The URL can be used to link to this page

Home My WebLink About002-840-29-5315-LUP-2010-285Y� Application for Land Use Permit (*Shoreland*) o County of Sawyer PO Box 676 - Hayward WI 54843 715/634-8288 *Property that has frontage on a creek, river or stream, a flowage, lake or pond or has any of the above water bodies located within the property's boundaries.* I CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER f rY1 SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCII. elQ,�rn M Owner Builder 60&0 IV Gov NT'y 80 Mailing Address Mailing Address I-- 9/ R.3 CD City, State, Zip City, State, Zip CA 7 /5-63 y- aVQ3 ... Daytime Phone Daytime Phone 80 Y� 86n/ L�4 fib• � � s Site address: m a..� G Cle��. it (Fire number & name of road) - y 1_ Proposed construction (check one):' ( )New or replacement dwelling/primary building. Number of bedrooms: ( )New or replacement accessory building Addition r alteration to dwelling/primary building. Total number of bedrooms: 3 QQ ( ) on or alteration to accessory building ( )New business or use of existing building ( )Use of land (such as mining, grading, filling) ' Additional information: Construction Cost: Primary Structure $ oG � Accessory Building: $ Addition: $ 7 000 � Describe what you are building. List each project (from what you have checked above). Dv Project#1.Size of footprint: /6 ft.x 15T _ft 8 8 0 sq ft. p Total sq ft: 8$ O Height from grade to peak: /S °` Z 5- ,Ar1_ (This total includes additional stories or lofts.) Project#2. Size of footprint: ft.x ft = sq ft. N Total sq ft: Height from grade to peak: . ao Project#3. Size of footprint: ft.x ft = sq ft. Total sq ft: Height from grade to peak: Additional information:; Example: A dwelling is #1, an attached or detached garage is #2. b O Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. The Zoning Office can. help you determine if a surface is considered impervious.) `D This calculation may be omitted if there is no increase in amount of impervious surface. Calculate lot area: O Determine, lot width in'feet (measure from side lot line to side lot line): ft p Multiply by lot depth in feet (measure from shoreline to the landward) or multiply by 300 feet -if lot is more than 300 feet deep: sq ft A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .15: S4,4,74 sq ft x .15 = -FS D /. IL sq ft w z O Calculate impervious surface area: Determine the total size in square feet of your projects listed above (include eaves): ft' °4 Determine the total size;in square feet of all existing roofed structures (include eaves): �► O sq ft Determine the total size'in square feet of all existing paved/bricked/blocked surfaces: o S589 sq ft Add these square foot measurements to determine total impervious surface: 4-A LA sq ft _r") If the total square feet of impervious surface does not exceed the 15% limit that you have calculated above, proceed to page 2 of this application. Ul The drawing on page 2 {nust indicate the location and dimensions of all these measurements. • l Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. "� .4-T l�4-CEO Removjn j(o x Ib s�ra9,c- 5 ljdwlkl l6 X 557 (�ffo 59. Fire Number and Name of Road 8d (a s/ s�. e 70-0 Show lot dimensions and indicate north. Draw the location, size, and dimensions of each structure on the property. Indicate new structure. Show driveway access. Draw the location of the septic system and distance to structure. Show the distance to the shoreland of the waterbody. Show location of any wetland. Show the distance from the structure to road centerline, lot lines, wetland, septic system (drainfield and/or tank). Shoreland vegetative buffer: The shoreline area is to.be fully vegetated to a depth of 35 feet from the shore of any waterbody. The exception is an access corridor of 30 feet within any 100 feet of shoreline. Indicate on the above drawing the location of the access corridor. Owner's signature is required on the appropriate attached Shoreland Protection Agreement. This permit cannot be issued without a signed Shoreland Protection Agreement. If the 35 foot buffer is fully vegetative, sign the Shoreline Protection Agreement #1. If any part of the 35 foot buffer is not in compliance with vegetative requirements, sign the Shoreline Protection Agreement #2 — Non -Intact. Please submit a shoreline photo to verify buffer status. Notice: Land Use Permits expire one year from issue date. The undersigned certifies that the listed Information and Intentions are true and correct, that all work shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin. The undersigned person(s) hereby give permission for access to the property for onsite inspection. Signature of property owner (or agent with Power of Attorney). Permit Fee dt 10 a 1 n Page 2 N. Geri ✓cwceJi. p/dr¢ t,Y FiEca r\5�, 75t� jgl/ I � Y0Y Ibx y' 5'torng� I�'�"1lDy 0 Lac Courfe Oref-I S Page 1 of 1 Property Status: Current Real Estate Sawyer County Property Listing Today's Date: 10/4/2010 DescriDtion Updated: 10 1 2007 Tax ID• - 39492 PIN: 57-002-2-40-08-29-5 05-003-000150 Legacy PIN: 002840295315 Map ID: :3.1S Munldpality: (002) TOWN OF BASS LAKE STR: S29 T40N R08W Descriptlon: PRT GOVT LOT 3, LOTS 4 & 5 CSM 17/9 #5192, LC=CO & AP HORMAN Recorded Acres: 1.240 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Zoning: (RRI) Residential/Recreational One I Tax Districts Updated: 10/1/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School DlsMct 17 Technical College 4r Recorded Documents Updated: 1/5/2009 ® QUIT CLAIM DEED Date Recorded: 12/12/2008 357282 ® LAND CONTRACT EXTENSION Date Recorded:7/17/2007 347721 ® WARRANTY DEED Date Recorded:2/7/2007 1071227 Created On: 10/1/2007 11:45:41 AM ill Ownershirr Updated: 1/5/2009 MICHELE R HORMAN HAYWARD WI Billing Address: Malling Address: MICHELE R HORMAN MICHELE R HORMAN 8080N CTY HWY K 8080N CTY HWY K HAYWARD WI 54843 HAYWARD WI 54843 P Site Address N/A ® Pronerty Assessment Updated: 5/20/2010 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.240 204,300 130,500 2-Year Comparison 2009 2010 Change Land: 204,300 204,300 0.0% Improved: 82,100 1301500 59.0% Total: 286,400 334,800 16.9% 0 Properly History Parent Properties Tax ID 57-002-2-40-08-29-5 05-003-000010 2381 10/4/2010 /-*N W-OOL62 6 0 RVI V MA P flirt it ltouarnmavck God_ 3. 4atiol. 2o).' 40 a. eg w ,(DWH d 4-144 Ltu !r=tllvty lzlm► . wli aua ht ("GV. tft fq,- AU I. ltlL n 040' a � t21ibw 40 .6,YGa tm4 boyVel ty Wi,coymc 441- I N-1111 t�l SIVI- MD)4 c DAVID F. REF.DER it S-1737 BIRCHWOO f WI d 5kt4� � •k 2 t'=�G t .� 2 . 9 I Grindstone I I Lake I I I I I I .3.1 :3.12 :3.1 1 :3.7 Mi..lKlc :32 CHET :3.3 C!z¢F a .6 :3.4 Bo9iC :5.5 :4.1 :4.2 :5.4 5.3 1