HomeMy WebLinkAbout002-940-21-2401-LUP-2001-007 Application for Land Use Permit .
County of Sawyer ° °
PO Box 668 - Hay�vard `VI 54843 � � L-�
- 715/634-8288 �
The undersigned hereby makes application for a Land Use Permit and agrees that all work �J� �
�� �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance ,�
and the laws and regulations of the State of Wisconsin.CONSTRUCTION 1�IAY NOT �
BEGI�i UNTIL THE PERi�IIT IS ISSUED. -� �
—_ �,,I�� PRI�T— USE BLACK I�iK OR PENCIL � ��
i �1� �' �_ o
�.l e� ��� S ��//e�' f�ed�kJ C����' - �i�� �r.�� �� �'
Owner Buiider ° o �
(�v>��•-� 8�SS !,�/���/�l �e ,D� �- � ,� . . �
Mailing Address �
Mailing ddress
�CYe/2 ��'G��/�/ � �/� JJ�,�7"J� /�. iC(? �,�� W� A
City, State, Zip City, State, Zip ,�
�ss� y��-oi��� ��i�) � 3�- 7 �-
Daytime Phone Daytime Phone
Buildin� Land Use � ��t
��'e��� ( ) Filling Zone District � 1. � "
4_,Y
( ) Addition ( ) Dredging �-
( ) Alteration ( ) Grading Lot Size � � � GfG �'
o I"";"
( ) �Iovin� On � �r�t;in
� ) -( ) , Acres �, �� - Ul
r j
.�i�g ��,t�-��� .: ni�.c;�� �._: :t, - .�
Prii�lary Structure Accessdry Buildin� Addition � �
( ) D���ellin� ( ) Gara�e-attached!detached ( ) Deck � �
( ) �"ear round ( ) tt of car stalls ( ) Porch ��
( ) Seasonal �f Storaae Buildin� ( ) Enclosed
O Frame built on site O Screenhouse O Living room -��
( ) Nlodular/manufactured ( ) Greenhouse ( ) Kitchen �� t1�
�lobile/manufacttired �T'
( ) ( ) Other ( ) Bedroom
( ) Ottler primary structure ( ) ( ) Relocate/enlarge � >
� ) O Omofne«� ! Z
� �
Type of Constniction � y�
( ) Frame ( ) Lo� �Pole/metal ( ) Block ( ) Concrete �
( ) Other --
U k��
(�
f'� -+''
Construction Cost S �,. ��� ^ `.
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Vol_(� Pg o-? .'{' of Deed Certified Soil Test � /�/ '�" � �
CSi�1 Vol � �: Pg (�, 7 � �,�/9/ Sanitary Permit # N�' r� O
Plat Envelope Or: ^'
Condo Vol Pg Year Installed �
\
AfCof ex septic �' P O���ner `Vhen Instalied: � �t'1�
�" �
3�15 1
\
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1 . , #2. �� T��� ��� � ` � _ t #3. #4.
Size � � ft. wide �; ft. wide �' ' � r J � ft. wide ft. wide
S `T ft. lon� _ � � l� ft. lon� ft. long ft. long
Floor area �(� sq. ft. sq. ft. sq. ft. Sq. �.
H�. �om �-ade � t� to peak ft. hgt. ft. h�t. ft. hgt.
Stories � stories stories stories
# of bedrooms � �
rear lot line or ���aterline of lake/river
In the box sketch in:
Location and size of all S(�V��S�I �d .
existing and proposed stnictures. S '
� � ��: ; >f
Location of septic system. N z30 +f
i�,r^ u'�:fc !' �'� f�; +� k: (�-
/ ,r,e� `
Indicate distance to: �—�I
��'aterline/Wetlands � �
Roa / . � � d
Lo--=S �Vi/� _ � � �
Septic system!privy � � � �5:��.
��'ell N� �� b�� � -f�.
Distance bet�veen stnictures. "l,� ' 3C�-�` +�- - -_-�— � � r�f�d�"��
��o-� tJ esr- � �
Indicate ti'ortll. ro
Fire \`umber: ►^DU �,� a �e� s-�'�
N� 1/v00 �S o�z�-��: f�om 1�re.
�
Si tu of ti��ner
The abo��e certifies that the listed
infornlation and intentions are true and
correct. The abo��e person's! hereby
�ive permission for access to the
propercy for onsice inspection. ------- centerline of road-------
Issue Date January 18 , 2001 Expire Date January 18 , 2002
Officc CO111f11e11CS: . � �
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TOWN OF BA � S
SEC. 2 I TWP 40 N .
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11i08/99 �[ON 12:59 FP.b 218 T28 ObY9 MARI & OVEROM
raoo�
� � , �+. Registe�'s Ottice i SS
' � � 1 � J � Sawyer Counry 1 �� day ot
' Receiv tor record this a clak
� �� A D 19 e1
M and recorded as vol. ` �
�{qg�ar on pege 3���_
Register
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�STATE OF WISCONSIN
QUIT CLAIM DEED
gelum To:
Steven C. Overom
31 VV.Suporior Street
Suito 402
Duluth,MN 55802
Qiga E. Simonson, as Trustee of thc Olga E. Simonson Living TYust created by Agreement dated
October 8, 1993, quit-claicn(s) to Jeftrey 5. Haller, single, the following desen'bed ceal estate in
Saaryec County,Stato of Wisconsin: 002.gqp.Z 1-2401
Tax Parccl No:002^9Aa21-53U1
TRpNSfER
�y0 +
See Exhibit A attaclzed heroto � ��.
FEE
This is(is not)homestead property.
_�.:
.__D��this day of ` , 1999.
�
Ol . Simonson,
Trustee of the Olga B.Sm'ionson
Living Ttust,created by agrament
dated October 8, 1993
VOIf 94 PG239
. . _ _ _ /1
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11/08/99 MON 12 : 54 F� 218 728 08Y� M.�iKI & OYBROM l�003
,
AUTHENTICATION ACKNOWLEDGEIV�NT
Signaturo(s} STAT'E OF WISCONSIN )
)ss.
authenhcated this • day of COYJN''I'Y OF SAWYER )
— • 1999, Pc�sonally came befare me this a ��day of
* ��� 1999, the above r,wnaed Olga
E. Simonson to me known to be the person{s)
TII7.E: MEMHfiR STATE BAR OF WISCONSIId W�p ut f g �g�l� g�
�f�� authorized by ac 8
S. 706.06, Wis. Stats.) " ' �
THIS INSTRUh�NT DRAFTED BY
Amy C.Bryan:
Mald dc 4�+erom� Churccred No�arY lic Sawyer County, �� '�"E'�'���,,,,.,
3i w� su��or sa�t My commieaion ia permanent f • � .,
s�x aoz (� ��dq$�state• - ... ��;,
Du1wh,1�II�155802 ���o� ��' r . pTAR Y •.���
£ rP�S a- o'b0�;� � Q�• � ��
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(3t�dumnW'best�enEcatedoroc�w�Cdtod. Botbueaotaeceaary,) • � �
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� VOL694 PG240
�oos
12/Y1/99 IVE 1�:18 FAb 218 728 oBYJ YASI & OVEROY
�
E�1t A
Legsl Dace3ptlon .
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The Southeast Quazter of the Northwest Qnarter(SE 1/4 NW 1/4)axcept that parc theroof lyin8
East of�he East ri�ght-of-way uf H'ighway ��27",dll in Section 21>Towa�}rip FartY<40)Noith.
gauige Nine(9)West-
YOL 6 9 4 PG 2 41 .,�.�'�
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