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010-841-36-5417-LUP-2024-159
SUBMIT COMVLEfED AFVUCATION AND � FEETo: APPIICATION FOR LAND USE PERMIT SawyerCounty SAWYER COUNTY,WISCONSIN -� 2oning 8 Conservatlon Depart. aaqq�� ��� � 1O610MaIn5t5uite99 D� o�t���y/� Ja[Q�_jJ,.s...���....-�..,._... `� Hayward,W150843 V � "\ (�15�634-8288 � \� fhk#. ��°�� � =�� ��s,A��,�o�s:Nooe.m,�_���be�ss��d�M;�.����,a.eP.�d. MAY 0 3 2924 Rc�tn��i�i__.. cAecks are made yanb�e m:szwyer counry zoni�g oepertmene. 00 NOi tiaar COrvsia�.ir*i�ry urviil nL�_vEftMrS Hav:BFEry iSSUEo Io�p,rpq�rER�hli�;6d�i [ian MUST be suhmitted FltL OUT IN INK (NO PENCIL) s�emrteai oi�n��.apon�:��.a�o,.r«�o�or ier�aoes_�oi«�sr�w�.oP•m'LC3NIKIG ADMINiSTRATION o..neHslname: contoc��(�' SO� vl � �/ 1 I�oa�i��� ��� )�' � C v MailingAddrtss: .�k��- MailingAddress: Gi,�//�7G `/ T r(/..�( l � / ' O ��U ( (�c/ /�' I/G/C i ' �7�� Phone: �_l J-':��l���L��l Phone: '1 i Gl ''7//7'._�!'��� �C V �'Y Email' � /yL Email: r /y�'� �l .Gtb'�, Site aAdress: � Or Dete aDPlktl br: tevcy viN N ��� � town M: � ' VertnttdellveryMMhad �(allOwner MailOwner �CallContractor -MailConnactor Is Vroperry/Land within 300 feet of River,Stream�m�i. Distance Structure is irom Shoreline: is you�vroperry enil -� feet in Flaotlplain Are Wellands 1CreekorLantlwardsideofFloodplaln? Ifyes-�-continue Za�e� Present' �. Shoreland Ye ves -Is Property/Land within 1000 feet of Wke,Pond ar flowage Distance Svucture is irom Shoreline: � ���� Ifv�s—cantlnue--► fee[ N<� � �.I Nao-Shoreland � Desttibe VroJec[ 7otal p ot Vslue at nme of project type Foundat�on What 7ype&Capacity is[he Campletio� Number bedrooms indudedona�ed (House,garage,shed,deck, p{Stories (Basement, Pos� Sewer/Sankary5yrtemfs) •�ime a mate��a! Addition,etc..) Crowispace, Listseparately Slab) �onstruction � f�ec��,:1 s�a�l � s�k �s�,;�i � 51ah (� OwNling S Acc sary 91dg 5 naemoNaic�rnro� Height: TotalSquare Lowest Proposed Use � Proposed Structure Dimensfons Footage Gndeto (multlply per Highest story) Peak Residence � x � Ft. with 2n°story or loft ( x � Ft- with Basement ( X � Ft. AttachedGarage ( x � �Residential Use Ft. Accessory Structure�e.Piaml ( �X ?�� � I `-+c.�J Ft. ❑Agritulturol m.�,��.ae.,.e...,n.e,,�.�no��...o��i Use Temporary Guest Quarters or Bunkhouse(a.cie ryo<) ( X ' Ft. � Commercial/ Deck/Porch/Patio ( X , F[. Industrial Use ( X � (2^d)Deck/Porch/Patio Ft. �Municipal Use ( x � Other�e=v�a��l ' Ft. ��^ other ( x ) Prindpal5wcture(nqncuimrai,commvciaL nnu��doat eccl Ft. Addition/Alteration le.viam) ( X 1 Ft. r-, Total Non-habltable square Teet: 7otal habitable square teet: // /�/�� v �decks,patios,garages,sheds,storage area&othe�structures� Original Appli[ation MUST be submi[ted Attach a Plan or Sketch your Property on 8.5"�11"or 8.5"x 14"paper.'MusP Indude locatian and setback of proposed and etisting structures,roads, dr�veway.sanitary componen�,wNl,lake,rlver,rtream,and wetla�s. DeuriGdon SMback Setback MeasuraneMs Desuiptian Meawremen[s Se[back from the Centerline of Platted Road andJor Feet Setback irom the Lake(o�a���,�n��en-w.ve�m..k) Feet Setback from the Estahlished Right-of-Way ,.�, Feet Setback from the River,Stream,Creek Feet SetbatkfromtheBluff naooi�Kable Peet Setback from the North Lo[Line Feet Setback from the South Lot Line Feet Setback fwm Wetland Feet Setback from the West Lut Line � Feet Slope within area of construction/disturbance %Slope Se[back from the East Lot Line Feet Elevation o(Floodplain Feet � Setback to Septic Tank or Holding Tank Peet Setback to Well ,-�t. Feet Setback to Drain Field Feet Setback to Privy(Portahle,Composting) Feet �'r= „'.'�',;,, �;-a'c�uv . iaY.;uaue �2nlnFveiS`.eCo`:r:�t�rv� -�.�ip.ireC ,et -4 .I�coundayl.�e°o'vwYr'��Fene[Oackmusthemeasu'ednmlbein:b'�c4oino�e { .. � ..i, ��.i� mt- iyr,nou3n� ;,.tYrtlir.me nrbe��hbe i ov:yor tl�_mnn}exp.nse. P r,bt�eua _ .: aormnsb¢to��Ya�� uct . r=tY�uivre;514vtbulleszvie'i�en',10)le_Ifrcnl}emnm _, id.e�h_r1,!M1�bo�n�ary6nt4omwFr�;�est�back n + r r �s.E . a'h ��s�lef,_moep �'qf- .1 . �e�_ot �Je,p �ouly , ey.tic ne � �efopl bytoeJtpetmrm�yuseofom��ecteCcompasslioiaknowmm�ei �n ✓,C�eet� i e� oposd �i. Jezl �i.i . n�c,� m k_d�yalcense..e�.:eyo at hennner'sexpense. Glculate impervious surfaces.(Roofed,conuete,paved,and other wrtaces that water cannot penetrote.The Zoning Office wn help you determine if a wrface Is consldered impervious) Calculate lot area: /, iIndicate lot size from CSM or NOVUS(circle one): ������!�qcres;Multiply by 43,560=Lot area:—����(/ SQuare Footage Calculate impervious surface area: Determine the[otal size,in square feet,of your projects listed above(indude eaves):__� /��� sq ft. �, Determine the total size,in square feet,of all eristing roofed structures(indude eaves�, `� sq ft. Determine the total size,in square feet,of ail existing paved/bncked/blocked surtares: (/ sq ft. AtlA these measurements[o determine total impervious surfaces: �e� �C/ sq ft. Calculatelmperviouslot percentage J To[al impervious surface:�[�'/ -Lot area:`d(ti, /Y�fq ft.X S00=impervious surface�% '/ "yf�_ (Mitigationlsrepuiredifmulerceetlsl %) "Notice a separate grading ce��[needs ro be obtained if disturhed area is within the Shoreland distric[as indicated on previous page and meets criteria bebw'^ Grading on a slope greater[han 20% Gradin of more than 1,000 Sq.Ft.on 12%-20%slopes Grading ot more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. '?�.'. d i%,V.: k ' ��rSTqp �� [pp3-Fl.QICNM610U1 ���'IRG�1T.VIL .6U��WPCNPLi¢S I(we)dedare that Nis apGlication(induding any accomvanying mformaHon)has been examined by me lus)and to the best of my(our�knowledge and belief it is true,corrett and complete. I(we)acknowletlge tha[I�we)am(are)responsible far the detail and acaracy o(all�nformation I�we)am(are�providing antl that it will be relietl upon by Sawyer Counry in tletermining whether ro issue a permiL I(we)further accept liability whic�may be a result of SawyerCounry relying on this information 1(we�am(are)providing in or with this applicatio�.I(we)consent m mwty officials charged with administering munty ordinances to have access to the above described property at any reazonable time for the purpose of inspec[ion.Additionally,[he undersigned person�s)hereby give permission fcr access to the pro0erty for onsite inspection by Municipal ONicials. Owner // v/7 Owner ! Signature� `� ��L A�+�-� Printed name '��ate �� - � . i . . ,,�i�-.�ra;ne my., ,�; NOiICE AIIL , .ii�, � ,:.���y�a�rtc�^il�rU r rr ,.i:;,�.�-� :_itn_e� �trmho�J� _ yTm ... nLblve�:io . - _ ',vVw �r odrrre' i .,.o,,, -._mc n>��- ..,.r„ ede,ai.�se.�r � . _ , . �" �... vou are responsible for mmplying wiffi the reqmremen[s of the Sawyer Counting Zoning Ordinances and law�anE regulatiorts of the 5 W te of W ismnsin.You are alm responsible for complying wtth 5[ate anE Federal laws wnceming mnshuction near or on wetlanOs,lakes,arM streams.Failure to wmply may result in removal or modifcation of constmc[ion that violates the law or other penalties or ms6. For more information,visit the department o!natural resourtt5 wetlanEs identification web page orcontac[a department of ' natural resources service center�608)26]-3125 I Issuance Information(County Use Only) Sanitary Number: M of bedrooms: Permit Denied(Date�: Reason for Denial: Permit A: Issuing agent: Da[e: �� � � �' c�- 5 /�t a� ISParcela5ub-Standardlot �iYn (DeedofRecord) 'pNo Is Parcel In Common Ownership �+Yes �Fused/Com�guous loqsp �'i No Mitigation RepuireC '�.:�.Yes �No Is 5tructure Non-Conforming �'.Ves ^+�� Mitigation AttacheA !.',Vn No Granted by Variance(B.O.A.) Granted by Conditional Use '7 Yes . No �ye H; �:Ves ' o ��; Was Parcel legalty Created ��Yes :'No Were Pmperty lines Represented by 0wner �Yes Na WasProposedBuildingSiteDelineated "�Yes ���,_No WasVropertySurveyed �Ves No Office Comments: Zone District: Fe � _� �ao�, ��� Hold ForSani[ary: . Hold For TBA: � Hoid For Affid'avi!: Hold Fcr Fees: OFeb2021 4/12/24. 10:39 AM Novus-Wisconsin Access rev. 13.1108 Redl Estdte Sawyer County Property Listing Property Status:Curtent Today's Date:4/12/2024 Created On: 2/6/2007 7:5521 AM �Description � UPdated: 8/17/2020 � Ownership UPdated: 222/2017 Tax ID: 11897 DOUGLAS K HAMBLIN SAVAGE MN PIN: 2�-41-08-36-5 OS-004-000170 Legacy PIN: 01064136541 .7 Billing Address: Mailing Address: Map ID: :4.17 DOUGLAS K HAMBLIN DOUGLAS K HAMBLIN Municipality: (O10)TOWN OF HAYVJARD 4731 W 129TH 5T 4731 W 129TH ST STR: 536 T41N ROBW SAVAGE MN 553784513 SAVAGE MN 55376-1513 Description: PRT GOVT LOT 4 LOT 1 CSM 11/229 �Z419 �� Site Address ' indica[es Private Road Recorded Acres: 0.660 N�A Lottery Claims: 0 First Dollar: No Waterbody' Little Round Lake J P�operty Assessment Updated: 1t/9/2015 Zoning: (RRl)Residential/Recreational One 2024 Assessment Detail �\ ESN: 444 Code Acres Land /Ir�p. \\ G1-RESIDENTIAL 0.660 ll2,900 � � Tax DisFric[s Updated: 2/6/ID07 2-YearComparison 2023 2024 Change 1 5[ate of Wisconsin Land: ll2,900 172,900 0.0% 57 Sawyer County Improved: 0 0 0.0% O10 Town of Hayward Total: 172,900 1R,900 0.0% SR476 Hayward Community School District 001700 Te�hnical College .� Recorded DocumenLS Upda[ed: 3/12/2012 `�' P�operty History 0 TERMINATION OF DECEDENTSINTEREST N�A Da[e Remrded: 7/27J2020 425308 O TERMINATION OF DECEDENTSINTEREST Date Recorded: 7/27/2020 425307 O TRANSFER ON DEATH DEED Date Rerorded: 3R5/2015 394847 O WARRANTY DEED Date Recorded: 2/16R012 377190 O CERTIFIED SURVEY MAP Date Recorded: 6/23/1986 200533 https:Utas.sawyercountygov.orglAccesslmaster.asp ��� 4112124, 10:38 AM Nows-Wisconsin Access rev.13.1108 Redl Estate Sawyer County Property Listing Property Status:Current Today's Date:9/12/2024 Created On:2/6/2007 7:5521 AM �Description Updated:8/ll/2020 'i'� Ownership Updated: 2/22/2017 Tax ID: 11885 DOUGLAS K HAMBLIN SAVA6E MN PIN: 57-010-2-41-�6-36-5 OS-004-000020 Legacy PIN: 010841365402 eilling Address: Ma_ling Address: Map iD: :4.2 DOUGLAS K HAMBLIN DOUGLAS K HAMBLIN Municipality: (010;TOWN OF HAYWARD 4731 W 129TH ST q731 W 129TH 5T STR: 536741N R08W SAVAGE MN 553784513 SAVAGE MN 5 53 78 4 5 13 Description: PRT GOVT LOT 4 Recorde0 Acres: OJ80 w Site Address 'indicates Private Road Lottery Claims: 0 9841N VALIEN AVE ' HAYWARD 54843 First Dollar: Yes Waterbody: Little Round Lake Zoning: (RRl)Residential/RecreationalOne '-JP�opeKyAssessment Updated: li/9/2015 ESN: 444 2024 Assessment De[ail Code Acres Land Imp. � Tax Districts Upda[ed: 2/6/2007 Gl-RESIDENTIAL OJ80 286,600 110,000 1 State of Wismnsin Z-year Comparison 2023 2024 Change 57 SawyerCounty Land: 286,600 286,600 0.0% O10 Town of Hayward Improved: 110,000 110,000 0.�% 572478 Hayward Community School Distri[t 7ota1: 396,600 396,600 0.0°/a 001700 Technical College • Recorded Documents Updated: 3/12/2012 �p�operty History � TERMINATION OFDECEDENTSINTEREST N�A � � � Date Recorded: 7/27/2020 425308 0 TERMINATION OF DECEDENTS IN7ERE5T Date Remrded: 7/27/2020 425307 � TRANSFER ON DEATH DEED Date Remrded: 3/25/2015 394847 O WARRANTY DEED Date Recorded: 2/16/2012 377190 https:Otas.sawyercountygov.org/Accesslmaster.asp ��� B nr,,/ �?hall not be created ,� ,�`! eaco Sawyer County, WI ;�.,�.- :..�... . <.+r„�t� �ros - � ��. .,� �; � _ �1 � ��. 1 _��5� �3 = ..,�- � �: .�� r� � .�"�.�.�,.��,� � — _ � ,,,�..�,,.a �,.. ��I � �� _ —� � �� �; �� _ �; . 3�i � � :'�����"4' �. � a I .�` � :t �`t� - !'� J • r" �e .�. , . i . � . � . .+.rt .... - -a a x {�` � � ' t . ,.. 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Encroachment Analysis � � (. Flood Insurance Study ,t Flood Storage Analysis l "'i , , � v � - � � Floodplain Study(locally ,.., i� .�ti,y���,. ' Funded) - .� _ �K� �';� d.� I�I *^� '� ,.� � , HydrologylHydraulics developed � ' ^— , ' � — �Y �I Ot@S n•� � 0.06 �.� MI�@S DISCLAIMER�. The inforrnation shown on theac �n.�py has been ubta�.ced `•un;:.rtu�,is sources, and are of varying age, refl�biliry and resolution. These maps aie nn[inlendea Io he �.i���i fnr�a����.�a��-��„ ��r are ;h.ca,, ,,,,,N,a„ ,����uuieuve source of iniormatwn about leoal lan�l ��wnership or public access. No weiranty,expressetl or Implied, is made regarding accurar.y. NAD_t983_HARN_Wiscunsin_TM � . 3 96O �PPlicabitiry for a parlicular use. completeness. or legality o(the information depicted on this � map. Fur inore Informahun, see the DNR Legal Notices web page�. http-.;dnr.wi.qowieyai: ��� ��� i L �' %, 4 �TT �� ' '" ��';, 's1+�f s ���. 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F_u ,,.r_-�.'`��t n , "�--. -�=—.r�.� ; "'�..�:�� � _ __ _ .� �� ,, : � _ _ - - --�-+-�.��,�„Wr,�,,�'�",�,���, { ; ��,.t,�,_��;� . �;�' _ , �� �� �-. � L � � _�=- .�_—. _ __.. rJ Q N �(] RESTRICTIVE COVENANTS ��I'� II�� I I i ; I I) i u i i i � ��u?�:�Q�iQ34i� i i IN RE: ix;40517�2 �49745 �auLa cHass�:r� REGIST�R OF DEED� SAINYER COUI�IT'�', WI OS/1�/2024 02:3'1 PM €tECORDING PEE 30.�0 �E Ss�.��� �.�-�,� �`�'���_ �a�Fs: z Retum to: Sawyer County Zoning 10610 Main Street Hayward,WI 54843 STATE OF WISCONSIN ) ) § COUNTY OF SAWYER ) ParcelNo. 010�� [ l -.� •S`�I� Parcel No. o i O-g�( -36 ��`�d� }� I�I� i being first duly sworn on oath depose and state that they are the ow�re of the property described hereinabove, and further state that the following restrictive covenants shall run with said property described herein: 1)The above described parcels may not be sold separately without permission from the Sawyer County Zoning Office. Dated this�_day of z'� , 20�. O� � .. .,y a � � - . �—r�^.-- *PrintOwnersna e txa �c+ �. �-{a �i�n *PrintOwnersname �;, ACKNOWLEGEMENT �,��'�����if`�;,�'�,.Y�'Y' ',c�•,�.q. 9�„G�Y STATE OF WISCONSIN ) ; C.��j••'y�j,`���' ) § e'���""'ky SAWYER COUNTY ) Personally came before me this ;�v; day of � �"� 20� the above named individuals, s � . �%u ''►'� � �� , to me known to be the persons who executed the foregoi instrument and acknowledged the same. L�t ,,e� .,�. (Print Notary Name) L�1 li ��i�tli�� �C (�C,�I.q�/ , Notary Public, State of Wisconsin This documentdrafted by: my commission expires: /-� ��� S E'f;� �,�,��Qu� ���Jt�rial Officer by Wis. Stats. ��-,�:,.,t�a �;t� �f1 and (2) County Clerk Parcel: 57-010-2-41-08-36-5 05-004-000170 That part of Government Lot Four(4), Section Thirty-six (36) North, Township Forty-one (41) North, Range Eight(8) West, described as Parcel One (1), recorded in Volume Eleven (11) of Certified Survey Maps, page 229, Survey No. 2419, Register of Deeds office for Sawyer County, Wisconsin. DOC#200533 Together with rights of ingress and egress on the access road as recoded in Volume Eighty-one (81) of Deeds, page 152 in the Register of Deeds office for Sawyer County, Wisconsin. Parcel: 57-010-2-41-08-36-5 05-004-000020 The West 205 feet of a piece or parcel of land described as follows: A piece or parcel of land lying in Government Lot Four(4), Section Thirty-six (36), Township Forty-one (41) North, Range Eight(8) West herein described as follows: Beginning at a point on the East line of Government Lot Four(4), that is 671.7 feet South of the center Quarter corner of Section Thirty-six (36); thence angle from said East line 90 degrees North to West and run 600 feet to the East shore of Little Round Lake; thence southerly, easterly and northeasterly along the shore of said lake 1000 feet to the East line of said Government Lot ; thence North on said East line 90 feet back to the point of beginning, together with a right of way for an access road to the real estate herein conveyed, said access road to begin near the East line of the real estate which the West 205 feet is a parcel thereof and to run northerly across that part of Government Lot Four(4) lying south of present County Trunk Highway"B". It is the intent of this deed to convey the West 205 feet of all of that real estate described in Volume 81 of Deeds on page 152 together with right of way for access road as mentioned above.