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026-182-07-0701-LUP-2024-040
SUBMITCOMPLETED APPUCATION AND D L ��'�, , FEE TO: Sawyer Courrty ' . 2oning&ConservationDepaK. � _':�;.����..�_.�—^-�^^'�"'"^""",. 10630 Main St Suite 49 ��D o.�:�(ay��I�� � Q \ p � � �� Nayward,WI 51843 �,,sy}y y �� ,., � (' (715)634-8288 �� �'�-" y SAWYER COUNTY � ir�STRu[nprvs:Nopermttswilibeissueduntilallfeesarepaid� �►G ADMINISTRATION � ��� � � � Checks arc made paya6le to:Sawyer County Zoning Department. � uG hG� '. ., --.. - '. -','T � •�_<^��"'��Sr� �h�*%K^d F1lL OUr7N INK ENC)PEN('141 Submlttal of th,aGpliaban� r p!01 fc d e:not co si�+ t pe:m�t� uance. � Owner�s)Name: � Concnctor(s�Name �,�,,. C� �/d s s �;s �3�� 1�e�s L�.c MailingAddress: �— MailingAddress: �$a� Cv4let G� vi�Qsk'Cc �i' �ylo�� �0?5 /I� 2 �f�4��dc 'E/i �`J�lo ;�ho�e:/D 8 ^ 3j� — 3 yv J Phor�: �� - 80— !�' S"5,. � �O � / / I Email: ���V J \.i/LW��(/� • �� Emall:��+r�'�7/� ✓V��`I �/ • ,V G � . ._ __. . __ . .. _._... ..�.. .__._._�C---. . \ __— _ _.. ... ..._._ ' ...1._� ,' Site�ddras: I•��[ � / /'t�i/\ ��/1�e Or Oate aDPlied tor: I� - - r — -1 ` / /� �� LeBacY PIN k ��� (! �� �� r-�J 1� U 1 l7\ Town of: I �.C/) L���G � . '� vermit deKvery MetAod �; r;GII Owner c Mail Owner �Call Contrector -Mail Contrector `� " ._v_...__..._—_L- -- .Is Property/W nd within 300 feet of River,Stream pnn. pistance Structure is from Shoreli�e: .Is yaur vcoperty � �^«'m�°^�� "'"� feet in flooqplam A�e Wetlands Creek or Landward side of Flood Iain? if�es—cor,tinue Preseni? Shoreland —� p � ZQYeS i Yes �� I -Is PropertyJLand within 1000 feet of lake,Pond or Flowaqe Distance Structure is from Shoreline: _ i1 !ft='. , .�.,ue �� feet I tVo j *� � � 4�� t Non•5�/ � �. _ . .. . . .. . . �-+-�`—_—_ -.._�.__-----��.�--- Dex�be Pro�e� Total#of I Value atTime of P�OJe�ty� Faundation What Type&Capacity is the Completion Number bedrooms Sewer/Sanita S stem ;._�, ._ ,� (House,garage,shed,deck, �{$tories {Basement, �o�t rY Y (5) Addition,etc...� Crawispace, �""'"°' Ust separately Slab) �Artstruction \ 5 � Y-��� l-s �� —, �x��h� ellin5 $ Accessory Bldg S//• /-+� �u�u�7 addtanJAlteratlon ___.._'_"___...�__- _ .__'____"_._. ___._.....__.._. . _. . _.. . FlEighLt � TotalSquare Lowest Proposed Use � Proposed Strudure Dimensions F�tage Grade to (multiply per Highest storyj Deak Residence � x ) Ft. with 2n°story or loft � X � Ft. ( x 1 with$asement Ft. Attached Garage S X � �Residential Use Ft. Atcessory Strueture(e■via��) ( X ) � Ag�itultu►al (detach<d ganQas,shcds,boat heuce¢,atc) Ft. Use ( X � Temporary Guest Quarters or Bunkhouse(a�de type) Ft. i: Commercial/ Deck/Porch/Patio � X � Ft. industrial Use � X � (2nd)Deck/Porth/Patio Ft. � Munfcipal Use //_ /'` � OLh2f(explainl� ��/�G� (l�p x/({� l �\�/ `+� Ft.��j , r�r _ Other ( x ) Principal Strutture(AgricWmral,commercial,Municipal,Etc� Ft. Addition/Alteration(e.piai�} ( x � Ft. TOWI habitable squ re f�t: w 1 j� Total Non-habitable square feet: `7•. (decks,patios,garages,sheds,storage area&otber structures) I•1� QriginalApphta ;; �. ct�_ `Attach a�'�r or Si�e:c9+your Property on 8.5 x 11"or 8.5"x 14"paper:•Must•tnciude tocatio�and setback of proposed antl existing structures=road� driveway,sanrtary components,wetl,lake,�iver,stream,and wetlands. �� � �� ___ �_� _ � �. � Set6ack � � � Setpack � DesCriptron, ,' Mleasurements ���0° Meas�ueinentt , Sethatk from the Centerline of Platted Road and/or � �Feet �� Setback from the Lake(�e�oary n�,gn.wace.m,�k) � � �feet , Setback from the Established�Rightrof-1Kay ( Feet �i Setback from the River,5tream,Creek ,�-- �Feei . � ��� Setback from the Bluff�r aaPik,ue � _.-�- Peet � SciGack from t�e Nortd-Lo[line . j `/ �Feet ; � Setback from the�South�Lot Line � - � � Feet . '� Setback from Wetland � � Feet I L Setback from the Wesi Lot Line � � b Feet f �: Slope within area of tonstructlon/distu�bance �r"'— 95 Slope ! � ! Setback from the East Lot Line / � Peet �> Elevation of Floodplaie � � Feet � - � .a � . � . . � . .. .. . . ' Setback to Septk Tank or HoidineTank Feet � Setback to WeII �Feet � Setback to Orain Field Feet � � ' Setback to Pnvy(Portabte Composf�ng} � .,,.�� Feet t N 2a le c a tnrro _�f u w h f e�5 -e o t m , q _d eY i..t��to�3 �i.e cT,vh.:h?�es i"ckr�,:; tir e�"��e-�-,' �u� , ,.., , �.--.e� � i ., C .,a. t �:e �.�� ei .�. � -y a -�� at Ye o',_ i� ....ir r .. ....�,. . ,,... .., .,._ ...,-. . I - .'Pa,e ri. _. ., ,-.. .r�,.._ .,,re � �. .._. t+ . `�t, t, y�.{hr�, nt ,F ` t�� � . � , . �__. ,. . _.. , .,. ., .� -, ... � , . ., .. . _. ,..c,.,� ..... 1 . i i.... . ,.� ... _. �.�i . , � .-. � �„� : . t � • . . . �.• .- :• s . - . � .•._ � . � faicufate impervious surfaces.(Roo(ed,concrete,paved,and other wrface4 tFwt water cannot penetrate:The Zoning,Offite wn help you determine If a wrface is considc+�ed impervious) � i ! Calcufate bt area: � Indicate lot size from CSM or NOVUS(circle one}: Acres,Multiply by 43,560=Lot area: Square Footage � � Calculate impervious surface area: � � Determine the total size,in square feet,of your projects listed above(indude eaves): sq R � ��� Determine the total size,in square feet,of all existing roofed structures(indude eaves�: sq ft. � � IDetermine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. � Add these measuremenu to determine total impervious surfaces: sq ft. � � Calculate impervious lot percentage � i ; Total impervious surface: =Lot area: __i__Sn ft.X 100=impervious 5uriace � l. � (M t'gation�s rep Ted if totai exceeds 15%} f . j '"'Notke a separate grading permit needs.to:be abtainetl.'rf disturbedcarea is wdh�n.the Shoreland districtas.mditated on previuus,page and meets cnteria.bebw"*. � � � �. Grad"mg on a s�ope greaLer than 2090 � Grading of more thart:l,OQO .Ft.on 12%-20%slopes � Grading of more than 2,000 Sq.ft.on Slopes less than 12% Grading is in excess of lO,OdD Sq.Ft. f � �n. � ,�, , r� _ti t � i(we)declare that this application(including any accompanying information)has been examined by me(us}�and to�the best of my(our)knowledge and bellet it is true,correct and . complete.1(we)acknowledge fhat I�we)am(are}responsib�e for;he detail and accurecy of all Information I(we)am(are)providiog and that it will6e relled upon by5awyer i CounTy in determining whether to issue a permit.I(we)further accept liability which may bea result of Sauryer County relying on th¢information I(we)am(are)providing in or �I ° with tfiis application.f(we)consent to county offi6als charged wrth administering county ordinances to have access to the abwe desvibed ro e y � �� i R 0 rtY at an reasonable time for�the purpose c;ynspect��n.Additionally,thz undenigned personjs)nereby glve pennission For access tu the property ior onsite inspection by Municipai Officials. j � c,� Owner � � / �..// �i(j' '�� 1 Owner - /� . �...� � k .�_�� �,`L� ���,�i . I Signature ri i�� !(ii`' �PdM2d name � �` �- � Date � . i � �� E tiC,�,.� t_.. , ,., d�: i -, - . r_,._ .� - �_ .. ., .. ;,� ^,,:� �a. � ; 5 - t_ a I You are responsible for complying with the reqmrements of the Sawyer Countmg Zornng Ordmances and law and regulations of the State of Wisconsin You are also responsible for . mmpiying with State and federal Iaws conceming mnstruction near or on wetlands,lakes,and streams.Failure to compiy may resuit in removal or modiflcation of construction � that vtola[es the law or other penaltles or msts.For more information,visit the department of naturel resources wetlands identification web page or contad a department of � , natural resources service center(608)26�-3125 ; Issuartce ir�formaLion(County Use Only) f 5an�cary Numoer. j a of bedroomr. I - - ---" ��..� � � � .__�� '. Permit Denied{Date}: � �Reason for Demal. . � . ... . I � . . . . � iPermd k; � .�- . -'Issuing agenf. . � �.. Date: . � . � ��-o�ac i ��'� -3 , a� � � � �� �� � � Is Parcel a Sob-Stanaard Loi i Yes (oeed ot Record)�: �� ^1.No � �� � � � iIS Parcel in Common Ownershi Yes fused/Corn- �'Mit�gation Reqwretl �Yes NO P �� ( �g�,ous�oc(s)) No � M�ugation Attached � Nes �No � iIs Structur2 NomConformmg' -��..Ves :�ryp �:.. I : Granted�byVariance(B.O.A.) � GrantedbyConditionaiUse � �� � �.i Yes -':LMo .� � �..� Case R: _ . .. 1 '�?Ves �.�tp:� .. Case#:�`. � .. � 7------- � � �� � ! �.� Was Parcel legally Created �Yes No j���.Were�Property Lines Represented byAwner IV Yes yp � Was RroDosed Building Site Delineated �Ves .No � � � �Nas Property Surveyed.+.vYes No ; Office Comments � . Zone Distnct�<� s Fee: �� � � �� ' ; �� � ��c�� � hwdParSanitary. _____ ):.�HaiaForTgA: � tfo�d�For4,Hipa�r7t: ��.Holds'o�'Qes . � Y� . � �Feb2021 R2dl EStdte Sawyer County Property Listing PropertyStatus: Current Today's Date:3/1/2024 Created On:10/13/2023 3:18:57 PM �Description Updated:1/29/2024 �Ownership Updated:10/13/2023 TaxID: 44650 GEOFPREY W KLOS ONALASKA WI PIN: 57-026-2-39-09-03-5 15-133-070701 Legacy PIN: 026182070701 Billing Address: Mailing Address: MapID: GEOFFREY W KLOS GEOFFREY W KLOS Municipality: (026)TOWN OF SAND LAKE 521 COULEE CT 521 COULEE CT STR: 503 T39N R09W ONA�,45KA WI 54650 ONALASKA WI 54650 Description: VICTORY HEIGHTS 2ND ADDITION LOTS 741 BLK 7 LOT 1 CSM 38/220#8745 w Site Address *indicates Private Road Recorded Acres: 1.450 15323W VICTORY HEIGHTS CIR STONE LAKE 54876 Calcula[ed Acres: 0.000 Lottery Claims: 0 J property Assessment Updated:N/A First Dollar: No Zoning: (RRl)Residential/Recreational One z024 Assessment Detail ESN: 423 Code Acres Land Imp. N/A ��Tax Districts . Updated:10/13/2023 Z-Year Comparison 2023 2024 Change 1 State of Wisconsin Land: 0 0 0.0% 57 Sawyer County Improved: 0 0 0.0% 026 Town of Sand Lake Total: 0 0 0.0% 572478 Hayward Community School Dis[rict 001700 Technical College ��Proper[y History . Recorded Documentr Updated:1/Z9/2024 parent Properties Tax[D QUIT CLAIM DEED 57-026-2-39-09-03-5 15d33-070700 27058 Date Remrded:12/29/2023 44�935 57-026-2-39-09-03-5 15-133-071001 40914 CERTIFSED SURVEY MAP Date Recorded:9/19/2023 446454 QUIT CLAIM DEED Date Remrded:1/20/2011 371060 Child History Record.Lount:3-__ _ ... __._ . . . .. _. HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID:27059 Pin:57-026-2-39-09-03-5 15-133-071000 Leg.Pin:026182071000 Map ID:-16.7.10-13 O Tax ID:40914 Pin:57-026-2-39-09-03-5 15-133-071001 Leg.Pin:026162071001 Map ID:-16.7.10&11 O Tax ID:27058 Pin:57-026-2-39-09-03-5 15-133-070700 Leg.Pin:026182070700 Map ID:-16.7.7-9 44850 This Parcel Parents Chiidren � ( � i 1 � 1 ' l ' fij � , ! N ! 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