HomeMy WebLinkAbout026-939-12-5219-LUP-2023-271 $UBMRCOMYIETED AVVIICqTION AND
veero: APPLICATION FOR LAND USE PERMIT �.\
Sawyer tounq SAWY r� a
2oning&Conservatlon Depart. �/ "
10610Main5t5uite99 � � � �7��t._!_.���L� .�� �
Hayward,W154843 0 >
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�Na.A�rnor�a nove�m��w�nx�:,��a���a.nk«a.ea.�a. SAWYER COUNTY --
C�ecksaremadepayablero:AwyerCounryZoningDepartmen[. �ON�NGA
oOrvOrSraalCorvnaUCTiovUNnlpl�.vErsMlTSHnVEBEEN�SSUED OnovlKqNT OriginalApplicationMUSTbesubmitteE FILLOUTININK (NOPENCIL)
s�ema�i oi m�.av�r,�,r�o 0 0,,e�e�o�oi rr�,do�,ooe�o�.r�w�e oe�m�r��...,a�ce.
Owner(s)Nam¢: ContractoHS�Name
�.��� /"�' F��.�fcN�RUS`r' '(��
M��I'���t� ���bt(� dQ� �t10.aGl�l f�191 SHq' Ma717ngAddresz:
Vhone: )��/��'lf, _i/-13Q Vhone:
r/M ss p.et��sen C��M�r;l,�.�s►+�r
Email: Email:
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5�«.�e,�: bb�-lON WHi7E.I.A�tE a:� S'lB1b OrDateappliealor:
�ea vmx (.7�.+'�3 ^ Z $�G-� ro.V�m: �11v1� (it��
PermkAlllveryMNhod nCallOwner ailOwner �CallContractor -Mail�onttactor
Is Properry/land wi[hin 300 feet of River,SVeam�m�i. Distance 5tructure iz irom Shoreli�: is your arooPny
� �°��) � feet m Floodplain ^re we[lana:
Creek or Landward side of Floadplain? i`yes co�[�nue vrese��?
�Shoreland zonc'
Xls Property/land within 3000 feet ot lake,Vond ar Flowage Distance Structure is from Shoreline: Ves �es
ifv�<--m�<�n�P� IQa ket � Q
Cl
�1 Non-Shoreland
Desvibe ProjeR
Value at 71me of Total p o(
Project type Foundation What Type&Capacity is the
Compieeon Number bedrooms
��d�,de do�,aicA (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc..) �Stories Crawlspace, Post
time&matenal ���Pantely Slab cons[ruction
)
5 (�h�vt(�F ,�. S[..hB
o.duns . ...
,:, il not be createc
5�� ;�cessory structures
pcttswry Bldg
5
RdEklon/Fleention
Hefght:
ToWlSquare Lowest
Proposed Use ✓ Proposed StruRure Dimensions Footage Grade to
(multiply per Highest
story) Peak
Residence ( x �
Ft.
with 2n°story or loft ( X �
Ft.
with Batement ( x �
Ft.
�Residential Use A�tached Garege ( pt 2.L'
�/ Accessory Structure(e.pie�N (�J,e(-o.�h2 r� ��qv7u�i,� � �r' x'7� � 6 Ft. �[�J
]Agrieultural Y �d«,��.ae.,......n.d,,no.�M1o�.....��� �.G
Use 7empororyGuestQuartersorBunkhouse�o.cieryoN ( X '
Ft.
[ COrtlmeftfal/ Deck/Porch/Patio ( X ' Ft.
Industrial Use ( x )
�2^^)Deck/Porch/Pa[io Ft.
�Municipal Use ( X �
Other�e.via��1 Ft.
� Other ( X 1
Prindpal Structure(aqrrcwwrai,[omm�r�iai,M����ciaaL etc.l Ft.
( X �
Addition/Alteretion Ie+via��l Ft.
7otal Non-habitable square feet: (�q/__
Total habitable square feet: (decks,patios,garages,sheds,storage area&other stmctures) �J l CJ
Original Application MUST be wbmitted
Attach a Plan or Ske[ch your Property on 8.5"x 11"or 8.5"x 14"paper:�Murt•In[lude butlon and setback M proposed and acisting rt'uctu�eg roads,
driwway,sanitary camponanes,w�ll,lake,river,stream,a�d wetlands.
DeaN SetWck SeSbadc
�� Measurem�nn ��puO� Meawrements
Setback from the Centedine of Pla[ted Road and/or Feet Setback from[he Lake(o�d��o,ry n�ge�w,ve�m.�k) Q Feet
Setback(rom the Established Right-o6Way Feet Setback from the River,Stream,Creek Feet
Seffiack from the eluff �r,00iK•m� Feet
Setback from the North�ot line 5 feet
Setback from the South Lot Line �Q Feet Set6ack from Wetland Feet
Setback from the West Lot Line 0"L Feet Slope within area of construction/disturbance %Slope
Setback trom the East�.ot Line Feet E�evation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to orein Field Feet
Setback to Privy�Portable,Composting) Feet
1 i. tl-,, ,,n ,� _�u.. as.ructurew[hifive�5lf,, . �_r, �el�er4 �t�.. �ioaryre onwF�d�theset0ackmustbemeasu'edmus�bevisl�lehomone
. .. . . �nn ' �
.i.,.. � -i .. � _ �.cv.ouslY� ..ey�dmr.- a � kYI,:aLi._v...u�evraii� ._.in.xVerse.
-b:lmpla_�r �ior,crtituc ef�_t�rt�'�: io �9�anfive'.51(eei .�ilu>inrfe� it0�(ePtfmm[�emmmam�+CuetlsetbacAt��ti.u!arylitfromwhThtM1' ..barkmuslCe
s etlm�v.ce��sbl,l_r,.nntpe uslys�ive� J-.o�'� .ome ',h.. ;, . , �ve,.dmr r,orvetlflu�IebyNeDfpartmen:oy . i.amrecteCcompassfrom 4 nanconer
wrcnin SJo reet of c'ie pmpcsee sae o°me strw ruie.m n.��t���nw�4ed nv a I m�sca�;�vev���,:�ne owner's e.oense.
Calculate imperviws surfaces.(Roofed,conaete,paved,and other surfaces that water cannot penetrate.The Zaning Office wn help you determine if a
wrface is considered impervious)
Calculate lot area: �^
Indiwte lot size from CSM or NOVUS(cirde one�: Acres;Multiply by 43,560=Lot area: —�V�� Square Footage
Calculate impervious suAace area:
I
' Determine the total size,in square feet,of your projects listed above(indude eaves�: ��Ld sq k.
Determine the total size,in sqwre feet,of all evisting roofed structures(indude eavesb Z-�OS sq ft.
Determine the to[al size,in square feet,of all existing paved/bricked/blocked surfaces sq ft.
Add these measurements to determine total impervious surfaces: �5 � sq ft.
Calculate impervtous lot percen[age
7otal impervious surface: �L-� -Lot area�,� Sp h.X 100=impervious surface V I � 1� %
(Mitigatlon is reQulred if mnal erceMs 35%)
'••Noti<e a sepante grading permit needs to be obtained rf disturbed area is within the Shoreland district as indi<ated on previous page and meets crtteria Delow•'•
_ Gradingon a slope greater than 20% Grad�ng of more than 1000 Sq R on 12Y-20%slopes
� Gradmg of more than 2.000 Sq.Ft.on Slopes less than 12 o Grad'nR�s in of 30 000 Sa Ft
.�..����I !If��1PIM10.F Ff .... V UI.STIIUC . . ._, I;':il"�VIGf6UL�lYPIN�LIIfS
I(we)dedare that this apolication(including any accompanying informanon)has Eeen examined by me(us)and ro Ne best ot my(ow)knowleCge and belief it is tme,correa and
<omplete. I(we)atknowledge that I(we)am(are)responsible for the detail anG accuracy o!all information I(we)am(are�providing and that it will be relietl u0on by Sawyer
County in determining whether ro issue a permit I(we)further accept liabillry whic�may be a resWt of Sawyer County relying on this information I�we)am(are�providing in or
with this application.1�we)mnsent m munry offlcials charged with administering munty ordinances tu have access to the above descri6ed proDetty at any reasonable time for the
purpose of inspeRion.Additionally,[he undersignetl Derson(s�hereby give permission for access to the property for onsite inspection 6y Munlcipal ONicials.
owner owner -�ls��.. � • T�•I �(�Date �� �� CJ
Signature_ _ Printed name
.-.,-,�.. -��:�'ie�,i..;r.;.��ro-�,.:�„_,:
NOTICE .... -,iiii. _,., � - i;,�i.. � rl < „�r�
F.r;�_�. ,i ic:io�Di _...;io'. .v�. . ,.,NIn�E �. . oo=dt � � _I�,e9'.�v� r [ I-cern_ �n'� u,u.ngco�e
'b�iocz'. bwr,�[a:e o�feGeral agenaes moyalmrequvo permnv.
You are responsiDle for mmplying with the reQuirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisronsin.You are also responsible(or
complying wkh State antl Fetleral laws conceming mnzhuction near oron weUands,lakes,and zheams.failure to wmply may resWt in removai or modification of mnstmctlon
that violates the law or oMer penalties or ros[s. For more information,visit the department of natural resources wetlands identification web page or mntac[a department of
natural resources service wnter�608)26]-3125
Issuance Information(County Use Only) Sanitary Number: p of bedraoms:
Permit Denied(�ate�: Reason for Denial:
Vermit#: Issuing agent:� Date:
� '� - .r 7 I � ,-' ���T/� _ . 7 �u�a-3
Is Parcel a Sub-Standard Lot �.�.Yes (Oeed of RecoN) ��No
Is Carrel in Common Ownership '�r=Yes (Fused/Contiguous Laqs�) �: No Mitigation Repuired '�Yes No
ISStructureNomConforming ��,'Yes ,�o MitigationAttached �_�Vez . No
Granted by Variance(B.O.A.) Granted by Conditional Use
..I Y�s '�No Gse M: �.!Yes � No Gse a:
Was Parcel LegallyCreated �Ves ;'.No Were Property Lines Represented by Owner �Yes No
was Proposed Building Site Delineated Yes ��,_No Was Froperty Surveyed >/Ves ryp
Office Comments: Zone District: Fee:
� \�C- � � ��' °°
Hold For Sanitary: Hold Por TBA: Hold Por Affidavit: Hold Por Fees:
oF�emz�
10i121. 12 O6 PM Novus-Wisconsin Access rev 13.1108
Redl Estate Sawyer County Property Listing Property SUtus:Current •
Today's Date: 10/1/2021 Crcated On: 2/6/2007 7:55:47 AM
�Dcscription Updated: I/5/2021 � Ownersbip Updated: 1/5/2021
TaxID: 28233 IOEL M PETERSEN TRUST HUDSON WI
PSN: 57-026-2-39-09-12-5 OS-002-000190
Legacy PIN: 026939125219 Billing Address: Mailing Address:
MapID: 2.t9 70EL M PEfERSEN TRUST JOEL M PETERSEN TRUST
Muniapaliry: (026)TOWN OF SAND LAKE 904 SPRUCE DRIVE 904 SPRUCE DRIVE
STR: 512 T39N R09W HUDSON W154016 HUDSON W154016
Des[ripGon: PRT GOVT LOT 2 LOT 2 CSM 11/82 m
a2343 AFf CSM l5/325 r Site Address ' indicates Private Road
Recorded Acres: 0.750 6640N WHITE LN STONE LAKE 54876
lottery Claims: 0
First Dollar. Yes
Waterbody: Whitefish lake '� Property Assessment Updated: 4/13/2021
Zoning: (RRl)Residential/Rxrea[ional One 1021 Assessment DeUil
ESN: 423 Code Acres Land Imp.
G1-RESIDENTIAL 0.750 219,600 159,000
� Tax Districts Updated: 2/6/2007
2-Year Compariwn 2020 2021 Change
1 State of Wisconsin ��d: 219,600 219,600 0.0°h
57 Sawyer founty Improved: 151,400 159,000 5.0°h �
026 Town of Sand Lake TOWI: 37I,000 378,600 2.0°h
572478 Hayward Community School District
001700 Technical Cdlege
• Recorded Documents Updated: 6/2/2009 �Property History
O WARRANTY DEED N�A
Date Rxorded: 8/29/2016 402708
O SHOREIAND RESTORATION/PRESERVATION AGREEMENT
Date Recorded: 5/15J2018 412363
� WARRANTY DEED
Date Rxorded: 5/20/2009 3604ll
O WARRANTY DEED
Date Reco�ded: 12/10/1985 198269 382/336
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