HomeMy WebLinkAbout010-841-20-2201-LUP-2001-382 .�S�, •
�
Application for Land Use Permit '
° o 0
County of Sawyer �I,+� �O° �
PO Box 676 -Hayward WI 54843 �i�+����r`�d � �
715/634-8288 l 33,`f 7� �r�
n utclfl�l,t��`�� J
The undersigned hereby makes application for a Land Use Permit and agree that all work �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance r �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT �y
BEGIN UNTIL THE PERMIT IS ISSUED. S �t`'
PRINT-USE BLACK INK OR PENCIL � (,� 4'�
a �
Nf'����jIJOCK�� �c�nic���7r�����ir�� :�lCr�l�� �Ur�C�i�r �i�iC - o�
Owner Builder T- ° O �
('�� fh�x �� �7/3 ���-�aa �v� �
Mailing Address �il�� g Address `r �
�f������, �-�l, lul ��i����v-.3 /"le�o�,��,��e G�(-��/-���61 �
City,State,Zip i3��w�e h ic;ct�t�M-'��M1� City,State,Zip ,.;
�l.'_� � �s'3� -,�� /� /��-��S'�� 1 Z. �
Daytime Phone Dayti e Phone �
�r �vF'�+�it Ll�c��s�a c� i/:
Building Land Use (�3 y- (oZ�p /�
¢Q New ( )Filling Zone District /y��
( )Addition ( )Dredging
( )Alteration �Grading Lot Size o
( )Moving On ( ) ,�
( ) ( ) Acres � :� 32� 7y ` '
Primary Structure Accessory Building Addition O��
( )Dwelling ( )Garage-attached/detached ( )Deck � o
( )Year round ( )#of car stalls ( )Porch �
O Seasonal Qd Storage Building O Enclosed l �
O Frame built on site O Screenhouse O Living room � `-'
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom ��
( )Other primary structure ( ) ( )Relocate/enlarge ;�1 >
� � ( ) ( )#of new �
Type of Construction � �,
( )Frame ( )Log QQ Pole/metal ( )Block ( )Concrete
( )Other-�n G I�w
� � a
Construction Cost$ �5 t�f - C''C� �
Vol 5�r a Pg 3�of Deed Certified Soil Test# �!'�/-'YQ 5 Y'S'-�3
CSM Vol Pg Sanitary Permit# 45'�9 ~ z
� �
Plat Envelope pr: ��'F 97- /6 � S'8-v�� �
Condo Vol PS
Year Installed I�
Aff of ex septic V P Owner When Installed: � �iq�o�
�U� %6•N77 'CL�/� '�77
Application for Land Use Permit — Page 2 . -
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. i #2. #3. #4.
Size ���+ ft. wide ft. wide ft. wide 8. wide
i
�L' ft. long ft. long ft. long ft. long
Floor area / 2, a`� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from grade �,l ' to peak ft. hgt. ft. hgt. 8. 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 I i
existing and proposed structures. j i ���roX, �0 1���% i �' l�% . N,
�
Location of septic system. , �
Indicate distance to: I E d d �e K c e �, � � �
_ _— .— —_
Waterline/Wetlands 'r�r� '
Road ?�� , . !� ��,�vox.J�,3 /�c F � _
Lot lmes : � � '<<, .� � s�p� . ��pe� ,
Sephcsystem/privy. ' � ^ � "' � � ��� ct'�� '
Well ��' ,-:�i , .i � � /uell ���==ti, ��°��''� �
Distance beriveen structures. :� i��o'r��� : � �`�' ��' I
��v.v �!e: o �, � � / i
�
Indicate North. ✓ � � — �a� X ��' '
e
�. d ` i �
�� �. /`f� � .
�
�
Fire Number. �,= � �
, � gO �'o' � '�7�—�:
' �' l 2_ /1� �Cvia�r �//! ��;j T ,
�
� � pa.;����
,, �L
1 ni ' . _ i �
� rI,,�'�� C� ,��"1r�� � r;--� (� �iDO
j��_ � d i��y� T"17�C,� K'i� G� � �
Signature of Owner - = 7
, _ ti:: �
The above certifies that the listed �,"'� - � ` � �
infoanation and intentions are hue and
coaect.The above person/s/hereby
give permission for access to the
property for onsite inspectioa ------- centerline of road-------
IssueDate August 14, 2001 ExpireDate August 14, 2002
Office Comments: ����,i5>nC/- l���ii��
Signature of Zoning Administrator
TOWN OF HAYWARD
SEC. 20 TWP 41 N. R.8 W
I . , .
iY./Y s.ct I
I .� .Q
I '
�.s�
.I. I � .1.2
� , '
.6.1 .5.1 2.1 2.3 ,�.
1.5 F' i 1
.1.6
� �2 .52 • .22 �� .1.4
.1.3 � � 1.7 .1.8
H WY.
.7.i .7.2 �
I .82 .32 4.� .4.2
.7.3 .8.1 .3.1
1 �
( ,4.1
I
I �
OOCUMENT NO. STATE DA2 OF WISCONSIN FORbf 6 - 1882 nns sv�cc AE.cnvco row ncconoc
BtHR�CN1[IIKXH EP�B9�EIZXfftS��{�H
� �4 a} � Ej � SPECIAL ADMINISTRATOR' S DEED �
�
�tephAeir� OtIW� l
Sewya� Camf� � �
..QTTQ._G..._STEPHANI....IR.--�-�---�----•---�-----�.............................. ..�-------��- � �
� lor recre�cl 11w � �
..................•-.-•-'--..........---.....--'--....... ....... . p
, �"°�'-�-j�j_ de} ol
$ eci 1'A�dmin.-1-�E��at�t� """"""' vU�1..Cd._ AUl99� e1 a'c►od
....--'-'—"-'--`-..._..--"---------�---'---' es % � Z�R9[4L3474A4Qb94 oi e estnte of �
..QT7:Q_.G,...SxF.PHANZi..&A� - -- - --� - -......._........................._.... -- — —� t�I <�:d r..���:5«i m .o� Yz
. d R�rs� I X����
................'-""'-""""-"'-"""""-""-""""""'........"-.'------�-- (��Decedent")�
for a valuable conelderation conveye, without warranty, to .............................. ��
..NORTHWOODS..HUMANE.SDf,IETY�..I�iG-----------------------------------------.---- "� '�J
-•---•---------------------��----�--�--•-------��----�---------------...._--�----��-� -- .... �- -�-�-�-
............""""_"""'......."_"__.'_""..."'_""'.""......................'_.'..., Grantee� nerunr ro
the following described teel eetate in ...........SAWXEA.........................County, WARD WiUI. WINTON
State of Wieconein (hereinafter called the "Property") :
, Taz Parcel No:�10-841.-1.7.-3�I1�,
� 010-841-20-2201 an
010-841-20-2301
The Southwest Quarter of the Southwest Quarter (SW} SW}) , Se�ction Seventeen (17)
and the Northwest Quarter of the Northwest Quarter (NW} �} ) and that part of the
Southwest Quarter of the Northwest Quarter (SW} NW} )' lying North of S .T.H.
"77" , as now constructed and maintained, Section Twenty (20) , all in the Township
Forty-one (41) North, Range Eight (8) West .
7RANS�R
$ q=
� ;:�.
Pereonal Repreaentative by thie deed doea convey to Grantee all of the estate and interest in the Property which
the Decedent had immediately Prior to DecedenYe deeth, and all oP the estete end interesY in the Property which tiie
Personal Representetive hes eince acquired. - G��/
Datedthie -•-•----......o�.`�..........._--•-�-�---�--. day of .......0.��----�—...................'-�-�---� 19....(../'
---� --� � - ---- -.. .(SEAL) �------�-------��---�—.................--..............._...._(SEAL)
...._......� . -
• ..OTTO..C'--STEPHAilI,...IB,..---••-------------- � ----�-----•�--�--...---�---�-------........----�----••----.....
X]�XoY�YXdG&��%XX
Special Administrator
AUTHENTICATION AOHNOWLED6MENT
_// :..� �'J
Signeture(s) STATE OF W�S66#9FN
.....----•-'-----••--'---------------'----.............-•---
ss.
'-'..."-""'-'-"""-"'....""...."-"-""'..."
......................... r�,t�.� Count
---- --�� --'-fl-"-"—_"•-•--- R �-
euthenticated thie ........day of.......................... 19...... Pereone cama before me. this ...�.Y.....day of
� .... .�.}.C�Y=---'-"--'--' .., 19..��..'7.. the above named
----...-----"-•--'......................................................'-'---•
--------------•------'-- ' - -- - ...,..... ..
'�- - ------------ �-�-�--•-----...........-----------�-•-�---..... �--�-•---�
.......-- •-�- Q.. ...Y�..>...�.......�--��rj --��'�`'._.�-.-..��i.�/':--.
T[TLE: MEMBER STATE BAR OF WISCONSIN ..........................•_.---•-•--.----•-----•--....-•-•------...---.....---
Qfnot„--.................'--•."'....."-'-"-"'----'.......... ..""'....."'-"'-"'.....""--'......"_"'-----'-'--"........"-"-•'•"-
euthorized by § 706.08, Wis. Stata.) to me known to be the peteon ._........._ who executed the
foregoing instrument end ac nowledge the eeme.
THISINSTRUMENT WAS DRAFTED BY
..... ...."'"'"""....""""' ' '" _" '" ...�. ....................
MSchael..A...Kels�.y.�..6t.t.o.i.[leX..at„ Law.........-- , ..
. .. ..
- � -- -- . . .
Y.D....Box_I1B....Hay.�ar.d,...l�I..5.4843................. rrntary"P' l '. ---� I ���{`['r'........ ounty, Wis.
(Signntures mny be authenticated or ncknowleJged. IIoth My Comn ss�on is A nt.filfi��ot, etat expiration
G orge �� � ls.__....)
�« „oc ���«Ss°�Y.> - - Slate oi Illineis �
�- �C� � 2 � � �8 . Nbtarq,Puhiic,
-MYCommi��!onE�nires.3�:�f9�,_ -- — -