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004-839-08-5313-LUP-2023-285
DocuSign Emelope ID:C2A2E9F2-51 E2-4ABE-871 E-3A8247EC881 E FEEro: - APPIICA�wN ruK I.AND USE PERMIT SawycrCounry Y COUNIY WISCO SIN Zonin6 6 Conservatlon DeOart ]O610MaIn5[Sulte49 ' ' °�� "�J D �'_)etE���'��3--...-.- .. � Na�ward,wisaea3 ✓J °'S,6�,.8:� JUL 1 3 2023 �hk#�+5`�� , . - , ���oo��minwmuei.:��au�m.nkes,�ew�a. SAWVER COUfVTY HCpt#a^;��-- �p., cned:s.e maee y.nme�o:Sawye.eoeniv zontn�oew�ene. . 1�' uo�.'o*sraarcovsrnuvio�+uHuinuoEamnsyAv=e[[�+�ssmomn��o•u<nvr Origina�Apvll�ationMUSTbesu6mllted FlLLOUTININN (NOPENCIL) � s„>mu�.i or�n�.,po��:..��.oe o�.«c�,e�ot i��,doe_.�m�o.,u�w��o�,-.i�...�. ., Io..�,ertslnamc: co�traaoHslNam� -� s ��c �,4-��r 13�.���� 'i MailingAddrtss: re � � 1_� �` Maflin6Addtess: . �-+u E•: .h��,Sss;s�� � a � ' �'� �l] ,��e% �y �v_ Phonc: /../ S��/p�( �O�I_ PAone: Q ,1V Y b �p �l�' �,J/_ C'j�1� : Email:�'...[±O �/������I"�6.Sl.i1Cl' Emall: � 'S 1�. �S �[h U� I[�.� I � � � m�.ad2::: f�i Janc.n su8' o�o,c�a ikaeo� ie�crvwa CC:�1-D'3�-OQ-5313 T,�w: �ti 4<mrtAeliveryMel�od I rUllOwner �MailOwner �falltontractor YMall�ontractor Is ProDerty/und vrithin 300 feet of River,Seream���a. /Dlstance Structurc is fram Shareline: is vn�r vroyeny e��l � teet inrlandni+�� nrewrtlands �/ [rcekorlandwardsiEeotF�oodplain7 i��r�—co��inue r,.s.� x Shorcland —�- tOO1�� w•s � � �(Is Propeny/land wlthln 10001eet of Lakc,Vond or Flowage Dlstanre 5tructure fs(rom 5horellnr.: �cs /-�� Ilv^�...co�tinuP� �S /e•et I, No j tJn ( I Hon-Shorcbnd Uescribe Project Value at Time o( Total p of Project rype Foundatlon What type&Capacity is the [ompletlon Number bedrooms �„� „� � IMovu.gaoge,shed,deck, (Basement, Sewer/Sanitary System�s) . . ,,,•,i Addkion,etc._) of Stories �rewls0ace, Post � � " - Llrtseparately Slah) ��nsiructinn S v o�J �eU II�i�C � /�nr�„�.,I '� �� OwN 6 � L�\ $ K�e�wrylk5 $ 4'.Cttbn/Allei�tlon Height: TotalSquarc Lowest Proposed Use ✓ Vroposed Structure Dlmenslons Footage Grade to �multlply per Highczt story� Peak � Residencc � u� ��-- �o ��(�. X 3 7 � ��. . �.� Ft.P�� with 2n°story or IoR a�o„_Y 4 �.��" (�p, x y� � Ft. (uc withBasement ( )L X 3�� ' ��a-� Ft. Attached Garagc ( x � � Residential Use F�� Accessory Structurc I<.aia�ol � x 1 _�Agricultural �,.,•:••en•.m.�..e..w.�.o,,,.�..a� Ft. Use Temporery Guest quarten or Bunkbouse(r��i�ir:<I ( x � Ft. _ Commerdal/ i/ De Vorch Datb � ( � /y x� , �9�, F� � industrial Use � � �� X �d � h � (2n° eck Dorch/Patlo . � rt �, ,� �Uv Fc. _�Munidpal Use r � ( � -X 7 � ! ) � Other(noia�l �-„i , �", � !. �h J� J' �d0 Ft.iq , - Other ( x � Prindpal Strueture Ir.gncunwai.eom�ercui.n+u��rt�pai,Etal Ft. Addition/Alteration I�•o�r��i t X , Ft. 7otal habitable square teet: ���IJY Total Noo-habita6le square(eet: �,�� .�i (Ee�1s.papos,f.arages,sheds.sroraEe area 8 other sbucnnesl DocuSign Envelope ID:C2A2E9F2-51E2-4ABE-871E-3A8247EC881E _,��ion MUST be submitted Attxh a P(an o�Sketch yQur Property on 8.5"x 11"or 8.5"x ia"paper.•MiaN Indude IocaHon and setback of pmposad and eakUn6 Rructures,roads, ,. dAveway,sanitary components,weil,lake,river,stream,and wetlands. �� Setback Setback �� I Descrlption Desalptlon I �II Mcasurements Meaw�ements _� Setbacklrom the[enterline of Platted Road and/or feet Setback from the lake(=•om�v��^�+�+:.•-..�) ��_ _ Fect � ! 5etback Irom t�c Established Rlghbol�Way fcet Selback from thr Plver,Stream,Creek �� Fecl � Sel6ack(rom the BIuM n.oa�K�� ieet ��. Setback from the North lot Line \�. Feet Selback(rom thC South Lot line '� Poet Setba<k fwm Wetland Feel Setback from ihe West Loc lme (�'j Feet Slope within area ol conitructlon/disturbance %Slope , $MGack Irom Ihe East Lot line I_�s Feel ticvaiion ol Floodplain `�� � Fect Setbad to SepHc Tank or HoldingTank ' Feet Sethack to Well Feet '� Setbackeo Drain Field Feet Setback to Vrivy�Portahle,Comportingl icet " i � � :�-r ._-.p��c.cnofarrutture,..��. t..�l,��.., r-_.,..���� y:��a�,r�r.v��.�neb�uuaarr�re'�omwn-:' R-srtoazkmvztoemouaea�,ustoe.uelrhomo-e �� ... �.....;-..,,n.�p,e�oo,yiuYe.e��.:....... ...... ....... ...v.�v��w,,n��..;F.,v��,..y<n,e :. . : �. �:r:... i _ ...,. .. .....�_ . .. . .. i..r,.rilr..iu �. rv.. ..��. . .:,t�.rt�, . � n. . _ .. . . .. . _ �..,._�.. . _��..n.r�r . . . ,_ - ._.�.. ._ ... . .. ._ .. ...r. . .� . .. . . . .:�... .. , . . ,.ii��.i ,•,..� ��� :,�� u,....:. . .......�.. _ ..,..,i�._.� �� . ..,.. . ..�. �. . .. .. . .. , .' r....d � _.:-:� �r ... ...�-�.,� , no ., �.� � r�r..... � i� : ��. Calculate impervlous suAaces.�Roofed,conuete,paved,and ather sudaces that water cannot penetrate.The Zoning Olflce can help you determine If o ! � sudace is consldered ImOervlous) j i CalcW�telotarea: �y ! Indicate lot sm Go�.�or NOVUS(cirde one)�. �`\_\ Ares;Multipiy hy J3.SG0=Lot area: � �C` $quare Foo(age ICalculate impervlous surface area: I �' Dc[ermine the to[aI sixe,in square feet.of your pro�ects listed above(indude eaves�,�sq h. I Detcrmine the total size,in squarc fcet,oF all c.isting rooled structures(indude eaves�: d w sq ft. T Determine the toWl size,in square feet,ol all e.isting paved/brickedPo�ocked sur(aces:__ — � � yQ k. � Add these ineasurements to determine total��moervious suriar.es� ����� sq ft. �� Calculate impervious lot per<entage , r 2 � Total impervlous surfare:���� e lo[area: ��I ��� 1 Sq il x 100=im crnous mrtacc '� % � � — P �MLL�paLen u reCvn�d I mu��e�ueCt 15%) ^'Notice a sepaote grading permit neeEs to be obtained ii disturbed area is withh the ShareWnd diitrkt as indicateA an pre�ious page and meeli cnteria bebw"• Gradingonaslopeqreaterthan20% Gradingofmorethanl0005q ft on12%-20%slopes � Gradin�of more than 2.000 Sq.Fl.on$lopes Icss than 12°'o GratlinR�s in e.mss o(]0,000 Sq.Ft. ._, .. 'n:.a: , . ..._ ..�i�i�� ... ,... •�.r:.� . �t.�r,.,,..,.; �i � 1(we�decre that tnis apClicalion(inc'odiny any acmmpanYing informat on)has Oeen e.am�ney by me(us�ana to�he best of my(our)know!edge anC[elic�it Is emG correcl ar.d ' romplete. I�we)azknowleOge Ihat i�we)am(are�eesponsibtc lor Me detail anJ accuraiy ol all inbrmation I(we)am(are�piav�dirg and lhat it wili 6e rebed u0on hy Sawyer �I . Counry�a tlete�mining whethe�to Iss�e a cermrt. I(we�furt�er ac[e�t 1'abdny w�ich may Ce a resul of Sawyer Counry r�lying o�thrs�nformatbn 1�we�am(are)p�wid�.ng in o• .. : w th���s apolrtaUo�.i�we)mnse�t to county o(ficials charged wilh administermg count�mdirances;o have ac:ess ro Ihe above CesviOed proyerty at any rexo�able;��^e ior tt+e , ourpose o!hsvM�on.AdCitlonalH.tne unEers greC pCrsen�s)hneby grve Mrmiss�on for access to the p�Cperty fo�c�nte�nspection by Mu.��Upal Offcia�s. j i Owner � '""'"' owner 7/13/2023 � 4:01:5� PP si�n�mre �01"�' �`t �F"'N`�`� �°s oonald and Faith 7holkes Pr{nted name Date � ir �, . , ., � . .� .._ � �.rn...: �i .�,i..-,i;�. ..., i�� ltl � di q.��_ . ct i� ,:,. wU...,.,..��.J,_ � i u<.'� �ta� �r� f nla�rr:... �..�nnir.�� �Nrm.� You ue respom@4 for complyinH wilh the reQWremenU of Ihe Sawye.Cauntlng Zoning Ordlnantes and law aM regubtions ol tAe SGte of Wlsconsin.You are also respons�0�e tor i =omplr��6 wi'h State�nd FeEeral qws co.�ceming conVuction nor er on wetlands,Wkes,and streams,h�iwe to mmply may�esu:t in removal or modAicabon af mnstmcLon � tha:rala:estnela,vere;�eroenalpes:.rosts. Po�mo.einfo�maTmn,nsitU�.udepanmentofwtu�alresourt<sweUandsidenldiqY�onweOpageorcontactatle0anmenSol naturalresources�ervice�en;rr�6p8�26z3125 Issuance Information(County Use Only) Sanitzry NumCer: ��Z' \`\Z' a pf CeCroams:� Permit Denred(Date�: Reason lor Denial: Dermi�a: hiuing agent:..• Oate: � ��3 � � �'S %�'�� �,�.l� 7�����c3� Is Varcel a Sub-Standa�d Lat :i Yes (Oe<tl ol R<mr0) � �CNo Is Parcel in Wmmon Ownership �Ycs �rme0/Comguous totpp No �����g���on RepWred Yes JNo isSvunureNon-Conforming �� Yes �� ���118ationAttacheE Yes /� No ! GnnIM by Varlance(B.O.A.) Gronted by Condi[bnal Use �7 Yes No Gse p: ".Yes No (�p; WasParcellEgaltyfreated � �Yo � No WerePmpertylinesReO�esentedbyOwner �Yes No Was Proposed Building Site DelineateE � �Yes . No was Property SurveyeC Yes No OHiceComments: M,�:.,�„� ��.,�v-,� gw�,�,. � _. . �i\ `:.�.�.�..:�`� 1-.C_. 2onc DistricC Fec �`�e��-�.ScL le� i4e� G�ca`.u�3 '�:�'�-�s Nr �.:..+J.--l<_ �•--G. �.e-4r-_ , rt �:� i�.z. 2uG \.�G�. ��`'� �i��\�.� Hu,d For Sanitary: Hoid Por TBA: Hold For 411idaviL IIo1E Gor Fees: �fN2021 7/13123, 1:56 PM Novus-Wisconsin Access rev. 13.1108 Real EState Sawyer County Property Listing Property Status:Current Today's Date:7/13/2023 Created Om E/9/2020 4:03:35 PM �Description Updated: 5/13/2022 � Ownership �Jpdated: 5/13/2022 Tax ID; 43642 � �� �� DONALD]&FAITH M THOLKES HUGO MN PIN: 57-004-2-39-OS-08-5 OS-003-000130 Legacy PIN: 004839085313 eilling Address: Mailing Address: Map ID: DONAID]&FA1TH M DONALD J&FAITH M Municipality: (004)TOWN OF COl1DERAY 7HOLKES 7HOLKES STR: SO8 T39N ROBW 5505 157TH WAV N 5505 1577H N'AY N Description: PRT GOVT LOTS 2&3 LOT 2 CSM 36/218 HUGO MN 55038 HUGO MN 55038 1t8450 Recorded Acres: 1.490 � Si[e Address *indita[es Private Road Lottery Claims: 0 6682N]ONANS RD � STONE LAKE 54876 First Dollar. Yes Wa[erbody: Little Courte Oreilles Zoning: (RR2)Residential/Recreational Two J Property Assessment Updated:4/B/2022 ESN: 424 2023 Assessment Detail Code Acres Land Imp. �� Tax Districts Updated: 6/9/2020 G1-RESIDENTIAL 1.490 125,700 11,900 1 � � �� �� StateofWisconsin Z_yearComparison 2022 2023 Change 57 Sawyer County �y�d: 126,700 12ii,700 0.0% 004 Town of Couderay Improved: 11,900 11,900 0.0°/ 572478 Hayward Community School Dis[rid Total: 138,600 13I3,600 0.0°/ 001700 Technical College + Recorded Dowments Updated: 4/25/2019 �property History O WARRANTY DEED �� Date Rewrded: 9/17/2020 426506 Parent Properties Tax ID 57-009-2-39-08-08-5 OS-002-000060 43840 O CERTIFIED SURVEV MAP Da[e Recorded:4/9/z020 923313 O WARRANTY DEED Date Recorded:4/2/2020 423245 � TERMINATION OFEASEMENT RIGHTS Date Remrded: 4/2/2020 423242 O QUITCWMDEED Date Recorded: 9/9/2019 419793 O QUIT CLAIM DEED Date Remrded: 4/21/1964 118466 O EASEMENT DEED Date Recorded: 7/25/1961 112031 O MISCELLANEOUS Da[e Recorded:3/25/1926 044467 HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels O Taz ID:5267 Pin: 57-004-2-39-08-08-5 OS-003-000010 Leg.Pin:004839085301 Map ID: :3.1 �7ax ID:43689 Pin: 57-004-2-39-OB-OB-S OS-003-000060 Leg.Pin: 004839085306 O Tax ID:43746 Pin:57-004-239-08-OB-5 OS-003-00007�Leg.Pin: 004839085307 O Tax ID: 5265 Pin:57-004-2-39-08-08-5 OS-002-0�0010 Leg.Pin:004839085201 Map ID: :2.1 O Tax ID:43539 Pin: 57-0042d9-OB-OB-S OS-002-000050 Leg.Pin:004839085205 O Tax ID:43840 Pin: 57-0044-39-08-08-5 OS-002-000060 Leg.Pin:004639085206 43642 This Parcel Parents Children h ttps://tas.sawyercou ntygov.org//Access/m aster.asp 1/i � �— � 4����_ �2Cc�� OCQA\;<� ���. � — _- �-�- � � S, , � �t;t __ , �,� =r --- � ______� �� 1 � �''`�`_ '� � �' � � � � � �- ��: ��st � Si�-,�. 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