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Home My WebLink About024-741-33-5309-LUP-2023-267 SUBMITCOMMEfFD FVVtICqTION AND FEETo: APPLICATION FOR LAND USE PERMIT Sawyer Counq SAWYER COUNTY �f-, 2oning 6 Conservation Depart. � D � ]0630 Main St Suite 99 �ae a� Hayward,W154843 J�tt�u�s ��—,_.�_ .. , „'S„�,-BZes JUL 0 5 2023 � �S`� —. � Rcpt# a��+a _ � irvtinUCTi0rv5:NODermitswillbeiszueduMilallleesarepaitl. QUN�(Y cn«�.rem.d.v.nm<m:s.wve.co�oazoo�oao<oanme�<. ^1/�pn MINI$T oONOiSiaPifoNsrau[�i�rviINTI��L�PtaMITSHnvENEErvissUE��'[ihAN1' OnginalApPlicaHonMUSTbesu6mltted FILLOUTININI((NOPENCI�) Submittal ol t�i�apPlica['ion or.icci pt of fc��a docs not consti W le permit iszuance. owner(:1 name:...,i1_U rY�A S L YV1 aG�'�tsn3�+f co�c.ac�or(:�Nzme d r� �30.(l�nrG�T'Y��AGbILS, � � MailingAddRu: ,-'�/�', (y�uW�� A�--S MailingAddress: ✓� �,p-l�lcz.nd, 'YyLn SSGK Pho�e: �s t_S co_ �3v tv Pho�e: c�Isi- �3�- uo�i Email: V�'1'1�f•cL�'�Q_SY� 'a VY�Sn-L'CJ Email: �1a53 wc3uc�i1 Lr�. ware,wi 57te address: S Or pote opplled br: �esuv viN. cJ:Z ^7 (—3 3— 3 U ro.�oe: �N%�,t� t.0.ke Permlt tlelirery MMhad �Call Owner u Mail Owner o Call Convactor -Mail Contractor Is Property/land within 300 feet of River,Stream��i. Distance Struc[ure is from Shoreline: is vro e^1 _� Yaur PertY Are We[lands '[reek or Landward siAe of Floodplain? i£ i�� ket in FloodO�ain �Shoreland ves--�o�tin�e Prese�c? zooe? ��Is Vroperty/land within 1000 feet of Uke,Pond ar Flowage Distan<e Sbucture is irom Shoreline: yes �es I/Ves—canc�inue—► �t � No :1�f/On-ShaMWnd . . . ,�... Oescribe Project VaWeatiimeo/ � Totalpo( Project type Foundation What Type&Capacfty is the Completlon (House,garage,shed,deck, Number bedrooms induae donated of Stories (Basement, post Sewer/Sanitary System�s) time&mate.ial Addltion,etc...) CrawlSpace, �onstruction List separately Slah� S �//1 /�i/T Dwellin5 ` � t �\J 5 35 0�, Pacsor/BId6 �� {t(/h/• $ nJEitbn/Allera�ion HeigAt: TOWISquare Lowat Pro ed Use ✓ Proposed Structure Dimensions Footage Grade to pos (multiply per Highest story) Ceak � x � Residence Ft. ( X ) with 2"a story or loft Ft. � x 1 with Basement Ft. � x 1 At[ached Garage Ft. �Residential Use CJ Ae o Strueture�e.piaml ( �X �� , ,� �D FA �C� ❑Agriculturel �•�=^•a.•••. .•^•a..c�.�no�,....�_� � ( X � Use Temporory Guest Quarters or Bunkhouse(u�aie�ype) Ft. ( X ) C��. Commef[lal/ Detk/Porch/Patio Ft. Industrial Use 1 X 1 (2"^)Deck/Porch/Patio ft. �Munidpal Use ( x 1 other�e=ni+��l F�• C Other ( x � PfIfICIP3I StIUCttlff(Agrlcultural,Commerdal,M�nICIOaI,Etc.) FL. � x ) Addition/Alterotion le.via��l . � � F�• Total Nornhabitable square feet: I G�5 Total habitable square feet: ks,patios,6arages,sheds,storage area&other stmctures) shali not be createc� in accessory structure�. Qriginal Application MUST be submitted Attach a Plan or Sketc h your Property on 8.5" x il" or 8.5" x 14" paper: •Must• Inciude location and setback of proposed a�d existing strudures, roads, driveway,sanitary components, welt, lake, river,stream,and wetlands. Description Setback Description Setback Measuremenu Meawrements I Setback from the Centerline of Platted Road and/or Feet Setback from the lake (ordinary high-water mark) � � feet Setback from the Established Right-of-Way Feet Setback from the River, Stream, Creek —, Feet Setback from the Bluff if applicable — Feet Setback from the North Lot Line � Feet Setback from the South Lot Li�e q Feet Setback from Wetland � Feet Setback from the West Lot Line O! Feet Slope within area of construction/disturbance — �Slope Setback from the East Lot Line � Feet Elevation of Floodplain ._ Feet i Setback to Septic Tank or Holding Tank Feet Setback to Well / Feet Setback to Drain Field ' �� Feet Setback to Privy (Portable, Composting) (�N � Feet � P-�c�� to :he p'acemen; er constructlon of a structure ��+r.hin five (Sl reet o`th� m�nimur� reqwred setoack, the roi,ndary I�,ne ^o-n which the setback mus:be n��asu�ed must be visible from one pr.�,iously surveyeo corner to tne othei prev�ously s��i veyed corner or marked by a licensed surveyor aY the owner's ezpense. Pnor to the placement or construction of a struct�re more than five (5)feet but less than ten(10)feet from the minimum required setback,the bo��ndary line fiom which the setback m�s be r��asured musc Ce vlsible frem one previous!y s�r�,e}�ed rome".o tne other prev�ousiv su�veyed comer, or ve�ifiable by the Department Gy use ot a mre�ted compass fi o,ni z known corr�er wl?hin SCO teet ofthe p�oposed site o`;he rir�ccuie, oi must be marked by a Ilcensed suroeyor at the o��ner's expense, . � . . • . • • . • .• • . .- • Calculate impervious su►faces. (Roofed, conuete, paved, and other surfaces that water cannot penetrete. The Zoning Office wn help you determine if a wrface is considered impervious) Calculate lot area: ,�� n • � � Indicate lot size frorh CSM r NOVUS (circle one): U Acres; Multiply by 43,560 = Lot area: � U/ � � Square Footage Calculate impervious surface area: Determine the total size, in square feet, of your projects listed above (include eaves): �, S 3 y sq ft. -- ,�-.(�,�' f �� I " � 1+t, Determine the total size, in square feet, of all existing roofed structures (include eaves�: sq ft. • Determine the total size, in square feet, of all existing paved/bricked/blocked surfaces: sq ft. �� ur b�j� l.� ( l Add these measurements to determine total impervious surfaces: sq ft. Calculate impervious lot percentage Total impervious surface: J � ' Lot area bJ 'J .�5 � _ �._Sq ft. X 100 = impervious surface��% (Mitigation is required if total exceeds 15%) "`Notice a separate greding permit needs to be obtained if disturbed area is within the Shoreland district as indlcated on previous page and meets criteria below•" Gradin on a slope reater than 20% . Grading of more than 1,000 Sq. Ft. on 129'0-20�o slopes Grading of more than �,000 Sq. Ft. on Slopes less than 12% Grading is in excess of 10,000 Sq. Ft. �AlWRE TO OUTAIN A PLRAliii or STARI��NG CONSTKUCTION WIiHOUT il l'FRMIT VJILL RESULI IN PENALTIFS I (we)declare that this application(including any accompanying informatlon)has been examined by me(us)and to the best of my(our� knowledge and belief it is true, correct and complete. I (we)acknowledge that I (we)am (are) responsible for the detail and accuracy of all informatfon I (we)am�are) providing and that it will be relied upon by Sawyer County in determining whether to issue a permit. I (we)further accept liability which may be a result of Sawyer County relying on this information I (we)am(are) providing in or with this application. I (we consent to counry officials charged with administering county ordinances to have access to the above described property at any reasonable time for the purpose of" pection.Additionally, the undersigned person(s) hereby give permission for access to the property for onsite inspection by Municipal O�cials. Owner � /� Owner -�' Signature �'� � G � �� L � �7 Printed name S t�`�n c 5k}bate 7" � " ` � +�,i�,rr��;�,: ,,, ,.. ��nr:�F�d PJame �eau�red� NOTICE '111 L�n;;,+ i. F ernu'.; � �F��rE QnC (lf YEef from thv DatP Cf ISt�i�oce f�,r the ConStruc[ion Of i �� _• :; Two f airi,l�, �"nv,�liir a� A!L M��cipali�i2s Are Reqwred Tc En(orce Tn��_ �ni` rn� Dwi�!b��; Code- 'h- �;,r a: `oc,: , =la;,�. �.,� 'ederal �renc:es m3y al;u reo,ulr� n�rmrs. You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes,and streams. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of naturalresourcesservice center�608�267-3125 Issuance Information (County Use Only) Sanitary Number: #of bedrooms: Permit Denied (Date►: Reason for Denial: Permit#: Issuing agent: Date: ��, - �..� �-� , �'3 Is Parcel a Sub-Standard Lot ' i Yes (Deed of Record) o Is Parcel in �ommon Ownership I'Yes �Fused/Contiguous Lot(s)) , ; ry Mitigatio� Required I ! Yes I i No Is Structure Non-Conforming Yes , Na Mltigation Attached !J Yes !: Np Granted by Variance(B.O.A.) Grented by Conditional Use 7 Yes ' No Case R: ! Yes _ No Case�t: Was Parcel legally Created i.7 Yes :� No Were Property Lines Represented by Owner Yes Was Proposed Building Site Delineated l ' Yes '_ No No Was Property Surveyed Yes No Office Comments: tone District: Fee: rl a �r� � .`� .,.r _ �l0 � % �u�� - l �� Ho(d ForSanitary: Hold ForTBA: Hold ForAffidawt Hold Far Fees: mFeb2021 iHabita��z �i��ng are . shall not be created in accessory structures - 7I5/23,12:59 PM Novus-Wisconsin Access rev.13.1108 Redl Estate Sawyer County Property Listing Property Status:Current 7oday's Date:7/5/2023 Created On:2/6/2007 7:55:44 AM �Description Upda[ed:2/19/2020 '�Ownership Updated:7/17/2018 . ._._.___. . Tax ID: 26192 THOMAS L&BARBARA]MACHESNEY LAKELAND MN PIN: 57-024-2-41-07-33-5 OS-003-000090 Legary PIN: 024741335309 Billing Address: Mailing Address: Map�D: 3.9 THOMAS L&BARBARA J THOMAS L&BARBARA] Municipality: (024)TOWN OF ROUND LAKE MACHESNEY MACHESNEY STR: 533 T41N R07W 1727 QUANT AVE 5 1727 QUANT AVE 5 Descriptian: PRT GOVT LOT 3 LOT 1&OL 1 CSM �KELAND MN 55043 LAKELAND MN 55043 17/35#5203 Recorded Acres: 3.280 �Site Address *indicates Priva[e Road Lottery Claims: 0 11283W QUAIL LN * � �� HAYVJARD 54843 First Dollar: Ves waterbody: Callahan/Mud Lake Zoning: (F-1)Forestry One J Property Assessment Updated:7J16/2019 (RRl)Residential/Recreational One 2023 Assessment Detail ESN: 404 Code Acres Land Imp. GI-RESIDENTIAL 3.280 89,200 166,200 ��Tax Districts Upda[ed:2/6/2007 2-vear Comparison 2022 2023 Change 1 State of Wismnsin Land: 89,200 89,200 0.0% 57 Sawyer County Improved: 166,200 166,200 0.0% 024 Town of Round Lake 7otal: 255,400 255,400 0.0% 572478 Hayward Community School Distric[ 001700 Tethnical College •�Recorded Documents Updated:4/30/2010 �Property History ... �WARRANTY DEED . . . N�A Date Remrded:7/13R016 413291 O WARRANTY DEED Date Remrded:4/21/2010 366113 O CERTIFIED SURVEY MAP Date Recorded:4/10/1995 247227 1/1 https:lltas.sawyercountygov.orgl/Accesslmaster.asp ; � � ''t6.lkp- . _ l .�yb .� T �' � ` :k.. �r m � _ ��yw .�"P s�— j.. �. t`�r� "S 1 � - ��' - �" # ..c�,�,''� � ' ��`t �MM►�� 7 ' t , '�^ � e•,. �F :i.�" 7 eT�^+'a y � r'J�. i• 4 � �"(T��. �� , � �' �� . c * ��v_��G`:.�'�'��nJ`I �'� yL} __ A.. � ° L j7 f '�4 i!" ry '. ' 7 } � � � �� + y��t`� � y� ��f �i �f,' ,�>,gfi� �.. A .i }� p . r: � r �. i � � am a � �'� s -u�. � �. �: � - '`,,r ,. 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