HomeMy WebLinkAbout010-176-04-0300-LUP-2001-344 �oo�
Application for Land Use Permi.t 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 n
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 t
BEGIN UNTIL THE PERMIT IS ISSUED.
yyS a rKT PRINT—USE BLACK INK OI�-PENCIL �
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J � (� n 1 y �
1�(7 E OJnr;S i l/Y�8!'e,, ! /C `DoS//�n,G/`,a.�\ y°�'� o'
Owner Builder ° O
� 7�ahee/S't,aC�'/'C L/✓� �� '3510 �-`' L>a.���(ar �T• -�. � �
Mailing A ress Mailing Address
seqrb�rou-►�.., �YIc r��,w�,-� , r� � �y�y3 �
City,State,Zip �f/D ?� ity,S e,Zip �
��o�) �Q� -sa��' �is) G 3f�-/,.36�'' o
aytime Phone Daytime Phone
Building Land Use `
�New ( )Filling Zone District R`� �
( )Addition ( )Dredging -
O Alteration O Grading Lot Size � �
( )Moving On ( ) ,�
( ) ( ) Acres /, .5 9 `
x �
Primary Structure Accessory Bui Addition �
(�Dwelling (NjGarage- tached/ tached ( )Deck � o
( )Year round (1,1#of car s a s ( )Porch �
( )Seasonal ( )Storage Building ( )Enclosed
(�Frame built on site ( )Screenhouse ( )Living room
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom l
( )Other primary structure ( ) ( )Relocate/enlarge � a
( ) ( ) ( )#ofnew �
Type of Construction � '
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � `�
A
( )Other � �
� �
�` a
Construction Cost '�n 7 �� �
i �Vol 73� Pg_���of Deed Certified Soil Test# D��n ~ �
CSM Vol Pg SanitaryPermit# �/'o2/D z
Plat Envelope �r� � �
Condo Vol Pg Year Installed �
Aff of ex septic V P Owner When Installed: �
1(����
Application for Land Use Pernut - Page 2
Describe Construction: List dimensions of each ruc re, story, addition, or alteration.
#1. #2. � �7'�°��� #3. #4.
Size^2 8 ft. wide �/� ft. wide�� ft. wide ft. wide
_J�� ft. long � Zi ft. long ft. long ft. long
Floor area � sq. ft. sq. ft. sq. R. sq. ft.
Hgt. from gade� 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:
Location and size of all
existing and proposed structures.
Loca[ion of septic system.
Indicate distance to:
Waterline/Wetlands
Road "`—,y_--. ,,�
Lot lines � ���,� � l �� f
Septic system/privy 1�.
Well ��c Q �
Distance between structures. 5 a /9
�
Indicate North.
� i
Fire Number: J Z � 7 �
�Covo9 ��
�,\�
� y ° ��.9
,.� �--_---�
igoature Owner �^'�`�`''— �q n��'J �
The above certifies that the listed \ '� r
information and intentions are hue and Y
� �
correct. The above person/s/hereby �
give permission for access to the
property for onsite inspeccion. ------- centerline of t � road-------
IssueDate August 6 , 2001 ExpireDate August 6 , 2002
Office Comments: (�,(�'-i� �.����2i��
Si�nature of Zoning Administrator
B3/12/2801 08:52 7156345986 NORTH STAR CO INC PAGE 02 ,
290�� SiA7EHAROF WISCONSIN FO0.M I-1908 .9sYc s ]f,lc; 7 �
WARRANTYDEED a�ye�c��ivy 7`S �7�
aceivatl lor mcortl Inis tley d
Documenf Numbcr A�20�_at I:4C— O'UoCk
ThL Deed,mede betwem SW AIYSON&HOFF,INC.A M ena remrded as voi. 'l.2"l
iFeco swp ge
WIb<OUID COIyO��LIOh
"_ "' RaBister
Grentor,and ROBER?L GILMORE AND pORIS C.GILMORE Depury
huobqud�od wife as Joiet tro.nb beiuQ nonraid �of Wiswni
Gren[��,
G+mtor,for a vnluetle considention,conveys to Granccc the
followinadoscribedreale�tateinSA�1'YER County,S�ateof
Wisconafn(The"Propetty"): —
Ra in c�
! Nunc�nd�OFFICE
[.o[TTise(3),Hlock Fow(4),Stonewood Wes[ ��M�
P.O.Box gg5
Hayward�W� 54843
010-17604-0300
Puccllden(iTintion Numbcr(PIN)
7his isnot homuteadproperty.
(n)(is not)
Description obtained&om Ntle insurance eommitmmt 30099M pmparcd by Haywrrd Land Tit1e Company,Hayward,Wi.
TRANSFER
$ 5g'Sb
FEE
Together with all appur[rnant righu,title and intereste.
Orentor werrenb that the ddo to the Property ie gooQ indcfeesibl<in fee s�mple and free and cicar of rncumbrances excepc
AII casemenn,ucoplions and reemvetioos of record
Datedthia lSt� dayof hLrch 2001,=..-7
✓� N
. R r oif, es. waoson&Hoff,Inc.
✓
. Sanara Swaoson,See Sweneon&Hoff,Inm
AOTHEN77CA71ON ACICYOWL6DGMENT
til"ATF.OF WISCONSIN )
Sigonure(i) SAWYER )ss.
Caunty.)
Pr.eonally cama Feloro me thia �3� day of
w�henticaud Ihis day of � IKar<h,x001 the ebove named
NE /� erHoHandSantlnSwanson
U
T/TLE:F�MBER STA1'E BAA OF WISCONSI NOTARym m kn n to be the person(s)who�ecw�d the tore¢oiny
(Ifno4 ��F uMecW�owlcdgetl sam=.
euflwrizcd bY 4 706.06,w;,.so,...> �°UBUG
7705 INSiAUA4.WT WAS D0.AFfED B �
rxonusw.ncmr ' a«• x� A••��^,/�•z_
��YW'�D'�y.� �g� Of WI$ Public.Sta e of W Izconsin
ommission i.e permanem,(Ifno6 skte cxD�ratlon daze�
(Signawrcsme76awthendeaudoracknowlcaged.BON ������`y_ /�d/_U� _ �
necuavy) . —�'
'Nunuf ofpmnN flpiiej in rry cWciry Nould he�yped or priNW bda�thc'v elgwurn
nwnworw�.cconsw
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