HomeMy WebLinkAbout010-174-00-0200-LUP-2001-391 �
Application for Land Use Permit o 0
County of Sawyer � O
PO Box 676 -Hayward WI 54843 v �
715/634-8288 q
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 NiAY NOT �
BEGIN UNTIL THE PERMIT IS ISSUED.
NAS n+r= +'/+�Kt:7 pRINT—USE BLACK INK OR PENCIL � I � �
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� /�/!�///C/� `��'
Own Builder � � �
f��y���sff�<l» � �
Mailing Address Mailing Address
//a��rfl� ��� , ��,�1� � �
City,State,Zip City,State,Zip �
��/f/ l- �/ '�/T�
Daytime Phone Daytime Phone �
Building Land Use p �'' J
(t�New (�Filling ZoneDistrict i\`� � �
( )Addition ( )Dredging .
( )Alteration (✓�Grading Lot Size o �
(c�'Moving On (�' „ 3
( ) ( ) Acres , y9 �
# �
Primary S[ructure Accessory Building Add�tion C �
(�Dwelling ( )Garage-attached/detached (tr�Deck � o
(}o)Year round O#of car stalls O Porch �
( )Seasonal ( )Storage Building ( )Enclosed �
( )Fracne built on site ( )Screenhouse ( )Living room
, (�f Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlarge � �
( ) ( ) ( )#ofnew Q �
Type of Construction � =
(�Frame ( )Log ( )Pole/metal ( )Block (JjC�crete ,[ �
/,tJCAC�/
( )Other G �
=
Construction Cost$��DUl� # �
Vol ` � _Pg tC � of Deed Certified Soil Test# �/'c?,30 ( �
CSM Vol Pg SanitaryPermit# �/ 'c�_3f� � �z�
Pla[Envelope Or: �
Condo Vol Pg Year Installed ��''
Aff of ex septic V P Owner When Installed: p E j��j
C
C
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Application for Land Use Pernut — Page 2 ,
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. � � '� ' #3. ^��� !� #4. �
Size L„Q ft. wide �-,� ft. wide � ft. wide , ft. wide
�_ft. long c% ft. long / �. ft. long ft. long
Floor area `l'c� sq. ft. l� % sq. ft. �sq. ft. sq: ft.
,
Hgt. firom gade 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: ���
Location and size of all
exis[ing and proposed structures. =,, /5 f)
� L
Location of septic system. � _ �, �
c ` �'�
� � SO -� �
Indicate distance to: ` - ---- � �
Waterline/Wetlands �
Road �' �;7, ,�c;
Lot lines � �� !, � ` i c '
"�--_ —'— �
Septic system/privy 3rj —_ , '
Well , 1r^'
Distance beriveen structures. ��`�
, c'
Indicate North. �"�
Fire Number:
A
.�/�
�
Signature of Owner
The above certifies that the listed
information and intentions are tcue and
correct.The above person/s/hereby
give permission for access to the
properry for o❑site inspeccioa ------- centerline of road-------
IssueDate August 17 , 2001 ExpireDate August 17 , 2002
��-�C' (�'�; iY r���( a �' Ct'� /Fo� �r `��� � �
OfficeComments�_f„ Y�,�,; .��- �f N� � ������,����
St�nature of Zoning Administrator
292466 STATE BAR OP WISCONSIN FORAS I -1998 HegisleYs 05Ic� l ,5
Sewyer Counly 1 }6
Docmnent Number WARRANTY D�ED ce� eo io< <ecom �nis � aay oi
n o zo�a� o aax
M a�recardetl u vol
This Deed, made betwccn THOMAS G. SU77ERFIELD, an adu][ man, ec dsonpaqe
Grantor, and TONY E. BUPCERFIELD, an adWt man, Granme. �` ' '4 r. �A.� o n
Faqislei
Gran[or, for a valuable consideration conveys m Granree Ihe following
described real estare in Sawyer County, State of Wisconsin: oao�N
RecoNi Area
Name aM Remrn Addrtss
�GN 5�9'/,3
oio-i�am ozoo
TRANSFCR ParcelldenufouonNumM1er(PIN)
This ie ua
��� y p � nomcs�wa pmperty.
� �—�— (is}(is w�)
I,ot 1Wo (2), Roynona Greens.
FEE
Together with all appunenan[ rights, title and inkresLs.
Grantor warrants that the tiLLe to the Propeny is good, indefeasible in fee simplc and free and cleaz of
enwmbrances ezcep[all casements, exceptiuns and reservaliuns of record.
Da[ed[his llth day of July , 2fq1.
y�A L[��,
� 'THOMAS G.BU1'I'ERFIELD
AUTFIIt!VT[CATION ACKNOWLEDGMENT
SiglaWre(s) S7ATEOP 4JIsv15jn ) �
)
�wuel COUNTY )
auNentiraced this_day of Personally came bePore me this llfh day uf
_ .hil� , �1_ the above named
to me k�wwn io
bc t e person(s) who execuced the foregoing innmment a�M
� ackAno�wled/g/e ihc esar/r�e�. �
TTfLE: MFINeLRSTATEBAROFWISCOvSIN !'YIA`/�C"A/Lv
Qf not. L Lft/ P �Cn
amhorizedbY4706.06. Wi5. 5mtt.) . .. � �h 1 R H
THIS INSTRIJMENT WAS D6.1F1'EDHY , _ � . No[ary Public, $�a�e of Wj�6j�
A[toruey 1'homes J.:AIRy - My Commission is permanent Qf nol, statc capintion dare:
Hayward, VFI" � � , - � y�— � �
� � � June 29, 2003
(Sigmmres may bc outhentioral or ackrowle,pged .Hotl� are ro[
necessary.) �
m,mcs or a,swu,;em,�¢in any c.pu��y y,o�ie o.iypee or p�wm emow inc;r.�BNwen
w�nx�rvnue� VOL 7 5 3 PG � 51
sin�a e.0 or wqconsm
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