HomeMy WebLinkAbout014-942-25-3222-LUP-2001-027 'i
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Application for Land Use Permit
r _.;
County of Sawyer ° � s.
� �
PO Box 668 - Hayward `VI 54843 `� y �
- 715/634-8288 r'
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work s
shall be done in compliance �vith the requirements of the Sawyer County Zoning Ordinance o
and the laws and regulations of the State of Wisconsin.CONSTRUCTION I�IAY NOT ° �
BECIN UNTIL THE PERi�IIT IS ISSUED. �
PRINT- USE BLACK INK OR PENCIL � �
� �
Jer�y fZ, � K,.ti,l�e.n J. R�.s�►µSSen OwNERS `
Owner� "
Builder �
� o � ,
JZoo 7T� AvE �tE - �
IZoo 7TH qyE NE � ° �
Mailing Address Mailing Address - � Cr
�
Rock�es ter MN 5590� Rocl,este.� MN 55906 � s
City, State, Zip Cit y, State, Z i p ` � ry
N �
�'So�-Z53-5853 i-So� -z,53 -5853 �" �
Daytime Phone Daytime Phone � w �
Building Lan d Use � N �
�X) �re��� O Filling Zone District RR-� e' '� ��
( ) Addition ( ) Dredgin� � I`
( ) Alteration ( ) Grading � + �
Lot Size I 95'/�}5o X 30't �35�F � I�o
( ) i��lovin� On ( ) �T—
��
( ) � ) Acres 2.. 3 � ,�
; �
Primary Structure Accessor}� Buildin� �'
Addition '
( ) D«�ellin� ( ) Gara�e-attached,'detached i `
( ) 1'ear round ( ) Deck -
( ) � of car stalls ( ) Porch ,-
( ) Seasonal ( ) Stora�e Buildin� ( ) Eilclosed
O Frame built on site O Screenhot�se O Livin� room
( ) Nlodular/manufactured ( ) Greenhouse ( ) Kitchen ' �Z
( ) tilobile/manufactured (x) Other
( ) Bedroom �f
O Otlier primary structure (x) PoRTA Bure.a�NG O Relocate/enlarge ��
� ) � )
( ) # ofnew �
Type of Construction �
O Frame O Log QO Pole/metal Block ~
( ) ( ) Concrete �=
( ) Other '"
N
/��' `
Construction Cost S 'S �rj
<
Vol� Pg�_of Deed CertiFied Soil Test � � �`�'��J � �
N N
CSM Vol Pg Sanitary Permit #_ � � ` �/,`�j z
Plat Envelope pr: o x
� O
Condo Vol Pg Year Instal(ed � �
.4ff�of e� septic �' P O«�ner �Vhen Installed: ' �
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#l . #2. �3. #4.
Size ! Z. ft. wide ft. ��ide ft. wide ft. wide
20 ft. long ft. long ft. long h. long
Floor area Z40 sq. ft. sq. ft. sq. ft. sq. ft.
H�t. fromgade $� topeak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms �
rear lot line or �� aterline of [d E L$ON �.AKE lake/river
In the box sketch in: /V ,��� 300 '
Location and size of all �— � �(�
existing and proposed stnictures. ��^�
�
Location of septic system. I �
o I �
Indicate distance to: 1�'
�Vaterline/�t%etlands
Road � �o�G
Lot lines
Septic system/pri�y
«'ell �o71o.IZ 3�
LoT lo,l'i
Dis[ance bet�ceen structures. �I W
tn oO
[ndicateNorth. < oo � �
� � �j-� 2
Fire \umbzr. '
I Z(c3o N �°s � I �
Z � �1
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� tT.� c"�.^�'w�.��-c'1. -�n I �V
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Sign ture of O�r'ner I y
Thz abo��e certitlzs that the listzd `S� �30� OWN
inform�tion and intentions are truz and �
correct. The abo�e pzrsoa's� hzrzby � q5 TOT.4t Ti�NN�/ya Bo�$
<_�ive pzrmission for aecess to thz
properry for onsiee inspec2ion. ------- centerline of ?hNIJIN6 POlN7 ro<d------
Issue Date May 9 . 2001 Expire Date 1"Iay 9 , 2002
Ofticc Comments: �'r/���"�/I6�d�
Si�n:uure of Zonin� Admini;trator
. �l'�� .
_,
`� .�_.._.
Application for Land Use Permit �
��� ��'F�c�� �C�MN��� r -;
County of Sa`vyer `" ��°
PO Box 668 - Hay�vard WI 54843 �
- 715/634-8288 r
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work s �
shall be done in compliance with the requirements of the Sa�vyer County Zoning Ordinance o 1
and the laws and regulations of the State of Wisconsin.CONSTRUCTiO�' NIAY NOT �
BEGIti UNTIL THE PERi�1IT IS ISSUED.
NAs A P/�Kt T pR��;T— USE BLACK I�K OR PENCIL �
�
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�ler�V R, � K�thl�chJ� R�ts„+wsseh ow�vE�S y� ��
O�vn Builder s-° o
)Z�o � rH ,�vE NE i Z, 00 '� TH AvE N� � � �
. � � �
Mailin� Address Mailing Address � �
� �
Roches cr MN 559fllo Roche,ster, /� N SSR�Io ' -F t�
City, State, Zip City, State, Zip N r �
N
�-5o� -z.-S 3--�853 1 -So7 - Z53 -5853 � � �o
Daytime Phone Day�time Phone � W
Building Land Use r' � �
� �e��� ( ) Fillin� Zone District R R "� N s
( ) Addition ( ) Dred�in� �
( ) Alteration ( ) Grading Lot Size 19S`/�}SO X 30y'�3�iy- s
�, I L
( ) ��Ioving On ( ) � �
( ) ( ) Acres Z . 3 � ! �
� i
� `�
Primary Structure Accessory Buildin� Addition � ���
(fC) D���elling Q ' `�
( ) Gara�e-attached/detached ( ) Deck —ro
(X) �'ear round O � of car stalls O Porch � i's
( ) Seasonal ( ) StoraQe Buildin� ( ) Eilclosed ' '
O Frame built on site O Screenhouse O Li�•ing room
( ) 1��lodular;'manufacttired ( ) Greenl:ouse ( ) Kitchen
( ) ti'Iobile'manufactured ( } Other ( ) Bedroom �
( } Otiier primary struct�ire ( ) ( ) Relocate'enlar�e �
� ) ( ) ( ) n of ne«� V�
�
Type of Construction �:-
OO Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other �-- N
�
� �
�
Construction Cost S Q � , � S D ^ -'
, �.
`
0
Vol 44.9� Pg � ►��. _of Deed Certified Soil Test � Q�� �/3 -�
f N N
CS1�1 Vol � Pg 3 �� ' 'Sanitary Pernzit # ��— (�/� z
��.�. . .
Plat Envelope �y�` - � � `Or: o ~
Condo Vol Pg � ��� L Year Installed � � ,�i
Aff of e� septic �' P O���ner �Vhen Installed: � l`1��,Gv
3�s�;s c�'
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration. �' ' '
#l. M�1iN F�ooR #Z. 8/tS�MEN7 F�ooR t. ' - , „ �% „;, / ..
k3. Re l ts'� . � „4. �
Size 26 3� ft. wide /� D h. ��ide /a ' ft. �vide , !/
ft. wide
�Z _ ft. lon� __�_ ft. long a I ' ft. long h. long
Floor area � I S Z sq. ft. ) I S 2. sq. ft. Sq f� Sq �
Ha. Gom gade�_ to peak ft. h�t. ft. h�t. ft. hgt.
Stories Z stories
stories stories
# ofbedrooms Z
rear lot line or ���aterline of NEL SoN LAKE lake/river
In the bor sketch in: �N. � ,�oqP�-
Location and size of all �
existin� and proposed stnictures. �y wE"iNG�� E OE 3p
�
� � ,� TO BE o •
�O � �.�,g�� H MovED
Location of septic system. \ � ; MD �y
� �cl 1 N N
Indicate distance to: �� � , ' , 31 • iZ, i
�� aterline!�Vetlands C � 3t� ,�.,� M q
Road
'c w ,u NovSE
Lot lines a o N H �2 g4,
Septic systemipricy , �
«"el l '�
Distance beh�een stnictures. '�� � � �
2�
Indicate \ortli. h< � N �� W
25� � � w � o
Firz \umbzr: �w �" �
i �
12. 103o nI W �° .3I - 2 0 2
o � _ 6AR �
9 �I ti N
Z � "= Aip 7 � � M
r � r� 8
o — 'o
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� •� �L" ' '/liL')"'!.�'J%-li'✓ � � I j!� •
� � o� r
ienature of O��ner —� I �� �
The abo��e certifie; that the listed oWN
infurmatiat and intentions are true and (oS� 8oTM
correct.The abo��z zrso�i's'hereb � � �30� LOTS
P y I`1rj TOTAi.. T�1N,y� 6
give permission for access ro thz . . . .
property for onsi[e inspection. � ------ cente[line Of
Ti4NNIN6 POINT ro1d-------
�;
Issue Date March 1 , 2001 • . Expire Date March 1 , 2002
Ofticc Comments: ��r'OI�Q� �lS'e(�, ` - �
d� `�de C�'�'�`�OUQ.� O'T '�t.�'t-tYIG� Si�natur� of nin� Adminisuator
YY1("�i lP_ �f�'�. � �
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NELSON
LAKE (
DOUG-M
ADDITIO�
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10.13 �`' ' POINT
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10. 10.1
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--, �I .- � ' s
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� .11.3 � --i'r1��— ..�'3 .., �IZ3 •
° RM RLY CON I � --' — --
� 12.1 z< < .12.6 i
— , OIkT•H LINE OF SE . 2 ..�. , ,,; O .
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_ � � 36
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REFERENCES: SAWYER CO. DEED RECORDS ` .�2
AERIAL PHOTO D3 - 1970
U.S.G.S. - HAYWARD � SCALE : I INCH = 400 FEE
DRAWN BY : KM �
COLON (:) INDIGATES GC
\
DOCUMENT NO. STATE BAR OF WISCONSIN FORM i-1882 ���s srwcE ecsenveo vox NECOPJINfi oerw-�
2 312 6 6 WARRANTY DEED �
- ,,.w.,.c,�.e. l .
s,w,o� c«,.�
�I'$1S Deed, mnde between .. FREDERICK V._. BUZA and � �8 i
LENA D_. BUZA� husband and wife �� �� �pol�a�`dod
- - - --- - - - -- � - - --- -
.._......---.._.-----------�-----�----------�--_.-----�-----------�-----�--------------------- M a�d recorded La vol.��
--...__.......---"-�---'---"'-'---------....----------------------'---------" Grantor� d Heaordx oo P�
nnd__.......I$RRX--R-`--RA.SMA�.SEN_�A�..KATHLEEN--'J-'--RA$.MIJSSENe-----`- �'.C�v-Z�co (�'G •
_hus.b.and_.a.nd_w1,fe_.as..�9i.nt_.tena�ts_ and.nQ�xes�dents..._._._
_..of.�lisco.ns.in...... ................__ --- -- ---- ---- ---... �- ---....
......................--�------.._....----------------�---------------------------._. Grantee, . --
Witnesseth, That the said Grantor, for a valuable coneideration..__..
--.------o£..one_.do.J.l.ar.._and..othe z..val.uah].e..cQns�dexa t:4sn�-------
PETURN TO
conveys to Grantee the following described real estate m ..._.�.2.W.y.OS..._._...._ �
County, State of Wisconsin: � �
Taz Parcel No: .-""""-"-""-""""""""
i
All that part of the Northwest Quarter of the Southwest Quarter (NW�SW}) of Section
Twenty-five (25) , Township Forty-two (42) North, Range Nine (9) West, descrlbed as
follows, to-wit: Commencing at a point on the South 1/8 line of Section 25, that
intersects the East right of way of a present and existing road; thence North and
along said right of way 383 feet for a point of beginning; thence North and along
said right of way 65 feet; thence N60°E, 326 feet, more or less to the water's
edge of Nelson Lake; thence Southeasterly and along the water's edge 150 feet;
thence S 68°W 468 feet to the point of beginning.
Description obtained from Abstract No. 16663 prepared by Hayward Land Title Co.
1"�Ns�F�
s �2 -
� ��
This ....is--nat.----------- homestead property.
(is) (ie not)
Together with all and singular the hereditamente and appurtenances thereunto belonging;
AncL.....Q rantor.---�-------�---------------------�--�---------------............................._.....-------.._.....----.......
warranls that fhe title is good, indefeasible in fee simple and free and clear of encumbrances except
all easements, exceptions, and reservations of record
xnd will wan�ant and defend the same.
Dated this ....---�/e�:`.------�-----------'---- day of���C�%2?2�CG`.u�.'-'--......---------......., 191..�C...
/ /
......_....`-------------��----------------.—(SEAL) '�--.�,(LEQI�t!t,C.vl�.'.E�..��.�--"----(SEAL)
« . Frederick V. Buza
- - - � - - - ._ _.- -- --- - ....... - - - -- -/.....-- _--,- -- � -- --
......._...--�................--�---�------�----��-�--�--�-----(SEAL) .`...o?-?�.`.��..,�....-�`�"�...----.........._(SEAL)
.J
. r Lena D._.Buza.....--.._.. .......- - -
-- - -- -- -- ...-- --- _...
AUTHENTICATION ACBNOWLED6MENT
Signature(s) -'------------------""'---'---'--"-----'-------__.----- STATE OF WISCONSIN
----------------------�-------�-----�--�-�-----------��--�---�----------- ----..
SQw_�� e � 89.
"""""'-'-' '-' "-"-"-County. 7
authenticated this __..._day of........................... 19....__ Peraonally came before me tl�is ....J��..day of
-'--��.'}Q_,w�bQIL"---•--._--" 19.�Ia1. the above named
"-"--"-'--"-....."----�---------------------'--"-'--"-""-"'-""-
--..Fzedez i.ck..Y.....h..I.ana..R..__kuza--------------.------
�--------- -- - - -- - �-- -- �-�-�---�--�----- --- - --� -�----- --- �-�---------------�-------------------------- --- -------------�--------�-
TITLE: MEMBER STAT� BAR OF WISCONSiN
---'----'---------'---------------------.. .----'------'----
(If not, ---'--"'-'----------"--------'--'-"-"'-"--..."-----' ---------'-'-'--"""""'-"'-"'-""_"'-"--'----'---------...-"'--"
suthorized by § 706.06, Wis. StatsJ }p me known to be the person s..._...__._ who esecuted the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS ORAFTED BY
.."""_" _ _"' """'_'___"""__""_'__'_____"'____"...'"""'"
'_'"'___"__'___"__
- --- - I1u£fy..I.aW..4f�ice.- - - - -------- ----
' - �v"-e]-.-L"--=-�1/..e��u --- �- -�---
..._......Haywasd.,--WI----.-54843---------............... Nota.. ' CountY�y�i�.X�-
(Signatures may be authenticated or ack ged. I?ot� My C �ip��u�Jf not, tate expiration
nre not necessuryJ A date: �
9`�-- K 1 _�_ H�_--- -_ is.9S.)
�= NOTARY PUBLIC;STATEOF1LtlN0�$ —
•Nemee o[ ncrsans eiR��nR in any ce��vcity slwum be tyneJ or nrinted bcluw Weir ei¢ ,.�t:�MMI5510N EXPIRES 12•17•95
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