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HomeMy WebLinkAbout008-162-00-0400-LUP-2001-559 � 75°` � Application for Land Use Permit o 0 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 1VIAY NOT � BEGIN UNTIL THE PERMIT IS ISSUED. PRINT-USE BLACK INK OR PENCIL � � a r:,�� I-�,4��r15 I�A�,�e_ I-I_�,�cT� � o: Owner � Builder ' � � c��[°% .��i pc;j-�- ��: E �� C LA1�{C'f /�l;� � `° Mailing Ad ress Mailing Address � ��l���r�� \te�r,� ►z'in.`�11:t C�n��r c;+y r��,� 55�%i�..� City,�State,Zip City,State,Zip � ��l�5 7 -�7�C'J Daytime Phone Day[ime Phone Building Land Use � (�ew ( )Fillin� Zone District ���� ( )Addition ( )Dred�ing O Alteration O Grading Lot Size o ( )Movin�On ( ) � ( ) ( ) Acres , 7� ` � � Primary Structure Accessory Building Addition ° ( )Dwelling ( )Garage-attached/detached ( )Deck � o O Year round O#of car stalls O Porch ( )Seasonal (�'Storage Building ( )Enclosed O Frame built on site O Screenhouse O Living room , ( )Modular/manufactured ( )Greenhouse ( )Kitchen Q ( )Mobile/manufactured ( )Other ( )Bedroom IO _ ( j O[her primary s[ructure ( j � j Reiocateieniar�e O � ( ) ( ) ( )#ofnew o Type of Construction = (�rame ( )Log ( )Pole/metal ( )Block ( )Concrete � ( )Other '� tni O Construction Cost� c�JC_`.C�'CJ � � Vol y5� Pg��of Deed Certified Soil Test# 80�'/�9 � � �, IlJll CSM Vol Pg Sanitary Permit# 9 5-�38 � z Plat Envelope Or: �Uf' 95-1901 � Condo Vol Pg Year Installed Aff of ex septic V P Owner When Installed: � c)I(�ILfi ��"11 Application for Land Use Permit—Page 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. #2. #3. #4. Size I�ft.wide R.wide ft.wide ft.wide 1�. �,- I�1 ft.long ft.long ft.long ft.long Floor area I yy'> sq.ft. sq.ft. sq.ft. sq.ft. Hgc.from gade to peak ft.hgt. ft.hg. ft.hgt. Stories stories stories stories #of bedrooms rear lot line or waterline of lake/river In[he box sketch in: � � Location and size of all ���! �' '�� e.;i� existing and proposed structures. Location of septic system. �4��<<� Indicate distance to: �---_ W'aterline/Wetlands \�'�"�Z�,> Road ���` �1. oY 1=�> �1� Lot lines J Septic system/privy ^�y����f.^ a S 1 Well Distance beriveen structures. �/o ��`� �a�� Indicate North. �-� 1�� Fire Number: Cc�l>�y� � ��,� � �--� � . 1����w� �,�J-r< <,�<�r f � a5 , , _ � �, li ��Signature of Owne /� �` ���� The above certifies that the listed �'"1,�� ���� information and intentions are hue and \ coaect.The above person/s/hereby .\r. �_ give peraussion for access to the - property for onsite inspection. -------CentCdiriC Of road------- IssueDate October 9, 2001 ExpireDate October 9, 2002 OfFice Comments: �i//iL%�L��(,i���`�/i!�� Si�nature of Zoning Administrator TO_ -- -,_ (JF ��V!�-'TER r��ars� ' s-�-o-a-�s-�� s�. L!- . PART SEIC. 30 TWP 38 N. R. 91 W. �--. --- -�--- � -f- � " ROA i t � � �, � -11.1' _.__�. �--. -11.13 � :_._: ' - . -It.l t�, -- - _ , ' �.�� -1-�:1 I -I 1.9 � G�N'�� -��.�a� ' -i i.� -��- PUBL ���'�' � ACCE. 11.3 -Il.b ' II.�F -11.9 -��.z -� -►�.� t COUNTY ; LINE Lf � � :�#_ i , _ i . i , � ;�' I 1_.__� � � `r. �_._. � ,� � ;- ; , , f � � _i _._L .�. ��_� . �_ :���T 1NTEP'DED�TO SHOW CON• �""~� - � �USIVE E �iDENCE OF OWNf�t• ' SHIP OR BOUNDARY LOCA- ,� - !�`: / TIONS, TC '�V/V OF r �v��v�N 7ER ` ;;:;�.-�-f °'-�"�=".� SEC , 3D TwF� 3a N, �', 9 �✓. ;:, ; __ ��,;--'----�� � ,�� \;`,��. � � 24 / 9 —�,� -- � �_� �=�i-�, ------ �5 ,-, �, 30 � , � ��'-=-._ `�� � �� � .I I �; ,. - - 1 „ � i f� . i • I/�"., _ . vtr � / i� � "f� � , i ,� ,�„ � � � . !� �i c� ��L '_� -'j i r� :_�' �� � \�' " i � �---� � ��'� \ � / j i !��� � .�. � � � . , o . . � �,� o 0 3g, � � I �� .� . ,�, .S. � . � . z . o ' - _ a � � 2 _ c.s.2 � . � . . ,- � i .7. 8 , i �9 , - - ._} ` ` .4 . 2 2 Tt .�.3 � .,,, ; � a � � � .-r.5 - . � ,- � . ,. � � ` .8 .2 " ,.; �;;- / �\�� �� -�,"~.�, :� .7.� .__•%' �.,.,.J "'`�,�. _ ,�"' � � `' -�...� • , 3�3 , .,..�.., �4 .7. 2 ; , ---- � � ($l` ;�;�j �0 38� ,�, ,�, � '� / ( . � �i �� •��1 .� .7. � � � � �, \ \\ ,8;'t ` ,3•� �� r � � � . � ► , .a . 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I �� � � '^`,'""" �' � ` / / /V��N :� ry �a J Fr"E' T J-1/ -74 - , _ -.;� 1 , _ , id 6F : � �' AE�1,`��� PHoT� B/5 ��, ��'� � . � \� \\� (� _ 5 ^ � v ) 1 \PPLICATION FOR' FileApplicationandAppropriaEeFeewithRegisterofDeeds TRANSFER OF PROPERTY TO SURVIVING JOINT TENANT� K��r a c�+t��d � , �2 0 �7 0 2 LIFE TENANT OR REMAINDERMAN (sec�ones�.oas,w�s.sraa,�es�, ��"Yd= "��ty ' `� and/or ��� :�:.oni the _ o y o� SUMMARY CONFIRMATION OF INTEREST IN PROPERTY C ��—�-t-- A p �y�� at _`, o:! hi �,.� �•�,::,��.i�� vd. ''� (Section 867.046(2),Wis.Statutes) � d Reuo¢�!e ou pn , L •- ��c� — � �OESTHEPROPERTYLISTEDBELOWCONSTITUTEALLOFTHEPROPERTYIN "'� gK� VHICH TH E DECEDENT OWNED ANY INTEREST AT THE DATE OF DEATH? [� YES � NO Decedent Date ot Death Social Securily Number Robert D. Hi�gins 10-5-�3_ 471 28 3035 Address of Decedent at Date of Death Ciry State Zip Code 2400 LaPort Drive Mounds Vie�i Minn 55432 1.Stocks,bonds,savings and checking accounts,and vendors' Person Receiv- Full Value At Date of Death interests in land contracts(if more space is needed,attach schedule). ing Property Serial or (lettera,borc Account PropertyTransferredUnder _ fromline�____ ___Number _ s.867.045 or s.867.046(2) — —$ $ - --- ------- _-- TOTALVALUES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ Transferred Under Person Receiving To Be Completed by Register of Deeds 2. Real ��e���e� Property(letter a,b or c Assessed Estate s.867.045 s_867.046(2) _from Line3 Below�___ _ Valuation_ ____ _Equalized Valua6on_f__ Recording Data _ x a 3,050.00 4,200.00 456 pg 231 DECLARATION I(we)declare that this application is,to the best of my(our)knowledge and belief,true,correct and completc3 and is in conformiry witti the provisions and limitations of the Wisconsin Statutes and does not release any tax liabilities. — ------- - - ----- - -------- 3. Name and Address of Person Receiving PropeRy Relationship to Decedent Signature Date — -- -- _ _-- _-------- --- a� Doris L. Higgins Spouse J� 10-9-90 2400 LaPort Drive �;//�((�/.�� �� —�9{#t��a�:rf.'1�{3-�H���.� - ------y�,� r---�-- - - b. ��� �� a --- - Viewed Death Certificate - Aneka, Mi n. wom to before me on Oc to be r 9, 1��� ,i I certily that I have mailed or delivered copies of this application as ignature � �• t , _�'�i,};+" �: provided in s.867.045(3)or s.867.046(4),Wis.Stats.on rint or Type Name j��l S �1 n�fLQ�In—f�• . �'e! • ` w�� ' �CK-J`f'� � � /�` � tateof Wisconsin Regi ster of Deeds • ounryof SdY�yEY' • , --^• t �� — -- -- � ly commission expires ' " • Date his applicafion was drafted by(print or type name below) --- �flr1S_L`K7�(�1 C1S------- �- �/U�� �1--� ------- n - - ----- r-��o�R.s as► � � � " �. � .g � _ - ---_ _. P � Ro istor of Deeds si nature ORIGINAL