HomeMy WebLinkAbout010-841-15-1405-LUP-2001-229 Application for Land Use Permit L---
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County of Sawyer � � �
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PO Box 668 - Hayward WI 54843 �
715/634-8288 � -
The undersigned hereby makes application for a Land Use Permit and agrees that all work W � ��
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance K
and the laws and regulations of the State of Wisconsin.
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,Q I y�Q cz n� PRINT-USE BLACK INK OR PENCIL
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Arleigh Kuschewski Custom Building Specialties a
Owner Builder y:
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12552N County HWY 00 13141W. Old HWY 00 ' � ,
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Mailing Address Mailing Address �
Hayward, WI 54843 Hayward , WI 54843 �
City, State, Zip City, State, Zip m
715-462-9594 715-634-3300 � �
Daytime Phone Daytime Phone x
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Building Land Use �
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(k� New ( ) Filling Zone District /� R-1 �.
( ) Addition ( ) Dredging �
( ) Alteration ( ) Grading Lot Size 200 'x540 ' x
( ) Moving On ( ) � ~
( ) ( ) Acres 2 '4 8 =
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Primary Structure Accessory Building Addition � n
�) Dwelling (x) Garage ttach detached O Deck ^
(� Year round (Z) # of car stalls O Porch -
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( ) Seasonal ( ) Storage Building ( ) Enclosed
( ) Frame built on site ( ) Screenhouse ( ) Living room �
(� Modular/manufactured ( ) Greenhouse ( ) Kitchen '
( ) I�lobile/manufactured ( ) Other ( ) Bedroom '� i rn
( ) Other primary structure ( ) ( ) Relocate/enlarQe ; �
( ) ( ) ( ) # ofnew � �� >
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Type of Construction �
(x) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete >
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( ) Other i�
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Construction Cost $ 120, 000. 00 �
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Vol 7 39 Pg 8 3 of Deed Certified Soil Test# ��y'�� c �
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CSM Vol 21 Pg 254 � ��sy Sanitary Permit # �l- ���_ � 'A
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Plat Envelope 4r� " z
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Condo Vol Pg Year Installed �
Aff of ex septic V P Owner When Installed: F I
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_ Application for Land Use Permit— Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1.Hou e #2Attached Garage #3. #4.
Size �'Z � ft. wide 22 ' ft. wide ft. wide ft. wide
42 ' R. long 21-7fr. long ft. lon� ft. long
Floor area 1285 sq. fr. 463 Sq, fr. sq. fr. sq. fr.
Hgt from gade 16 ' to peak 16 ' ft, hgt ft. hgt. ft. hgt.
Stories 1 1 stories stories stories
# of bedrooms 3 �4��
r az 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.
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Indicate distance to: � � �
Waterline
Road
Lot lines �S
Septic system �
Distance between structures.
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Indicate North. � �5
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52' �
Fire Number: �s' .�„_�` �,
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Signature o€� � � J � "' �
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The above certifies mat the listed
information and inrentions are true and � �
correcL The above person's/hereby �
gio�e permission for access to the �L` - �
propem for onsite inspec[ion. �-1—_______ �ente[litle Of ��,,;;;� N_v� �� road-------
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Issue Date June 19, 2001 Expire Date June 19, 2002
Office Comments: — � �
Signature of ning Administrator
290495 STATE I3AR OF WISCONSIN FORM I - 1998 Register's ONice t �S •
WARRANTY DEED Sav+Yer County 1
Receive for record this � day of
bocument Number A 0 20 �l at ' o'GoCk
M and recaded as vol. '?
This Deed, made between Robert W. BerQum and Thomas W. eca onpage Q,�
DufT , both adults �,L .�r`_ � �—��,�
Reglster
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Urantor, and Arlei�h Kuschewski and Alyce Kuschewski husband and wife
as survivorship marital property
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grancee the
followin�described real estate in .Sawyer Counry, State of
Wisconsin (The "Pronertv"1•
Rcwrdin^Area
� � Name and Retum Address
Part of the Soatheast Quarter of the Northeast Quarter(SE'/. of the NE'/), Hayward Lakes Realty
Section Fifteen (15), Township Forty-one (4l) North, Range Eight (8) West, P.O. Box 247
described as Lot Three (3) on Volume Twenty-one (21) of Certified Survey Hayward, WI 54843
Maps, page 254, Survey No. 6054.
010-841-15-1405
Parcel Identification Number(PIN)
This is not homestead property.
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Together with all appurtenant rights, tide and interests.
Grantor warrants that the title to the Propert}� is good, indefeasible in fee simple and free and clear of encumbrances except
all easements, exceptions, and reservations of record
Dated this 23rd day of April 2001
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,� " obert W.
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AUTHENTICATION ACKNOWLEDG �NT
S'I'A"fG OP W�sconsin j
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Signamrc(s) Sawyer ('ounty.
Personally came bef'ore me this 23rd �ay of
authcnticated this day of AUril 2001 Ihe above named
�"'—' Robert W. BerAum and Thomas W. Dufty
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TITLE: MEMl3FR STATG BAR Of WISCONSIN � •
to me known to be the person(s) wh .es� c e$oing
(Ifnot, instrume t a d cknowle ge t �a�' �� ..1.' : '
aulhorized by § 706.06. Wis. S[atc) �Y �'° 1 :
l� ?l�r��• �1,�.:��.;}�7 : �
TI115 INSTRUMEN'f WAS URAF'I�ED BY �� �� •, --��-�' S��•,;�
Attorney Thomas W. Duffy * Kathleen N. Mill�-{ ? '• ='�Q ,
Notar Public, State of Wisconsin � � �� ""'s� ',
Hayward, WI 54843 Y a
(Signatures may be authenticated or acknowledged. Both are not My Commission is permanen[. not, state cxpiranon ate:
necessazy.) September 22 , 2002 }
•Names of persons signing in any capanty should 6e typed or printed belo�c their sienawres
K iRHA�TI'DEED STATk:P:\R OF WISCONSIN
FORM Vo.1�1998
1\'fpRA�.�I'IU�PROFESSIONAIS COAIPAFV POND DU TAC.U'I 800-65y.zU21
VOL 739 PG 8S
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