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024-741-30-5313-LUP-2022-495 <�.�.Eo.��,�no..,o p o? APPIICATiON FOR IAND USE PERMIT �F������n, SAWYER COUNTV,WISCONSIN � ��� ioningBConsery banDeDart. . . mpl���l . ',� ' W���� � ]0630 Main St Su'ite 09 - ' - �\ Hayward,WI5C863 � � -� C� _, ,.�w.�.._ /'-� ()15�630 6188 . - � ' .L�'s?.1tS�r�d �`-1�710� S r�,.�we ' � �.n7 . ' !� ryionn[aw�eM � y _y_[ iiginal/.p I" conMUSibe mit,eE FILLOUIININN(NOPENCIL� s . a ol�nsap� .. r�e�c�le _. �o sttp��� �zua � o..me�slName: / Conn+ttoHslNa ,� ' � G✓/G Ii ��'!1/? �fl`—l[ i�(,�/I L L '�rn.�n�gaa.�ss: �� � �' �/r'c M.i�ae}a,.,:: /O� K�Q �: 6s �,� -v �,, � yc I�� �., w� s y��� Pno�e. Z> —G���� P�o�t-35�'-v.�G/ G��.Z'�5 4� �� D i.-'r ICC'ci� ��- �LeH�-„ e�,�: T w'� i :i �.� t:'� -Esu.aaa�,: �r ;Ili S o.o,u.wuearo.: �{ Lf i i 4{aay>INR ��'1�� •'�`3o-S3 1 Townof: /:1 � VemMEe4veryMetlwE �:UllOwner � MailOxne� .�GllConfrattor �Ma1lConhac[ar i isFoperty/IanEwiNin300feetofPiver,50-eam���.n. D'utanceSwcWreisfrom5lwreliM: ceM . ��n � f�e� � .o�aoi.,�� .,�es ASharelanA «eekorLanEwartls�deofFloadol ifyes u� ;.,,. �"� �I 5>roperty/la^�wthn1000iee flak Vontl Fl age Dutan<eSWRurtiskomS�orelne � � . .._.. ,:._� ftt ...Man-ShorelanA Desttibe ����� To[alpM VMue atnme of profe�n,ce FoundaHon What Type 8 Gpadry is[he CnmO��m� �House,garage,sheE,Eeck, Numbe� (gasement, bedrooms 5p�yer/San'rtary5yrtem�s� i�duae eo�atea M itories vost emeam.;c.,,�.,�, nee'�uo�.e�c..l Crawlsvace, or,s�r���t.o. .. List mpantety Slab) 5 p P�sts ;� � y 5 f'J L���;� / ��r ua� 5 anb./a¢.,.��o Height: TotalSquar Lowest Proposed Ux � Proposed 5[ructure Dimensions mFootage e H7 hest 1 � vNae� a rtory) Peak Resldence ( % ' Fi with 2n°srory or bk � x t Ft. with Basemen[ � X ' F[. �J Attached Garage ( x � (�Residential U5e Ft. V Aettssory Struc[ure(exeia�n� ( x � ]AgritulWral a��,m.�i.�...n.e,.m.�m�..�.��i Ft. Use TemporaryGueztQuartersorBunkhouse�c.neiype� ' x 1 f[. �Commerdal/ orch/vatio � �x � � Ft. Industrial Use � X � (2ntl�Deck/Vorch/Vatia F� �Munidpal Ure ( X � ONer(vpial�� F� -Other ( x � P�incipalSlrvRu�e(agr�cuhura!,commer�iai,mun�cipai,Eicl Ft. nadto�oo/nire�,uo���.ci.��� � X � . Fv. To[al habkahle square feeC Tobl Nomhabkable square feet: � (tlecks,patios,gaages,shetls,storage area 8 otAersnuRures) �� G�c��-- (�'�I ac C r`-`a.-{- �n �/hC_ ��..�� Original Application MUST b2 submitted Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:'Must•indude lacation and setback of proposed and existing rtructures,roads, driveway,san'ttary components,well,lake,river,stream,and wetlands. Dexription Setback Dexription Setback Measuremerrts Meawrements Setback from the Centerline of Platted Road and/or � Feet Setback from the Lake(o�a��nry h�.en-„.a�e�m,r�) Feet Setback from the Established Righbof-Way Feet Setback from the River,SVeam,Creek Feet Setback from the Bluff ilapplioble Feet Setback from the North Lot line Feet Setback from the South Lot Line etback fro and Feet Setback from the West Lot Line et Slope within area str aion is urbance %Slope Setbatk from the East Lot Line et� ation of Floodplain Feet Setback to Septic Tank or HoidingTank Feet Setbatk to Well Feet Setback to Drain Field Feet Setback to Privy(Portable,Composting) Feet P�c�tc[re„��Pmenc o�,or s[_� -c_ ,ef a s�v�cture wit�in five(5)fze,of�he a�.�^. . ..-,req���red��t^ack the boundary i.:= ,T.wh<h thz<Pe�a�k mus_oe masreo rnust be vislb e from nne prevlcc�iys 'r .y=ac9rre mt = „- ;,�c;wsyzurveyedcerne�ormarYedbya .�;'su^r�. _aL'h=ozner'sezperse. Prm:to t�_p a:ec��en[or:onvua:��o o�a s:iuRure mcre than five(5)`eet bot 12ss L��v Ln(i0j feet from the minimum reGuired set6ack,t�e boundary i�n�fr�m which?he setback mu5t be r"av:rec m�s:ce vlvCle fr-r-en=prev:ous:v;rveeed co.n=-b tne ccH���r�. :�;ly s..- .�,;ed mmzr.o.ve^.fiable EY;�e Department GY use o•a cc^e:teC compa;s t:em a kro:�m co�re� .c`�icS�Ofeetof�hepropo �ds�tecf;� tn,r4ur�,orr�;;Cemarkedbyalicens_ds��v�vora�tl�eowner'sexpense. . . • •.- • . • •• • Wlculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrote.The Zoning Otfice wn help you determine if a wrface is considered impervious) Calculate lot area: Indicate lot size from CSM or NOVUS(circie one�: Acres; Mukiply by 43,560=Lot area: Square Footage , Caltulate impervious surface area: �� Determine the total size,in square feet,of your projects�isted a ve(include eav2s): � sq ft. /� Determine the total size, in square feet,of all existing roofed structure�3'(ipclude eaves�: sq ft. " ` � � � De[ermine the total size,in square feet,of all existing pavedfDri[ked/blocked surf�tes: sq ft. /n���.�_ Add these measurementx.Eo"determine total impervious surfaces: sq ft. Calculate impervious lot percentag�/ ; Total impervious surfate: =Lot area: Sq ft.X 100=impervious surface Y, (MitiQatia�g required if tohl exceeds 15%) "'Notice a separate grading permit needs to be ob[ained if disturbed area is within the Shoreland district as indicated on previous page and meeu crkeria bebw•" Grading on a siope greater ihan 20Y Grading of more than 1,�0 Sq. Ft.on 12Y-20%slopes Gradin of more than 2,000 Sq. Ft.on Slopes less than 12Y Grading is in excess of 10,000 Sq. Ft. � ?�ii.t�E'60q7AINA .+,_� _,STnn��_:�„�CS � ,_ �..�: ': _.:. 1�En����.���_�_F i'�?L: ���!;_ I(we�dedare that thi��application(indudmg"any accompanying mformation)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,correct and complete. I(we)a[knowledge[hat I(w.�am(are)responsible for the detail and accuracy of all information I(we)am(are)providing and that R will be relied upon by Sawyer County in detertni�r,g whethe-to issuA a permit. i(we)further accept liability which may be a result of Sawyer Counq relying on this information 1(we)am(are)providing in or with this applicatioh.I(we)conseM tqcounty officials charged with administering counry ordinances to have access to the above described property at any reasonable time tor the purpo4e of inspeaio�.Additionally,the unde igne rson(s)hereby give permission for access to the property for onsite InsOection by Muni " al Off�cials. Owner I� � (, /�� �.,%[/'�� Owner ny ) �, j��� . Signaturn ' �/ PrintednameL�Ql1 ��L7�-iA.�C�►�i L � Date / � �L7 �� i .0� ��� . . . . . . . . _ . n ic � - , t' Yt Co�,' i�. � :i Va i C . _ . . . _ E .'Tn." 1 i r� �..� � � a '. � '� �. � �h] u i a� r:aq a .. i'�Peri ,. _ . , You are responsible fo mmplymg with the require s of the�Sawyer Counting Zoning Ordmances and law arrd regulations of the State of Wisconsin.You are also responsible tor complying with State and Federal laws conceming mnsVuction near or on wetlands,lakes,and streams.Failure ro comply may result in removal or modification of construction that violates the law or other penahies or tosts. Por more information,visit the department of natural resources wetlands identification web page or contact a department of natural re5ources service center�608)267$125 Issuance information (County Use Only) Sanitary Number: /t of bedrooms: Permi[Denied(Date): Reason for Denial: Permit ti: Issuing agent: Date: � a-- � � s� . ti 3 �a Is Parcel a Sub-Standard lot ���: '�.Yes (Deed of Record) o �gation R ired '��Yes :_�No IS Parcel in Common Ownership I �Yes �Fused/Contiguous loqs)) � N itigation Attached � '�Yes ���.:� No Is Structure NomConforming � �Yes ' o Granted by Variance(B.O.A.) Granted by Conditional Use �.�IYes ''� No Casek: `;Yes '_lNo Case#: Was Parcel Legally Created �:�Yes � No Were Property Lines Represented by Owner ��'.:Yes No Was Proposed Building Site Delineated I �Yes ._' No Was Property Surveyed � Yes No O�ceComments: �Q`�,(� �e ��t, AX,.i;i�� n� ` �oA �^� ZoneDistrict:`' Fee: � � 1„r► rit� Sa^t Nc ��i (�k►�k� ���`' 7 Hold For$dnitary: Holc For TBA: Nc'd For Aff���.?:J��t�. Hold Fcr Fee;-. �Feb2021 '' � ( �a ^ D � � J 10/f 8/21,11�.58 AM Real Property Listing Page Real EStdt2 Sawyer County Property Listing Vroperty Status: Curtent � Today's Date:10/18/2021 Created On:2/6/2007 7:55:44 AM L,� �Description Updated:5/18/2017 �Ownership Updated:lORB/2009 r� Tax ID: 26007 DEAN R&)UUE S JAKUBOWICZ HUDSON WI �-� PIN: 57-024-2-01-07-30-5 OS-003-000130 1 Legacy PIN: 024741305313 Billing Address: Mal ing Address: � MaD ID: :3.13 DEAN R&]ULIE S DEAN R&]ULIE S �1-� Municipaliry: (024)TOWN OF ROUND IAKE ]AKUBOWICZ ]AKUBOWICZ �, STR: 530 T41N R07VJ 302 CROIX RIDGE OR 302 CROIX RIDGE DR HUDSON W154016 HUDSON W154016 Description: PRT GOVT LOT 3 PRT LOT 2 CSM 5/365 #1103&OUTIOT 1 CSM 28/205#7264 m Remrded Atres: 2.660 r Site Address 'indicates Private Road Cal[ulated Acres: 2J47 10267N SANDY BEACH RD HAYWARD 54843 Lottery Claims: 0 Firs[Dollar: Yes J Property Assessment Updated:7/16/2019 Wa[erbody: Round Lake 2021 Assessment Detail Zoning: (PUD)Planned Unit Development ��e p�� Land Imp. (RRl)Residential/Recreational One ESN: 404 G1-RESIDENTIAL 2.660 441,700 306,700 2-Year Comparison 2020 2021 Change �Tax Districts Updated:2/6/2007 ��d; 441,700 491,700 0.0% 1 � � State of Wisconsin Improved: 306,700 306,700 0.0% 57 Savryer Counry To��; 748,ao0 748,400 0.0% Oz4 Town of Round Lake 572478 Hayward Community School District 001700 Txhnical College �P�opaty Hlstory N/A .�Recorded Documents Updated:10/28/2009 WARRANTY DEED Date Recorded: 13 2658 WD#312658 AFFff312657 S,�� l 01�( �t r"«�- /��.., - d,.�r.r- c s;.h - .les��rcr .(�r-- locooA� e^S, �-e L 1�5 �30�.� �1e�,�� �tc k �pl�..+.�� , , i� x ai � �X��s �,�� �'��.r� �� �< <,���, �l� (�'(q�,.� ^ �`_'1�'�' i Date ��35 �� _E}� caS1� las.sawyercountygov.org/5y5tem/frames.asp7uname=Jay+Kozlowski Rtpt#Nuv Wori d�1 v 19 ��� � 5!23/22,324 PM Real Property Listing Page A R2dl EStat2 Sawyer County Property Listing PropertyStatus: Curtent Today'z Date: 5/23/2022 . Created On: 2/6/2007 7:55:44 AM =�Description Updated: 5/IS/20ll � Ownership Updated: 10/28l2009 . . _ . _._.____ Tax ID: 26007 � � � I DEAN R 8]ULIE 5 JAKUBOWICZ ��� HUDSON WI PIN: 57-D24-241 07-30-5 OS-003-000130 Legacy GIN: 024741305313 Billing Address: Maiing Address: Map ID: :3.13 DEAN R&JULIE 5 DEAN R&JULIE 5 Muniupaliry: (024)TOWN OF ROUND LAKE JAKUBOWICZ ]AKUBOWICZ STR: 530 T41N R07VJ 302 CROIX RIDGE DR 302 CROIX RIDGE DR HUDSON W154016 HUDSON W154016 Description: PRT GOVT LOT 3 PRT LOT 2 CSM 5/385 #1103&OUTLOT 1 CSM 28/205#7264 1� ReCorded Acres: 2.660 r Site Address " indicates Private Road _ _ . Calculated Acres: 2J47 10267N SANDY BEACH RD HAYWARD 54843 lottery Claims: 0 First Dollar: Yes � Property Assessment Updated:4/13/2022 Waterbody: Round Lake 2022 A55essment DetaO � � � � � � � Zoning: (PUD)Glanned Unit Development (RRI)Residentlal/Recreational One �°de Acres Land Imp. ESN: qpq G1-RESIDENTIAL 2.660 441,700 273,400 2-YearComparison 2021 2022 [hange �� Tax D(stritts . Upda[ed: 2/6/2007 ��d: 441,700 441,700 0.0°h 1 Sta[e of Wisconsin lmproved: 306,700 273,400 -10.9% 5� Sawyer Coun[y 7otal: 748,400 715,100 -4.4% 024 Town of Round Lake 572478 Hayward Communiry School District 001700 Technical College �Property History __.__.. . . . . . _______ . . . N/A +� Recorded Documents Updated: 30/28/2009 WARRANTY DEED � Da[e Recorded: 312658 WDC312658 AFF#312657 � � ,� s,� �e�.,� `'� �, �� ✓�� � ����� �' 13��a C '� � �� .��A https:l/tassayyercountygov.orglsystemlframes.asp?uname=Jay�Kozlawski 1i1 /, r .' . '`� � A S�o� C�<< k � , i i � � � � (�C-�-` j / I �r1�/ / / � � I` � � �� � ' � � ( {�� � � i ��°" 1 � V ,' � , .,� ��.s f _. . _ a' �i j_ _ ____ _ __ �----- ��,� �`". ;. - �. � .. w . � . _.+. ' � i ,i�rrI' - ^ " �� �'71- . �-� .• � . ?�}r !'� ! r "+ � ,_(�''+ • ���� � ' . ' +a I� ���' �� ' �' t .� i V. • �n. , t` �` ."� .�' . . � Y ; } �i�� �;�y' .'„r'( • y� ..� I�{}y• .�;♦ w . 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