HomeMy WebLinkAbout002-172-00-1002-LUP-2001-055 ���--
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Application for Land Use Permit o o �
County of Sawyer v �
PO Box 668 - Hay�vard `VI 54843 �
715/634-8288 .':.r _
The undersi�ned 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 "r' �
and the la�vs and regulations of the State of `Visconsin.CO�iSTRUCTION I�IAY NOT
BFGI�i UNTIL THE PERi�1IT IS ISSUED.
����y� PRI�T - USE BLACK Iti K OR PENCIL �'
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Owner ,� Builder o
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Mailing Address �, f ' Mailing Address �`\� ~
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Cit�; State, Zip �R . � a.� City, State, Zip G'>
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Daytime Phone Daytime Phone � � �,.� d 1�";� r �� �� �
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Buildin� Land Use `V �
( ) Ne��� ( ) Fillin� Zone District {��Q�� y (�
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� Addition ( ) Dredgin�
( ) Alteration ( ) Gradin� Lot Size _ ' �;' �
( ) �1o�-ing On ( ) � -�
( ) ( ) Acres �� = f ,�'
� G —� U,:
Primary Stnicture Accessory Buildin� Addition �� ��
( ) D���ellin� ( ) Gara�e-attached,!detached ( ) Deck � ^
� �'ear round O � of car stalls O Porch ��
O Seasonal O Stoc-age Buildin� O Enclosed � Ip
(� Frame built on site O Screenhouse O Livin� room
( ) I�lodularimanufactured ( ) Greenhouse ( ) Kitchen ��
( ) �lobile/mai�ufacttired ( ) Other (�t) Bedroom � ��
( ) Otlier primary structure ( ) � ) Reiocateienlarge � L�
� ) � ). _ ( ) # of ne«, � I`.n�
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Type of Construction � L
(�.) Fran�e ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other "
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Construction Cost S i-% ' �'
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Vol oZ y� Pg 5l�� of Deed CertiFied Soil Test � � q - ��� �j
CS1�1 Vol Pg Sanitary Permit # _ $� - ��S � z
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Plat Envelope Or: " ~
Condo Vol Pg Year Installed �
.AfCof e� septic �' P O�t�ner �Vhen Installed: � �IS'DI
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Application for Land Use Permit — Page 2 , '
Describe Construction: List dimensions of each struct�ire, story, addition, or alteration.
#1. #2. #3. #4. , .
Size % a ft. wide ft. wide ft. wide ft. wide
�`� ft. long ft. lon� ft. long ft. long
Floor area l(p� sq. ft. sq. ft. sq. ft. sq, ft.
H�. from g-ade to peak ft. hgt. ft. hgt. ft. hgt.
Stories �_ stories stories stories
# of bedrooms �_ /
rear lot line or ���aterlin of �'+ lake/river
In the box sketch in:
iocation and size of ali � _
existin� and proposed stnictures. 8� y
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Location of septic system. `�r �
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Indicate distance to: ��� ; ,e �
��'aterline!�Vetlands ' � �� '��'� ,�M � � �
Road ��. �t �
Lot lines `�Y'� �� � �� � `
Septic system/pri�•y � ��j �0
��'el l -� ��
Dist�nce between stnictures. ' �", Y
, �Indicate \orth. �
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Fire �tiiz�ber: �
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3' 4yy�y�� �� �
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Signature of O�r�ner ) �
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The abo�•e certifies that the listzd � " «
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itlforrtlation and intentions are true and , � -
correct. The abo�•e person's,�hereby -----.--...-__ _ ___._.__F. .._ _ � ` -----
.._�. _. .
��i��e permission for access to the '
properry for onsice inspeccion. ------- centerline of roZd------- /�(f/�
Issue Date April 10 , 2001 Expire Date April 10 , 2002
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�fflC� COIllI1lt;IltS: � ��//✓
Si�naturc l�f Z011ftl�� r�dministrator
�F BASS LAK E
39 N. R. 9 W
W 2 GOVT. LOT I
�CORNER
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-37.
-3B
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N
) F BASS LAKE
vVP 39 N. R. 9 W
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�ART OF TOWf� OF SAND LAKE
DOCUMENT NO. QUiT Ci.ArM D�tcn i
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� , I �� Z4Z � � S `��,• BTATE OP WfSCON6IN�FORM 13
� THI9 BPACE R866RVHD rOR R[CORDING DATA �i
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'I�iIS INDEIVTiJRB, Made by....$�z�hr�...R.a1DSd�1.l.,.._.3n.. -• , f, ;� 3 (,-.-�G_.
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o( T' :.� �s on Fr.�9e �J lv � '
..__.._.._..---__.__.._....--•--..r..._............_.._---••--••----..__...._...__._.._.... grantor.----- 1 Gc'.G�i ��
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' of....... S3wyer..�,._______.,._. ., ���,, Wisconsin, hcreby quit-claims to pP,,,,i� �
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Franklin E . Rehor and Dolores M . Rehor i
......._.._._.....------•---------..__.._..._..----..._..._---._...---_.._.._._.._..---..._..._....._..�_...---•- _ -
� . � RE7URN TO �
__.his wife ,., as .,aoint . tenants,,:,.._„___..._..._.._...._.......__.
gra,ntee.._.�.., of...__....��tnfy.��.._....._.._ County, Wisconsin, for the sum of
__.One Dollar and other valuable consideration ��
...__ . _..__..._.._....._..__......_.._....._ , ..__.._._......_.-•-_._._...._..--•----•----•--_.._...._...._..._.._.._..............__.._..._.._...�
the following tract of land in..._.__..._Sawyer__,.,,_._.__..._.._.._ County, State of Wisconsin:
, _ The East 150 feet, of Lot Ten ( 10 ) of the Subdivision of the West
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Half ( 4�11� ) of Government , Lot One ( 1 ) , Section Three ( 3 ) , Township
Thirty-nine ( 39 ) Vorth , Range Nine ( 9 ) West .
Subject to exceptions , easements and reservations of record .
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' ' ' Exempt Wisconsin Statutes 77 . 25 ( 8 )
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(IF NIDG�SSARY, QONTINU� DESCRIPT70N ON REVERBE SIDE) ���
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� � In Wirness Whereof, the said grantor..._. h�S.._. hereunto set her__ .. hand___.__ and seal___._ this .�_ -:__..
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, day of....... Se�tember ..__..... A. D. 19..72 n
i i %.,�, .... � i =�,�`=---..f.��'�..�1�.:?.:�.��f�(/ ......_._._._(SEAL)
' � -�rb AN��II�L�RESENCP OF gerth3 Ramsdell i �
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�'" � Howard E .-. Hanson ^ �rr � I .
� "_ 'I.��L:�G:...��.�-�-.►cL.c�:-�<„�_........_......._...._....�. ... _...._...•--__....__....�..._.�:......__...._....._........_..----- .(SEAL) I
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i ' Pat Heinkel �
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..._.._...._....___......_....._..._.............__...._...._--•••---•-•--..__ SEAL � .
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I � State of Wisconsin,
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, I Saw�er �, SS' y • �, = Y September �
................._.. ....._........_.......... Coun . Personall came b'efore me, this.._ :..._.._... da of..._....__.._.....__...._.._....., �
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i I A. D., 19.._7.?-, the within named:....B.�:�,Yl.a._.R�3II1�d��.�-�•--d�--.s��u 1 t. wo m an...._.._.._..._......_..................._ � �
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II .....................•--j-•----•_•----.......-•--•-•--- �"j,V- �.--•�X ._.._....................----_.....---....-•--•-•-----....---..._.......-----.. .._._.._-----• ,
' to me known to be the erson_ ; '����' � • "u��� e egoing instru cfE an ck eaged sa" me.
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�{` �u81L'dC : oward E : :-ianso7� �
TFi16 IKSTRUMENT WAB DRAFTED ' � _ I
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i Howard E . Hanson , �c��i.�t��'b Notary Public, .......5 �r.er.---•---........-•-•-•-•---•---- County,. Wis.
, i . � . l�fy commission Q�9ri�'Ld) (is) ..�.Z�A1c3Y1Lr1t....---... .. .,.,.�... ..�,,: e
_-----. _—` .. - - - —.. ___ -- ---- -- - — -- — — --_--� -- --- -
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- -�—�- - ($ection 59.51 (1) of the VGixonsin Statute� providu that all ins�uments to br recordcd shall hn•e plainly printed or typew�ritta> ehercoo ~
� tha nunes o( the �rantors, granteef, witnessa and ooticq. Sectiun 59.S1i similaciq rryuires that the nune o( ti�e penun w�ho, or y;ovun•
men[al agcncy whic6. drafted auiL insttument, shall be ptinted, typewrittcn, stxmped w wtitten thueon in a Icy;iblc manncr.)
BTA�'I: OI+ �915CONSIN �Vl�conyln Li•i;ul Dlnnk Cnmr�any
A117T CT..M1TSt :l:�i':l lr�rm t�'u. 73 1TIiWRO1(i.P. �CIA ( .lnh .^.06.iR )