HomeMy WebLinkAbout006-440-18-5201-LUP-2001-394 �Pt�e �-a k e (,Uq yh��o.— Doh �Ta l�nso�
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Application for Land Use Permit o o O
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 S ,
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance fl
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT t `!
BEGIN UNTIL THE PERI�IIT IS ISSUED. � v��
PRINT—USE BLACK INK OR PENCIL � �' /�
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1�r�<�d t;, � . � � ,,� r � � � -� � � �� �
Owner Builder ' �
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Mailing Address Mailing Address ^I
, - . �
City,State,Zip City,State,Zip ?
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Daytime Phone Daytime Phone S
Building Land Use
�New O Fillin� Zone District F—� �
( )Addition ( )Dred�ing �'
Q
O Alteration O Grading Lot Size o -1,
g '��
( )Movin�On ( ) c a
( ) ( ) Acres 3(0. '�
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Primary Structure Accessory Building Addition °
( )Dwelling '(�Garage-attached/detached ( )Deck `3 0
( )Year round �( )#of car stalls ( )Porch � �
( )Seasonal ( )Storage Building ( )Enclosed �
( )Frame built on site ( )Screenhouse ( )Living room ,C .�-
( )Modular/manufactured ( )Greenhouse ( )Kitchen � I Z
( )Mobile/manufactured ( )Other ( )Bedroom � _ T
( )Other primazy structure ( ) ( )Relocate/enlarge � �
� ) O O#ofnew � • �
1 `
Type of Construction �-' `
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other � �
�
� �
�Construction Cost$ � 5 U��'� , ,
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Vol�Pg�_of Deed CeRified Soil Test# a ^ �,,
CSMVoI Pg SanitaryPermit# z
, ; Iz
Plat Envelope �r� ' ' �
Condo Vol Pg Year Installed �
Aff of ex sep[ic V P Owner When Installed: _ � �q�
130\
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size � �n ft. wide ft. wide ft. wide ft. wide
3 �, ft. long ft. long ft. long ft. long
Floor area��sq. ft. sq. ft. sq. ft. sq. R.
Hgt.from grade�(Z to peak ft. hgt. ft. hgt. ft. hgt.
Stories stories_ stories stories '
# of bedrooms f � ' ' r �
(
cear lot line or wateclin d v ` '.` l c C,�v lake/river
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
;� ----- -
Indicate distance to:
Waterline/Wetlands
Road
Lot lines � �--� •
` r
Septic system/privy---(,f�-- � � � � �' �' � -
We11 ��� ,,,,, . ,. � �. C �
Distance between structures. � ` ��
Indicate North. ! �'� k �w
Fire Number. �_, —
Y9 a.5 cJ �,•sh 7r4� 2cad
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��'1�"�r*i'.� I� :��� " ,. ,.;'�, ,. �
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Signature of w ers �a�f �:��,
,
The above certifies that the listed �� �
information and intentions are true and
coaecc The above person/s'hereby
give permission for access to ttte
property for onsite inspection. ------- centerline of road-------
Issue Date
August 20, 2001 ExpireDate Augsut 20, 2002
Office Comments: � ��P-- � �7fn5�'L- _��1��'
Si�nature of Z ning Administrator U
DOCUMENT NO. RECORDING DATA
QII1T CLAIM DEED
Lawrence A. Rogsffid, GRANTOR, QII1T-CLAIMS TO Donald B. Johnson, GRANTEE,
THE FOLLOWING DESCRIBED REAL ESTATE IN SAWYER COUNTY, STATE OF
WISCONSIN:
� �
The Northeast 1/4 of the Southwest 1/4 and Government Lot 2 except the
east 99 feet thereof, all in Section 18, Township 40 North, Range 4 West.
THIS LS NOT HOMESTEAD PROPERTY.
DATED July 1, 1982
� {<e_.�C (Seal)
��,<�..�,_.� � r� �--�-
Lawrence A. Rogstad ,.
�,�;<
1 � 33iS ;r:Ai;S=�,,;'`
� ��A�T'�"�°�h' } Fl. -s ACKNOWLEDGMENT
5�,� .3= �.,��, /3 _ �
�. , .� ,� ,r �-; �� �rT a�
� �� /� {; ; SG� ,� � STATE OF WISCONSIN )
�"�`-�} ;.�. ���y�— ) ss.
u n ��
,., 1/ �-/�-� Barron County )
Personally came before me, this lst day
_�•--�-��k a�a� of July, 1982 the ebove named Lawrence A.
Rogstad to me known to be the person who
-�"-""-'--- � executed the foregoing instrument and
acknowledge the same.
�
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Notary Public, Barron County, WI. �� � -.
My Commission e�girer (i f��=.im��-�"-.'� y'•.,
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THIS ffiSTRUMENT WAS DRAFTED BY �j��� �� �
Cameron, Shervey, Thrasher, Doyle ac Pelish, Ltd. �••
LAWYERS ,,. . .
Rice Lake, WI 54868 ��
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