HomeMy WebLinkAbout010-941-22-1205-LUP-2001-528 Application for Land Use Permit r ,� 'I�
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
and the laws and regulations of the State of Wisconsin.CONSTRUCTIOiV MAY NOT � '
BEGIY UNTIL THE PERMIT IS ISSUED. �
PRINT-USE BLACK INK OR PENCIL �
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Owner Builder = p
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Mailing Address Mailing Address
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City,State,Zip City,State,Zip �- �
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Daytime Phone Daytime Phone
Building Land Use F!
O New O Fillin� Zone District �-� �
( )Addition ( )Dred�ing
O Alteration O Grading Lot Size �
0
O Moving On (.) c�,,_-�+e S�i:,h �
( ) ( ) Acres „ y� �
a �
Primary Structure Accessory Building Addition ,� g
( )Dwelling ( )Gara�e-attached/detached ( )Deck � o
O Year round O#of car stalfs O Porch
( )Seasonal ( )Stora�e Building ( )Enclosed \�
( )Frame built on site ( )Screenhouse ( )Living room '�
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge � �
� ) ( ) ( )#of new � �
Type of Construction ,� =
( )Frame ( )Lo� ( )Pole/metal ( )Block (i)Concrete � �
(-)Other S/4h � �
� �
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Construction Cost$_�y G o ,u c �
Vol�Pg �,�C, of Deed Certified Soil Test# t G ��y �
CSM Vol�Pg 3��� Sanitary Permit# `JC� -,2`�(p z
Plat Envelope Or: ' �'
Condo Vol Pg Year Installed � �
Aff of ex septic V P Owner When Installed: F Y�a/,'s(
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Application for Land Use Pernrit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size ft. wide o2U ft. wide ft. wide ft. wide
ft. long �y ft. long ft. long ft. long
Floor area sq. ft. �cY(� sq. ft. sq. ft. sq. ft.
Hgt. frnm gade to peak ft. hgt. ft. hgt. ft. hgt.
Stories stories stories stories
# ofbedrooms
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all I
existin� and proposed structures. �
Location of septic system.
Indicate distance to: '
Waterline/�Vetlands ,
Road ' '"''�
`
Lot lines
Septic system/privy
Well
Distance beriveen structures. �
L� 3 ' 32 '
Indicate North. � -
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s rt�°'.� F x r s� ,.✓o
FireNumber: � � � `�'� yo�- ��(�u5z " � 5u �
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Signature of Owner Y � a
ORr�� wa '; ^ �
The above certifies that the listed �'�
information and intentions are true and �
correcc The above person/s/hereby - �
give pem'ussion for access to[he
properry for onsite inspeccion. ------- centerline of road-------
Issue Date GP�tvmhPr 7F, 2001 Expire Date September 26 2002
Office Comments ��',LG�� ����
Signature of Zoning Administrator
TOWN OF HAYWARD
SEC . 2 2 TWP 41 N . R. 9 W
� HOSPITAL ROAD
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2. 2 4 2.9 5 2.10 � 2 . 17 1 . 6
�/ � i � �. 319.bo:-" ` . 319.4a'
�3�6.53'
66�
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EASEMFNT ,Z I
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I , Ronald L. Peterson, Wisconsin Registered Iand Surveyor, hereby certify
that in compliance r+ith Chapter ?_36 :34 of tt�e Wisconsin Statutes and under
the direction of Owen Smith, owner , I have surveyed , divided and mapped the
land herein described and that said land is located in the NW�4-NE74,
Section 22, T. 41 N, R. 9 W. described as follows ;
Commencing at the Northwest corner of said NW)4-NE'y4, Thence S. 88° 51 ' 15" E,
along the north line of said NW}�-NE}4, 319.50 feet , Thence S. 0° 39 ' 15" E.
820.00 feet , Thence N. 88° 51 ' 15" W, 319•50 feet to the west line of said
NWK-NEu, Thence N. 0° 39 ' 15" W, 820.00 feet to he point of beginning.
Sub�ect to all existing easements and reservations.
This instrument drafted by-
Ronald L. Peterson
June ?, 1974
Approved this _�day of June , 1974 , by �
Sawyer C unty ning Administrator
� a�����
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�1�CpNs � � � (a � ��
�� Recister's Oflice )
�'��'�ycr County �'
�, RONI�I,D I: �, Pa ge 2 o f 2 pe ge s J
�S� Pe _ i:cd tor record the /^ � .
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T� -�°f,���o'clock
HAY11JI1tD _ a� i rc-cc,,.d in vel.
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�__ HOSPITAL ROAD _ �
(tOWN ROAD)
I 5 �Nath Un• of S�e.22,T41N,R9W.
2%2"o�o. e.c. S 88°51�15'� E 319.80'
I/4 COR. 2 2 � R0
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_--. _ 319.50 �
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'� � SCALE 1��= 100�
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p � SET 3/4�� X 36�� IRON R00
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- w BEARINGS BASEO ON SOLAR 08SERVATION
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go�' 319.50� h �
�� � Q JUNE 7 , 1974
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�\ a0 ��/ RONALD L. �
� PETEASON
319.50' �''
3•809
N 8 8°51'15"W,319.50� FIAYWARD
WIS. '
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i S � PAGE I of 2 PAGES
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!i DOCUMENT NO. ij WARRANTY DEED T1115 SPACE RESERVEO FOR RECORDING DATA
STAT� BAR OF WISCONSIN FORM 2—1882 ^
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-----—---------—-- _—-- Meqkeler'e OH1c�,e
_----------�---------------.._ ------��------��--- a .
-- ----------------�----�----�--_� -- ��,p1F�Gt CC,UYIIy /� '
;,�ec f�,� �.�a t��--- � a
Sus.��?::.r�.r,..T�munc�s.�n. . ..... ...... ... . ........... ...............�,...... ,.,,.,, ., _., A D lc��.++�`;��
__ ........ .... .•--•---..............---�-•- ...._...................-.• -- -.........._...._......._......
�t nn.; r.r�orda.d in vol. �'�.L
.. d Se�ax�-ie on � D
__ _ .. -_ - -- - - -- -- - - --_- ---- - - - - - -------- -- - �". ��� .� e---
conveys and warrants to �.�'�tCp11_ell._J.� .._��1_Ille_Y_ 111C1------------- - -- - ��� �
Mi.ch�lle. P�1_ _P,ai_me.�,.._husb.and..&---5�_i.f_e.,-- .��-------.---------.-- -�--- .,�,. —
surv.i.vs�xshi.p niari.tal- p.zs�.�ez.ty�. . ..... ..... .. ..... �---- - ------
- -...-- --- - -- --- - - -- --- -� ----- -- � - --- ---- -�-- �---- --
-- - -... -�- ---�---- -----�--- - .....-- � --- � �- � -- --- --- - -- ------- ---...--�-
--
-- --__==_-_=___—
...__.._.. ....._"......__"'_._'.__"'_"'_'_"".." '_._'___.___'_'_'_'_"'."_._...'..""__'_..."'."'. RETURN To Peoples Nat'1 Bank
_ _- - --- -- --- ----------- ----- - P.O. �3ox 391
- --_- - ---- ---- --- -�--�- . _.- -- --- - � ...-� - � -- Hay�aard, WI 54843
- --... .
the following described real estate in ._..Sawyer._._...__ .eoUnty, - — �-- - --
State of WiSconsin:
Tax Parcel No: ---------••--•-----•---...._..
J
That part of the Northwest nuarter of the Northeast �uarter
(NW 1/4 1II� 1/4 ) , See tion `Pwenty-tc��c� ( 22 ) , Township F'ortl�-one ( 4 1 )
North, P.ange r]ine ( 9 ) [aest, mor� part:i_cularly dc�scribed as Lot One
( 1 ) and Lot `I'wo ( 2 ) , as recorded in Vo].u�ne Fourteen ( 1 4 ) oF
Certified Survey Maps , pages 307-303 , Survey No. 3582 .
TRANS�ER
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This __1 S IlOt homestead property.
i (iaY�(is noL)
il�:xeeption tu warranties: I:aSGIII�I'1tS � �ZeSC'YVc1�10175 � IZEStrictions O� Reeorcl.
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; Dated this _ - day of _... _..__ -- . ___._ . _ . _, 19__ .
- - - ---
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� ' L,Cjri.cer�-lC�n , ,
�! _ _ _ --- - -- - --- .-(SEAL) 4'LGk�� --- (��.AI.)
--. _
�'� , . Susan L. 1lmundson
-- -- - -- - --�----- - � --- -- - - - - - _... ._
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� ---•--(SEAL) -- - -----(SEALj
__. -- - - ----- - -- --- ---- • .. __.... - - -- -_..
* +
I AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ________ STATE OF WISCONSIN
-------- - ----------------------------------•--
ss.
----------------------•----•-----•--•---------------------------------•--•--••-
-----------------------•---•-----County. -�
authenticated this ____.__day of_________________________, 19_____ P�rsonally came before me �his _._�_____._day of
� -------------•----------------------------------------------••--�s���,,'���,h,��� -- /�0.� �- � 19_I.�_ the al,ove name�l
(-------------
aN �. sail L. Amuncl.:�oiz
,i ,.•` O .... �I; -------------------------- --- -------------- -------- -
' •' ----�'''"-- �'-'------------------------------------ ------------------ - -
(If -------------------------------------------------. - ,
! TITLE: 1�fEn1BER STATE BAR OF �'VISC�A'� NQrA/� f��------------------------ --- - ------ ------ -
not, ------- ---- ------- ' - t
---------------�- --- - � - � -- --�------
I authorized by § 70fi.OG, Wis. Stats.) Z � • - --- ---- - ---- --- - --
� �� p� to ie l;�own to Ue the person _ who executed lhe
� �,o�.� 8��/� f� �g instrument and ucl.nowledge tl�e same.
•
I Tfi15 INSTRUMENT WAS DRAFTED BY ��i�;O%��������V� ,��,
♦
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.R�i7�_e.1__ .L.---1?i_��secl:-1------l�t.tOrllc?_��,,,w�i���►'':� - • CLti- -�-- - -- -
LEIT] L71L7 OI1�'ICI�S � �
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-�-.�-=---13a�---�FS-j-�---Et�-��,,�ra-;---�a�---��-a�-3----- Notary Pi�b]ic --- ���t�+.--� - - Count��, �Vis.
I (Signatures roay be authenticated or acknowledbed. Eoth M�� Commission is pern unent.(I�' not, state e���iration
I are not necessary.) A �ate: ---- .- - ---`---_- -- --- --> 19 ----•)
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� •Names of petaons siSning in any capacity should be tyned or printeJ Lelow th�•ir siB����tures.
� WARRANTY DEEll STATG UAR OF WISCONSIN Wisconsin Legal Blank Co.,Inc.
1�'OItM No. �— 1�.�4� Milw��ukce_Wisccrosin