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HomeMy WebLinkAbout014-842-04-4301-LUP-2001-192 L Application for Land Use Permit o 0 County of Sawyer v � 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 MAY NOT � BEGIN UNTIL THE PER1�iIT IS ISSUED. �wr`', �� �� PRINT—USE BLACK INK OR PENCIL c��, a •r� " � Owner uilder � � o � � � ailing ddress Mai' ddress � � .U��G � Z City, t te, i �� City,St te,Z p , ����� � ��� � �g� Day[i�rr e Phone Dayti�m�Phone � Building Land Use � ( )New ( )Filling Zone District � "' � (�"Addition ( )Dredging � ( )Alteration ( )Grading Lot Size o � ( )Movin�On ( ) ,o � ( ) ( ) Acres ° � � � � _ Primary Structure Accessory Building Addition ° �Dwelling O Garage-attached/detached O Deck Q o )Year round ( )#of car stalls ( )Porch ` ( )Seasonal ( )Storage Building �Enclosed ( )Frame built on site ( )Screenhouse ( )Living room ( )Modular/manufactured ( )Greenhouse ( )Kitchen � O Mobile/manufactured O Other ( j Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlarge � ) ( ) ( )#of new � � Type of Construction � „ �Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � � ( )Other ,� � Construction Cost$ !//��,o� � ,.� F Vol_' � Pg��of Deed Certified Soil Test#��___ - � —o-� CSM Vol Pg Sanitary Permit# z Plat Envelope Or: L� — !.�`,�� � Condo Vol Pg Year Installed � Aff of ex septic V P Owner When Installed: � F�'�i:'Al I!r�4'75 Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. #1. i #2. #3. #4. Size� ft. wide ft. wide ft. wide R. wide �ft. long ft. long ft. long ft. long Floor area�_sq. ft. sq. ft. sq. ft. sq. ft. Hgt.frnm gade��to peak ft. hgt. ft. hgt. ft. hgt. Stories _�_ stories stories stories # of bedrooms�� reaz lot ]ine or waterline of lake/river In the box sketch in: L,ocation and size of all existing and proposed structures. Location of septic system. Indicate distance to: �I Waterline/Wetlands VV �' Road Lot lines Wellc system/privy �� ���� Distance between structures. � ���' ' Indicate NoRh. �b �� F re Nu'mrber: ' � �T�� , \0�� � �!£p Signature of�(�l/�� The above certifies that the listed � information and intentions are true and correct.The above person/s/hereby give peanission for access to the property for onsite inspec[ion. ------- CeIIteiliIle Of road------- IssueDate June 5, 2001 ExpireDate June 5, 2002 Office Comments: ����������2%���j.J Signature of Zoning Administrator 2. 1 I. I ,5. 1 3. I 4. 1 / , • / / 14. 1 / � 13. 1 • � 13.2 � / �%/ , . - . l ---,f ` • /l � � i � , _ � ��. � ft . �� / 1`� e� ll . �, � /I �s.2 • �� /il � � �( � � ( � J � >CALE : I INCH = ��' U FEET FOR ASSESSMENT USE ONLY NO' )RAWN BY : CK DATE : r/ �=��% �<- INTENDED TO SHOW GGNCLUSIVI :OLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR BOVNDARY LOGATIONS � . . .._._.., . . .. . . . . i1�IS5PAmItFS(xru�, � I 176 �416 1 : .� : Rrolder�OH1M , —_---- �r+T^c Crnmtl l —_..--"-'-"'.�.--' ..—'.--'—'— �t�l ai T, Perso_ n__al Aeoslvxci lor morci Ihe . . I--'-- nr A Pe�: p n l s $Q, TIIIS-INUEN'PUItE, Mndc 6Y����—;rior� T, Petitcla�-r. —Nou.-- - � ant^i•i tm nf � ! A.�� M nnd n+ca+r�� In .o. I �i� u_...;....�a Trvuie Petitclair--- -- oi Rnordn on 1»90 _ _6� '� �����a���� E. LOU15 LindhoL gawver County�Wixonsin� herebY q 'ar��ror_or ebbin Marnie Tebbin " and Do las Luloff as tenants in Com�n 1 . ' . grantee�— ��p_���. R1VdT'a for che sum ot aiu ' of Washin on County��K Atto At L�aw h � S County,State of Wixonsin; the following tcact o( land in er 1. All of the South East Quarter (SE'�) Section 4, Tcs.rnship 42 , Range 8 West, except er County, Wis�sin, in Vol. �hat parcel �onveyed to tf�e �lisaertof Deeds�SawYca imder a Deed dated Mairh 22 • 1976 , and recorded with the Reg � 28g, pages 264, 265 , and 266. 2. And the North 100' feet of 4 eNorth, Range�8 West.(�) of the North East Quarter ,i(NE�;) Section 9 , Taanship Also subject to other existing easements for public roads, utilities, nulroads � and pipelines of record. GRANTEE'S ADDRESS: �vFa R 6300 Jasmine Ave. � Stillwater,Minn. � EEE � S h15 _uand__and 1 �ie 14U' IM Vy�TNESS WHHREOF, the eaid grantor__ ha — b�°nto xt ` day of NQ�=— �A. D.� 19 80 • ' � ^ (5 �/. I SIGNED AND SEALED IN PRFSENCE OF , petitclair (S � r ($ I . I1 I STATB OF �VISCONSIN, L� AUTHENTICATION , ISt C'mi x — County.f . I Penoually ame bdore me, thi� 14th day or No`re�r , A. D., s! I Ne above namcd �or e A. Petitclair � who executed the(oregoing instrummt nnd}� d�e� C � to me known to be Ihe person._ autn2 � � � . NOTAAY R��a� P. R1VdTd � aew� TITLE: D1e er a e ar o i� NotaryPublic _. St. CL'�1X Cow i r � Thu Inettument drnf[cd by _ — � �y�yy�P gj,v3z`d, Glenwood City, Wi. 3 MrCommiseion � � ) (1�) -P�n!��t_ � �I� - - _�_ ____ _ .__ _.:zT..-_...�r_. : s �y.��¢�� dotW sr t �w Qm 1 �J ..�,.. e�.Fl fll of Ilv Wbeen.ln U�tatw pm•1 fr lh�l dl In�trvm�M� to M ��oord�d �h�ll h��� 1 V 1V ^- . . __.. ........�.