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024-741-30-1409-LUP-2022-403
SUBMIT SOMVLETED APPIICATION ANO � FEE TO: � �� ,1 �T � Sawyer County NSIN� Zonin6&Conservation Depart. � s Date,_..�� � � �'a 1 Date Stamp(ReUfved� '�"m^"'"�""�" � 10610 Maln SY Suite 49 SEP 0 6 2022 k` ' ���3 Hayward,wi sasa3 Chk#_. � (715)634-8288 " ---_ SAWYER G'Y�`� Rcpt#N�2.w ln��r t �. �3�C0 UJ itvSiRUC710NS: No permits wlll be Issued until all fees are peid. ZONING ACM�N�`='''`.r.' ...+� ."� Checks are mada paysble to:Sawyer County Zoning Oepartment. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE.BEEN ISSUED TO APPLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENCIL) Su6mittal of this application or receipt of fees does not constitute permit issuance. p��I�Me�� � � Contractor�s�Name / J �d f'NN�� /¢C��CL C �i�/��� l�l/. �7 C�/�C�LL � Mailing Address: Mailing Address: � (� � i � I'� „�/ � l�U �S'fl►'�E Phone: �I S_I l�� � ���� Phone: _ ' ' Xsu�n�� Email: 3� � K�-C �e l� / / /�.�✓�, Email: Site addrcss: ��/��3 �e��)N� 1`� Or Date applied for: � _ Legac PIN N o zY 7�/3 a! j�g Town of: t��/�.Y�U � !� � Permlt dellvery Method ❑Call Owner �Mail Owner n Call Contractor �Mail Contrector Is Property/land within 300 feet of River,Stream (�nci. Distance Structure is from Shoreline: Is your Property �nterm�inent) � �Are Wetlands feet in Floodplain � Creek or Landward side of Floodplafn? If yes---continue Ze�e� Present. �Shorcland --- ves �s Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes � ,'' C If yes--continue � �(„S feet No � �....) w 'J Non-Shoreland Describe Projed Total q of value at Time of projett type Foundation What Type&Capaciry is the Completion Number bedrooms �mc�ude do�,aced (House,garege,shed,deck, �Stories lBasement, post Sewer/Sanitary System(s) Addition,etc...) Crawlspace, cime&mate��a� List separately Slab) construction 5 Dwelling $1rA0�,po w000 s w�.o / ���v,� --- Aaessory Bldg s AddiNon/Alt►ration Height: TotalSquare Lowest ✓ Pro osed Strudure Dimensions Footage Grede to Proposed Use P (multiply per Highest story) Peak � x ) Residence Ft. ( X ) with 2^a story or loft Ft. ( X ) with Basement Ft. � X ) � ReSidential Use Attached Garage Ft. Atcessory Strutture(explain� � � �(r�� x �� } ��Q�O �4 Ft. � / ❑ Agrieultural (detachedgarages,sheds,boathouses,e<c) �,(�c�D,l� ,SNr_.� c x f Use Temporary Guest Quarters or Bunkhouse(crde cype� Ft. ( X ) � Commercial/ Deck/Porch/Patio Ft. Industrial Use ( x 1 (2"d)Deck/Porch/Patio Ft. � Municipal Use ( x ) Other(expla�nl Ft. X ) u Other Principal Structure(Agr�cuiturai,Commerdal,Municipal,Etc.) � Ft. " ( X ) Addition/Alteration(exPia��) Ft. Total Non-habitable square feet: '�' Total habitable square feet: � (decks,patios,garages,sheds,storage area&other structures) �s�p S -~�s Original Application MU57 be submitted Attach a Plan or Sketch your property on 8.5"x 11"o�8.5"x 14"paper.'MusN Include Iacation and tetback of proposed and existin�rtructures,rwds, dHveway,sanitary componen�,well,lake,river,stream,and wetiands. DescA mn Set6ack Setback � Measuremenb Dexription Meawremm[s Setba<k from the Centedine of Platted Road and/or Feet Setback from the Lake(o�a��.ry n�¢m.an�m..t) Feet Setback from the Established Righraf-Way Feet Setback from the River,Stream,Creek Feet Setback from the Bluff�n aooi<,ei< /V zJ Feet Setback from the Nonh Lot Line Feet � Setback from the South Lot Line Feet Setback from WeNand fj Feet Setback from the West Lot Line (p<j Feet Slope within area of constructfon/disturbance %Slope ��Setback from the East Lot Line L/ Feet Elevation o(Floodplaln Feet� __—� ;Setback to Septic Tank o�Holding Tank Feet Setback to Weil Feet i Setback to Drein Field (p(p Feet Setback to Privy(Portable,Compostingl Feet iP�' _..... _,.i.i .. cfast•��turw nf�ve�5i-i.., n.� ,.�,,.F.�rY.lr-�n, , eorw��ith[hesetbackmv5lbemeasu��dmusiL �s.,cf�.n��.�e .� . .i.. . .o���.ne P.e�o � ineYedcorncr �rk,o� ir �..�r�.ne.,»..se.p_���r�. Prior�o��eplacrm=nlurcor��t•uctionofasnuaur�n rethen(ive;S�lee�butlesatha.�ten(101feeifrom[he � retlsetback,��e�oi.ntlarylinef,omwhirhthesztbac4must�e retlr�iaCe�isi�le�r��moneDr�viousl��s�rv��y�edcor�te�t0�neo[�erpre uslysu��eyetl[o r,o e�ifiablebyt�eelJe{�artment�yusenfacorrectedcompazif�o��ia�nowncoi�ier �.�inSCOfeelof[hepiopose�silr='nesir�..�.ii�e.o���sl�emarkeabyaliCCnSetlsuveYornlNiPenwnrisexoen�e. Glculate impervious surfaces.(Raofed,conaete,paved,and other surfaces[hat water wnnot penetrote.The ioning Office on help you determine If a wrface is considered impervious) � Calculate lot area: �/� Indicate lot size from CSM or NOVUS(circie one�: Acrez;Multiply 6y 43,560=Lot area: Square Footage ; CalculateimpervioussuAacearea: i Determine the total size,in square feet,of your projects listed above I��clude eaves): sq k. S�{YUC�E-vvC w11� b2 , Determine the[otal size,in square feet,of all existing rwfed structures(indude eaves�:_ sq h, 3�� Yye�onc� Determine the total size,in square feet,of all eMisting paved/bricked/blocked surfaces: sq ft. Addthesemeamrementstodeterminetotalimpervioussurfaces: _ sqft. Calculate Impervious lo[percentage ' 7otal impervious surface: +Lot area: _Sq k.X 100=impervious surface % IM���e•��on��.r�a�o-�a�r�oni e.a�a:isx� '"'Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland distric[as indicaced on previous page and meets criteria below""• Gratling on a ziope greater than 20% ,� 6rading of more than 1,000 Sq.Ft.on 12%-20%slopes Grading of more than 2 000 Sq Ft on Slopes less tha 12%� Grading is in e cess of 10 000 Sq Ft FA:I URC ip 013TqIN A NLFM�'or STAF"��'JG.ONSTRUCTION WI iHOI.'i�VERMIi W ILL R[SULT IN PCNNlTIES I(we)declare that this application(including any accomvarrying Information�has been examined by me(us)and to che best of my(our�knowleCge and belle/l[is true,corrett anG como�ete.I(we)acknowledge that i(we)am�are)responsible for the detail and accuracy of all informanon i(we)am(are)provid�ing and[ha['it will be relietl u0on by Sawyer Counry in tle2ermining whetner io'¢sue a permic.i(we)further a�cept liability whlch may be a resw[ot5awyer[ounry relying on chis intormation i�we)am�are)providing in or with thls avPlication.I(we)mnsent to munty officials charged wi[h administering co�nty ordinances[o have access[o the above described property at any reasonable time for the purpose of��nspec<�on.Additionally,the undersigned person(s)hereby give ce�mission for access m the propeny for onsite inspection by Munic�pal Officials. Owner �w� � 5ignacure Printed name 5r_RRy w. � �.E y �'3�Z�Z Z Date _.,.�.. ,�� �r.a„iea�� �. r�o nu Prr���r r i ._,c'n �rt.F o- � F�.,i,_ ,�.tru�i�o��pr r,rwe iy„oe.n,�� ���m��aoai res nre eeQuv d re[�rurce Tr i. .»G�,,.. -ode. �ri�ivczl'��wr,SlateorFederala - n6 VOu are 6encie5 may aiw rea.ulr��parrnirs. responsible for complying with the requirements ot Me Sawyer Counting Zoning Ordinances and law and regulations of the 5[ate of W isconsin.Vou are also responsib�e for complying wlth State and FeAeral laws mncerning construttion near or on wetlands,lakes,and streams.Failure to comply may result in removal or modi/ication of construc[ion that violates the law or other penalties or ros6.For more infOrmatlon,vislt fhe department of natural res0urces wetlantls itlentlfitation we0 page or contact a de0artment of natural resources service Center�606�26]-3125 Issuance Information(County Use Only) Sanitary Number: - p of 6eCroomS: 7ermit Denied(Date�: Reason for Denial: Permitll: Issuing agent: Oate: ��-�!b 3 ����i%���,�� q�� 2� is varcel a Sub-Standard Lot ����.ves �DeeO ot Record� '�No I5 Parcel in Common Ownership '��Ves �Fuzed/comiguous ioqs�) ���i No Mitigation Fequired ��Yes�,/No Is Structure NomConforming ��.'Yez �� Mitigatian Attached !.�yes �:o Granted by Variance(B.O.A.) Granted by Conditional Use -_�Vez��No Case k: <Yes _�No U�p: Was Parcel legally Created �Yes :'�No Were Vroperty Lines Represented by Owner �Yes No WasProDoseCBuildingSiteDelineated �Yes ��_No WasProperty5urveyed '�[Ves No Office Comments� Zone Distritt: Fee: �-� l ��� Hold For 5anitary: HOId FOr TBA: HOId For Affidavit: No1d For FeeS: mFeE2021 �te �r�iN ✓11J • /no � �,viDL- �� r � S�TK�TukE __ r� 0 03 �°l2aPdScJ � �t�`L �.�, /5 /Io�X%!e� �DI r/ �? f�F- � IC y 1�iQ0�o� �� �� ..� Wadp � _ � N s ti�d 7r' v�. —_-�--� � - �� - c . �:e � ' 2 ,�-� � � � 90� ����4'�LO ,I � N�3N�� N�L � � � � L � � �li � ? J J pe�'��� .� � G h�"�'� s i � `� 3 Z � � , �� ��/ ��,� �� ���� �-�i�p — P l_ov� 50� I,��E ' • + . `4t'^ , + 4#y �. .�. . 3y . ,- ' . - - . '.. . �' . t2,� • e , :�� Ut �:- ; . , . . �, ' ,� : -. ..� �. .:. +�; .. . . . � • �. F♦ � .. . 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'` . �'�. •i . . , . ` ` • , � �• - ' � � ' ' �n . � . 9/6/22,11:49 AM Novus-Wisconsin Access rev.13.1108 Real Estate Sawyer County Property Listing Property Status:Current Today's Date:9/6/2022 Created On:2/6/2007 7:55:44 AM �Description Updated:2/19/2020 �Ownership Updated:2/24/2015 7ax ID: 25947 JERRY W&BONNIE R AIXLEV HAYWARD WI PIN: 57-024-241-07-304 04-000-000090 Legacy PIN: 024741301409 Billing Address: Mailing Address: Map ID: .4.9 ]ERRV W&BONNIE R ACKLEV JERRY W&80NNIE R Muni[ipality: (024)TOWN OF ROUND LAKE 10313N MC CLAWE RD ACKLEV STR: 530 T41N R07W HAYWARD WI 54643 10313N MC CLAINE RD Description: PRT SENE LOT 1 CSM 18/Z67#5516 HAYWARD W(54843 Recorded Acres: 1.290 Lottery Claims: 1 w Site Address *indicates Private Road First Dollar. Yes 10313N MC CLAINE RD �HAYWARD 54843 Waterbody: Lovejoy Lake Zoning: (RRI)Residential/Recreational One ;J property Assessment Updated:7/16R019 ESN: 404 . . .. 2022 Assessment Detail Code Acres Land Imp. �7ax Districts Updated:2/6/2007 G1-RESIDENTIAL 1.290 92,500 169,700 1 SWte of Wisconsin 57 SawyerCounry Z-yearComparison 2021 2022 Change 024 Town of Round Lake Land: 92,500 92,500 0.0% 572476 Hayward Communiry School Distric[ Improved: 189,700 189,700 0.0% O01100 Tethni[al College 7otal: 282,200 282,200 0.0% •�Recorded Documents Updated:8/18/2014 �WARRANTY DEED �Property History Date Recorded:6/17/1997 261319 605/441 N�A � �CERTIFIED SURVEY MAP Date Recorded:l2/3/1996 258113 https:l/tassawyercountygov.orgllAccess/mastecasp ���