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
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3. I 4. 1
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>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 $Q,
TIIIS-INUEN'PUItE, Mndc 6Y����—;rior� T, Petitcla�-r. —Nou.-- -
� ant^i•i tm nf � ! A.�� M nnd n+ca+r�� In .o.
I �i� u_...;....�a Trvuie Petitclair--- -- oi Rnordn on 1»90 _ _6�
'� �����a���� E. LOU15 LindhoL
gawver County�Wixonsin� herebY q
'ar��ror_or ebbin Marnie Tebbin
" and Do las Luloff as tenants in Com�n 1
. ' . grantee�— ��p_���. R1VdT'a
for che sum ot aiu
' of Washin on County��K Atto At L�aw
h
� S County,State of Wixonsin;
the following tcact o( land in
er
1. All of the South East Quarter (SE'�) Section 4, Tcs.rnship 42 , Range 8 West, except
er County, Wis�sin, in Vol.
�hat parcel �onveyed to tf�e �lisaertof Deeds�SawYca imder a Deed dated Mairh 22 •
1976 , and recorded with the Reg �
28g, pages 264, 265 , and 266.
2. And the North 100' feet of 4 eNorth, Range�8 West.(�) of the North East Quarter
,i(NE�;) Section 9 , Taanship
Also subject to other existing easements for public roads, utilities, nulroads
� and pipelines of record.
GRANTEE'S ADDRESS: �vFa R
6300 Jasmine Ave. �
Stillwater,Minn. � EEE
�
S h15 _uand__and 1 �ie 14U'
IM Vy�TNESS WHHREOF, the eaid grantor__ ha — b�°nto xt `
day of NQ�=— �A. D.� 19 80 • ' � ^ (5
�/.
I SIGNED AND SEALED IN PRFSENCE OF , petitclair
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($
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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
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