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012-739-02-2303-LUP-2001-120
. r '/--`- Application for Land Use Permit ' ��S County of Sawyer ° ° � � PO Box 668 - Hayward WI 54843 v 715/634-8288 � � The undersi�ned hereby makes application for a Land Use Permit and a r that all work � shall be done in compliance with the requirements of the aw _er ount Zonin Ordinance and the laws and regulations of the State of `Visconsin.CO�iSTRUCTION NIAY NOT BEGIN UNTIL THE PERi�1IT IS ISSUED. � y��,�;,� � «�L�(, PRINT— USE BLACK INK OR PENCIL � �- �1�_I�'L1 � ,S I;�t) �,�z '.�t �T ' ,�.� �E�l�.5 �i V �1.�i L(�� � Owner Builder , � ° 0 � � 133C� �avF�� Llr i � � E�`� �, �� � . ,.. _ , +. _- � Mailing Address Mailina Address U1 �-}C��/� I 1� �' � �> ��J ��� �_� 1� �> �,, _ ' � � �` � S C� ,� r � . i �.�s �. i•- t � City, Sta�e, Zip City, State, Lip ��� ���,� �.� `'��I � _ ;f �, - > z � ' '; �`��. N Daytime Phone Daytime Phone Buildin� Land Use Q� Ne�v � �) ( ) Fillin� Zone District (�`� S ( ) Addition ( ) Dred�ing , y O Alteration O Gradin� Lot Size �(���X y�(� (-; I. ( j ��lo��ina On ( ) _ � ) ( ) Acres . �i L. - � i -� � Primar}� Structure Accessor`� Buildin� , _ _ Addition ; � ( ) D«�ellin� �) Gara�e-attached/ etached� Deck '� � �__ ( ) ,- ( ) �'ear round � � of car stalls ( ) Porch � i� ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed � O Frame built on site O Screenhouse O Living room J I ( ) 1��Iodular/manufactured ( ) Greenhouse ( ) Kitchen `-'� ( ) Mobile/manufactured ( ) Other ( ) Bedroom ' � 0 ( ) Otlier primary structure ( ) ( ) Relocate%enlarge � � O O O � ofnew � Z � � T�'ne nf�'pnctP.:�t.C;i W . O �= ( ) Franie ( ) Log (� Pole/metal ( ) Block ( ) Concrete 1r� � ( ) Other ~ ).., v � � Construction Cost S �o t���C�. D C� �- � �` �s� �1 u+ Vol Pg � of Deed Certified Soil Test r � �, CSM Vol Pg Sanitary Pernlit # ;� Plat Envelope �r� ��`��J , ~ Condo Vol P� Year Installed f V'1„t.(,v-t, `� 6 c���� � .. � � bl Aff of ex se tic �' P O���ner `VIZen Installed: � -`I ��� P �`�'-1 r1`7 Application for Land Use Permit—Pa�e 2 Describe Construction:List dimensions of each structure,story,addition,or alteration. #1. #2. �3. #4. Size__��fr.wide ft.�cide ft.wide h.wide �'7 h.lon� h.lon� ft.lon� ft.long Floor area �D� sq. ft. sq.ft. sq.ft. sq g. Ha.from g-ade�y,�f, to peak ft.hgt. ft.h�t. ft.hgt. Stories � stories stories stories #ofbedrooms�_ (J�i��,s sl�,�yl�� rear lot line or�caterline of �,�.1�� �� �(L����h�lake/river Ll the box sketch in: �� �(�� f� Location and size of all esistine and pr000sed stnictures. ao . Location of septic system.�� �� 'L Indicate distance to: - � � —� - ��'atzrline��Yetlands ��I ''��� Exis},� yV f , Road ��— ��e l���� 0?7�I �_ ,. Lot lines �,�� ; Septic systemip;ivy �I ��- _ ��'el� \ fo7 �we N /'\ Distancz bet��een structures. Q 3b'� � � 3'� Indicate\orth. ! � ' � 'Z�, , � (��/ c�j Fire�;umUzr. �, 2b Ue�.,; � — --_ . __m..� � �l�S���� _ i OM � fN�,�, �:��YCtct� �� `�f . Signature of Owner, r7 � � Thz abo��e certifizs that thz listed j I information and intzntions are true and corrzct.Thz abo��e person�s/hereby �y j O � � give permission for access to thz I � „ propzrry for onsire inspeceion. -------centerline of C���,�,ty �� road------- Issuz Date May 10, 2001 Expire Date may 10, 2002 Officc Commenls: � � - .L.� Si�natur of onin�,Administrator T O '�1/ N � � � � . � SEC . � TWP 3 � ��J ,. , � / 35 : 3`� . 3 9,a N � N •5 .1 .� ) �..�-, - --— �;;'� _ `,,,`\I �__" /J �, !l =� �. � �_ � �---!\. /� � ��^ � � __.. - . � � ,____� �� :.� ; � -,r ._ _- __R.�� �—J"��---- — _ = �'���� /f — — f,,, � � i JAMES _ ' SLOUGH � _ ;,�;�. Jrt� .39 N 39v , N39� �=��� \�;� �/ 39. � J • 8.4 -� �� ;�/ �� N � •7.1� •7• � - -=" �� __ , _ .. J ; , �, � -�// .3 39, .39 •7 6 �i "__-=� _:;,�` � �; - �, 9 N V � � �� \ l� ' � ��1 � � � , I /� ` n , �r •8.L 7-� /.�� � /,,r % / ' � / � � 7 ./Z N 39� / { 7.ro _ i .39 �'�f - � � ' � � ; c� � , �'� ���p —3 -% 39. . ' =�=%'/ � _ — � � .J. ��- �' � v , Z .cg �l � % � 9 ,, .� � 3 .� .3� i ��+ ,��. N N � '. •B.h .g.t . �� � �39,J ' �.9 3° � '7`� _ _ - �7.�4 - , '7'3 � I� I � -`�i� � , � � r� ,_� ,,`�, ,� , ,'�%'- ��r , „� 1 � � �,_ �, ��l ,�j-�, ��;— .3� �1_� `� _ N J — I � .I .�9 �!, ,�_�I, N V -- �� � �, - 9.� — ,��!�_ ,�I '= `I ���ll iU�J -- �I �/, , �- - �� _ -- �/', - — -'—_ ��_Lli — �l�%� ��l/_� �(�(� ),�� . �, ;,� , I� ' ? ���� , ����� .�� , .�9 ,, .�._ � State Bar of Wisconsin Form 3— 1982 � QUIT CLAIM DEED 2 �; 0 3 3 � DOCUMENT NO. __ Rp,niStf:i���tilCe � � J3WytJf LUU�1C}7 f�S ; day of ���ve�:,1 iaf re���� Q� � - 'T. S �'6t,�e f _ ��'J"--^,:� ,�� < <.S�f� �� �.� _!-� _;" „��'� feCoiu2d/'aQ; .:�I: nt P' `" • ."f: . (:Cl w� � ���1 � ,.1�7 ZJ'lrif�_��-'-"-'� • - . quit-claims t��J ' C 'J� � �Z1-�CLL��L � ,!?",�!'t;::' �1%� � � t'.S �,..-,,,�..r..--•-•----^" ---=�y the following described real estate in <<,L�� �� `' COU01y, _ THIS SPACE RESERVED FOR RECORDING DATA_- SI3IC O�WISCOI1SIf1: NAME AND RETUHN ADDHESS -�c �a�� /o� f z�f- � f� ��f 30� �"-�� a� •� s� �`� ���,�-r�..��.t'�- ��, , yt , �i,;� l��' ;`�-2 5��,.�-f�i w�f" C.,.' Ja r f{-r , 1 /�r.��i'- -3`� ��°'�`� ---- c�.ltt�"�Z� �� S2G17C7�Z-, �' � -- I o� �',�,�,1�� �73 j— G',�- -���3% _3 /�, �� � ��� `S/�h� ���� / (Parcel Identification Number) r / �Jn� �" ��f"'"- ��� '� C � FEE � — C� GX This--_._����/ homestead property. (is) (is not) � Dated this � � day of r ���V S�- , 14—�-�. �� �—`' � (SEAL) ! '��`�"� � � l��.����� (SEAI_) w . � (SEAL) ___— — (SEAL) . • -- AUTHENTICAT[ON ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) ss. --__ �'�6�1�(jl Counry. authenticated this day of , 19— Personally came before me this ---1� day of __�� C� 19�� th above amed .T�!-�� �T• '!� �'`� `� i —" - ..►�►H u — TITLE: MEMBER STATE BAR OF WISCONSIN ,�� - i, � (If not, •""'''•���.,who executed the authorized by§706.06, Wis.Stats.) to me known to be th� er o . � �� foregoing instrumen nd� 1�� me. . . • :' � • , .� THIS INSTRUMENT WAS DRAFTED BY __ =-y�r----- . �=��Z��� - *—�`��-�--— � � -��L��' � �'� — � Notary Public J'�13���.����-- County,Wis. commission is er �i{�r� � e expiration date: (Signatures may be authenticated or acknowledged. Both are not MY p .� � 19 _ � necessary.) � l+ � �, � " �� �', •Names u(persuos signing in any cupacity ShnulJ bc lypcd or prin�� � W�•;,�r,��;ii�I r•��nl filanl.('.n Ini �� tiTA'I'E ILU2 OF\1'Iti('l)NtiIN QI'I'f(�I.AIM IIFF:II , i�i�.t � �