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002-940-13-5510-LUP-2023-279
SUBMITCOMPtFTfOMPUCAiiONAN� l .."-�r:�r—'�-., fEETO: t Ar�te'a�F P�R t�IV�q'L�U5E ERMR-} SawyerCaunty . :.5���.t�15to� ,�. ;�t���: ._?��3 � � 61S ' ��-�� Zon7ng&Conservatbn Depart. � '� o,oe x,mP{Re�e+.m� ��� 10610 Miin St Suite 49 ! i �� S(S� � S'S r� , \ HaY�ard,W154843 C� ✓�� � � �0�� - .. ..._. _..� .�.-..,...� U'.l (73S)634-8288 �C l?f ��� 1 � � .�`� �� 1 � Y , p � �3h��(�[ r,I —�-�--_--�...`_.�.__ � INSiHUCt"IOnS-Napermitswi06einuaduntilsPieesarepafd. 3f'H*• ° `'� C"'�",�'vT . Chetks am nude paya6le to:Siwyer Goumy Zoning Depe�vnent. \ pb NOT'S7AR/LON57'N11C710N(�M1tt A41 P�iA+1,;�;5 HAVE BEEN f Uf0 7C A�PLICAHI'. {Srigynel Applit�fiOn M11ST bC 5UbrliSttCd Flll Ol1T IN�NA {��"�}����� �� SuLmittal of this appUcation or receiPl OI�EfS t10N5 OC2 CGbS1i2U3E�EffI111 i51UdIlCP.. —�� Owner{s)Name: [ontnctor(s)Name ������'� r, � � � ; "',��-�� � J<<`���� �—tPr _.._ _--___ ; MailingWWress: / /� f � MaiGngAddrnss:� j �l.L(.� � ��4,�(� �,1�, (..�,ViG�lL:SS�ii�� ����r .'...:�� / �'li V„ ! Ahone:: _p. /-_ � Phone: '� ! 3.:�7 � `� �/ 7��C��,t.;,� J.���n '. Email: . �� �.� 1.- ���/t�l�4�' 2 1 � ���, Emai�: `_ ' ����`I: E(t;,r, ric� ,—_ _ _.__.__�._.�._..._. •_ j �.._SiIC iuWm9 L �`.Or Daie a Iktl Mr: ; �rf C ' . �....PINF �V � �� � � � .l �� _ !___Ttlwn df: �__�_� `.., .- �t� i Permit deUrety Mpthod�....j �,-.-a Call Owner a Mail Owner �,Call Contractor �.::;Mail CoMractor Is Property/land wkhin 300 feet of River Stream �ma. Distance Stracture(s from Shoreline 3 Is your Praperty � .� .. , iae�n�:n.��l �.. AreWMlands feet � m Floodplain � Creek or Wedward side of Floodplain7 if yex---continue Presentl I,.�Shorteland �.}k ..__.. �. 2nne% � .�.is Vr Yes � I operty/land within 10�feet o1 Lake,Pond or Flowage ' �is Wnce StruRure is hom SAoreline: Y�'> �� �f yes---conbr::se —}; �r� feet NG, ' ,r: �� r� �'�A7�w�, I � I '��Naret����eMrtd ��. .. j� �3,,.. �..:: : .���� ...� .,, � � . . .,.,,, �- � �_..._—»_.�.� DescNbe PrDt� Tota1 q of � Value at Time of Poundatioe What T & i i Project tVpP Ype Gapacity s the Completian Numbpr bedrooms I ' (House,garage,shed�,deck, (Basement, Sewer/Sanitary Sys#em{sJ "n�;iud.v'a�r,�aSeG . Addition,etc...} Of S{o�iCS i'ost � t;rr��-�maY,r,rlal Caawispace, €orisYn3ction ���I����h' Slabj �, � I $ � , � � � �"►!,��� ' �-���_. � — � C"� W ow���,e � = ,_+ c� � s G(�'J�� /t4 � � � � ��K;„�. � � r' S ,� � �. :` m cQ ad�tionJ�terotion ^ I ":' � � ' — :?? Q � _..�_.._...._a._..__.._._.. . J7 Neight: TatalSquara lnwest Proposed Use +� Proppsed SLrucwre Dimensior� foote$e Grade to (mukipiy per Nighest storyJ Veak i Residertw � x ) Ft. with 2"d story or loft ( x � Ft. with Basement { x � Ft p�j � AttachedGarage ( x � (����/r1� t� ResidenUal Use Ft. ` .L Accessory StruRure ie.pia��� � f x L�1_ � {� �1� � Agrieu�tura) /' ta�,,+x«.,.ea,..nees,�ino�se,,:,..� l�;c ' . �� �O � � R.�� ��11 . ( X ) u� .. .., � � �w� z o ` g�G= Ft. _' COmmercfa!/ DeckJPorchjPatio ( X � F� Industrial Use � X � f2nd)Deck/Porchfpatio F�, C Municipal Use � x � Other iexplami Ft. � Other ( x ) P�JtiCi�/2�$tiLCLUfO{Agriwlturai,Commerrial,Munitipa�,Etc.i Ft. Addition/Alteratlon te.paan� � X � Ft. Total habitable square feet: Total Non-habitable square feet: _ ���y (decks,patios,garages,sbeds,storage area&other 5tructures) U �o�-�- c�,i�c� �� ��c4�e, on�y - IV a ��t�f�Sle °r �'n�a.� 4riginai Application NtUST ha s�t�mitted _.� _ ____... ...._. — � �Atiach a Pign or 5ketch yr�ur Prv�xrry on 8.5"x 11 or 8.5"x lA"paper "Must' l�ciude lotation a�d sel:back uf propo�ed and e�cisting situctures,r+oads, drFvewaY.�nkary compwone�rts,welt l�ke,river skream„and wetlends. _ __ _ __... �__ —_ . _..._ _.._.._ . .� � _____ __. __ � � '� Setback� Setback � pescrlption ; Deurlpti� ; : MeawremeMs _.Moawremerrts� � Setback from the Ceoterliea of Platxed Road and/ar '��.,� � Feet Setback from thc lake(o�d��n.r n�n-w:u�mnr+y " m Feet Setback from the EsWblished Rigbt-of-Way Feet ��.'��. Seiback from the Rtver,Str¢am,Creek � Feet .............—.____..�..�.__. � . . ' Seiback from the 81uff �f avGli,able Keet ' __._.. __—..____.__........... , Setback from the Nortb Lot Line �}�—�.;j Feet "-----'— -._.....__....._. r Setback from the South I.ot tine � '� feet Setback from WeUand ieet � _..__..._...___. � Setback from the West Lot line � �-� � feet Slope within area of construction/disturbance %Stope ___ , _ �.._._.._- _ ..„,_ _........� _ ��� Setback from#he East Lot Line � j,j u Peet � Elevation of Glqodplain Peet � Setback to Sepdc Tank or Helding 7ank Peet � � �Setback to Well Feet � Setback to Drain Field Feet Setback to Privy{Portable,Composting) Feet �ia k�U.c n��a� ._ .:;.�s rt.,t�.>n o9 a vn�rt_�r�mi1h'n ii e:571eet[, thr ncn''�.?u,r ,����r.A;:tbrcx,i"��baurd�tV'�.�nrt 1:rn:v,pkF t?�e<m..t_�_..ih:i.x. C�r m:as�3rct?maP�,e v�&'�.h�e i�nn one, I.Lv.=rlys�ua �3�cr�,rxal�.�aReipr� u � .��ry:dre�nRior3rarV<9�yal�.c �<-d� i :x�CriTY�e�._.ci+�.:•9expNnsv�- � i t � ��i f .rS l fe �x i er �i *' } e P i , , r _ Er 3 ,r�r .l.ilr 1 ) '. � I Y-i._ � > > f :'.�i e t'J>,fkr'i, :�c t E 1 '� � r .�l r, 'ti:.� r . i n?'....., h. . . . .. .. . . . . . . A^. . _ , , . �1' ,. :?�; . � f � f �` • �' ♦ f ' �....r .............� r...�.�.�........_._.. ', Caiwlate impervious surfaces. (Rooted,concrete,paved,and other wriaces that water cannot penetrate.The Zoaing OfNce can t�elp you determine Ii a �'�.. surta<e is considered impervious) ( CalculatelMarea: �-� / yi � Indicate lot size from CSM or NOWS icircle one): Acres;Multiply 6y 43,560=Lot area: v l/� �� Square Footage Itair�latt impervious wrface area: Determine the total size,ln square fee[,of your projects listed above(indude eaves�: �" �,� . __...._.._.—sQ ft. Determine the total size,In square feet,of all ezisting�oofed strvctures(include eaves): i7`�WJ sq ft. Determine the total size,in square feet,of all existing pavedJbrickedJblocked zurfates: �J� _....._...............sq ft. Add these meawrements to determine total impervious surfaces: 3�� � sq ft. Calculate impervious lot percentage -,. r �'.r ,� u Totai impervious surface:�5 `'' = Lot area: � �� � � Sq ft.X 100=impervious surface �.' % �Mingation is repuireA�f tom�exce<Js 159cj �*'�MoUce a separata$rading peemii needs to ke obtaiasd i�distarbed area is within 4he Shoreland distrlcC as inficaied on previpus paqe and mepts criteria belaw"* �......_._ . � . Greding on a slope greater than J_0% �• Grading of more than 1,000 Sq. Ft.on 12%-20%slopes ; . Grading of more than 2,CHJ0 Sq. Ft on Slopes less than 12% � . Greding is in excess oi 1D,000 Sq. Pt. t151tipsti'tt.?r�liA;'T.?}2 �.'T:;tSD:k •14�vP:5�..`-2)_ '..:N',i": ).. ;',plRPryi di.t �'.z_`:� lih.�)`_�ifi,LilCi I(we)dedare that tfiis applir,ation(including any accompanying'nformati�r�has oeen examined by me jus;anA ro the best of my{nur�know�edqe and belief it is true,correct and complete. I(we)acknowledge that i(we)am(are)responsible for the de±ail anC accurecy o(al7 information I{we)am(are)providing and that i�will 6�relied upon i�y Sawyer Caunty in determining whelher to issue a permit. i�we;further accept liabilrty which may be a result o�Sawyer Counry re�ying on th�s�n!ormatiae i{we)am Sare)prov�ding in or with this aRP���ation.I(we)consent to county of°icials charged w�th administering county ordinances'o have access to the abwe desaibed�uaF��ty at arry reasonable time for the � purpose of in,pzRion.Additionally,1he undersigned pe�son{ti)hereby give perm�ssion for atcess to the property for onsite Inspection by Municipal Official5. i (� 1 � Owner ���G�� Owner . , .. �� � - / '�T Signature „�_ Pnnted namt I � c• �' �u (�� Date � � i f ( gia.�ars 39 at�.1 m pi�3a. �' N4TiC6: ,1�1.a i l.eHerru r p,� J�is �.� •ru.•Iro;,�i1i, llc�ir..,'. 1�:=,u >tc. P� r il '.Ca,i6�:r�c.tion:�(Nc�{..r-N..�r.s i i�r Iv;7wt=li�f �t t =a:;n, ,'dl!'ks Ars Rs.;�r��d 1'0. at..'...�7�;F U u , +r�L'�•.ee7:•ig CoJ<�. � .;.*.Ioc,�i7c�vi S[aten F qnra=3rrr eaa.5rals ri •,u�e}u:tt�iiti. You are respansiMe for complying with the requirements of the Sawyer Counting Zoning OMinan�es and�aw and regu!ations ot the State ot Wisconsin.You are also responsible for complyinq with Statg and Federzl laws concernirg mnstruction near or on wetiands,lakes,and streams.FaiWre tu r,omply may reyuft in removaf or modi(itation of tonztructifln that violates Ihe!aw or other penalties or ws[s- For rtwre inforrriation,visit the department of nalural resources wetlands identification web page or r.ontac[a de.partment of � natural rewurces service center(60R)267-?125 ' Issuance Information (County Use Oniy) > Sanitary Number. n ot bedrooms: � ' _�........_�__..._..._._�--'-- � - � Permit Oenied(Date}: Reason for Oeniai� _ , 1 � i # _.��� W_______.__...�_.._— ___.. __ I Permit k: '�. Issuinq agent: Oate: : I ' �3 -- � 7 ' , �� , � . a __. . ___ _ _ _ a � Is Parcel a SubStandard Lot I Yes �Oeed of Rewrti) _ ��g ��eqvired �. .Yes ��"'No � Is Parcet in Common�wnership .��:Yes �Fused/Cpntiguous�ot{si) Mi ation AMached ' ��Yes '.'No is Structure Non-Conforming �.'Yes '.:-No rGranted by Variance{8 O.A.) Granted by Conditional Use ��.Ves ".- No Case k: � _Yes � �No Gse p: ---_ ........__ Was Parcei legalty Created ��'YCs ...�.PFa Were Property Lines Represented by Owner '..Ves . .. No Was Proposed Bu±lding Site Delineated '����Yes �_ No Was ProQerly Suroeyed ��.Yes ��� No ON+ce�omme�ts . Zo e Pistna. Fee: F�<�bitable Li��ng ��ea ��__�� .-� �.;��C�3 }ioid foc Sanitary: . .(Y't'K7l�iU.P+—�iS+ . �I�nr At#id3tiit� .... 1 Holct Pr�,fans. '� � . 4b:an2O2O ;.y� :L'(}�`_ i�� �c�essory stru:.,,,.:. .-_ 6123/23,12:47 PM Novus-Wisconsin Access rev.13.1108 Real EStdte Sawyer County Property Listing Property Status:Current Today's Date:6/23/2023 Created On:2/6/2007 7:55:07 AM �Description Updated:1/14/2015 �Ownership Updated:3/6/2023 Tax ID: 3187 DEREK G&AIMEE M SLAUGHTER CHANHASSEN MN PIN: 57-002-2-40-09-13-5 OS-005-000100 Legacy PIN: W2940135510 eilling Address: Mailing Address: Map ID: :5.10 DEREK G&AIMEE M DEREK G&AIMEE M Munitipality: (002)TOWN OF BA55 LAKE SLAUGMTER SLAUGHTER STR: 513 T40N R09W 8z60 BENWOOD CIRCLE 8260 BENWOOD CIRCLE Descrip[ion: PRT GOVr LOT 5 LOT 11 CSM 7/202 CHANHASSEN MN 553ll CHANHASSEN MN 553ll 1k 1433 �p Remrded Acres: 1.820 r Site Address 'indicates Private Road Lottery Claims: 0 8516N HILLTOP RD � HAYWARD 54843 First Dollar: No Waterbody: Grindstone Lake J pro e Assessment Updated:9/13/2012 Zoning: (RRl)Residential/Recreational One P� ESN: 406 1023 Assessment Detail Code Acres Land Imp. ���Tax Districts Updated:2/6/2007 G1-RESIDENTIAL 1.820 216,000 0 1 � � State of Wisconsin Z_year Comparison 2022 2023 Change 57 Sawyer County Land: . 216,000 216,000 0.0% 002 Town of Bass Lake Improved: 0 0 0.0% 572478 Hayward Community Sthool District 7otal: 216,000 216,000 0.0% 001700 Technical College •�Recorded Documents Updated:10/6/2021 �p�operry History O WARRAN7Y DEED N�A Date Recorded:2/27/2023 443458 O EASEMENT Date Re[orded:10/5/2021 435089 O TRUSTEES DEED Date Recorded:l0/5/2021 435088 O SPECIAL WARRANTY DEED Date Remrded:12/22/2014 393698 O WARRANTY DEED Date Remrded:11/1/1988 211543 �CERTIFIED SURVEY MAV Date Recorded:4/14/1980 ll3756 https:lltas.sawyercountygov.orgllAccesslmastecasp 1l1 . e/ °! � ,. � , x -� . . „� . , ,�., ... , � -„�`,� � �r.� �, � ,i ��:_ -� � � � � � �'., � t � � X ' � ' �_ � .^ ��r � ��� � :� •� �' � , a� � �,, a ;�"�e ,� � � r �" i'e;. e �, - � ��� �� ,� . ,, v; A � � ., � � � � �� ,� , � �� ° � r � , � � � -� `� �' �' �� � �' '� . � � o�,;: „ '� . ,� �"z"'w�,� � ' Ys ., � i y,.-� .,,.�;� ' �„ . � , �a �fay ��s � ... �w „ � s � � ,wy " "" i� a� 0 . 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