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INSIRUC710�VS:Nopamrtswillbeissuadw�tilalifeesarepaid
Chacks are mWe payabk m:Sawyer Cou�ny ZonxK oepanment / �.
0o noT 5tqsr r.o� . :.:,c ,...�.;...r, .;�;.�i ����. a����..;.nv:. Or�Y;n�1 hnp+�cano���1U5T 6e submitted Fit10UTiN HK NO PENQL)
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i��Pm: � Do2G140ZSS308 r�or. � S (a.K2
Permtt detirery MeUwA o Call Ow�er ❑Mail Owner GII tontracmr �,Mail Co�traaor
I____ �C .�tla,rvr, '115-I.�-
Is Property/land w�hin 300 feet of Rrver,Strcam�Nu. Dftta�ce Structure is from Shoreiene: �s vn�r oropc�r.
' i„re.ma�M� � arr WetWnQs
fee-t .r F,acdvt;x�n
�Geekptlandrrj�dSideofFioOtlplain? ;f es--�continue .� C�esent? �
�Shoreldnd "'° Ves
i �Is Croperty/land wkhtn 1000 feet of Lake,Pond o�Fbwage Distante Structure is from Shoreline: i 7��` �Y
L i -►' �5 ,�et � � � �
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�'P�on-St+ore�_ -
Desaibe Project
vaiue at 77me of Tota)q of
Project type 6ovndatbn What 7ype&Capacity fs the
Wmpletson Number bedraoms
� , (hiouse,garage,shed,deck, (Basement, Sewer/Sanitary System�s)
nddi!ion,etc_.) of Stories Crawls ce. Fn4�
- ti . < � cans!ruc[�on
List separneiy Slab
S(oSo,a�. Nvus� I �asu�cr�t 3 3 �tA�rca� sP,��
OwelNng
S
AtteuwY�8
S
Mdk�on/Altention
Me�M;
I Totat Square lowest
p��(� �/ PropoSed Structurs Dlmecaions Footage Grade to
� (mukipty per Highest I
naYl Peak I
✓� Residence ( � x 3� � �S� ft�v���
with 2""rtory or loh i x ' Ft. ��C
✓ with Basement ( S�X �J� 1 �S� Ft.
� Residential Use
Attached Garage , x l ft.
Accessory Strudure(nm�aml � X �
❑ Agricuhurai ;a���aY��.�axew��,�..ui Fc.
( x )
Use Temporarp Guest Quarten w Bunkhouse(nrde�e) Ft.
❑ Commerclal/ Deck/ orch/Patio ( <JD X �2--� (p DO Ft. 1{)G
Industriai Use ( x )
✓ {2n°�OeckJPorch/Patio (5;�w„+l\� , b �4 Qj4 ft.
t
C Municipal Use ( x 1
Other�exp�a�n) Pt.
X )
J Other principal Structure(nqricuiturai,[ommaciai,rnunic�Pai,etc.) � k,
l x )
Addftion/ARerotion�exyain) Ff.
(� Total Non-hablta6le square feet: /,,
Total habhable square feet: '�v\� (decks,Datios,garages,sheds,storage area&other structures) L{/��
.-e"i: l �)- .... . �' _ �
�Attadi a?fan or Sketch your Prpperty on B.5`x Sl"-ot 85"x ld"paper.�Must�(ndude lo[atan sred setback ol proposed and euistin[stn+Rures,roads.
dihrew+Y,sanfta�Y camPone�K,weN,l�e,riv�er,skeam,and wetiands.
r Setback j Setbadc
� ��� Meawreme�Rs �� MeawremeMs
� i
Setback from ihe Centerline of Platted Road andJor i � Feet Setback from the lake(o�e��a�y����sn-w.v.m,�K) ��� Feet
Setback trom the Eml�ll�i+ed Rightof-Way Feet SetbacM.from the River,Saeam,Creek - FeM
Setback from the Bluff itaPcrcab�e - Fcet
Setback from the Nortir Lot line Feet
Setback from the South Lot line '� feet Setback from Wetland Feet
Setback from the West Lot Une Feet Slope withtn area of cons4vction/disSurbance ' YG Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to Septk Tank or Ho1di Tank Feet Setback to Well � feet
Set6ack to Drain FieM FeM
Setback to Privy(Portable,Composting) feet
, - n>.. . . . . _.�sr he rc=.si•ad m.>t t:r-.- �
. . . .. .. . . . . . . .,.:... :., . .. .. . . . -��.-....... .,.���..od_�bnc,.'��..�. ,,..,.,. �:.•._,..._. ,. . - ...
Gkulate Impervlaus swfaces.IRooied.conaete.W ved,s�other wrfaces that waur carmot penetrete.The Zonk�ONke pn he�you determh�e N a
wrface is considered impervfws)
Calcutate iot area:
Indicate lot size from CSM or OVUS ircie onej: 1•C1�0 Acres;Mukiply by 43,560=Lot area: ��rQS 3•Io Square Footage
Calculate impervious wrface area:
petermine the total size,in square feet:of your pro�ecis listed above lindude eaves�: Z TT� sq ft.
Qetermine the total slze,in square fee4 af alf e�cisting roofed structures(indude eaves): Z��Z- sq ft.
Determ7ne the total size,in square feet,of all existing paved/bricked/6locked sur4aces: �!J sq ft.
Add these measuremer,ts to de!ermine total impervious surfaces: 4532 sq ft.
Cakuhu impervlous lot percentage i
4532 Io"1,q53.b Sr ft.X 100=impervioua sur�ace � % I
Tutai impervirn;s surface:_ =Lot area: '
�Mkyrtion is requirtd if rocdl exceeds 15%� I
1
•••Notice a separate gpding permit needs to Ee obtained'rf disturbed area is within tbe Shoreland dirtriR as indkated on p�evious page and meets criteria below•" I
6redin on a s�o e reater than 20% Gradin of more than 1,000 Sq.Ft.on 12�-20%slopes �
Gradin of more tha�2,006 Sq.Ft.ort Sta less Man 12% Gradin is in excess of 10,000 Sq.R.
I(we)detWre that this app�kallon(iotludmg any acmmpanying informanon)hes 6een ezamined by me(us�and to the best of my(oor)Imowfed@e and belief IL is true,conett and I
camplete.1(wei�kncnrkdBe Mai 1(we):m(arej responsible for the debil and accurx�of aN mformatbn 1(we)am(are)providing and Mat it rdU be reiietl upcn by Sawye�
Courrcy in determining whether to issue a permit.I(we�further accept tiabiliry which may 6e a resuh of Sawyer CouMy retyin8 on Mis information I(we�am�are}providing in or �
with ttiis application.I(we)coru�nt m ca�nty officwls charged with administeNleg ca�nty ortlinarxes to have access to the above doscNbed property at arry r�ona4le time for the
purpose of inspMion.AdditlonaAy,the undersignetl persoMs)hereby g'rve permisston for access to Me property for onsite inspeRion by Municipal OffiNals.
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You are responsible for complying with the requirements of the�5awyer Counting Zoning Ordinances and(aw and regulations of che 5tate oi�sconsln.You are also responsihle tor
comp7ying with SWte and Federal taws concerning coastruttion nea�or on wMlands,�akes,and streams.failure to comply may resuk in remwai or modification of mnstruction
thatviohates�Me law ar aMer penakies m wsts.for more intormadon,visit the department ot rotural resources wetlands ider,tificatron web pa�e or coMact a department of
natural resources service center(608)267-3I25
fssuarrce information(CouMy Use Oniy� ���n'Number: _ M of bedrooms:
Pemilt Denied(Date): Reason tor Denial:
� 4
I VermK p: tssWng agenr. Date:
�3 - � s c � � �9 a3
is Parcel a Su6-Standard lnt '�'ves toeea of necwa� � � ga� n Requi ed ��.1'es �'No
Is Varcei in Common Ownershlp ':Yu (fuxd/Contlguous lalsp '' I
I5 Sffucture Non{onforming �:'Yes �t' tlon Attached I i�Yas -:No
1
Granted by Variance(B.O.A.) Granted by Conditlonal Usc
�'�.Yu "'No Uu M. �:Yes '.':No Case�1:
Waz Parcel legally Created Yes Ne Were Property Lines Represented by Owner ��.Yu �-'No
Was Proposed BuiWing Site De6neated Ya No I Was Property Surveyed .Yes -'.Pb �
Office Comments: t�e 1Y�v`t7 11�P'� c`�� Zone Dizirict: Fee: ���c
��b'����on +��s�- ►�- ��,C�c c�c, � o� �p R.�- (
. 5 -1 Hc!C ..�.. . . ... . i�rrr F�'w..: X �.J�_��Lu S1 U� CK1L
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B7an2020 (��"�C-lr��s �1L�6�
Real Estate Sawyer County Property Listing PropertyStatus: Current
Today's Date: 5/23/2023 Created On: 2/6/2007 7:55:08 AM
� Description Updated: 1/14/2014 '� Ownership Updated: 1/14/2014
. . . . ._ _.. . .
Tax ID: 3667 JAMES N CHAKIRES TRUST GENEVA [L
PIN: 57-002-2-40-09-25-5 OS-003-000080 ]ESSIE L CHAKIRES TRUST GENEVAIL
Legacy PIN: 002940255306
Map ID: :3.8 Billing Address: Mailing Address:
Municipality: (002) TOWN OF BASS LAKE ]AMES N CHAKIRES TRUST JAMES N CHAKIRES TRUST
STR: 525 T40N RD9W 629 CHEEVER AVE 829 CHEEVER AVE
Description: PRT GOVT LOT 3 LOT 7 CSM 5/47 #913 GENEVA IL 60134-2925 GENEVA IL 60134-2925
Recorded Acres: 1.560 m
Calculated Acres: 1.490 r Site Address * indicates Private Road
Lottery Claims: 0 14770W MALLARD LN * HAYVJARD 54843
First Dollar: Yes
Waterbody: Grindstone Lake J property Assessment Updated: 9/13/2012
Zoning: (RRl) Residential/Recreational One Z023 Assessment Detail �
ESN: 406
Code Acres Land Imp.
G1-RESIDENTIAL 1.560 292,300 73,400
�� Tax Districts Updated: 2/6/2007
1 � � State of Wisconsin 2-Year Comparison 2022 2023 Change
57 Sawyer Counry Land: 292,300 292,300 0.0%
002 Town of Bass Lake Improved: 73,400 73,400 0.0%
572478 Hayward Community School District Total: 365,700 365,700 0.0%
001700 Technical College
'• Recorded Documentr Updated: 1/14/2014 ���� property History
WARRANTY DEED � � N�q .. ..
Date Recorded: 12/17/2013 385724
WARRANTY DEED
Date Recorded: 2/7/2012 377041
— -- - -- �:
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Disc�with Courtnev Johnson dt Jav Koziowski
Date& Timc 4/28li l 1 t:00AM
Signat�re of Inspoctor
�......yer County Zoning Admi°iatration � �
InspecHon Report � y.
Owne�(s) Robert&Jauet Meisterlin �z
Address 12590 72n°St.North Stillwater MN 55082 � (T
i x rFd' �R�itvl 715-634-2906 � �
Agent/Purc6sser .�xw�v� /n,,r lw4 ��1. �'�•{t-� � ��
Address 1 2 7W o - ..'�'�` - � F
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Address � �
❑ Sevitarion �'
Inspection � Privaie ❑ Pubiic Violation ❑ Zoning 9
z
� Dwelling ❑ Mobile Home ❑ Commercial � GaraSe ❑ A�d�bon � y
� Setback-Lake � Setbsck-Road ❑ Setback-Lot Line ❑ Soils Verification �
� Buildable Acea(ProneRv Insoe���onl `-
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piscassed with Courtney Johnson 8c Jay Kozlowski
Date&Time 4l28/11 I I:OUAM _
Signanue of Inspecto+
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• DocI� :8Q+'0055
� Tx :4045013
- USE BLACK INK ONLY - 444533
CONVERSION OF DWELLING TO ACCESSORY USE PAULA CHISSER
AGREEMENT REGISTER OF DEEDS
SAWYER COUNTY, 1NI
05/ 17/2023 02: 11 PM
owners Name(s)as shown on deed: RECORDING FEE 30.00
�1�i�E.! �V, C��.� .p��' T' c� �
�����: �
Pamel Identificatlon Number.
(+z oqn�epacr�oi ��j�+ � .� O � .S�S'.3 d 8
Legal Deseription of Property:
- SEE ATTACHED SHEET -
Retum To: Sawycr County 2ontng end ConservaUon Adminlstratlon 10610 Maln SL Suite 49,
Hayward, WI 54843
I �/ylES �, C�f�i�/.�°�� hereby enter into a Conversion of Dwelling Agreement for Accessory Use on
(date of agreement) I�'�/� /Z. Zo L_j
for Property located at /�f 770�• �.a'lLsi.2�1�� / li 11' -f!-��t�3
(address} and as described and attached hereto.
This agreement, signed by owner of pr�perty attached, hereby agrees to convert an exisGng habitable dwelling to a
no�-habitable accessory building by �emoving all kitche� facilities within lhe existing structure and further agree that
this converted structure will not be used for habitable living qua�ters in the future by the current owner, lheir heirs or
successors and hereby agrees to abide by this agreement. An inspection will be conducted upon the expiration of
the Land Use Permit for the new principal structure to verify compliance of this agreement.
Failure to abide by ihis agreement shall result in a citation subject to Citation Ordinance 89-1 Section 11.3{1) of the
Sawyer County Zoning Ordinance.
Property Owners signature: � � T�'✓�IL��="
Print Name: ����s � (��_,,/�il�r�'c=4
Date:_ 57/ Z,��. 'L 3
c�1C,KNOWLEDGMENT
State - Il J,
of• ���'
County of• Q �
Slgned befo�e me on this da '
of 0�
Drafted By J �tiCcs By(Owne�s a ne �r� �
Notary Publlc lgnature: � ,�c�L
Publlc Notary Name(Print) U��'
3/5/2013 My commtssion exptres a � a�
on: S� 12-Z3
��
"�"'''x'�'ICIA►L SEAL"
SC� ;��ietr.A.6.1�C�',.�C4�,V� ���E's����,��(J�C
I�I�y Y'Nv�'�Nry �7K7��'�vy�V1 DiNIRMa
��MI��°W w� rw^�w7 ��t�
Property Description: That part of Government Lot Three (3), Section T�venty-
five (25), Township Forty (40) North, Range Nine (9) West, more particularly
described as Lot Seven (7) of Certified Survey Maps, page 47-48, Survey No. 913.
Subject to and together with an non-exclusive easement for ingress and egress as
shown on Certified Survey Map referred to herein. p� � i5q 6y�� V4� � 5
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