HomeMy WebLinkAbout010-941-26-4215-LUP-2001-176 ��
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Application for Land Use Permit o 0
County of Sawyer �V �
PO Box 676 -Ha}nvard 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.
r� f _ PRINT-USE BLACK INK OR PENCIL � '
� a
Owner Builder 7 � �
Mailing Address Mailing Address �
City,State,Zip City,State,Zip �
Daytime Phone Daytime Phone
Building Land Use y
O New O Filling Zone District L �
( )Addition ( )Dredging
O Alteration O Grading Lot Size o �
(��Moving On ( ) 3
( ) ( ) Acres ��Q'� a
u �
Primary Structure Accessory Building Addition °
( )Dwelling ( )Garage-attached/detached ( )Deck o
O Year round O#of caz stalls O Porch
( )Seasonal ,(x}Stora�e Building ( )Enclosed ��
O Frame built on site O Screenhouse O Living room �
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen � I
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other nrimary structure ( ) ( ;Relocat�ienlar�e �
( ) ( ) ( )#ofnew w�
�� _ �
Type of Construction ��� A
�':•��Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other � �i
-,� - -, � �
Construction Cost$ _ �
Vol_�Pg_�_of Deed Certified Soil Test# �a �3 l`1 " �
�� � �
CSM Vol Pg Sanitary Permit# �o'l '�3L� � z
S�'U 7y
Plat Envelope Or: �v�' `�a-�/CY� 1
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Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: � ��
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JA� c1��_Od4�j
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Application for Land Use Permit — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration. %,
#1. d t'� #2. #3. #4. ��,�
Size �� �1 - ft. wide ft. wide ft. wide ft. wide
�� ft. long ft. long ft. long R. long
Floor area �� �'',: sq. ft. sq. R. 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: I
Location and size of all
existing and proposed structures.
� � �1 -
Location of septic system. � �"` �
.
Indicate distance to: ��..
Waterline/Wetlands
Road
I,ot lines �
Septic system/privy
Well �� '"-=����� �.
Distance between structures. ^ t
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Indicate North. � %'"'`, '�,,. ''r
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Fire Number: ` -,��` j
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Siguature of Owner ' �
The above certifies that the listed
information and intentions are hue and
correct.The above person/s/hereby
give permission for access to the
X, C'
property for onsite mspechon. ------- Centetlill0 Of � ' -
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IssueDate PfaY 31, 2001 ExpireDate �Y 31, 2002
Office Comments: ��������1�-�-�/s �f�/"fi?���Cl��
Signature of Zoning Administrator
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DOCUMENT NO. � TMIS SPACE RESERVED FOR RECORLING DATA
STATE BAR OF WISCONSIN FORM 1-1982 '
WARRANTY DEED
u�l�l�l�
nwr�.cw�o. L, �
bewyu�Ccvny � ((
This Deed,made between Wi 11 iam E. Hazelton and �+��+��_�� m. "�� e�i
Kathleen M. Hazelton, his wife and in her own riqht and aniey,i o
David W. Hazelton, an adult man and Diane M Hazelton M����ih�.�
an adult WOiildil. ,Grantor, d �°� � F.� °
and flonald 6_ Mrn ek and .hric i MrotPk hic wifg L'� c�uuy�,.�
as survivorthip mari -aLpropgrty R�w
,Grantee, �
Witnesseth,That the said Grantor,for a valuable consideration
RETURN TO D
conveys to Grantee the following described real estate in Saw�er $'�
County,State of Wisconsin:
The East 10 rods of the West 25 rods 7ax Parcel No:
of the West Half of the Southeast —
Quarter (W1/2-SE1/4) �of Section
Twenty-six (26), Township Forty-one
(41) North, Range Nine (9) West, lying South of old Highway "B"
as the same is now located.
ALSO,
That part of the Northwest Quarter of the Southeast Quarter
(NW1/4-SE1/4), of Section Twenty-six (26), Township Forty-one
(41) North, Range Nine (9) West, described as follows: Starting
where the creek and the South line of Highway "B" as the same
exists on April 18, 1958, extended, intersects, thence East
along the South line of Highway "B", 104 feet; thence South 216
feet to the creek; thence in a northwesterly direction along
the creek to the place of beginning.
Grantors are all non-residents of the State of Wisconsin �Rp,N�E�
This 1S t10t homestead property. $�
�is) (is nat) '�� ��
Toqether with all and singular Ihe hereditaments and appurtenances thereunto belonging;
And
warranis that the title is good,indefeasible in fee simple and free and clear of encumbrances except
subject to reservations, easements and exceptions of record,
and will warrant and de(end the same.
Dated this 20th day of A USt �g 92
�� � �� �, 'r� _�SEAL)
i �SEAL)
,William E. Hazeltbn David W. Hazelton
.
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'�`�� ^ l �SEAL) ��/,�.I11���I�//�Ll�i') �SEAL)
i
*Kathleen M. Hazelton * Diane M. Hazelton
AUTHENTICATION ACKNOWLEDGEMENT
Siqnature�s) of William E. Hazelton, Kathleen STATEOFWISCONSIN l
M. Hazelton, David W. Hazelton and } ss.
Diane M. Haz on Counry. J
Personally came before me this day of
authenticat th o� ,�g�� ,1 g_the above named
w d . Hans� ttorne
ITL . MEMBER ST AR OF WISCONSIN
(If not, to me known ro be the person who executed the
authorized by§706.06,Wis.Stats.� foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Howard E. Hanson Attorney
.
Notary Public Counry,Wis.
(Signatures may be authenticaled or acknowledged. Both My Commission is permanent (If not,sta�e expiration
are not necessary.) ,��e; �9 '
'Names ol persons signing in any capaciry sho ed low e nature
WARRANTY DEED STATE BAR OF WISCONSIN
cnn...,_ . .,,,,,, WISCONSINREALTORS"'A$$OCIATIO��