HomeMy WebLinkAbout010-941-26-4304-LUP-2001-655 . 6—
Application for Land Use Permit r ,�
County of Sawyer v �
PO Box 676 -Hayward WI 54843 �
715/634-8288
The undersigned hereby makes application for a Land Use Permit and agees 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 PERI�IIT IS ISSUED. �
PRINT—USE BLACK INK OR�ENCIL �
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Owner Builder ' o
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Mailing Address Mailing Address ^ �
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City,State,Zip City,State,Zip
��(5���i-�� ' jC''(��K �
Daytime Phone � Daytime Phone
Building Land Use
Y4)New (�(,�Q� O Fillin� Zone District C.�
( )Addition ( )Dred�in� ,
(�Alteration O Grading Lot Size �
( )Movin�On ( ) °
( ) ( ) Acres 1�4 '7 `
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Primary Structure Accessory Building Addition °
(�Cj Dwelling ( )Gara�e-attached/detached ( )Deck r~
( )Year round ( )#of car stalls ( )Porch �
( )Seasonal ( )Storage Building ( )Enclosed `v�
O Frame built on site O Screenhouse �Living room �
( )Modular/manufactured ( )Greenhouse ��Kitchen �
( )Mobile/manufactured ( )Other �j Bedroom
( )Other primary structure ( ) ( )Relocate/enlarge � �
( ) ( ) (��#ofnew ��
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TypeofConstruction �Ld � =
( )Frame ( )Log (�Pole/meta] ( )Block ( )Concrete � `�
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( )Other �
= r
Construction Cost$ ' `��.� �
Vol�Pg 3�� of Deed Certified Soil Test# �o�`..�1� �^,� ^ � �
CSM Vol Pg Sanitary Permit# Qo�� c�3�c ' � • z
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Plat Envelope Or: I���P 4a— yco C�/- �y(� � W`^ �
Condo Vol Pg Year Installed \?
Aff of ex septic V P Owner�Vhen Installed: � .�Iylo�
pri di�1
Application for Land Use Pernut—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. p #2. #3. #4.
Size �li ft.wide i I ft,wide ft.wide ft.wide
�
�� ft.long I� ft.long ft.long ft.long
Floor area��O sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.from grade�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: � �
L,ocation and size of all �I D
existin�and proposed structures. �� - _ , r:"^,�
�� +b�� - �,;, .;�;
Location of septic system. ��t �}Gl[�� �
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p 1�y�n�, +C� "
Indicate distance to: �� � �p�
Waterline/Wetlands '
Road ,� ��W4��S (�'�Af�w2f{
Lot lines r:� �h rLpd p'4'�C r$
Septic system/privy 2
�'ell �f2-ex'�Ztin9
Distance between structures.
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Indicate North. � � \
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Fire Number: �� • �
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�Signature of Owner � � �
The above certifies that the listed
information and intentions are true and 1 �' �'�
correct.The above persom's/hereby `\/ ���
�
give permission for access ro the
property for onsite inspection. -------Centeiline of road-------
Issue Date December 5, 2001 Expire Date December 5, 2002
Office Comments: _ �
Signature of Z in� dministrat
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SE % . SEC. �
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DOCUMENT NO. � THIS SPACE RESERVEO FOR RECOR4IM
STATE BAR OF WISCONSIN FORM 1 - 1982 •
WARRANTY DEED
�;� � � 72
n.ow...onn. t , �
6�wyut Couny �
This Deed, made between Wi 11 iam E. Hazelton and '"�{ ��' '� 'b' � i
Kathleen M Hazelton his wife and in her own riqht and a �isy ai o
David W Hazelton an adult man and Diane M. Hazelton "" °� ��°"�i '" °��_�
d .Ao�u.dd m F•rdu� _�-up�—�—
an adul WOrtldfl ,C,rantor, � -Y- • c��^^ '
n,....ia r u..,.+,.� �..,� rhricti MrntP�, hl� �lf� C7tsc�
and � ReqiJr
at survivorship marital �t4p�Lty
e ��
,Grantee,
W itnesseth, That the said Grantor,for a valuable consideration
RETURN TO p,�D
conveys 90 Grantee the following described real estate in Sd1��tP1' °
County,State of Wisconsin:
The East 10 rods of the West 25 rods Tax Parcel No:
of the West Half of the Southeast
Quarter (W1/2-SE1/4) � of Section
Twenty-six (26) , Township Forty-one
(41 ) North, Range Nine ( 9 ) West, lying South of old Highway "H"
as the same is now located.
ALSO,
That part of the Northwest Quarter of the Southeast Quarter
(NWl/4-SE1/4 ) , of Section Twenty-six ( 26 ) , Township Forty-one
(41 ) North, Range Nine (9 ) West, described as follows: Starting
where the creek and the South line of Highway "B" as the same
exists on April 18, 1958, extended, intersects, thence East
along the South line of Highway "B", 104 feet; thence South 216
feet to the creek; thence in a northwesterly direction along
the creek to the place of beginning.
Grantors are all non-residents of the State of Wisconsin ��N�
This i S flOt homestead property. � �� �
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And
warrants ihat the title is good,indefeasible in fee simple and free and clear of encumbrances except
subject to reservations, easements and exceptions of record,
and will warrant and defend the same.
Dated this � 20th day of A USt , 19 92
7%i(�/��G.�711 L� ((_� � ISEAL) ��� ISEAL)
, William E. Hazelton � David W. Hazelton
,.,� ' - ��_� --��/�/�,.-�/r�/�
--i���'k`,)� SEAL) (SEAL)
v Diane M. Hazelton
* Kathleen M. Hazelton '
AUTHENTICATION ACKNOWLEDGEMENT
Signature�s) of William E. Hazelton, Kathleen STATEOFWISCONSIN
ss.
M. Hazelton David W. Hazelton and counry.
Dld�2 M. HaZ Ofl Personally came before me this day of
authenticat th of , 19�.�. , 19_the above named
• w d . Hans � ttorne
ITL . MEMBER ST AR OF WISCONSIN
(If not, to me known to be the person who executed the
authorized by§ 706.06,Wis. Slals.) foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Howard E. Hanson, Attorney ,
Notary Public County,Wis.
�Signatures may be authenlicated or acknowledged. Both My Commission is permanenL (If not,state expiration
are not necessary.) ., " �e� � �9 �
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