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026-939-21-5111-LUP-2023-402
SIIBMITCOMYLETED NVY4CATION AND FEero: APPLICATION FOR � IT Sawyer County `� � � 2oning 8 ConServation Depart. �a�e Stamvlaea�•eel �� f `\ ]0610 Main St Suite 69 --. �� a� V' HaYward.WI54803 AU� 1 1 2023 -.....-__I_._L____._.__ 1�isleaa-azse C"1;�# �S3 � SAN/Y� '' _ uus,auaioms:N,oe.m�awmne�::��a�m�iank�:a.ev.�a. NINGADMINISiF;Hl�ION PC�It+`�. a��1�10�_.__�___ l�l` Chxks are maAa payble to:Sawyer Counry Zoning Department. 7-� DONOTSiAFT(fINSTRUCTI�NI1NTIlALI�ERMITSHPVEBEENISSUEOiO�VPIIfANT Ofigin3lAppli[ationMU5Tb25ubTi[tPd FlLLOUTININN(NOPENQL) Submittal of tM1�i�appllcat�ion o.��e��ot e!fee�Joea not«n<tilutn permit'issuance. Owne�(s�Name: Contncror{s�Name �'l/314�/'� f brl'rS'� /�✓��(% l�urr �:S � Mailing Address: S y Q 7 Malling lltltlRss: s y �] > !`LGOG/ c�.�:/GrL..o� �.�-1 Siu;�i[ �✓�'k�E �Llf�d�� wc�Gdw•'1�-r�u�- siu�i�Lv1-b�i`1 t✓L vno�e: �iS-�99 -2'�—�'L vno�e: 7iS-!09 - 2'L�'� eman: I�'�r✓,Fv,-rics�; CGT L'ItiMr- .GJM\ Email:Mt✓I-J��'!_S i c.e� �i/"�1-1� ,GuM Site address: " v� Lqk.e 2d or oace oppued ror: 1� S �3 �ea:cvvvux OJ-lo-�3�'�-dS-5 oGj ro.�m: S4hd Lctkz PermittlellveryMMhod �CallOwner �MailOwner �CaIlContractor XMail[ontractor Is Property/Land within 300 feet of River,Stream��ncl. Distance Stfucture iz from Shoreline: Is your Property � •"�) � feet in Floodplain Are Wetlan�s CreekorLandwardsideoffloodplain? ityP>---con�inue Prese��? `1,�Shoreland --��-- zOOe� yes �Is Vropeny/land within 1000 feet of Wke,Pond or Flowage Distance Struciure is from Shoreline: Yes � If [Inue �s� feet No ° yes--co� —� I Nan-Shoreland Desttibe P�O�e� Total q of Value atTime ot p�a)ect type FoundatiOn Wha[Type&Capacity is the [omoletlon Number bedrooms indude dona�ed �House,garage,shed,deck, p�Stories (Basemen[, post Sewer/Sanitary System(s� nme&r„acer�ai Addltion,etc..) Crawlspare, o ListseparatelY Slab) nstruction 5�}uD��,�, jfc�s,� fL S�WrCS `� � c�c� c .\ ��1.,,,�,�_ o��,,.� _ �o„F���q poP{Il � Stl+Ci S �o,uoo /,/yn�y/ �( Au�o�'/e�aB V II 1`II V r � s L M I' $ AJEhbn/Allenlion HeigM: TotalSquare Lowest Footage Gradeto Proposed Use ✓ Vroposed SVuRure Dimensions (multi0ly per Highest ztory) Peak fResidence ��2 X �`� � � �'Z 8 F�, �,S S`� with 2n°story or loTt � 32 X �l 2� /3 i/`� Fi.2 S with Basement ( X � Ft. Attached Garege ( X � `�{Residential Use Ft. Accessory Structure�e.Pia��1 ��R(�G �`, 1 2('{ x 2 f�1 �7��l )s \So ❑Agriculturel w.�,<n.ae.�.,..,�n.e.,�,�no�,....��i F�� Use Temporary Gu�s!Quarters or Bunkhouse(tv�i�e�od ( X � Ft. C Commercfal/ ✓ Deck Vor aatio ���� �,��h ( �V x 2� � 2 � L Fi )Z \ �0 Industrial Use ( C� 1� (2^a)Dec Porc Patio �.Je�� 0'�� � x '(y , �''L a Ft. � 2 � �Munici al Use ! / P � Otherle=nia�ni ��,C,V ( /U x Z 4 ) '�... b l� Ft. .�. u Other ( x � Prineipal Strue[ure(ng.��wnrai,commerciai,nnu���ivaL eu.) Ft. Addition/Alteration�exvla�.nl ( x , FL �? Total Non-habitable square teet: �1 Total habitable square feet: J/.�� � (decks,patios,garages,sheds,z[orage area&other structures) '�5 d 5 _Q,Q C��•�G°`�� OriginalApplicationMUSTbesubmitted Attach a Plan or Skeuh your Property on 8.5"�11"or 8.5"x 14"paper.�Must•Include Ioration anA xtback of proposed and ezisUnQ struRures,rwds, drivewaY.s�nifary componants,wNl,lake,rlver,scream,and wetlamis. DeuAptlon Setback Desui lon SetWd� ,_ Measurom�Ms � Meawrements Setback from the Centerline of Platted Road and/or -"7 p Feet Setback from the Lake(o�dm,.y m¢n-w�ie�mare) �G Feet Setback(rom the Established RighFof-Way Feet Setback from the River,Stream,Geek Feet Setbackfrom the 61uff �faopiiob4 Feet Setback from the Nonh Lot Line p Feet Setback from the South Lot Line '"Irj Feet Setback from Wetland � Feet Setback from the West Lot Line Feet Siope wichin area of construction/disturbance %Slope Setback from the East Lot Line ��{ '� Feet Elevation of Floodplain � �,7(� ieet Setback to 5eptic 7ank or Holding Tank Feet Setback to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet f t . -�a� ._ -o .u� dns, �qv w �inflvelsl t . . , .. .i�wreave�nacktneoo�,nea� . -�o�ni.-e,rnesetoacpmustbemea�u�eemustbev�.,e5o�i�. ii - ��-.,�i .. . :one 1 ..��,_�� vac_ .., �r. ..l.. � .,�r�.�µ�rattheow��u'> >. e.uei l i..hep�a:rmPntme��t �tonofa.ruau -- ctFanfioe'S��eetLo�le�ei �iten;l0llee�l nrticninlmumrepulre4se�bah.N=hoi.n]arylme4omMnibtF etba-t � un[e �f rc. pl 1 :r.i p 'y i, Y '1 . L tl'. . ou�. �1 �m_ .( bl�b Te UP n n � �,fCC� !t Ep��OSidi(r .cil��'�_u�p [��.lc.,,_ .�p4Cd.VdICC�SC'1.�.ey0 A.'I'P �r �SP�O �SC ���1mPn:� .-};���!Z�td[U��afl(^. e�`C�� C011�el Glculate impervious surfaces.�Roofed,concrete,paved,and other wrtaces that water cannot penetrote.The Zoning OfFlce un help you detarmine If a wrfate is consldered impeMous) Calculate lot area: Q Indicate lot size fro 6 or NOVUS(circle one�: �''. ( I Acres;MWtiply 6y 43,560=Lot area: � ��Square Foo[age Calculate impervious surface area: ' Determine[he to[al size,in square fee[,of your projeas listed above(include eaves�: 3 G Z _I sq ft. Determine the total size,in square feet,ot all evisting roofed structures(indude eaves�: �— sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: —' sq k. Atld these measurements to determine totai impervious surfaces: � � 2 � sqft. Wiwlate impervious lot percentage Total impervious wrface:3��� -Lot area:z�3�� � Sq ft.X 100=impervious surface � � V' � % (MiciQ�tion iz reQulred It[oOl eRceeEs 15%� ••Notice a separate grading permit needs to be abtained it disturbed area is within the Shoreland district as indicated on previous page and meets crrteria Eelow"' : Grading on a slope greater than 20% Gradl rt f o e than 1000 S Ft vv �n� i Gradin ot more than 2,000 Sq.Ft.on Slopes less than 12% Gradfn¢ s�n e cess of 30 000 S Ft �A.IUftLI')":fi�iyq r r`.iFF M1�CpNSTRGTIJ�VAVlfrlcUT IFiUdITVe{U_fiCS���iVrINA:iIF$ I(we)declare thai this application(induding any acmmvanying mformation)has been ewamined by me(us)and ro the best ot my(our)knowledge and belief it is true,mrrett and comvlete. I�we)acknowletlge that I(we)am(are)responsible fo�the detail and accuracy o(all information I�we)am(are�pmviding and Nat it will be relied upon by Savryer Counry in determining whether to issue a pe�mit I�we)further acwpt lia6ility which may be a resWt of Sawyer County relying on this information I(we)am(are)pmviding in or with(his application.I�we)consent ro rounty officials charged with administering munty ordinances ro have access to ffie a6ove descri6ed property at any reasonable[Ime for the purpose f inspection.Additionally,the un0ersigneA person�s)hereby give permission for acceu to the property for onsile inspection hy Municipal OHiclals. Owner �—� Owner ,�i p Signature Pdnted name ��!��% L ����r� .�S� � Date 0 , �1 I uZ 3 I�:ipr=�r�_„i_ nnv.�Namc�co��re�.�i NOTICE 4u rd i..m. . „ ��;��V.�rtromiPPpnteoiis�uarrn F� �. _ _ .,irn_tio�O�NewO�icATwclai � „v��lir� ��nu�i�opal�tie�NrefteQulr�CTcEvlcnqT «o_.irf� -Cop�; � ��. . � iheloal'ow�,Sw:+o-SedualagenceSmaYakoreawr.pernnn. � . ��• �� You are res0onzible for romplying with the requirements af the Sawyer Counting Zaning Ordinances and law and regulations otthe State o(Wiscunsin.You are alsa responsible for complying wlth State ana Federal laws roncerning constraction near or on wetlands,lakes,and streams.Failure m mmply may result in removal or modif¢ation of mnstruRion that violates the law or other penalties or msts. Po�more informaf.on,visit the department of namral resources weHands ICentification web page or mntac[a department of natu�al resources service center(608)26�8125 � Issuance Informaiion(County Use Only) SanKary Number: +y� �\S � aoreee�ooms: o� Permit DenieE(Date�: Reason for Denial: Permit p: Issuing agent: Date a� - �r� �z ,,.��— �'�� �a3 Is Parcel a Suh-Standard Lo[ '.�,Yes (DeeE ot RemM) � No IS Par[el in Common Ownefihi Mitigati0n Required '�.'Ves �/No p 1�Yes (Fused/Comiguous Lorysp �:'�No Mitigation Attached ��Ves F No IsStrucNreNon-Conforming '�.'Yes ryo �' Granted by Variance(B.O.A.) Granted byConditional Use '_;Yes '�No Gse p; �:!Yes '. o Case p: Was Parcel Legally Created �Yes .-'No Were Property Lines Represented by Owner uYes ryp Was ProposeC Building 5ite Delineated �Va �_No Was P�operty 5urveyed 'T Ves No OfficeComments: ZoneDistrict: Fee: ��. f � �U Hoid ForSanitary: ,� �/!I Hold Por TBA: Hold for Affidavit Hold For Fees: oF�ezoz Sf�hl f SS�k'd 9 7 a 3 8/11/23, 3:18 PM Novus-Wisconsin Access rev. 13.1108 Real Estate Sawyer County Property Listing PropertyStatus: Current Today's Date: 8/11/Z023 Created On: 10/25/2021 8:46:28 AM '^ Description _ Updated: 8/il/2023 `�"� Ownership Updated: 8/11/2023 .__�._ _ _ -_ __ --- - - Tax ID: 44308 MARK S FORREST STONE LAKE WI PIN: 57-026-2-39-09-21-5 05-001-000090 Legacy PIN: 026939215109 Biiling Address: Mailing Address: Map ID: MARK S FORREST MARK S FORREST Municipality: (026) TOWN OF SAND LAKE N6061 WEIGAND LN N6061 WEIGAND LN STR: S21 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54876 Description: PRT GOVT LOT 1 LOT 4 CSM 37/209 #8592 (ZAWISTOWSKI JT REV TRUST - � Site Address * indicates Private Road LC) __.._._..-- .. ._ _ . - _ __- - - _- ------ - ----- Recorded Acres: 4.910 Lottery Claims: 0 First Dollar: No 0 Property Assessment Updated: 7/6/2022 _. .._ ___ _. __ _ .. ._- - - - _ ___— --- Waterbody: Sand Lake 2023 Assessment Detail Zoning: (RRi) Residential/Recreational One Code Acres Land Imp. ESN: 423 Gi-RESIDENTIAL 4.910 174,800 0 '� Tax Districts Updated: 10/25/2021 Z-Year Comparison 2022 2023 Change --------.._.----------.___--------------- .- ---------- Land: 174,800 174,800 0.0% 1 State of Wisconsin 57 Sawyer Counry Improved: 0 0 0.0% OZ6 Town of Sand Lake Total: 174,800 174,800 0.0% 572478 Hayward Community School District 001700 Technical College � �9' Property History _ ---- -- - _ - __ - --- -- - - ------- +�� Recorded Documents Updated: 10/25/2021 Parent Properties Tax ID ------- - __.__- ---.- --._ _ _ .___ ._- --------____ __ _. 57-026-2-39-09-21-5 05-001-000030 28773 � LAND CONTRACT Date Recorded: 7/31/2023 445638 � MAP OF SURVEY Date Recorded: 1/12/202Z 21399-14 � CERTIFIED SURVEY MAP Date Recorded: 10/19/2021 435333 � QUIT CLAIM DEED Date Recorded: 4/5/2013 384376 � QUIT CLAIM DEED Date Recorded: 2/11/2013 383451 O WARRANTY DEED Date Recorded: 1/22/1991 005 HISTORY ��qand All History, White=Current Parcels Pink=Retired Parcels m o. 7 ' - -2- • g, Pin: 026939215103 Mao ID: ;1,3 44308 This Parcel Parents Chfldren https://tas.sawyercountygov.org/lAccess/master.asp 1/1 v ��h��������������� v 8 Tx54D33423 9 435333 PAULA CHISSER REGISTER OP DEEDS �"'� CERTIFIED SURVEY MAP_ io isiiii o9 si nM PART OF 60VERNMENT LOT 1, RECORDINGFEE 30.00 SECTION 21. TOWNSHIP 39 NORTH, pp�E5:2 RANGE 9 WEST, TOWN OF SAN� LAKE, yOl:37 PAGE:209 $s SAWYER COUNTY, WISCONSIN. S. �.,� \� CSM MAP#:8592 , � ��'�<� SAND � ��� N 3�s �°"�:� LAKE 2 A 03M �•.. \�I � �9�. �Qq�,� �r � �� ��\ \� . � ' ) b. S 4 n �. q a\ y � y�r r'"1 ,�j� i�.7i � SCALE S"=100' I J � L07 5 ,��� 0 S00 200 y� p 2.26.CRE5.,_ •: � 97.�FT+/' �/ S a :Nc�wtas 4� PUBLIC TfiUS7 OOCTRINE ���.t.� �y' o ;BfB 5�iT ANY LANO BELOW THE OROINARY HIGM � SN TONN N��v �� pqTER NARK OF A LAKE OR NAVI6ABLE G� (1 j � ASOHT aF XAY �� g7{�pM LS SUBJECT TO TME PI�IIC \ ��1 _ ^ TRUST IN NAVI6ABLE XATERS HAT IS + Y / ESiABLISHEO UN�ER ARTICLE IX. p,�� SECTION !. �THE STATE CONSTINTI�IJ. �y� \� � � � �m�/ LEGEND � Q/ A�/ e`GOVERf@1ENT C0�&R FOUNO AS NOTEO � � �/ �� O-FOUND S'�IRON PIPE m u� � �'�F � �,� G-FOUNO S 1/4'OD IPON PIPE N $ .. \ / C-FOUiO 1 f/2'00 IRON PIPE •=SET 3/4' 24'IRON BAR � v Q � / ' NT 1.6 LBS/FT ~�$ •^SET 3/4 4B' REBAR �/1 � 1 � �$m IR S.fi L6S/FT / A`COMPUTE�POINT � �W%1 � m = ( )�pgCOR�EO AS m / �/N s �'@' ��MOOOEN PDXER POLE ffi/ / / `O `�' � �i•APPROXIMATE WETLANOS ONLY. �m � 'R m @^� NO DELINEATION PERFORMEO I � n E SEMENi ' � � ��,��'g � � v EASEMENT C/L COURSES 33' WIOE PRTYATE, �I E1^N00'17'41'p 64.83; NO EXCLUSIVE, � � 1 � E2�N22'43'fb'E 32.97 PE ETUA1., E3-N4f'44'88'E 114.12' IN 55, EGRESS � I � � E4'N22'41'49'E 86.89' E6-N0�'12'65'E 89.06' EA EMENTIFOR � �� 1� E6�N2B'3f'34'E f32.46' LO 5 � . � i�°l i ,/,.� � `�W� ,````!`�������'' 6 �N �, // '� ' \' * 1YpMftG�*�� i %i�''�/— ' '� yY`,' — qAMER — . \ � 1 � _�� � = � i �, ' Z Sbnel�Ye. 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