HomeMy WebLinkAbout010-130-00-0400-LUP-2001-601 �s°=
Application for Land Use Permit 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
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 NI.4Y NOT
BEGIN UNTIL THE PERMIT IS ISSUED. �
t! PRINT—USE BLACK INK OR PENCIL � '
Il Cl'���'2 E'vl Q Y�� v �-
a
/ ,. y �
U�Ycm� ,.l . �cl�� ,�«Y� j-��v I��,
Owner Builder ' o
I�ISZ �� -t��r1t�V�S�- �� C��a ��� �t- �
MailIing Address ` Mailing A ress �
L Q�i.�l.���.VC�� ��"'' � �[��� �(�ll U.;•�� �t�.� ��u`�� �
City,State,Zip City,State,� ;,
1 I�-lr��4 -zl� �I `� 4��-`�.�c��� � �t
Daytime Phone Daytime Phone ,
Building Land Use 1�
O New O Fillin� Zone District r l- �
(�ddition ( )Dredging
O Alteration O Grading Lot Size }'��)��X IGG��1 L��S X Icl�� � o
( )14ovin�On ( ) '
( ) ( ) Acres � ��'�3�
Primary Structure Accessory Buildin� Addi ion °
( )Dwellin� ( )Gara�e-attached/detached (�Deck �
(r�'�ear round ( )#of car stalls (��Porch � �
( )Seasonal ( )Storage Building ( )Enclosed —
O Frame built on site O Screenhouse O Livin�room r
( )Modular/manufactured ( )Greenhouse ( )Kitchen � 'I J
( )Mobile/manufactured ( )Other ( )Bedroom � �`'
( )Other primary structure ( ) ( )Relocate/enlarge � �
( )_ ( ) ( )#ofnew � �
� C�
T of Construction �` -
(��rame ( )Lo� ( )Pole/metal ( )Block ( )Concrete �'
n
( )Other �
� �
�
Construction Cost 5 ��t�UU ��`� �
Vol �j�c Pg .5�of Deed Certified Soil Test# �
CSM Vol Pg Sanitary Permit#�� 9` �a J g,3 � � z
Plat Envelope Or: � �'
Condo Vol Pg Year Installed �" �
_1a�9 o-s-�r � l I
Affofex septic V P Owner When Installed: F I�,ll�Ib�
���
�Ron SCalzc�
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. LiVinc, AYUt . #2.
lic-(-(c
93. #4.
Size 1 to ft. wide
l.o ft. wide
ft. wide
ft. wide
1 Y ft. long
Jft. long
ft. long
ft. long
Floor area 'LStP sq. ft. i
q sq. ft.
sq. ft.
sq. ft.
Hgt. from grade I J-- to peak
ft. hgt.
ft. hgt.
ft. hgt.
Stories I
stories
stories
stories
# of bedrooms b
In the box sketch in:
Location and size of all CB)T �2_6F
existing and proposed structures.
Location of septic system.
QS'
Indicate distance to:
Waterline/Wetlands rof
Road g�
Lot lines �r
Septic system/privy
Well
Distance between structures. 71'
c.
Indicate North.
�,ri i g� � S• , C�,Id�
Fire Number:
L! KN
if
Signature of d vner K4w(A)�4(M
The above certifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission for access to the
property for onsite inspection.
------- centerline of
IssueDate _Octoh.er_23 . 2001 _
Office Comments:
rr
"cF1 %6VAIA CLU10
road-------
Expire Date October 2
7 �
Signature of Zoning Administrator
PRT SE- NW SEC. 21 T 41 N. R. 9 W.
-2.22 �.2� 2.28 -2.�
DEER LANE
-2.2 3
-2.20 -2.9 -26
-224
-2.19 2.10 2.5
-2.25
-2.18 -2.11 -2.4
-2.26
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-2.27
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=D LAND_�_
50' 04 E 1236.'73 �g � � �LE
199. 83 Iso. �7 9 �So.00 i1497 141.80
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N o' oY E �295.20
.ATTED LANDS
This instriunent was drafted by Frank A. Havel, Rice Lake, Wis .
CURVE pATA TABLE
he
s
GURVE No. loT. �.lo, eqo. LT, cHoeD LT. cHORo BEARINy cEK7RAl � T
1 - 2 SD5. 41 ll8.so N 9' �S' 30' W 19' 13�
,f 4 SDS.oI 15G.93 N �' 22' 30� W IC47�
+��,;,.:. S'1'A'1'� nnx. v,� . . . II '_-
DOGUMENT r+o. yyqRRANTY DEED l
1 J U S J / —_�---�_— -_ _�—_-= R�qletc�e OM1oe � , I
. . Se u. C m��econled in vo'L °:laok
-�--- G
.................... �oael.� � lor nrord Ihe �b) al I
RONALD C. SCALZO and ..... I
h1' eg made between .................................
MARGARE�MD SG�ZO, his wife_ ........ ............. - - �- ......._.... C
._.._""" ......_... o: Rororda o� pa9e y�
........................................................................................... .�'GranWr, � . ' �1" '
�� i'
andJEROME J.__pOLICH..and KAT$LEEN. J. POLICH,. husband and I
....wife as oint tenants ._.................._...._................... I �T
... .
j.._................_- -- _...._. -� - ..... -_...._...._.._....
....................................................... Grantee,
� i,
W1t710550Lt1 Thnt the nnid Grnn[oq for a vnlunble coneidcrwtion.....: _ __ _ _____--=III
� - . ...................... . � RCTUNN TO
of one dollar and other valuable consid_e_r__ation __ __ I
.._. __.._.
Sawyer............... .. I
mnveys to Grantee the following deacriUed tenl estote in -...-.---� Mn
J ��� I
County, Stete ot Wisconsin: I '1I
.':--`_.:_.. _ �__J . _
--�- -:.,. . ---'- Taz Parcel No: -"--""'--""""""'-"'-"-" I
_
ILot Four (4) , Hayward Heights.
I i��
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� �''�\a�r� sJ ��'
,
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This is not rental property.
This 15 .__„_,._, homesteed property.
..........._... �.
�I (is) (is not)
I� Together with all and aingul¢r the hereditnmenta and appurtenxnces thercunto belongin8:
.................. ............ . .
rantors -• '
A nd.......5......................................
_..._..._....
.......
� warrants that the title is good, indefeasible in fee simple and free and deac of encum rances e
I! all easements, exceptions and reservations of record. �
� end wi11 warrant and defend the eame. '
I, I
' dnY of ..__...._.._............
..........-'--.� 19._...... �
il'. Dated this ................................................
.._......_.........._.
- ��,�y4G�_(SEAL)
. . _R`.�"'.
� I ...........(SEAL) _..._ _. . .- i
�I _. ...- ....._...._....................._........... � � J ......... _.....
. R C....SCALZQ... ..............._. _........
� ..............-'�---........ ....
• ....... .............
................ �/� � ._..: _... _ ... ��
I ..........._....................................._--.........--...(SEAL) �_. _�.�.. , .LLGI.....,/'...._�_./c........_........._ ISEAL)
,MARGARET M. SCAL20
i � __.....
................ .
ACKNOWLEDGMENT
II ������g�� ACSNOWLEDGMENT
�+�t'}{" ���r CALZO STATE OF WISCONSIN
II SiBneture(a) �o,�':p;PitiY='��'�pq':;--...--"----'-'--'--........._. . � ss.
... '� /]�� � �� �
. ., .
:��..' ���."��"y��4"'"""'""'......." """"" ._�(_S.Sl�.Jv.V.�-�""'"'""'_'CounLY.
......"""""'�"' • q p
� � /da7�. ' ""'.�.�...da)• of
� ��� �19��T f-� Jply_._„___..,,., 19_.85 ersonnlly cnma bcfore me t� the above nnmed
.. . p � � � �
� acknow ¢d �� " - ....._.. - .. - � 0 --
. ........ ..... ..
" ' R - r -- � - --�� ... --'...--'---'--""-"--"-
......... .. .... . . .. .�
. ..., _.. � -
.�...WI.._--"- - --- '--"----...... .-'--'--'--'-"--"--"'---'----'--...---'-----"---""--'-'
_ ..---'-'-'---'---'---
. Nota i Y..� .�'YeI.., . . . ...
......_._ �.. . . r:--, ,� .• j��RvtD9CO�k
I �"�Ex3'bd� _ . '................'-'_"-"-"'-"""'--'--"'-"-"'-"'•""'-""'_""'-..
� r13-87
��5��. -.- _...........................• -................._................. �--��---...._..- ----- �-�----.....---
au h�o�r ied ti� '§ 406`.D�i�Wis. StntsJ
y� to me kno�vn to he the person ............ a�ho ezecuted the
� foregoing ins��1��*nt and acknowledqe the same.
I
THIS INSTRUMENT WAS DRAFTEO BY ���',�� � sr��,A��
I THOMAS W. DUFFY � '�t\'�...:,.: f '.-... -.. ............................_..
� -............... --�- ........ -...- ---....-- ...--...._._.. ._.... � , -- _.. ..
HAYWARD� WI 54843 ^ '> ,��"� .. .. . ...Countc. �i�.
- �....................._.......................---- N�$nry 1�1�1 .. -�t{..{.t.4�-
� .-..'--........'-....- ' ntnnc n tnte c
TI= CoJnmissioa..L9 p Gt. ([f ,
, (Si�nntures mny be nuthenticated or ncknowledged. Both _ : -p�
nre not necessary.) dnt§: .;. ��/�-�d�_ ----�����__�______ ____
ot s [pirntion
�,`�--- _: _ - - 5 3=�, --= � -,:. —
-- — / — �
.. ...., is �' .�
� _ jr� I., f .'' � *V
� •N�mee of �enone eixninR In ����it�h�Id�C tY�r nnnt.J belaw their ni���q,fA•r.....�.�.. .�5� h