010-841-36-5315-INS-2004-031 Sawyer County Zoning Administration � �
Inspection Report � �
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Owner(s) Robert A.&Dianne M.Sosnowski 462-9696 �
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Address 12387 W Wilev Street Havwazd WI 54843 �
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Agent/Purchaser 7C
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Address �
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Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation d
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❑ Dwelling ❑ Mobile Home ❑ Commercial ❑ Garage � Addition � �
� Setback-Lake ❑ Setback-Road ❑ Setback-Lot Line ❑ Soils Verification a
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WD Vol 800 pg 941 RR-1 Acres•4 00 Lot 1 CSM Vol 2 pg 9 0
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Discussed with Mr.Sosnowski
Date&Time December/,'� 1:00 A. i ��
Signature ofInspector
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Of£ce of
Sawyer County Zoning Administration �
P.o.BoX 6��
Hayward,Wisconsin 54843
(715)634-8288
URL:wwwsawyercountygov.ora
E-mail:zone.admin@sawyercounrygov.org
December 13, 2004
Robert A. Sosnowski
12387 W Wiley Street �
Hayward, WI 54843
Re: Parcel :3.15, S 36, T 41N, R 08W, Town of Hayward: Application for Variance
Dear Mr. Sosnowski:
I have enclosed the following documents with this letter.
• Inspection Report for the above property,
• Application for Variance—Additional Information,
• Board of Appeals Conclusions of Law Form (This is the form that the Board members
will use to determine if your situation meets the requirements for the granting of the
variance that you have requested.) and a
• completed "Variance Application."
You should review the inspection report and application for correctness. If correct, sign
the application and return it to this office with a check in the amount of$250.00 made out
to the "Sawyer County Zoning Administration"by Friday, January 7, 2005 for hearings in
February 2005.
The "Application for Variance - Additional Information" must also be filled out and
returned with the Variance Application. Both documents together make up the entire
application that will be reviewed by the Sawyer County Board of Appeals. Failure to
return both of the documents ar failure to complete either document in its entirety will
cause the variance application to be rejected by this office.
The "Variance Application"will be reviewed at two public hearings. The first hearing
will be held by the Town of Hayward at 7:00 P.M., Tuesday, February 8, 2005. You
should contact Jodi Longtine, Town of Hayward Clerk, at (715) 634-4123 (Town Hall) to
confirm this date.
The Sawyer County Board of Appeals will hold the second hearing at 7:00 P.M.,
Tuesday, February 15, 2005 in the large courtroom located in the Sawyer County
Courthouse. You or your agent should attend each hearing, especially the hearing
conducted by the Sawyer County Board of Appeals. Only the Board of Appeals can grant
the variance, the decision of the Town of Hayward is advisory only.
It is your responsibility to convince the Board of Appeals to grant the variance that has
been requested. Therefore, you should consider using any means at your disposal (i.e., �
photographs, drawings, a good verbal presentation, etc.) as you present the facts to the
Board.
At its October 2002 public hearing, the Board members decided to apply expiration dates
to future variances. You should be prepared to discuss this issue with the Board (i.e.,
proposed date that construction would begin, any anticipated construction delays that may
be caused by the availability of contractars, excavators etc.).
Please contact Mrs. Kitty Taylor if you have any questions. Office hours are 8:00 A.M. to
4:00 P.M., Monday through Friday.
Yours truly,
William A. Christman
Zoning Administratar
Town of Hayward
County of Sawyer -
December 13, 2004
Date
SUBJECT: Variance Application
To: Sawyer County Zoning Administration
P. O. Box 676
Hayward, Wisconsin 54843-0668
Owner: Robert A. & Diane M. Sosnowski 462-9696
Address: 12387 W Wiley Street Hayward WI 54843
Property description: Parcel in part of Govt Lot 3, S 36, T 41N, R 08W
010-841-36-5315, Parcel :3.15
Lot 1 CSM Volume 2 Recards page 9
Volume and page no. of deed: WD Volume 800 Records page 941
Acreage and lot size: 4.000 acres
Zone district: ResidentiaURecreational One (RR-1)
Application is for: the construction of two single story additions: (1) 6'x 24' (8' x 26' with eaves) and (2)
4'6" x 13' (6'6" x 13' with eaves) onto an existing dwelling with an existing footprint of approximately
1862.5' square feet. The resulting dwelling footprint will be approximately 2041.0 square feet. The
dwelling is located at a setback distance of 40'9" to the ordinary high-water mark of Little Round Lake.
Variance is requested as: Section 4.421(1)(b), Sawyer County Zoning Ordinance, would require that the
total dwelling footprint not exceed 1500 square feet.
Name and address of agent: Signatures of property owner and agent and/or
purchaser. The above hereby make application for a
variance. The above certify that the listed
information and intentions are true and correct. The
above person/s/ hereby give permission for access to
the property for onsite inspections.
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299206 STATE BAR OF W[SCONSIN FORM 1 - 1998 . .
Document Number WARRANTY DEED
This Deed, made between ROBERT A. SOSNOWSKI and JOANNE P• Registers Ottice
DUCKWORTH, subject to a Life Fstate for GENEVIEVE A• ��,yerGounry } SS ��
SOSNOWSKI, Grantor, and ROBERT A. SOSNOWSKI and DIANE M. peceived tor record m�s �Y�
SOSNOWSffi, husband and wife as survivorship marital property, RDri( _A � 2oQ7c_at�o'dock
�� M and recorde¢as vol.
Grantee. Grantor, for a valuable consideration conveys ro Grantee the �R����Page Q�F1
following described real estate in Sawyer County. State of Wisconsin:
Regisber
�ePut�'
Recordin Area
Name and Renun Address
/�cT 3/s i
F� �
� $ 010-841-36 5315
,�,�..,...� Parcel Idcntification Number(PIN)
�(EMP'T' �15��t
homestead properry.
/
That part of Governn►ent Lot Three (3), Section Thirty-si�e (36), Township Forty-one (41) North, Range Eight (8)
West, described as Lot One (1) recorded in Volume Two (2} of Cerlified Survey Maps, Pages 9-10, Survey No. 224.
Legal description provided by Hayward Land Title Company.
Together with all appurtenant rights, title and interests.
Grantor wazrants that the tide [o the Properry is good, indefeasible in fee simple and free and clear of
encumbrances except al1 easements, exceptions and reservations of record.
-r� G .ZvOZ"
Dated this �� day of� QYQ �
�i���i72:�f/t— •
, �,�-��S�,� • ROBERT A. SOSNOWSKI
�c��F�.�'�°,��diC� l c5�,w�.s�� ��.w�-��
� �y '�''Ey,prt��'� OAMyE P• DUCKSWOR/TH ,
1Ay��'�"� � ' �
ACKNOWLEDGMENT ,�lirt� .� �-c1/71`e' CQ . �y��A/N�'�
� ., '' GENEVIEVE A. SOSNOWSKI
STATE OF t,. %C.�� '.vY�-A�— �
p� � ACKNOWLEDGMENT
T �-' COUNTY ) „
Perso IIy came before me this � day of STATE OP �,C�1�CO(1� l �� )
� c�L the above named
R ERT A. SOSNOWSKI to me known to be the person(s) �����$ 7� COUNTY )
who executed [he foregoing instrument and acknowledge the of
Personalty came before me this �� aY
same. I"Y l��'G�l , �
� ��� o the above namc
`/\��� JOANI3E P. DUCKSWORTH GENEVIEVE A. SOSNOWSKI
-r � to me known ro be the person(s) who ezecuted the foregoing
„ ' instrument and acknowledge the same.
Notary Public, State of ,tL���"��`'`'`' — �-" %''��� � �+-- �i �'
My Commission is permanent. (If not, state expiration date: � / �}
�_ � ��) . �i r i��/^iP--l- � Y C� l 1 � r �'
T'FIIS INSTRUMEN'f WAS DRAFI'ED BY t3otary Public, State of L�J�,SC.Jti�/ (�
Attorney Thomas J. Duffy My Commission is permanenc. (If not, s i date:
Hayward, WI l'�`��c�/ ,� S A `.,�
(Signatures may be authenticated or acknowledged. Soth are not �pTAqY FP�
necessaryJ � ,�
'Names o(penons signing in any capuiry should be rypcd or priMed below[Mit siYna[ures VOL 8 0 0 PG 9 �+ 1 y. PU 8 t-�r�
WARRANTY DEFA STA7'E BAR OF WISCONSIN ' /,.- �
FOAM Na. 1.199! (�
Intormation Proteuionala Camparry Fontl V�r�l��900�655�2021
/ DO NOT PDBLISH
- 2 6 2 4 7 8 STATE BAR OF WISCONSIN FORM 3-1982
QUIT CLAIM DEED
DOCUMENT NO.
----------_-_—_-__ - 1WQI4bf'i OIfl01 t SS
&wYer Counry f
Genevieve A. Sosnowski, a widow, and Joanne Duckworth, fte aa ta ncortl� NY d'
a married person _ �A019 at o'dock
M md retoroed os vd.
quic-claims co Robert A. Sosnowski and Joanne P. Duckworth, ���s on WYe
as tenants in common ��'�" �n
� RepslW
� �W�Y•'
the(ollowing described real estace in Sawver County,
State o(Wiuonsin:
TMIS SPACE RESERVED FOR RECORDIN6 DATA
NAME AND flETURN ADDRESS
Atty. George L. Neuberger, Jr.
136 Hospital Dr.
Watertown, WI 53098-3338
070 841 3fi 5'�15
PARCEL IDENTIFICATION NUMBER
That part of Govemment Lat 3,Section 36,Township 41 NoRh,Range 8 West,described as follows: Beginning
at the center of said Section 36,Township 41 North,Range 8 West,thence North 85°41'East,along the east-west
quarter line 250.0 feet to an iron pipe;thence South 4°42'East,371.08 feet to an iron stake;92 feet noRh of the
shore line of Little Rouud Lake; thence South 27°48'West, 122.11 feu; thence South 7°57'West, 250.32 feet
I thence South 73°33.5'West,13535 feet to an iron stake 20.55 fcet from the north shore of Little Round Lake
I on We north-sout6 quaRer line of said Sxtion 36,Township 41 NoRh,Rmge 8 Wesp thence North 4°56'West,
along said north-south quaRer line,739.64 feet to the poiat of beginning. Including all land lying between the
imeander line end the water's edge between tbe parcel lines aztanded.
Grantor, Genevieve A. Sosnowski, reserves t6a right to wntrol all the above-described real propeRy for their
lifetime. Thereafter,Robert A.Sosoowski and Joanna P.Duckworth shall take title to the above-described real
property in feo aimple absolute.
� .
#�
EXEMPT
This is nnt homestead property.
� (is not)
Dated this 7th day o( August ,1g 97 .
�i/ A �
N?4�1.i�'� (SEAL) (SEAL)
• Genevieve A. Sosnowski
Q�/�9iD,�1M2� fd, ($FAL) (SEAI)
Gl Joanne Ducltworth
AUTHENTICATION ACKNOWLEDGMENT
5' ure(s) Gene i e osnowski and State oE Wisconsin,
o e uck ss.
Counry.
ut C ted chis day ( ,19 Personally came betore me this day of
,19_,the above named �
•G r e L. Neuber e Jr.
TI MEMBER SThTE BAR OF WISCONSIN
�cxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
�°���f������� to me known to be the person_who executed[he foregoing
instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED 8V
Geor¢e L. NeuberQer. Jr.
Attornev at Law Noiary Public, Councy,Wis.
(Sigmmres may be auchentica[ed or acknowledged.Both are not My commission is permanent. (If not, state expiration date:
necessaryJ � ,19._.)
---.-._.. . _ . .
_- -_ - _ . - -- _.-_ . . - ----- _-__ .__.
�.__ ------ ._.—-----
•Names of persons s�gmng in any opaoiy should by ryped or primed below ihair s gnawres. - � � ��-- --� �
QUIT CLAIM DEED STATE BAR OF WISCONSI��L s �0 PG 2"�L���'W 9�
Form No.3-1983
:
oOcuMeNT No. STATE 13aR OF WISCONSIN FORM 3-1882
THIS SPqCE pESEPVEO FOR pECOROING D�T6 I
218 3 31 QUIT CLAIM DEED
_.: _ _ �
_. _ --- --°_-- nwr.r.ano. i
--... ._.._ e
6.w'f�e Ceuey � �/
GENEVIEVE A. SOSNOWSKI a widow, not since remarried •b ��+ �� ��L_,,.d� u
�---------------- ------ -----------��--'----'-.- �. . --------------- -----------�----- - A D 19 �d�'��/�
�--'----------------------------------------------------------__------------------ seco[dedlard._�„G._�
quibcla;ms to GENEVIEVE A. SOSNOWSKI and JOANNE DUCKWORTH d A m pepr
- - - ' .
______..mother and dau hter as oint tenants � - - ' �- Z<.._,
-- - - - -
-g- -- - - _-- -� ......_ - - ---
-- - --�- � - -- - - -- -- - - -- -- - - --- - - - - -- ---
- -- - --� ---- - - -�- -- -- -
�- - ----- -�� -- -- - - - -- _ - -
e Following Aescribed real eatate in ...._.._.._.__,_S3wyer____ �unty,
3tate of Wisconein: . . . . . ... . . i
_ ._.._`--_ .
RETURN TO ���
Tw �
� Tax Parcel No: .-_......_---.'---"--"'-.. i
That part of Government Lot Three (3) , Section Thirty-six (36), Township Forty-one i
(41) North, Range Eight (8) West, described as follows: Beginning at the center of �I
� said Section Thirt six Townshi Fort
", 85 degrees 41 ' East, along the east-west�quar[erhllnen250E0gfeete[o�anhiron pipeh II
i
' thence South 4 degrees 42' East, 371.08 feet to an iron stake; 92 feet north of �
� the shore line of Little Round Lake; thence South 27 degrees 48' West, 122. 11 I�
!� feet; thence South 7 degrees 57' West, 250.32 feet; thence South 73 degrees 33.5' I
� West, 135.35 feet to an iron stake 20.55 feet from the north shore of Little Round I
� Lake on the north-south quarter line of said Section Thirty-six, Township Forty-one I
�� North, Range Eight West; thence North 4 degrees 56' West, along said north-south
�I quarter 11ne, 739.64 feet to the point of beginning. Including all land lying
�� between the meander line and the water's edge between the parcel lines extended.
FEE
�° �`
E.XEMPT
This is.-_.-- -_._. homestead
- -- - Property.
....-(is) (is not)
Duted this �l `� �
._.._._....--...._ ._..c.----�------ day of -------._._..._�?�C4SY�.-----....._...._..._.....--� 19..��.1�_.
, % " .
.__-----�--��---.._...__._._..---__.._�--��----_._-_._..(SEAL) �i ,
��`i�v2:.G`2.._ ..._..'.�_�?-d-c.�V�SEAL)
- _-- --- ..--........ - - - --- - � GENEVIEVE A. SOSNOWSKI
_ ...- ......_.._ ----
�-------------�---..._...-�-----.-'._-...._._(SEAL)
.._...._.--_..___..._..._..___-----.__..---....—..(SEAL)
� -'--'------_........__......_.--"-----'--....._.-'------..... r
. ..... .................._........__...._.._..._......_....
AUTHBNTICATION ACKNOWLED6MfiNT
3ignature(s) _---_--_----------------__-------.----.---------...._.. STATE OF WISCONSIN
�
-----'--•'-----'--'--------'-----'— ss.
--��-----...----'------�--------��- --
- �� C'c[u�.�(/L _ Co�nty.
authenticated this .--,---day of----.---------- -----------�J-----�-----�----- -- /�/
--_., 19._.._. Personall came before me t]i�s ____._.'�.�,_ dey of
Y '
._.'.'.__.'___.'___......_.____._".__."__-'
..'_.__.._...... .."_"' �� ""'__.'._. �
-----�---�--- '.. l..0 ._ .� ly--d--- the above named
' - �
-- --- -
------------ � ...---�--:--------- �--�---
'- ��--' - - --- ` � - -�------- -• --`E-n.zvice c•c ra�.oeus,C'-
- - -- �----- -- -- ------- - -
PITLE: MEMBER STATE BAR OF WISCONSIN � � ���--��-'"-%''`""'--�----
-"'."'-'--"-"--'-"--'----
'----�---------'-�-'-----'�-•"�iunn�r�=i� '
(IP not� ---------'- _:� ,�. .-"-..""--'--'--'--"-----'
authorized b - _ ��\��- �. 9�_ ,,
- -- --- - - �---------------....
r § vos.os, wte. s�as�a - -- - - ,� - .. _......- ----
,....,... �Yl•;-- --- -- --- - --
, to me known to be.yZte,p4rson ___:�1_j p.ho pyewted the
THIS WSTRLIMENT Wq5 DRAFTEO BY foregoing�instrutnent�P;& o ��t ' ��88me.
. �� d �II
-Thamae._W,..Ruf� -------�C�_ c • ,
-- -- -
Y --- - --- '• - -
- - --- - --- -- ---� " � - -� -�
' (�-"�.�---- "-`� ._ .
, , � i i'.
Hayc�axd._Wz_..5484�_ - - - ' : ,..
y Notar PuLlic --�i-�/��,�. .,....:.,:.,:�-�----------�---
I are not necessary.) dute: -._______ __.`,..��. ' � ' i1 ���Y`--"CountY, Wis.
(Signatures me be authenticateJ or acknowled�ed. Both My Conuniss�on is; er nent�IfE1nQp,' state expiration
- - -- - - - - y
�
I �� 19 )
� '�OL448 P63 � � -'-- - - . - - - �
QUIT CLAIM DEED
tiT11'Olf�l�N�F,i �Y jSf nN�IN N'ina�n,..in f.��cnl ❑lenk Cn. Inr
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Certlfied 3uzvey No. �
I,,, Robert R. SWanson,. Wisconsin Regiatered Land Surveyor,
hereby certify that in full compliance with the provisions of
Chapter 236.34 oP the Wisconsin Statutea, and under the direc-
tion of Clarence & Eleanore � Glenn & Luella Rolgers,ownereof
said land, I have surueyed� divided, and mapped the land herein
described and that such map correctlq represents the exterior
6oundaries and division of the land surveyed and that this
land is located in Government Lot 3, Section 36, Township 41
North� Range 8 West, Town of Haqward,, Sawyer County, Wisconsin
described as folTows:
Beginning at the center corner of section 36-41-8: thence
north $5°41 � east along the east-weat } line 399,1:0 feet to an
iron pipe.
Thence south 5°04� east 329,20 feet to an iron pipe located
22 feet from the north shore of Little Round Lake.
'°:�.+ Thence south 70�OQ..S� west along the meander line of Little
Nound Lake 1'S6.05 feet to an iron pipe.
'Phence south 27°48� west along the meander line 112,.71 feet
to an iron pipe..
�Phence south 7°57� west along the meander line 250.82 feet
to an iron pipe,
�rhen�e south �3�33,5�west along the meander line 135.35
feet to an iron pipe located 20.55 feet from the north shore of
Lit�le xound Lake attd on the north-south # line o£ the sectioa.
'1'hence north 4°56� wes� along the north-eouth # line 739,64
feet to the iron pipe which is the center corner attd point-of-
heginning.
'Phe parcels include all the land Detween the meander line
and the water's edge„ betwees. the narcel line� extended.
Also sub�ect to easements and reservatians oY record.
September 2�, 19']1
`Phis instrument drafted by
Robert x, Swanson
�Jisconsin Registered Land Surveyor
���..,a�nnnp,,.,, Rob` ez;t R �wa!/JL n ereri./
,,�''' 15C�Ns •,,
� "� �"-,,
� �
� �uvsc�r *'s_
= a�we
: �'►�o` ; t 3 8 2 � U
,,��i�Jj�� Q.�� .�e`���,, Aeqlahis Office
. ���p� ..L���*��� �awyer Cour.ty } �
�tpNOH1f�
� Rec ved f-,-roce,.: P.�e day eF
�.._ 1� .,,7� �t �/�a:..:i -
h1 c..d:ec>r.:c;i:.: vol.
' 41pCjv���
�__—_
I cr, ;;er
Deputy
d
Application for Land Use P�t o o ���
PO Boxo676�Hayw d WI 54843 O��I�� �d���1V�°� � � �
715/634-8288 ` � �
The undersigned hereby makes application for a Land Use Permit and agrees that all work
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin. �
NO CONSTRUCTION MAY BEGIN UNTIL p�N�E BL CK NK OR PENCIL
n+ar/s K l � +�
Qa ��- �i I�1u Es S Gs� N b 2"I'N-W q c7(J �Su�I eQ �w�S a
Owner Builder �, � 7
Q D g0 X �3 0 � �• ��,,�
���� G�u� �u� — Mailing Address �
Mailing Address �
(�� R,.�.� U Zu., bo�toa � a ee..o w t sti�`-�� �
City, State, Zip City, State, Zip
�os •�843- 8 �y�t y6aa6a� 7�S • �t6a •4363
Day[ime Phone Daytixne Phone
Additional Information: . Zone District
��"I �
►a 3$� � w��y S� ' Lot Size
H-� w a�riD �►sc.. •
� , Acres 'y�5
Is the property in a Shoreland District? (within 1000' of a lake or pond, within 300' of a river, �
creek or stream) If yes, how faz from the shoreline & wat�r�� �w��l,-� � -
Is there wetland neaz the proposed structure? If yes,how faz o �
�o
Buildin Land Use �
�(�New ( )Filling Floodplain: ( ) es ( )No # � �
( ) Addition ( )Dredging o
( ) Alteration ( ) Grading Chippewa Flowage: ( )Yes ( )No � �
( )Moving On ( ) � °
� � � � Driveway:( ) State ( ) County ( ) Town Rd. "
W
Primary Structure ccessory Buildin Addition +
( ) Dwelling ( ) Gazage-attached/detached ( ) Deck �
( ) Year round ( ) #of car stalls ( ) Porch �
O Seasonal OC) Storage Building O Enclosed W r
O Frame built on site O Screenhouse O Living room � ;
( ) Modulaz/manufactured ( ) Greenhouse ( ) Kitchen
( ) Mobile/manufactured ( ) Other ( ) Bedroom
( ) Other primary structure ( ) ( ) Relocate/enlazge
� � � � ( ) #of new �
�
0
AdditionalInformation: ,.d I
� �
� �
�
Type of Construchon '�
( )Frame ( ) Log (�Q Pole/metal ( )Block ( ) Concrete . �
( ) Other �
Construction Cost: Primary Structure$ 3U.Uo O •� � �
Accessory Building: $ Addition: $ Z
7y
Vol � Pg�_ofDeed Certified Soil Test# Ba• Ot3 I,�
��r�
CSM Vol�Pg�" _Lot# � Sanitary Permit# S a•D l(D I
Plat Envelope �r� �
Condo Vol Pg Yeaz Installed
Aff of ex septic Vol Pg Owner When Installed:
Gazd Gazebo Vol Pg
Previous Variance: LUP: InspectionDate: 8�(9/r
';.
Describe the construction using these columns. List the dimensions of each structure in a separate
column. List each story, each addition, each alteration m a separate column. #4.
#1. #2. #3.
Size 3 o ft. wide
ft. wide ft. wide ft. wide
y � ft. long ft. long ft. long ft. long
Floor area � `'��-I o sq. ft. sq. ft. sq. ft. sq. ft.
H from e t �l to p� ft. hgt. ft. hgt. ft. hgt.
�• �
Stories
� stories stories stories
# of bedrooms
Lot Line or Lake/River name:
\,��
1���� �
\ '�,��� �
j ��'�C� ' �DD �
l� /
,
��'``��� �
�
�
� �
�
� �
, N� w
� � (3ca�1�Qt •
a�� y�
o '+- '
Fire Number and Name of Road '
1. Fill in lot dimensions and indicate north by arrow. Signature of Owner or Authoriz�d Agent:
2. Indicate location and size of existing and new structures.
of well se tic tank drainfield. ��
3. Indicate location , p �
4. Indicate distance to existing structures, lot lines, septic system.
5. Indicate distance to the ordinary high-water mark of any lake, ;
R6ERf � s '
pond, river, stream, creek, and name the body of water. PrintName: o , os�n/ov✓s �, /
The above certifies that the listed infortna6on and intentions are
6. Indicate any grading or clearing in excess of the construction site. �essto the property foons t rsnspecthoneby giv$ permission for
7. Indicate distance to any wetland. �
Permit Fee: ;
A„Q-„Gr �� � n�.a ' l
Issue Date Signature of Issu Ag t
�
I
August 21 , 2003
Expiration Date
�
Office Comments: 1J0�" ��'� �'� a.`� CCX`nYK�`�.�.Ol..� ����f. l•U�.�S
Inspection Date: 50% Rule Applies: Avg. Setback:
Restrictions and other information: !
I