HomeMy WebLinkAbout002-940-18-4301-LUP-2001-201 Application for Land Use Permit r ,� 2��
County of Sawyer � � '�
PO Box 676 - Hayward WI 54843
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.CONSTRUCTION MAY NOT �
BEGIN UNTIL THE PERMIT IS ISSUED.
PRINT—USE BLACK iI�TK OR PENCIL �
� , _ a
� t �� f. �7, l- 1 . ` j i ,� � � � �•
Owner Builder / � o
�
�
.,
Mailing Address Mailing Address �
City, State, Zip City, State, Zip
Daytime Phone Daytime Phone
Building Land Use `
'� New ( ) Filling Zone District I�� � ` �
( ) Addition ( )Dredging
O Alteration O Grading Lot Size o
( ) Moving On ( ) , ?
( ) ( ) Acres �
�
.,
Primary Structure Accessory Building Addition � °
( ) Dwelling � Garage-attached/detached ( ) Deck o
( ) Year round ( ) # of car stalls ( ) Porch �'
( ) Seasonal ( ) Storage Building ( ) Enclosed I
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen 'J
( ) Mobile/manufactured ( ) Other ( ) Bedroom '
( ) Other primary structure ( ) ( ) Relocate/enlarge A
( ) ( ) ( ) # ofnew
Type of Construction A
(}�}Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other b
.,
� -
�
� �
Construction Cost $ �
Vol Pg of Deed Certified Soil Test# �� " ���tP
CSM Vol Pg Sanitary Permit# ��7'���/ 9�� t�,5— zl
Plat Envelope Or: �U� 2 '� -/31 �'
Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: � �
�� bt
3 3 ��"1
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration
# 1. r #2.
i-I
#3.
#4.
Size C) ft. wide
ft. wide
ft. wide
ft. wide
ft. long
ft. long
ft. long
ft. long
Floor area sq. ft.
sq. ft.
sq. ft.
sq. ft.
Hgt. from grade to peak
ft. hgt.
ft. hgt.
ft. hgt.
Stories
stories
stories
stories
# of bedrooms
rear lot line or waterline of
lake/river
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to: q0�
Waterline/Wetlands
Road 7�.
Lot lines
Septic system/privy
Well
Distance between structures. r--�
k
Indicate North.
i
Fire Number: I ' •
,4:2
�-
Signature of Owner �
The above certifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission for access to the �{ r. n
property for onsite inspection. ------- centerline of ��t �r� � .gyp f�,{o road --
Issue Date June 7, 2001
Expire Date
James 7, 2002
Office Comments:
Signature of Zoning Administrator
v � LAKE
) 3.1 2.1
� 3.1 4.I
14.1 13.1
� � .16.I
:ALE: I INCH=400 FEET FOR ASSESSMENT USE ONLY NOT
2AWN BY: DATE: INTENDED TO SHOW GONC�USIVE
�LON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOCATIONS
DOCUMENT NO. STATE BAft OF W ISCONSIN FORM 1 - 1982 THIS SPACE RESERVED FOR RECORDING 'DATA
WARRANTY DEED �
� � � � � 1
___ _._.___.._,_______..�__.__�.__ � __.���_.�..._. �_._._�. __._.__.___._ __ Mq�1e�� dria � .
--------- -------___ ____��,---,__...._._._ —.._�_._..____�__��___._.. �
. Ssw�er Go�oM'/
This Deed, mnde between .__._ .. RO�ERT . N �.._�ALE ._�,nd...�U$�Iy,_ Rncx+ived s�oord tb� �� w
_ . . . . . . .L.t._AALE_,. . huaband_.and.. W.�.�e •--...--•-•••-- ------•- •� ... ...... .....••---••---••• 1 D 16�� at '
- - --- ----- ---- ----- - ---- - - ---- --••------ ----- ------- - -•--- --•- �---•----•- -- - --------.._._._..---- M md ywoedad fu �ol.
�
- --- ------ ---•----------- - - ---------------------•--•-- ----•-----•-----...------ ----- -------- ., Gruntor, d Recorde m peqa
and----- -- -.IAMES__E_ . .MiIELLER.,-.an__arlul_t__single--man-------- --------- ------
� Rep/ ter
- - ------- ----- - --•-----•-- ----- ------ -- •--- ----- - --••---------•-- ------- - ------ , •
-----•------- ----- ---- �
- --• ------- - - - - -- - - - ------ � -----... ---- •-- --- - - ------- - -----_.-- - -•----- •-------------------- -•
�
- -- ---• - --- ---- - ---- --•------- -• ------ - - -----�-----•-•---- --...------ - --•- ----., Grantee,
•--•- - •
� Witnesseth, That the said Grantor, for a valuable consideration.. __..
____._.pf_ _ Dne. �ollar. .and ._ather._.valuahle . _cnnsiderations____._
-_-_—___—___-__- -----___-__ _ ,_-
RETURN TO
conve}�s to Grantee the following described real estate in __. _._SAWYER.... . .. .. . . .. ...
County, State of W isconsin : / !1 a .��j���� --
�����--
Tas Parcel No : --------•--�------------�----------
�
The Southwest Quarter of the Southeast Quarter ( SW� SE� ) , Section Eighteen ( 18 ) ,
Township Forty ( 40 ) North , Range Nine ( 9 ) West .
TRANS�R
s , "�� � °—=
FEE
This _ . . .__.- . .is__n�t_.___. }�omestead property.
(is) (is not)
Together with all t�nd singular the hereditamenta and appurtenances thereunto belongi�ig ;
And-� ---- grantar. --------- -- --- •� - ---- ---•- -- • -•-•- -- •-- - --- --- - - - --- --- -- -- - - - -- - - -- --- - ---- - - - - � ---.. . - - - - - -- -- • ---- --� - --
wurrant� that the title is good, in�lefeasibie in fee simple and free and clear of encumbrances except
all easements , exceptions , and reservations of record
and will wari•ant anci detend the same. ��
��
'�'� � . . day of - - � - - - - ---� 19._ . . .�. �
X Dated this - - -- - -- -- � - - -
■
- -� � - --- -
- -- -- - - � -
�rti SHEILEY GRAY
' 1 NOTARY PU IC—MINNESOTA ' `G�- _
� - -- -- (SEAL) �� � - �� -- . _ (SLAL)
-- ---- --- - - - - - - - - - - -
-- -- - - - DAK � COUNfiY-- - -- -- 'I� - �oc -7�r5- �>�: � c� -J
m ssi E� e 27, 1 6 * -----RQh �z �AT....� e- -- ---- --- ---- � --- - ---- - --
* - --- - - -- � ' - - - -- - �v-�------- ` �
- � --- ----� - ----•- --------- -- ------------ (SEAL) �F- -- - - `�U-����- �- �.�'.. � - r-- - --• - (SEAL)
- � - � ------- - -- � • �Gu - 7��'-� 6y -o4�'
, * - - - . Susan._L.. ._ Dale--- --- - - - � -- --- -- -- --- ---- - --
----------------- ---� �- ---------�-- ------------------------.. . ...
AUTHENTICATION XACKNOWLEDGMENT
STATE OF �XS���D� Minnes ta
Signature (s) - ------------- ss.
- ----------------------------------------- Dakota --- - ---------County.
------------------------------------ -- 25th
----------------- - -
. authenticated this . _ _day of
----•---day of-•------•---•------•------� 19------ --- Marchonally came before me this ---------• - -
---------•_-----•-------------------------- 19_.93__ the above named
-------------------------------------------------------------------------------- --------I�bezt.-I�-•--�---Su_s_a_�_�.__�al.e---------------------
: -----------------------------------------------------------------------------
- - ---------------------------------•--------------------------------------
TITLE : MEMBER STATE BAR OF WISCONSIN ----•--- - -------- ----•-------•--------------------•--••-•-----••---------•---•--
- - ---- ------•----- --
(If not- ---------------------•-- ------•-----•--------------•------------------------------ - -
------�--------•----------
authorized by § 706A6, Wis. Stats.) to me known to be the person __._S.____ who executed the
foredoing instrument and ncknowledge the same.
I THIS INSTRUh7FNT WAS DRAFTED BY
------'----"'------'---�---'---"-""----'- "--"----- "--'-- -- '--'-- - - - '-
--------------Duffy-�a�a__0_f.f_i.c_�_.--------------------------...- * SHELL�Y GRAV
---- -- --- ----- - -------------�--------- ---------------- ---------- ��MN
Dalcota __ _.._____ .___County,
-- --•-------I�Y�a.axd�--W�-------$4_84-�------------------------ �-- NotarY Public ----•---- ---- - -
�i�� Commission is permanent. (if not, state expiration
I ( Signatures roay he nuthenticated or acknotvledged. I;oth JuI1P_ _ 2� _ _ __ __ ____ _, ]9 96 -,)
are not necessary.) date : . - - --- -
--------------- ------------- ------- -
- ----�Names of Pcrsons siqnine in nny caPt�city shuuld be tyPed ur Drinted bcluw their eiK���+turc�o� -�i o JL � /, / v
I _ , . — -. . . ...... J .. _ �r r
ST:1'PF IIAi[ OF WIBC(1NSIN \Yi,ronsin Lec:�i 1SL�uk (%u. Inc.
� ..� ..,. �v,�
� � __. . .... . e.,�.. ...,....