HomeMy WebLinkAbout010-841-21-2401-LUP-2001-287 �'�s�
Application for Land Use Permit 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 ,
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance P
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � �
BEGIN UNTIL THE PERMIT IS ISSUED. Q
?�e f�, a aH,,,� PRINT-USE BLACK INK OR PENCIL � �
�[.I bW 1 I Z �l��hr/i lJ rl � �� �I c�S I C1 I rr1 j a �
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Owne� T Builder ° �O
%37�3uJ 5-�-�. �1� "?� � �
Mailing Address Mailing Address
NA������z�,G�l� 5���3 U�� ,�,
City, tate,Zip /� City,State,Zip
7�S "4c� 3� 'L-(�(�d � r�
Daytime Phone Daytime Phone
Building Land Use (�
(�New ( )Filling Zone District �'1 `�
( )Addition ( )Dredging �
( )Alteration �Grading Lot Size o
( )Moving On ) .� �
( ) ( ) Acres �o-� ��lU �
�
Primary Structure Accessory Building Addition °
( )Dwelling ( )Garage-attached/detached ( )Deck o
O Year round O#of car stalls O Porch
( )Seasonal �Storage Building ( )Enclosed �
( )Frame built on site )Screenhouse ( )Living room �.
( )Modular/manufactured ( )Greenhouse ( )Kitchen -c 'S
( )Mobile/manufacCured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlarge � �
� � ( ) ( )#of new i ��
v
Type of Construction p '
( )Frame ( )Log (�Pole/metal ( )Block ( )Concrete w �
( )Other � �
�
� —
Construction Cost$ �L�(S� i) C� � �
� dY3� � �
Vol ���,l0 7 Pg 3SS of Deed Certified Soil Test# c��'� �U�� -C
CSM Vol Pg Sanitary Permit# �5-O�� � �' z
Plat Envelope Or: � N �
� ��
Condo Vol Pg Year Installed�rn
Aff of ex septic V P Owner When Installed: c�
� 7,1�01
lli��
Application for Land Use Pernut — Page 2
Describe Construction: Lis[ dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size �3�� ft. wide ft. wide ft. wide ft. wide
� � ft. long ft. long ft. long ft. long
Floor area J�, 'rj(? sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.fi-om grade Z`�!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: I�Q�`�'
Location and size of all —
existing and proposed structures. '� a
3 � �� �
Location of septic system. 5
� � a�� � Z �3�,l�� y
Indicate distance to: �
Waterline/Wetlands / j 6 " �
Road �� �
Lot lines j D F{.
r�"
Septic system/privy � PL
We11 jp���c�2
Distance between structures.
� 2.`�� F�"
Indicate North.
I
Fire Number: � 6�� � I
i �� 4� UJ
;�z
res� o� ��o ��;e 30 .F-�.
4o a�r,
loti,.� n �e (�
Signature Owne
The above certifies that the listed �as
information and intentions are true and
correct.The above person/s/hereby
give permission for access to Ihe
properry for onsite inspection. ------- centerline of �7 F road-------
IssueDate July 12 , 2001 ExpireDate Ju1y 12 , 2002
Office Comments: ` 1
Signature of ning Administrator
2 7 5 8 4 5 y7ATE BAR OF WISCONSM FORM 3-1998 ABpiSiei f Oliice
SawYerCowq }sc
Doeumeot IYumber QUIT CLAIM DEED Fcc�°v�ea��m�� recora mu �- dey d �
�'�R 0 19 al 'ua'tlofk
f/ M an0 recorME�s rd.� .
ANTHONY JALOWITZ quibdaims to ANTHONY JALOWITZ AND ��� p�pe�
THERESA 4 JALOWITZ, husbaud oud wl& u aurvivorshlp medul �?:��cw aJA>+r�r.
property the followinQ described real estate in Sawyer Cow�ry, Stale of � �R
Wisconsin:
i �
The Southeast Quarter of the Northwest�uarter(SEY.NW%.),Seetion
Twenry-one(21),Township Fortycne(41)North,Range Eight(8)West,
SavryerCounty,Wisconsin.
RGOCIC111 A1t�
Nua�oG Rcmm Addtm
to�.w.s. �Fi��EKTr�f.
e. �� /�o.r3oK5i7
� r....0.w� s,e�s ��JE4.�u2
�968°S�fZ,� SdSol
OI6N1-I1-2101 61403
FrcellMntifiw�im Number IPIN)
Thu b bwnntwd propeny.
(u)(undl
y �p
fI O M �
EXEMPT
Detedihis� deyof_�j� .1999.
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• AU7HENTICATION ' ACKNOWLEDGMENT
Signaturc(s) STATE OF WISCONSIN)
__.—_.—_—_ 1
euthrnGcated Ihis_Eey of _ SAWYER COUNTY) {
Puson�ly came beforc me �his �2 � day o!
/i 1999 Ihc ebove nanied Anthony Jdowitx Io
' — mc own to be Ne prnon(e) who exautcd the farc3oing
Instrumem md ackna,vlWge Ihe semc.
TITLE:MEMBER STATE BAR OF WISCONSM �t{ U //
Qfm4 � . ": �. "
eulharized hy'706.06.Wis S�etsJ � �� .7'
THIS INSTRUMENf WAS DRAFfED BY Nolary Pub1iS$We of Wifcomlo � � '�.` , � +
Thomu W.Dufty My Commission ' pem�ienL (If nm, stnt< cxpinilw.Anle: •�'
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