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024-741-06-3305-LUP-2023-398
SUBMIT COMPLETED APPLICATION AND FeeTo: APPLICATION FOR LAND U5E PERMIT Sawyer County SAWYER COUNTY � Zon(ng&Conservation DeparG n.� , r'��`��� r.r� Dat��ts p'(NeceivPill t - -� � � 10610 Maln St Suite 49 � �;�?�'� ...; -.� ; .� . ��� l�3 _ 1 Hayward,WI54843 q , , � _:..... _... ...-.- (715)634-8288 �;.--- v=l -- � �,.....� ��1�#_ �01 S'� 1 w � AUG 3 1 �U23� � �5�:��t� .�q�a . . �. � INSTRUCTIONS: No permirs wlll be Issued until all fees are pald. � C �'�� C,�iJ����� ���.N. V Checks are made payable to:Sawyer County Zoning Department, - t-� �7(}{���{(�AV�l��('�{i�J DO NOT START CONSTRUCTION UNTIL AlL pERMIjS HAVE BEEN ISSUE(1T0"APpLT2.l1NT, Oripinal Appli�atinn MUST hc SubmltteA FILL OUT IN INK {Nb PENCII) Submittal of this nppllcatlon or recelpt o(Iees do�s not consdtute permlt Issuance. Owner(s)Name: Contractor(s)Name � l -�-�i -� G- ,������ � �. l-� Malling Address: S Q Mafling Address: �^ � C9 a 3� �1�� ��'c nC,rW�n�� �'!� S �r �^-� P_ GL 3 I��� lt Phone: �f� , � ���� � I � � Phone: � Finail: (it,tti�e�L-. � � C�7r��(� e, GO f✓:- Fm�il: V ���^-f� Site address: L���p (p /iv �, 1�rG7-� ,C� Or�ate a lied for: ' Legaq rPIN;# �.�� ��) � C�(o �3�0� i Towmof; ��,..�� v - Perml[dellvery MethOd ❑Call Owner �Mail Qwner ❑Call Contractor r Mail Contractor �v `'is Property/Land within 300 feet of River,Stream ��ncl. pistance Structure is from Shorellne: 1s out Prooe intermittent) _� Y � 11re�+Ve±lands `, Creek or Landward side of Floodplain? If yes---continue feet ;n Floodp�ain e�IeSf10�E'�2nd "'—'-' -- --- ---. ZOt1P� F`fP4fn1? \ �Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is irom Shoreline: Y£s Y� Ifyes---continue --� ��„'�� ' feet No C�� :J Non-Shoreland ' Describe Pr�ject Value ac�Ime of project type Foundation Total#of Complation Number bedrooms What Type&Capacity is the *include donatod (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s) Addition,etc,,.) of Skories Post time&materlal Crawispace, List separately Slab) construction $ /5', �'�'C� �iy.�-r�c G � S/cz�_ Dwelling � _ _ $ Accessory Bldg . , {I not be created $ �(1 �r; ,P`-'�.�r., -,e, _�,�t�frn< �J \: Af�dl(10n�{��[Cf8[�Ofl Height: � TotalSquare Lowest Proposed Use ✓ Proposed Structure Dfinensions Footage Grade to (multlply per Nighest story) Peak Residence ( X ) _�...,., Ft. with 2^d story or loft ( X � _ Ft. with Basement ( x � __ _ Ft. Attached Garage � x � �,Residentiai Use � Ft Aec¢ssory Structure(exPi�i�� � J /' ( X ) n/ ❑ A�YICUIXUrdI (detaehpdge�aBQs,sheds,boathouses,etc.) �(j !v'C�lnG�V�/�eC� p�� �� 7l� � Ft. I SI , . .. �- - _.__. _ _. . . _ Use Temporary Quest Quarfers or[3imkhc�use(circie iypc} � x � _ _ Ft. ❑ Commercfal/ Deck/Porch/Patio � x � Industrial Use Ft. (2"d)Deck/Porth/Patio f X ) Q Municipal Use __ „ Rt. Other(explain) ( x � ❑ Other ----�--_-_ Ft, Principal Structure(agriculcurai,commerdai,Municipal,Etc,) � x � Ft. Additien/Alt�ration(explain) � x � - -. -�— .� Ft. Tota�habitabl�squ�re fpet: �'ntial Non-habhabl@ squarc f��t: ���G (tlecks,p�tios,�arages,.SI1P,fI5,storage area&other strur,tures) Origir�.�i.;��(,cr.ti:�n IViUST ba su4mii�ted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:�Must"IncludeJocationand set6ack of praposed;and existing strueturee,:roads, driveway,sanitary eomponents,well,lake,Nver,sVeam,and wetiands. Setback Descrlption Descriptlon Set6ack _ Measurements � MeasUrements Setback from the Centerline of Platted Road and/or r � c�__-Feet � Setback from the Lake(ord��a�Y h��n-water mark 12_�.�_._��� ) �1 a�� Feet Setback from the Estabiished Rigfit-of-Way )�) u Feet SetUack from the River,Stream,Creek Feet ` � SetUack from the Bluff if applicable Feet Setback from the North Lot Line \7� Feet —---- — Setback from the South Lot Line \HO J Feet Setback from Wetland � Feet Setback from the West Lot Line �� Feet� Slope within area of construction/disturbance %Slope Setback from the East Lot Line p,5 Feet ~ Elevation of Floodplain Feet Setback to SepticTank or HoldingTank � ' Feet Setback to Well � •(..� feet Setback to Drain�ield �Gt� Feet �� Setback to Privy(Portable,Com�osting) . Feet � Prior to the placement or constructlon oP a structure wlthln five(S)feet of the minimum required setback,the boundary line from which the setback must 6e measured must be visible from one previously surveyed comer to the other previously surveyed corner or marked by a licensed surveyor at the owner's expense, Prior to the placement or construction of a structure more than five�S)teet but less than ten(1p)feet from the minimum required setback,the bow�dary line Srom whlch the seiback must be measured must be visible from one prevlously surveyed corner to the other previously surveyed corner,or verifiable by the Department by use of a corrected compass from a known comer within 500 feet of the proposed slte uf the structure,or must he marked by a licensed surveyor at the owner's expense. . � - � . •.• • •- . .• • Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water c7nnot penetrate.The Zoning Office can help you determine if a surface is considered impervious) Calculate lot area: q /� � �O�/ Indicate lot size from CSM or NOVUS(circle one):__�, / � ___qcres;Multiply by 43,560=Lot area:_ __ � �� Square Footage Calculate impervious surFace area: Oetermine the total size,in square feet,of your projects listed above(Indudc eaves);_ �v 7-�-� sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves); / S`� � _�Sq ft, Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: �J sy ft. Add these measurements to determine total impervious surfaces:�(� 5�., sq{t, Calculate Impervious lot percentage Total impervious surface:��-Lot area:��� ���Sq ft.X 100=impervious surface �"�'�' % (Mitigation is required if[otal exceeds 15%) "'Notice a separate grading permit needs to be obtained if disturbed area is within the Shareland district as indicated on previous page and meets criteria below""' Grading on a siope greater than 20% � Gradi�g of more than 7.;OGO Sq.Ft.on 12%-20/slopes Grading of more than 2,0�0 Sq.Ft.on Slopes less than 12%Y��Grading is in excess of 10,00q Sq.Ft. FHILURE TOOt1TAIN ti�Pl_RN11T urSTARIiNG CONSTIiUC7101V WITNOUTi�PEIifVllf VVIILHESUIi IN f'tNHLfItS I(we)declare that this appllr.ation(induding any accompanying Informatlon)has been examined by me(us)and to the best of my(ourJ knowledge and belief it is true,correct and cornplete. I(we�acknowledge that I(we)am(are)responsible for the detail and accuracy of all information I(we)am(are)providing and that it will be relied upon by Sawyer CouMy In determining whether to Issue a permit. I(we)further accept liability which may be a result of Sawyer Cnunty relying on this information((we)am(are)providing in or with this appllcation.I(we)consent m county officials charged with administering county ordinances to have access to the above descri6ed property at any reasonable time for the purpose of inspectlon.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Munlclpal Officials. Owner � owner ' cJ.� Signature ���/� pririt�d name T� . e-lb � u���"� Date ��a�' �� (Signature and Printed Nanio requlred) NUYICE: All Land Use Perodts Explre One(1)Year from the Date of Issuance. For the Construction O(New One&Two Farnily Dwelling: AL�Municipalitles Are Reyulred 7o Errforce 1'he Unfform Dwelling Code. The local Town,State or Federal agencies may also require permits. You are responslble for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You 2re also responslble for complying Wlth 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,vislt the department of natural resources wetlands identification web page or contact a department of natural resources service center(608)267-3125 Issuance Information(County Use Only) Sanitary Number: ^^ N of 6edrooms: -- _�_._��_..�__._.___. Permit Denied(Date); Reason for Denial: Permit N; Issuing agent:�� ���� Date: �3 -3<� � ��-� _ �_ __- ' ��-/a� Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) '!�No Is Parcel in�ommon Ownership �Yes �Fused/Contiguous Lot�s)) I No Mitigation Required CI Yes \I"No Is Structure Non-Conforming CI Yes �No Mitiga[ion Attached !_i Yes rj�No Granted by Variance(B.O.A.) � Granted by Conditional Use �7 Yes i�No Case t#, :"!Yes .'No Case it: Was Parce�Legally Created l�Yes i?No Wece Property Lines Represented 6y Owner 1}�Yes No Was Proposed Building Site Delineated ^yl Yes f_i No _, Was Property Surveyed `r Yes No OHlce Comments: Zone District: Fee: �_.�_._-__�_ ��" � � ��v Hold ForSanitary: ❑ Hoid ForTQA; I_� Hold:ForAfFldavit: C'R _.� Hold ForFees LI ;_] �Fe62021 R2al EStdte Sawyer County Property Listing PropertyStatus: Current Today's Date: 9/12/2023 Created On: 2/6/2007 7:55:41 AM �'Description Updated: 2/14/2020 '� Ownership Updated: 8/18/2023 _ _ __._ ____ Tax ID: 24907 NICK&LYNN AUSETH WANAMINGO MN PIN: 57-024-2-41-07-06-3 03-000-000050 Legacy PIN: 024741063305 Billing Address: Mailing Address: Map ID: .11.5 NICK&LYNN AUSETH NICK&LYNN AUSETH Municipality: (024)TOWN OF ROUND LAKE 568 3RD AVE 568 3RD AVE STR: S06 T41N R07W WANAMINGO MN 55983 WANAMINGO MN 55983 Description: PRT FRAC SWSW LOTS 1-2 CSM 7/304 #1483 PRT LOT 2&LOT 3 CSM 9/416 � Site Address * indicates Private Road #2061 __ _ ___._ ______ _ _ 12166W HILDRETH RD HAYWARD 54843 Recorded Acres: 2.960 Calculated Acres: 3.275 Lottery Claims: 1 � Property Assessment Updated: 7/16/2019 __ _ First Dollar: Yes 2023 Assessment Detail Waterbody: McClaine Lake Code Acres Land Imp. Zoning: (RR1) Residential/Recreational One G1-RESIDENTIAL 2.960 33,400 144,600 ESN: 404 2-Year Comparison 2022 2023 Change � Tax Districts Updated: 2/6/2007 Land: 33,400 33,400 0.0% ----- - Improved: 144,600 144,600 0.0% 1 State of Wisconsin Total: 178,000 178,000 0.0% 57 Sawyer County 024 Town of Round Lake 572478 Hayward Community School District 001700 Technical College �Property History N/A •� Recorded Documents Updated: 8/18/2023 WARRANTY DEED _ Date Recorded: 8/il/2023 445857 CORRECTION INSTRUMENT Date Recorded: l/4/z022 436920 TRANSFER ON DEATH DEED Date Recorded: 11/24/2021 436131 CONVEYANCE RECORDED NOT USED Date Recorded: 11/24/2021 436130 WARRANTY DEED Date Recorded: ll/4/1991 226117 CERTIFIED SURVEY MAP Date Recorded: 10/28/1983 189105 CERTIFIED SURVEY MAP Date Recorded: 7/14/1980 174621 \ \ � N � __.-...___I � � 7 I � @ � 3 m I I � U y � m T .J � �1 , ` d O N 1 9 C � 1 � � �� � c0 U (/ ^ � N � I ���tiC� �\ � � 1 � �v ���,��.� �1 ��� , / � � � � � I �� k� � . 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Notes 0.� � �.�6 0.1 Miles DI5CL�IMEH: Tlie inforina0on;hown on thesc maps has been ob[ained from various suurces, and are of varying age,reliability and resolutlon.These maps are not intended to be used tor navigation, nor are ihese maps an authoritative source of informatlon about legal land owners-hip or public access. No warranty,expressed or implied, is made regarding accuracy. NAD_1983_HARN_WiSConsln_TM 1 : 3 960 applicabiliry/or a particular use,completeness,or Iegality oi the information depicted on this r mup. For more infnrmation. see the DNR Legal Notices web page. http:Udnr_wlgov�leyal.