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ValueatTmeol projecttype Foundation WhatType&Capad[yisthe
Cnm0letbn Number bedroom
�House,gange,s�etl,tlxk, (BdSPm¢n[, Sew¢r/Sani[ary$ystlm�5)
nECinon,etc..) �Stories �rawlzpace, I� 1
Urtsepatately Slab) � S�' ����/nTs/
�9UO;C0"� 'Nr�� NrM- i �as�re�rr �
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Total54ua Lowest
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IVroposed Use � Yroposed Strvaurc Dimensions (m kiply per Highest
' s�ay) veaw
Residencc �,L �0,� ' x ' ���' F[.�� I 1 1•J
wiM 2n°srory or loft � % � a��'� F�
w,«eaume�� ' " ' 3t�3h F�.
�nesidential Use A��heO Garage � x � �'L,p j F� 'a-`�J
accessory Shuaure�e.piai�l � x �
]AgriCultural em,a.e�.�.v=.•Me,.m.�no�,.:.�<�, F��
UK TempanryGueztQuartersorBunkhouse�c�r�ie�yoe� ( x � �
�i.Commercial/ Deck/Vorch/Palio � x ' 16ee pi. `>J
Industrial Use � x �
�2n0lDeck/Vorch/Gatio ],Oc, Fo.
]Muni<ipal Use � x �
O[herle.da��l A��,. -.�., � Ft.
=�.Other ( x 1
PrinelpalSlrueW re�ag�icui�uni,Commerciai,Munk�oal cu.l
F[.
Adtlition/AI[eration�e+oiain� ` x 1 Ft.
���^` Total Noa-habitable squarefeel: 3�On j
7owl habitable square feet:. 0�J �ae�ks,pa[ios,garages,she0s,storage area&otAer strvttures�
' Attach a or � � your Property on 8.5" x 11"" or 8.5" z 14'" paper. •MusN Include b[atian a�d setback of praposed and ezisting structures, roads, .
� driveway, wnitary comPcnents.we11, lake, rive►,stream,and wetlands.
' - -.—. _ _ _ _ _— �
5ltbeck i --- ---- SEtbaCk
�x��� Meawremertts ���0� Meawreme�ts
Setback from the Centerline of Platted Road and/or � �__j � Feet Setback from the lake (ordinaryhiQh-water mark� Feet
Setbatk from the EstabBshed Right-of-Way Feet Setback from the River, Stream, Geek Feet �
Setback from the Bluff �iappie,we Feet
I Setback from the North Lot Line Feet
Setback from the Soutb Lot Line L Feet � Set6ack from Wetland Feet
Setback from the West Lot Line Feet Slope within area of constrvction/disturbance 7G Slope
; Setback from the East Lot Line Feet Elevation of Floodplain Feet
i
Setback to Septic Tank or Holding Tank Feet Setback to Well Peet �
Setback to Droin Field Feet
Setback to Privy (Portable, Composting) Feet
-�mred selbaA � . . . .
� . - . 'cPartment hv _ . . ..::�pa,. � . .. . , .. . . .
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iCalculate impervious surfaces (Roofed,concrete, paved, and other surfatts that water cannot penetrate. The Zoning WRce on help you determine if a i
i wnc�e Is constdered impervious)
Calculate lot area: .� �`� �
Indicate lot size from CSM or NOVUS (circle one�: � • �-� Acres; Multiply by 43,560= Lot area: '� / / C� � Square Footage
, Calculate impervious surface area:
Determine the total size, in square feet, of your projects listed above (indude eaves):_ �� V V sq ft. '
' Determine the total size, in square feet, of all existing roofed structures (indude eaves): � sq ft.
I,
Determine the total size, in square feet, of all existing paved/bricked/blocked surfaces: � sq ft.
. Add these measurements to determine total impervious surfaces: ��� � sq ft.
I Calculate impervious lot percentage
� 7otal impervious surface: �C� = Lot area 6 � Sq k. lC 100 = impervious surface�.,�_Y
(MitiQatbn is required if tohl ev<eeds 15%)
•'•Notice a separate grading permk needs to be obtained rf disturbed area is within Me Shoreland distric[as indicated on previous page and meeu criteria bebw'•` �
Grading on a slope greater than 20% Grading of more than 1,000 Sq. Ft. on 12%-20q slopes
_ Grading of more than 2.000 Sq. Pt. on Slopes less than 12% Grading is in excess of 10,000 Sq. Ft.
I �we) declare that Ihis application(induding any accompanying intormation)has been examined by me(us) and to the best of my (our)knowledge and belief it is t�ue, correc[and
complete. I �we)acknowledge that I (we) am (are)responsible for the detail and accuracy of all information I (we) am(ar rovidin nd that it will be relied upon by Sawyer
., Counry in determining whether to issue a permit. I (we)further accept liability which may be a result of County r ing on(hi informaiion I (we)am(are) providing in or
'� with this application. I (we)tonsent to county officials charged with administering county ordinanres to ba access to th a ve des ibed property at any reasonable time for the
Ipurpose of� spxtion. Addition e und igned person�s) hereby give permission for ac ss to the prop or onsi inspection by Municipal�cials.
.
� Owner Owner
/� ��/ �
� Signature K�"�L= �� Printedname `��d Date �
i
/ �
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You are responsible for complying with the requiremenis of the Sawyer Counting Zoning Ordinances and law and regulations of the 5[ate of Wisconsin.You are also responsible for
� complying with 5[ate and Federal laws concerning construction near or on wetlands, lakes, and streams. Failure ro wmply may result in removal or modifitati0n of construc[ion
that vlolates the law or other penalties or msts. For more mformation, visk the department of na[ural resources wetlands identification web page or contact a department of
natural resources service center(608) 2673125
�
issuance Information (County Use Only) Sanitary Number: #of bedrooms:
Permit Denied (Date): Reason for Denial:
Permit#: � '�, Issuing agenC Oate:
i � a - 3s � i ; �---___ .
- - t-
r,�„� g' �" a��.
Is Parcel a Sub-Standard Lot i � ��. Ves (Deed oi Record� y,'�. No �
I Mitigation Required i �-' Yes No
�. Is �arcel in Common Ownership �Yes (FusedlContiguou:�otls)) No � Mitigation AttacAed '�. � Yes �No
Is Struc[ure NomConforming : Yes �:' No � i
Granted by Variance (B.O.A.) ! Granted by Conditional Use
� � Yes ' � Gse N: � . Yes �, o Caselh
� Was Parcel Legally Created ; yYes :��� No i Were Property Lines Represented by Owner Ves No ,
, Was Proposed BuiWing Ske Delineated I ''�Yes _' No � Was Property Surveyed �Yes No
OfficeComments: �tx �,;,��''+� �,.� ^����, �_��x� �G�� ZoneDistria: fee: �
j �.7 `\ n2r—� � r?� 6�`� O �`.h� � [��Z'✓'� �� \ ' � �C� r
' 1 � 5�
Hold For San�W�y. Hold for TBA: � Hold For Affidawt I �'�.� �. � � � � . _ .__ ____. _ __
�e62021
8/2/22, 1:47 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date: 8/2/2022 Created On: 2/6/2007 7:55:45 AM
-,
�'Description Updated: 7/21/2022 �Ownership Updated: 7/21/2022
Tax ID: 26998 NANCY M GORSKI INVERNESS IL
PIN: 57-026-2-39-09-03-5 15-127-010500 NICO E GENET INVERNESS IL
Legacy PIN: 026179010500 LAURA J&NINA GORSKI CHICAGO IL
Map ID: -16.1.5
Municipality: (026)TOWN OF SAND LAKE Billing Address: Mailing Address:
STR: 503 T39N R09W NANCY M GORSKI NANCY M GORSKI
Description: VICTORY HEIGHTS ORIG PLAT LOT 5 1028 DAIRY LN 1028 DAIRY LN
BLK 1 INVERNESS IL 60067-4230 INVERNESS IL 60067-4230
Recorded A�res: 0.413
Lottery Claims: 0 � Site Address *indicates Private Road
First Dollar: Yes 15404W VICTORY HEIGHTS CIR STONE LAKE 54876
Waterbody: Lac Courte Oreilles
Zoning: (RRl)Residential/Recreational One
ESN: 423 � Property Assessment Updated:9/28/2017
2022 Assessment Detail
� Tax Districts Updated: 2/6/2007 Code Acres Land Imp.
G1-RESIDENTIAL 0.413 137,100 108,300
1 State of Wisconsin
57 Sawyer County Z_Year Comparison 2021 2022 Change
026 Town of Sand Lake Land: 137,100 137,100 0.0%
572478 Hayward Community School District Improved: 108,300 108,300 0.0%
001700 Technical College Total: 245,400 245,400 0.0%
+ Recorded Documents Updated: 7/21/2022
� QUIT CLAIM DEED +'' Property History
Date Recorded: 7/8/2022 440067 N/A
� SCRIVENERS AFFIDAVIT
Date Recorded: 5/27/2008 353838
0 PERSONAL REPRESENTATIVES DEED
Date Recorded: 12/13/2002 306372
https://tas.sawyercountygov.org//Access/master.asp ���
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RESTRICTIVE COVENANTS 8 !? 6 ? ; 4 0
IN RE: Tx:4040109
_ ` 440827
PAULA CHISSER
REGISTER OF DEEDS
SAWYER C011NTY, WI
08/16J2022 12:48 PM
RECORDING FEE 30.00
PAGES: 2
Retvrn to:
�11��MY��t
10610 Mafn Street
Hayward,WI 54843
STATE OF WISCONSIN )
�§
COUNTY OF SAWYER ) i� � � _ ���
Parc� •_ �- �-jc� � /�t ¢S
P���.� -l)•��—1��`fiC- i (S+�c�t�
�'t���''�- + �:,`�-�K�- ��i � � �-'' �`' ` , being first duly sworn on oath depose and state that they are
the owners 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�ot be sold separately without permission from the Sawyer County Zoning Office.
Dated this � day of -.l � _,20 �-.
� -------
i' �-2 � t ��d
'P�int Owners n e ' ;,�s •Pr)nt ers name /C O �Gy1L
ACKNOWLEGEMENT
STATE OF WISCONSIN )
� §
SAWYER COUNTY )
Personally came before me this 1_day ofi,J�'.� �� .20�;the above named individuals,
�V �l'd�'� ��:`E'"�K--I r� i C � �,,r��� � to me known to be the persons who executed the
foregoing instn.�ment and acknowledged the same.
';�,i..w���"����i.�:s�►�-�.�-.� �
(Print Notary Name) / 1 � Vl� 1 Y � 1 V l.'4.��'I(_6�J� �/
Notary Public,State of Wisc ns n Thisdocumentdrahed by:
My commission expires: -3 � �fl�� ,1��r�::T SK i
Otflcial Se�
K&n M Noo�
Nota�r Publb.State of IllfnoN
My Commission Expires 03lOS/2025
Lots Five (5), Six (6), and Seven (7), Bloc;� One (1), Victory Heights Subdivision, Town of Sand l.ake, Sawyer
County, Wisconsin.
Stamp added
to
capture image
8l2/22,1:47 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Vroperty Status:Current
Today's Date:8/2/2022 Created On:2/6/2007 7:55:45 AM
�Description Updated:7/21/Z022 �Ownership Updated:7/21/2022
Tax ID: 26999 NANCY M GORSKI INVERNESS IL
PIN: 57-026-2-39-09-03-5 15427-010600 NICO E GENET INVERNE55 IL
Legacy PIN: 026179010600 LAURA]&NINA GORSKI CHICAGO IL
Map ID: -16.1.6&7
Municipaliry: (026)TOWN OF SAND LAKE Billing Address: Mailing Address:
S7R: 503 T39N R09W NANCY M GORSKI NANCY M GORSKI
Description: VICTORV HEIGHTS ORIG PLAT LOTS 6& 1028�AIRY LN 1028 DAIRY LN
7 BLK 1 INVERNE55[L 60067-4230 INVERNE55 IL 60067-4230
Recorded Acres: 0.826
Lottery Claims: � �Site Address *indica[es Priva[e Road
FirSt Dollar: No N�A ����- ��� �-����
Wa[erbody: Lac Courte Oreilles
Zoning: (RRi)Residential/Recrea[ional One
ESN: 423 J Property Assessment Updated:9/28/Z011
2022 Assessment De[ail
��7ax Districts Updated 2/6/2007 �ade A[res Land Imp.
61-RESIDENTIAL 0.626 250,700 0
1 SWte of Wisconsin
57 Sawyer County Z-year Comparison 2021 2022 Change
02fi Town of Sand Lake Land: 250,700 250,700 0.0%
572478 Hayward Community School Dishict Improved: 0 0 0.0%
O01100 Technical Coliege To[aL• 250,700 250,700 0.0%
• Recorded Documents Updated:7/21/2022 y�
O QUIT CLAIM DEED I�:,;�proper[y History
Date Remrded:7/8/2022 440067 N�A �
O SCRIVENERS AFFIDAVI7
Date Remrded:5/27/2D08 353838
O PERSONAL REPRESENTATIVES DEED
Date Recorded:12/13/2002 306372
https:Otassawyercountygov.org/IAccess/master.asp �/�
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3
Pat Brown
From: Jake Tumilty <jaketumilty@msn.com>
Sent: Tuesday, August 23, 2022 9:47 AM
To: Pat Brown
Subject: Gorski/Genet
---____- - ------------ ---- ------------ - _—---- -- ---
� CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the
� sender and know the content is safe.
(--- -------- _—_-------------- - - ---- -----------____-- -----—
Hi Pat
Does this work for you?
We lowered the roof to meet the height requirements at 35'
Let me know
Thanks
Jake
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