x:.y��c,'�4''�'� � � �,-. Ite��Y Jx'a,i.-i� � �� a9 � , �� _. ��f,. �i' K. -. > ai'�j i�;'T��.�",��+�- j. ;,$ �,+'y`�: s� ,�z � ti,���q , �r �; y �� �, i� � 9Fd F' �' t y ��;� : u 1 t� yf s � "€i: �{ ��.T .�. , , ��� ��g 3 ; f ... �� � a � e , _y r 'S'� � v�.� r �yf 1 ,a, e � : �i �{ ^ ; __ ., � � �. / 4 f. Al 1 tr� �('�I�� r . t�, t s, t S'"Ctr F �f K � �" �� ��:.�-'�v r'� � �'t'�i � � �r'Y ' �. '$w ?i Y �w� •, ..� 7 ��� ��,�'�:��e, �.! �,kat;�,�� �� a ��`.9~� �K�'.�. �;� f: �7 � .�.�J'` R 5 �. r� .Y� l��!�: � �' .�. .4 � �E �r;ai . �"� :_� � ���� : ���,. ` F � ' c�.�n . � Z � � +w 1, � a F � T �j'4 y ��: :'�'� t �1.^�T� P y'�r}'��.. 3�. - � � �_ �-:�, Y -y_. L rx�� �, .- > ) ;z � �;�, �,, ;.�,s � C rn �'�. ��� ��f r.. � '-. : �5 � . ; . � ay.. dP".� �` �, :. _ y�3 � . .' ,< � �y��� � . �. , .� ; i�' �,,_ ,�1 y ,�: ��r ,<g � ,� '4+ts�, ,.:,�}.��f:-� � ` ��'� :i�� '. ,., ._ o"� . r — S��'" .h.y,, ''e _ i _�_ Surface Water Data Viewer Map �egend ; __ � � Wetland Class Areas -'-'' Wetland Class Points _ + — �* � Y�� �� � � '� .� � Dammed pond ' , „ . �T8K q�.J �.. ti " . Kr � , -� � Excavated pond ' ��i'�- • �.����� � Filled/drainedwatland N � , . .�; ...,..:. � ��`..� `-�t. � '� '� Wetland too small to delineate 7�� . Filled excavated pond ,� !/i Filled Points `�;r 'T`�^ Wetland Class Areas � ' +� 1 Fvlled Areas �,� � � �k, , etland Class Areas ��' ~� t� z� .s}_ > Wetland Class Points � s��� ��� � y��w"�►.,-. �•,.,� � �S� Dammedpond �Vt �� \ , ` � •� -•. � }�g „ ,.��. r;y '��'`` , . . Excavated pond L �`�� : � • Y Filled/drained wepand � t.. + �=� ��,` �� ,r�} .` Wetland loo small to delineate �f ,. �C �`',. � ,� �'�� .�} � � �� . Filled excavated pond �:� �� '_. � '.; +�q,�-r"y .�� v�• .,�`+�e� 9�ra S3it��; ;� ',,� !j Filled Points � + p��r�'"�''�� � � � Wetland Class Areas , - -, �a� �� .« _ �� ,� ,*�}�..t � � ..: .. � -�+..� ._ t}.�C�'�1M'w�i`��K.�4i�%;�v�� �GU .� - • .�. Ac � ` t i '�- ~t,� " a, ' �4 � � �-� . �. �zx Filled Areas -R., ���:�••4� _::t'�s! -.�w ,4..-a�� �r �V�..:`,�•_ .� � s: t�� •�� � �� �,,� ` , - -� ° � � � �n �+. 2D Water Surface Elevation ,�,T.it �-. Y .� � ��,,;�'' ,,- �:�• ��x�.i" r- �....� � `F � Grid k;.�: � ` •,�'�► � a �v�,� ��—,� ~"�'� �` �• i►_'-s`t':-M ��, .. .i . T:r. ^� �. - ��' �,+,.-. ,�' .�i��I���_ ■ High:937.629 ,��" � u �i1ti� �!-�'� � �Sr(�`""- i `�t .t,s,T 54h ���� i � � � � � t; Ncy� i r T�ri `� «�� "�' � +�1� �,• � :n�l��, �' . i;,' Low:853.184 � � ..� �r�� `,�� +� � �� �'Xi', �;� ,�t t�,��a r • . R � r,, Dams : fi," •� - .0 � `++� � ;��.` dr` �� �, � . � �`'• . Dams wilh FERC License � '. . _,..y� -T� y �{�Y. �t . . T;K .e�+�i. �' T K 1,.� ��"� � ��n"',^' �� - � 4-`.�, NGf . . � �' � Dams � .t - .: .�. ...., " �•'4.,ti.�`'4 'x ti3 �M��� � F�? + ,'y' , a� . +'i �: • Record Flood Levels S:({� ,T - •� r W14,�,"� � � �'�1 p,tr, :�;:;d�T ' . `�, ,'�` `� Analysis Lines � . - �, 42 �,�, . �'� � otner ,,y�, T'sH - ���+ n '4 � �'t ���� '�y � Flood Insurance Study .�y� ' " � , : e . i �'� ; `. � - �'. �y_ '� ( ����� a � Letter of Map Revision T] 41�K i�,*.. ..:� �.,§*h� �,� �.x'� s 3 K �i,'r�'. �r}'4 ' � � �� ; ,� .� i,- � � t'�+. � Case By Case Anatysis �K� s-1 ;ti � i 4�z� 4 2l. 4 , . X +It�7 a.;a�o a _,.�. t.� i�e'�,;.. ���� � �'•� __.�� . C w �"1' �`1H 53HY5r53K — - � Notes 0.3 0 0.13 0.3 Miles __ _ � � : r� ,���,,,.�- ��.:, ���,�,� �,.,��: , . "��a��o�s .,�,. �ourcc s_and are of wirying age,reliabiGty and r�-olutiun_These maps are nu[in�ended to be .�ea for navigation.nor are these maps an autYiorrtative source of Information about leyal land ov;nership or public access.No warrenry,ezpressed or implied,is made regarding accuracy. a�^I�c bihry for a particuiar use.mmpleteness,or le�ahry of the information depicted on fhi; NAD_1983_HARN_WiSConsin TM �; 7�g2Q ,,. .-r:ir-�;onnhtion see the DNR Le{�al Notices web page-http�.i�dnr.wl_gnwley,l. `�\ � �� � ��11��� --_- `��� 1 �� ' r-- :�, ,\, ,�, , � � - � , � �--_ ,- �� � _ __� _ ,- -- — � �.--.. .----- 'y -� ;.-.e.—� I -- � � � ���:��� � i r , , ;��I' i ;� % �, � �- -_ i ; _ , � ��'� ���',� , ;��,�� j ,'� ,��� f ��` -�� ��� f� z � � � , � D N _ I I `� 0 Z�� � z � i � 1 N '� _ I � I i �.� � `� i � I _' rn N �-_- !. � i i , � —�— � rn '_ � � ' � ! 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