HomeMy WebLinkAbout002-940-36-1113-LUP-2001-080 qS�
Application for Land Use Permit r a�-�
County of Sawyer v �
PO Box 676 -Hayward WI 54843 _
715/634-8288
The undersigned hereby makes application for a Land Use Permit and agrees that all work t
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 MAY NOT
BEGIN UNTIL THE PERMIT IS ISSUED.
PRINT—USE BLACK INK OR FENCIL c �'
,�(f%^%f_' /C /(�C'. /��Yn /��//�'� a
Owner Build r � � o
�' /�s� s�.��,t.���i /�� L����t r,�v ��� �
"..ziling Add:ess ' Mailin�Addrzss �^
��.(�1..�,.�, U��, ��Y �/� �l-�Gu,(G✓a v Df, � � ,
City,S�e,Zip City,Sta�� �
�� �-��?�/���v �� ( 5 " ��� S- Z��Z
Daytime Phone Daytime Phone
Building Land Use �
( )New ( )Filling Zone District ��—� ��`
f�' Addition ( )Dredging �' �
O Alteration O Grading Lot Size o
( )Moving On ( ) J �
( ) ( ) Acres l ' S �`
� �
Primary Structure Accessory Building Addition °
( )Dwelling ( )Garage-attached/detached �}Deck o
( )Year round ( )#of car stalls ()Porch
( )Seasonal ( )Storage Building ( )Enclosed �,�
( )Frame built on site ( )Screenhouse ( )Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )?vfobile/manufactured { ?Other ( 1 Bed.rooc±: � i
( )Other primary structure ( ) ( )Relocate/enlarge �
( ) ( ) ( )#ofnew \ �
Type of Construction � =
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
Other �JJ 8�Ic� d �,,
�G ;a a
Construction Cost$ ���C7C� �
Vol � � Pg��of Deed Certified Soil Test# C6--,?.�.',� � �
CSM Vol Pg Sanitary Permit# �' �/,3�3 � z
Plat Envelope Or: ('� �'
CondoVol Pg YearInstalled�c:- �
Aff of ex septic V P Owner When Installed: � I 1�I„n,l��
�i«� 1 l�'�.������ . �;,.,
4�q�
Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Size�ft.wide ft.wide ft.wide ft.wide
�� ft.long ft.long ft.long fr.long
Flooc area���cq.ft. sq.ft. sq.ft. sq.ft.
Hgt.firom grade�to peak ft.hgt. ft.hgt. ft.hgt.
Stories� stories stories stories
#ofbedrooms � --
reaz lot line or waterline of lake/river
In the box sketch in: �
Location and size of all � �--
esisting and proposed structures. ��fl
i �
Location of septic system. � 7 �' �`
� _�i2 ,
Indicate distance to: � 1� � `� E
Waterline/Wetlands �
Road ' ����\' ,o
Lot lines � �� ��
Sep!ic system/privy ����
Well � �� �,sE /`�'/i>
Distance between structures. �' ' �%y
� � - - — -�
Indicate North. �I �� � �
� �
_ �c �
Fire Number: , � ' �
/y S(o� Lt/ � � -� .
� o
� �� �, - -- - �
.:---- I �_� � �`�.
�, �-
��:��� � �
�
v�/�� i `�� = .
Siguature of Owner J �s-
The above certifies that the listed 1���/ �
information and intentions are true and � `c 4'`
correct.The above person/s/hereby ' �
give permission for access to the
property for onsice inspeccion. -------centerline of road-------
IssueDate April 26, 2001 ExpireDate April 26, 2002
Office Comments: � �� -
Signature of onin�Administrator
286'?�1 STATE BAR OF WISCONSIN FOItM 1-1998
Reglster's OFlice }�S
SawyerCounty 1
Document Number WARRAN'�'Y DEED Received for record t�is �9 day of '
__�'�rA 0 200Q at 5� o'clock
�anU recorded as vol.
This Deed, made between FRED J. MII.LER and DONNA M. MII,LER, ��Page-y �`�,3'3__ _
his wife, Grantor, and VAT.ERIE J. ffiCE, an adult single person, � �"� �� Re ste�
9
Grantee.
Gratttor, for a valuable consideration comeys to GzanCee the following D�:;.�-
described real estate in Sawyer Counry,5tate of Wisconsin:
Rccord' Area
Naroe and Remm Address
c5C !� 'J3S�'
ooyvao-�uis
Parccl Identification 1�3nmber(P3P3)
This Lt uW
homestead property.
-Fis�-(is not)
The West 100 feet of the East 200 feet of the West Half(Wlh)of the North Half(N'h)oF the Northeast Quarter of
the Northeast Quarter(NE'/NE'b),Section Thirty-six(36),Township Forty(40)North,Range Nine(9)West.
TRANS�fER
� / �oo
�EE
Together wiIh all appurtenant rights,tide and interests.
Grantor warran[s that the title to the Property is good, indefeasible in fee simple and free and clear of
encumbrances except all easements,exceptions and reservatiaas of record.
pated this��day of ,,�
��� �i��`✓'� .
. `�G�v�����!
' 'DONNA M.MILLER
AU1'HENTICATION ACKNOWI.EDGhfEi�Tl'
Signature(s) STATE OF ��_ )
S '
C� cocrrrTY �
authenticated this,day of Per oally came before me this o� day of
, ,�2k7 the above named to me known to be the
per (s)who exewted the foregoing instrument and acknowledge
the same.
f
TITLE:MEMBER STATE BAR OF WISCONSIN
(If not, ,
authorized by§706.06,Wis.Stazs.) ��,(�-
Notary Public,State of (/�/Y
TFI4S INSTRtJMENT WAS DRAFI'ED BY My Commission is perma [l[. (If not, s[ate ezpira[ion date:
Attorney Thomas J.Duffy 7 a� ,p�.�
Hayward,WI
(Signatu`es may be aurhenticated or acknowledged. Both are not
necessuy.) -.
�Names of pasony siyninQ in anY capacity stwu�Ee typcd or printed bebw�rir siynawres �
W����'��9 �f STATE 6AR OF W LSCONSIN
V�� • � i �� � � V PORM No.1-199t Ntrnmelion Profesaloro6 ComG�Y FonC du lac,YNacontin BOOb5S2027
BASS LAKE ., .,
O� .I .3
TWP 40 N . R . 9 W�
.I .5 1.4 .1.2
1.9
,
:1.7 .cv
:I.B �� 2
�1.9 �
�i.io' �1 .3 .I•10
O .1.6
�.c� �, ,, I . I
�
�1 .8 .1.13 .1.7 .1.12
�1.5
.I.II
JOHNSON :� 4 ,"
LAKE .3•Z
�4.5 .3. .3.5
4. 1
.3.1 4.2
0
a
.3.6 �
.LES 3 4 j ,
,,.,� .�.�r
.13.4
3.3 .3.4 .13.1 � 2
s,iY
O
Z
Q
14.1 ; �:
� = i3.�
S
T.YG
13.3
�6.I J.I �3.2
.13.5 1 NDi qN -�-R AI LS
� ci ianIVISION. �
28� ' • � $TA'fE AAR OF WISCON$[N FORM 1-1998 qeyisler s 011ice }> �
Sawyer County J 'S '
vaw��c N�ne� WARRAN'�Y DEED Received for recortl ihis �9 oaY oi
_�9�TA 0 2000 at �� o'r.la;k
��M antl�aco�ded as vol.
7'his Dced, made between FRED J. MII.LER and DONNA M. MII,LER, y����".Page 3
his wife, GruHor, and VALERIE J. ffiCE, an udult single person, � �` �� � �� ��x
F0gi51cr
Grantee. _
Grantor, for a valuable consideration wnveys to Grantee [hc following D.�.;�. ���
described real estate in Sawyer County, State of Wisconsin:
Rccord Aroa
Name and Ren�m Address
�� � 73S S
00�9d0-36 7113
Paicel ldentification Number(PIN)
'Ihis Lt nol
homestezd property.
-fis}(is nop
The West 100 feet of the East 200 feet of the West Aalf(W'h) of the North Half(N'h) of the Northeas[ Quurtcr of
the Northeast Quarter (NE'/.NE'/.), Section TNirt}'-six(36), Township Forty (40)North, Range Nine (9) Wcst.
TRAN9FER
� /9�;ao
FEE
Together with all appurtenant righ[s, title and interests.
Grantor warrants tha[ the title to the Property is good, indefeasible in fee simple and free and clear of
encumbrances ezcept all easements, exceptions and reservations af record.
Dated this_��day of , u�
�..�1L � �%�''t/" '
J. LER
• .�071�1,G�'///��
• 'DONNA M.MILLER
AUTI�NTICATION ACKNOWLEDGII�NT
SignaNre(s) STAT'EOF �� )
S�COUNTY )
authenticated�his day of Pe nally came before me this o� day oi
,�° [he a6ove named to mc known m be�hc
pers (s) who executed the foregoing instrument and acknowledge
the same.
.
TITLG: MEMBER STATE BAR OF WISCONSIN
(if not, .
au�horized by§706.Ofi, Wis. Sta4s.) � � ,(�-
Notary Poblic,State of (/v.✓
771IS 1N57RLJMENT WAS DRAFfED BY My Commission is perman nL (If not, s[ate expiration Aate:
Attorney Thomas J. Duffy ��a 7 O �.�
Hayward, WI
(Sig�mres may be authenticated or aclawwledged. Bo�h arc no[
nccessaryJ ��
•Namu of person�sienin`in tnY uPaciry stwvld Ec�ypcd or primed Delow Seir s'�mmrcs ..
W A0.RA�TY O¢FD SI'AlE EAR OP WISCON5IN
V0� � y y� �� � � ^ fORMNo I-19f[ � ��atqnPrdee�bMl�Canpeny FoMEuLec lMsmnain BOOb55-�01t
l. � '{
� �J