HomeMy WebLinkAbout010-941-14-3301-LUP-2001-407 Application for Land Use Permit o o —
County of Sawyer � �r,�
PO Box 676 -Hayward WI 54843 � j
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 � �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION 1VIAY NOT � ,
BEG,i�1 U�TTIL THE PERI�IIT IS ISSUED.
�'L(��'\> PRINT-USE BLACK INK OR PENCIL � � �
�..1��� /����� -S'�rr� ��aui�r'�i4 a
Owner Builder ' � �
���.�o� Zl� �0 5�:�A� /1� � _ �1
Mailing Address Mailing Address ��v
L���u% d �,' .5-y�y�
City State,Zip City,State,Zip �
"Y'-�7�,J y
�.� .s� �,
Daytime Phone Daytime Phone
Building Land Use �
( )New ( )Filling Zone District
�Addition ( )Dredging �,`�
P.Iteration ( )Grading Lot Size o �
( )Movin�On ( ) �q � �
( ) � ( ) Acres ��°{� �� `
s �
Primary Structure Accessory Building Addition p °<
( )Dwelling ( )Gara�e-attached/detached ( )Deck � ^
( )Year round ( )#of caz stalls �Porch �p
( )Seasonal ( )Storage Building ( )Enclosed � �'`-'!
O Frame built on site O Screenhouse O Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen I
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primazy structure ( ) ( )Relocate/enlarge ^�
O O O#ofnew �
Q
Type of Construction �
�Frame ( )Log ( )Pole/metal �Block ( )Concrete �
( )Other d ��
= � ~
Construction Cost$ �p�O, �7 � �
Vol _5�� Pg � of Deed Certified Soil Test# _ � 'Z-Q l C- Q �
CSM Vol Pg Sanitary Permit# _ Tj`�-pn� � z
Plat Envelope Or: �
Condo Vol Pg Year Installed _ \ �
Aff of ex septic V P Owner When Installed: � gl'�'�
�
Application for Land Use Pernut — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size �D r R. wide ft. wide ft. wide ft. wide
�� ft. long ft. long ft. long ft. long
Floor area /0�0 sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from 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 �(j
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands
Road /
Lot lines '
Septic system/pm�y ffoa5�i �
Well ��j/
Distance beriveen structures. �,: /ed
Indicate North. ��y��j�,l� ` �;,1��
FireNumber: / �O�L � ld �X ('t ��� �drCL° /�
�$��o� ,� ZL� �o S,p; %!�L /�d�
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Signature of Owner
The above ceRifies that the listed
informa[ion and intentions are true and
correct.The above person/s/hereby
give permission for access to the `'
property for onsice inspeccion. ------- centerline of�ry,S p%/L(J road-------
Issue Date August 27 . 2001 Expire Date Aug�st 27 2002
Office Comments: ��/���f22���18�'l
Signature of Zoning Administrator
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HOSPITAL
"'� SCALE: I INCH= 4<
' . DRAWN BY: S.R.D.
COLON (:) INDIGA'
�± � State Bar of Wisconsin Form 3 - 1982
`�.�, J V � C�1 ��:.'� QUIT CLAIM DEED _
DOCUMENT NO. .
�(- ___--_..-_-__---__ --__- - R9qi6t@t�s OHk'9 �� ,
II SawYe� Counry
QQN A . TRETTIN and RUTH M . TRETTIN , JOINT TENANTS , 1V°d ► recora t � �aay at
; A019 �at ��' k �'�
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I -- - M and recorded a vol. il
I -- of Records on pege !'
,� yuit-c►aimstoIlON A . TRETTIN and RUTH M . TRETTIN , as ;,
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IE1�lAl�TS IN COMMON aI1iIJ1ot as JOINT TENANTS . ansl— Re ster �
' Qranting a life ettate to each , �
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I� SaW er THIS SPACE RESERVED FOR RECO ING DATA II
li the following described real estate in � County, _ ___ _ _ �
�i S[3IC OF WISCOf1S10: NAME AND RETURN ADDRESS �, �V II
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', (Parcel [dentification Number) �.
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The Southwest Quarter of the Southwest Quarter ( SWaSW� ) of Section Fourteen ( 14 ) , ��
,; Township Forty-one ( 41 ) North , Range Nine ( 9 ) West lying North of U . S . Highway "63" . i�
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' This Deed executed by grantors for the purpose of retitling ownership in the above- �
'� described property . ��
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I,�, This 1 S homestead properry. �i
i� (is) (is not) � `\���J !��
iDated this � day of , 19 96 .
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�,� � -� --� - -- (SEAL) /�' / . - (SEAL) I
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�; � Don A Trettin * Ruth M . Trettin __
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�i AUTHENTICATION ACKNOWL�DGMENT
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pN��p STATE OF WISCONSIN II
I�, Signature(s) -_---__---_ ---- � tt- �
!' ����t,Ir f11. //r�i��, ss. I�
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'I� -- -- ----- - ------�.T�01�-,�.':"+�.''1��,'!� __�AWYER__ Counry. ii
f authenticated th�s ____ _ _ day of _-=��1N_(�'��Q� y� -Senertse�l�le�ame before me this -9�� �he above namecl �I
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', � ----- ' ' -Q���}�,- �; ---- - ---------- ;
I TITLE: MEMBER STATE BAR OF Wf�����1•...••••. •\`, ,.`� - - --- - - !
I (If not� -------- ---- �i �r � �� -- ----- - ��
authorized by §706.06, Wis. Stats.) yj�h����µ��N��� to me known to be the person S__—___-_ who executed the �
I �
foregoi ' strument an a owle the sam � i
THIS INSTRUMENT WAS DRAFTED BY
--- -- — -- - --
Ward Wm. _Wint.4n ,_ Attorney__at__Law ___ _ . Dorothea M_McS�arin__.___.____
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P . 0 . Box 796 , Hayward _ WI �4$4� _ ►v�ca�y P�bi�� ----Sawy_er --- -------- co����y, w�s.
(Signatures may be authenticated or acknowledged. I3oth are not My commission is permanent. (If not, state expiration da[e:
nccessary.) NOV2RIb21" 7�1999 ---------, 19- -- •)
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•Nanic� uf pcaum .igning 10 JIl\' 1:1�1:llll\' �FIl1UIlI Ill' typcJ ur pnntcd b�lu« ihcir a�bnaiu«s. , . � � �� ( ;� .
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QUIT CLAIM DEEU S7'A"fF: NAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
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