HomeMy WebLinkAbout010-941-20-2103-LUP-2001-127 �75`'-
' ,
Application for Land Use Permit �-, y .�
County of Sawyer � �
PO Box 676 -Hayward WI 54843 .
715/634-8288 p �
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 INK OR PENCIL � �
SI�V'� '�'AM� �''�$S �1�C/�C �5$� �
Owner Builder � � �
�P.0, �k Sy 5 S� �
Mailing Address Mailing Address �
y� ws- , S�1�y 3 S� �
City,State,Zip City,State,Zip
�7is-�O�`% �Syl S�_ vi
Daytime Phone Daytime Phone c�
C
Building Land Use ^
O New O Filling Zone District �— � 4"
�CyAddition ( )Dredging � �h
( )Alteration ( )Grading Lot Size �C�C� k� ��� � �
( )Moving On ( ) �
( ) ( ) Acres �. 2-� -
� �
Primary Structure Accessory Building Addition °
( )Dwelling (K}Garage-attached/detached ( )Deck o
O Year round �#of car stalls O Porch i
( )Seasonal ( )Stora�e Building ( )Enclosed �
O Frame built on site O Screenhouse O Living room �'
( )Modular/manufactured ( )Greenhouse ( )Kitchen w �
( )Mobile/manufactured ( )Other ( )Bedroom C �
( )Other primary structure ( ) ( )Relocate/enlarge � �
( � ( ) ( )#of new � �
W �
Type of Construction '
�Frame ( )L,og ( )Pole/metal ( )Block ( )Concrete �
( )Other '�° �
� Q
o` � ,�
Construction Cost$ S�d�'U �^ �
Vol �p 3� Pg 47 I ofDeed Certified Soil Test# ��^��7 - �
v�
CSM Vol �G Pg�_L-�i� Sanitary Permit# �1�—�(n � z
Plat Envelope
*' Or: � ,, �
Condo Vol Pg Year Installed�g �
e
Aff of ex septic V P Owner When Installed: � ,\1��;
1�'�sa
Application for Land Use Pernut — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size a�1 ft. wide ft. wide ft. wide ft. wide
o��.p 8. long ft. long ft. long ft. long
Floor area (�a`{ sq. ft. sq. ft. sq. ft. sq. ft.
1
Hgt.from grade�(�to peak ft. hgt. ft. hgt. ft. hgt.
Stories�_ stories stories stories
# of bedrooms�
reaz lot line or waterline of lake/river
In the box sketch in:
Location and size of all
existin� and proposed structures.
� `
�
Location of septic system. �le� �
5(r
Indicate distance to: � �
Waterline/Wetlands �3 r 2�Q ` � hi �3 �
Road \ ?!# (�o�+,.c� �_.,. _�T /�
Lot lines _. � —
Septic system/privy
Well �
Distance betw�een structures. ;
Indicate North. /��
�
Fire Number: �
� \
� OSSS� � �
�
�
��
Signature of Owner ��ic�
The above certifies that the listed
information and intentions are true and a�\
correct.The above person/s/hereby
give permission for access to the /� 1 n �
property for onsite inspec[ion. ------- Celltelllne Of (_JU�vc/ Y�_ iO3d-------
IssueDate �Y 14, 2001 ExpireDate M�Y 14, 2002
Office Comments: � C2T�rn ����f'//�!���
Signature of Zoning Administrator
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CUENT:
APIX SURVEYORS FRED WORMAN
PO BOX 607
HAYWMD, 1N 54843
715-634-34J5
SAWYER COUNTY CERTIFIED SURVEY MAP
LOCATED IN THE NE1/4 OF iHE NW1/4 OF SECiION 20, T41N, R9W, TOWN OF HAYWARD, SAWYER C0. WI.
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N 89'45'49" E 270.00' �� � �
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N LOT1 � o �
� 1.24 ACRES +/- I � o �
rn 1.09 ACRES +/-
: e:F ' TO ROW I m o -
� 26 '7619 �
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� S 89'45'49" W 270.00' �
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SURVEYOR'S CERTIFlC�TE: h� �M� d��� �d mappw u nrH��a W^�y
I. �EF'F W. NULACK RWMhnd Land SurwYn. hr�6Y ertl�Y
LOCATID IN THE NE1/4 OF h1E NW1/4 OF SEC110N 20, T41N. R9W, TOWN OF HAYWARD, SAWYER C0. NA.
Mhldi Y Ea+nd�d hy a IM drvb�d a� tollo�c
COYYENONC AT 1HE N 1/4 CORNF3t OF SECTON �k TMa� �4��g� ���� � TME PpNT OF BEdNNMG;
1HENCE 500�4'18'E 200.00'• lHENCE SEO'46'40'W 27Q00'� 1HENCE NOOR4'1!'W 200.00'i
7FIQICE N00'24'16�Y1 200.00�; lNENCE NBO'�5'40'E Z70.00 T� THE PdNT OF BEqNNING � ��A�� � ���.
7HE ABOVE OESQ�F� PA� COMTNNS 724 AOt6 OF UND YQiE Qt LE55 AND IS � � �� � �� ��y
nwt � �wy. wmN� •�u n�. a�+� °� a�t,r zla.s4 w.muh stowe... w .mdMranera��tle���a
dM1idhO m��PPti9 N���� ooda o} tha Stats of Yhcmii tn th� brt ef mY Ima+1�dY
Thot I hor maG �ud� oertllled airwY unda th� dhetlan o1 Fltm YARYAN Q S �� /!/
LOCX. RfA57FRm LAN� SURVEYOR -Z719 DAlE
SAWYER COUNTY PLANNING AGENCY APPROVAL
ms mctrim snn�r �ua ts� �nwm
71Y5 jyt_DAY dF j'B�._10
(1 ' � . 1�tirrP�nc � �'ia__
A APPR
_ Certified Survey No. S � y 5 SHEET 1 OF 1
2 6 H � 1 2 STA"fE BAR OF WISCONSiN FORM 3- 1982
QUIT CLAIM DEED '
DOCUMENT NO. , I
__-------�---------- ----- ---------�-------------------
------�- ------------------^----------�----�--_.
� � RB015t8r'S Offkb t� '
FRFn ANn i��AN � �f�R A1,. '}� l1SRA1JD �WYerCounry r
� fieceved ror rewrd thls day ot
��� W i F� A D 19 at �o'clak
i � 5 T F V ��0 A M Y A- K A S 5 � M and recorded as voi. 1P�
, W-Hearpe q� pepe
l ,.lGJrl��'.._ . /��,�/cJ
pR� PERTY SuRV1vo �N'S P �g�
n��
the following described real estate in Co�nry,
Sta[e o[Wisconsin:
THIS$PACE RESERVED POfl RECORDING OATA
LOT ONF ( 1) R � CoRDE � 1N VOLUME -_"-" -'
NAME AND RETURN ADORESS
, 20 oF' CFRTI F I ED SuRvE � �IAPS� STEVE J• AND AMY A. ItASS
GAGE 1 � SURv � Y # 57y5 , 6ETI� U P� o � Box � �19
A PART oF Au � LocA? ED ZN THE NAYW ARD, WI 5y �y3
N o �TH E A ST Q u A R T E R o F T H E P RCEL IDENTIFICATION NUMBER I'
UoRTHWts7 QuART � R (�IE,� NWH ) o o ayi ao aiaa - PART
OF SFGTION 20 � TOWN5117P i� l NORTH � '�;
RANGE 9 1n1F5T, SA�.IYtR COuN"fY� WZSCoNSIN • �I -
I;
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TRANSFER �
$ � �',
FEE ;
I
This js n Ot homestead property.
(is) (Is not) ^ I
� ^� `� (�
Dated this �� day o[ V1 u-�� , 19 1� . �
I�A/'J �I
(SEAL) u JI py� �.t� (�Lrt`A�eL� (SEAL) i
FI�ED �l f�R � I
. • S /^ �I�
(SEAL) (SEAL) i�.
. • � ANNE 1JaRMAN ��
li
AUTHENTICATION ACKNOWLEDGMEN"I II
i�
Signam¢(s) State o[ Wisconsin, i�ll
ss.
County. �
authentica[ed[his day of , 19_ rsonally pmc [ore me this « - day ol
, 19 , the abovt named i��
• jl
TITLE: MEMBER STATE BAR OF WISCONSIN ,`,,,,����5��„'', I.
(If not, p ��
authorized by 5706.06,Wis. StatsJ ,�.��Q,�r..�•••ntiyn/�e known to be the personS—who executed the foregoing .�.
,,�Jr•NOTAR •� � d acknowledge ame. ' '
THIS INSTFUMENT WAS DRAFTED BV � }(.
F� vrr� (A1nrryllL✓{ ^�;,�* - fY�
: J��••r u�����,��oLAfy Public, County,Wis.
� � � �''� �� commission is rman t. (If not, stace ex iration dair.
(Signatures may be authenticated or atknowledged. ��,�e�1ltw1S �, LQ_a� P ���)
nettssary.)VOL 6 3 6 PG 4 7 Y �N������C�_,,_.. . .
. .-- .,__...
_ . ..___ .._._ . � --'�: --___-- --.-__._ . -- ----__-
- _... _-�_-'- .._ __ ._.__ - ,
•Wmes of persons slgning in my ayc¢y should by cyped or ptln¢d bclow their sign�wru. �.
STATE BAR OF WISCONSIN Wlsconaln Lapei&erN Co_inc �
QUIT CLAIM DEED Form No. 3—1982 MiNieukw.Wn �