HomeMy WebLinkAbout014-941-12-1308-LUP-2001-260 L
Application for Land Use Permit o o .
County of Sawyer � � �
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 PERMIT IS ISSUED. �- �
��N p�S �� PRINT-USE BLACK INK OR PENCIL �
f�-} ) a
( Q1,\1,�\ � 1 �����v'�'hSUr` `j(J):1ti2� y _
Owner Builder � o
�o ����q 3� � �
Mailing Address Mailing Address ' '�
H ���,��ap � �
City,State,Zip City,State,Zip � �
�,.�� ScF-�tk 3 -� �.
Daytime Phone �1 S ��3�{ �(J�� Daytime Phone �.- � �
Building Land Use N �
�New ( )Filling Zone Dish-ict �� — � -�-
( )Addition ( )Dred�ing ��i � ���/' �(�'" �
( )Alteration ( )Grading Lot Sizel.-(- �
( )Moving On ( ) � ,� �
( ) ( ) Acres �o��✓t �' (� LLC t`2� ° �;
� �
Primary Structure Accessory Building Addition �
( )Dwelling ( )Garage-attached/detached ( )Deck o
O Year round O#of car stalls O Porch
( )Seasonal �Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen �
( )Mobile/manufactured ( )Other ( )Bedroom U
( )Other primary structure ( ) ( )Relocate/enlarge 7
( � ( ) ( )#of new �
Type of Construction '
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other �a,.�cQ �Jic���'�c � �J
�
Construction Cost$ 2-i ��� � �
Vol �U Pg��of Deed Certified Soil Test# �C� — ��`� � ��
CSM Vol�_Pg� Sanitary Permit# �q " ��7�7 �b z
Plat Envelo e �r� �
p �.taP 9G -r�3S q 3-Z`�o ..D
CondoVol Pg YearInstalled ob-oy�G �.�
Aff of ex septic V P Owner When Installed: � ���b�
�� ��
I'1�t� 3
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. � #2. #3. #4.
Size 2.�% ft. wide ft. wide ft. wide ft. wide
Z-v ft. long ft. long ft. long ft. long
Floor area �c� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade � 2- to peak ft. hgt. ft. hgt. ft. hgt.
Stories_f_ stories stories stories
# of bedrooms_�Z /
rear lot line or waterline of lake/river
In the box sketch in: n �"� 2- �
Location and size of all
existing and proposed structures. �' � � . � �
l2 " � 25_ li �� ��
Location of septic system. � `� �
Indicate distance to: �� `b � � ���
Waterline/Wetlands � � %��� ' zy
� �d
Road N
Lot lines ��� �' p�
Septic system/privy ,V 'L� � �W �-�D� aG � �
W ell � �
Distance between structures. /, �7U. � �—�� � �
Indicate North. � �
�
Fire Number. M�, Z`� �
� � PJ2� � � '� c Stf�.� C�
����i� c ; �1� (�� �� s�+�� � ��� �
� �_
O M �° �E'�� '` �
,� � � �� �
��'� '���^Psu1�,v�o� � lS 2�,
Signature of Owner ` ��; i
The above certifies that the listed
information and intentions are true and
correct The above person/s'hereby - �
give peraussion for access to the `
proper[y for onsice inspeccion. ------- centerline of road-------
IssueDate T„1 � � , 2001 ExpireDate iuly 3 2002
) ,
Office Comments: � �� �
Si 'ature of Z ing A ministrator
/N OF LENROOT
12 TWP. 41 N. R. 9 W.
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1626'06 ' .
. � Aegister's O[Nce �
�\,f� Sawyer County }' �='��� , •
Re�0ce'i"v�ed�fo�r mcord the �� dny p[ -
�x8cFil..Gu A D 19 J 7 at � o'clock
f.�t- M{ and recorded In vol.�3
ol l�av, on DaOe 3.T- 3 G
f---C��-d�.�.
Repfetar
Deputy
,,--- - - - - ; R—f�'_�S
- -sz�se►• - - - -- - : a- -
�, -900 - - oyh �
°o, �°' ;
NAMEKAGON PARK I ';
BLOCK NO 5 - CERTIFICD � _ �
SURVEY o LOT t2' o �
512T41NR9W- TOWN OF + � I.5 AG. N i
LENROOT- SAWYER GO�NTY � �
wISGONSIN � �� �
LEGEND� � o�� Os, I
QCENTER I/4 GORNER -SEC. 12 �� , .
• I` X 30" I RON PI PE � 2'73. 35 ' �
SGALE I'• 100' 9
� Oo00-
p' S0' I 00' 200' 300' ,� �
0
TOTAL AGRES o '� o . _
� - o
o OWNERS� � � �LOT 13 o Q o S�
Z MARYANN M. BEATT I E Z cv I o N �
,_aj LOUIS W. ZiMMERMAN 1.51 AG �
Q �
N � 9000�o I
o � g�°��1 � � �.
W 1 2 73.01' ' �
� 4.5I AC. � 900 �
4'` � �O; ` I
nJ. I . i
� _ � �, I
LO T 14 0 �
o. �, I � I Qi
` N I.50 AG, ^ I
i � i
i
� 89 o I I
��26, i, ��R � 90°26' • �9. ���.
� 9 0�� N89'31'W . , �_
� �n - - -- -- - • - - --- -
, � 5 89'31' E .
� G E N T E R I/4 G O R N E R --�----._,
. SEG. 12T4tNR9W . ����Ur',`''�''�
,.�, � ,,,..
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, . . j ..,-; ,� � 'L..l; , - ��,�
� �� � ' '
' . EDWARD E .GOBLER WIS, REG:,,LA,N. S � 50 $�,
•, , Q r
. ..,� .. �O .
��:` ' SUR`���
�::�Yw:�
�Q� s� •�� �,_ /q SHEET I OF 2
. ' 7
,( j STATE BA w FA WR�� D� '
iiDOCUMENT NO.
� THI! SMC[ RLSEP�'CO FOP MLt
�
19 0 3 9 0 '�K.w.,.��.ai,�. } ,
---- - -- _,
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sewre�Cowh �_�1e�
� .......................... I g whed lor rerord lh� ��
�
�j ........................................... ..."-............. p�1� A D 19�y a1 i�c'c1a
-------...--•---'-• --......•--•--- ------------'-'- --'----.....------•-•----••-•.. .... .....- •' I � M end rechrded�n�oI.�C�
I DEWGY__C._,_GIERKE�._an_,adult_.man___&._HELEN GIERKET__his wife �;���d+ oo �9e ���
� •-- ' .
--• '--•- -•- .....
-••---
� conveys and warrante to ...PATRICK A. STEAVENSON._and LINDA .._.__
� -••• --•---• � He�r
E N ON husband and wife as �joint_,tenants,,. Re
� ..S�..A�.-5�..�.............................................................................••...... �
..--
.................... '
...--•----•�---•-•--•..............................................................................•••--......... i
� .......-•................•--••--•.--_•-•••--••-...................................••--....._......_...._..._.... � _ _ _ ,_-,_:.
I ..._. , - -- `
,I ..............................•.-•---....._.........---........................._.-•-•--••----•-----•-.......... II� ecrven ro
............................... x'"'..........._.................CiOUntyr I,� F� C.. /
� ..... -- • """"""_"""'....""""'"......""""'""'""""'".. .. .
---�--�-•--.......
•--•-.....----••-•-� - - - Saw er
' the following described real estate in .............. . ..
� State of Wieconain: .
TexKJer No. ................................
i�l
That part of the Southwest Quarter of the Nor[heast Quar[er (SW� NEWes[ ,
Section Twelve (12) , Township Forty-one (41) North, Range Nine �9)
described as Lot Thirteen (13) , recorded in Volume Five (5) of Certified
Survey Maps, page 235-236, Survey No. 1019.
i
ji Subject to easements, exceptions and reservations of record.
I �S�`��
I� $�
, �
�
��
i;
i
� is not homestead property.
i i This ..-'-•---.-•...... .
� (is) (is not)
� ExcePtion to wnrranties:
U � 1" February 84
. I'� Dated thia -"'-"--.�v-
..--'-
-----'-----..... day of ................................----�---.............---..� 19....'--..
.., •
lD � ` . ��'K�L�...---�SEAL
i i GRANTEE ' S ADDRESS: _....(SEAL) .. .- • - � •
Rt. 3 � DSWE�IERKE
..... --•----.. .-•-------�---...---•---••�-•---�•----•----••--'---"'
�! Heyward, Plis.
�, ......(SEAL) .....--....._--�..............ISEAL)
...... ..................... .......
�� � , HELSN GIERKE
.................
. -•-- ..............•-'--......-•-.•-----•--�---........--•--..._......
!��. AUTHENTIC�ATION ACKNOWLEDGMENT
Si natures�authen��icste�dethle Z�th day of STATE OF WISCONSIN
g ---... ---•• ---..
._......Februar .---• 19 84-- � es.
. .. .-•----- , Sawyer
�� ��� � ......... ..............•----- -'--...CountY• 28th
. ,__ .......................... .Pernonally came before me, this .--•----..........dap of
................... .... ---• February
. TtSEt�ias E. Van oy .. ihe ebove named ...........•---••-•-•••.
i
i . ... ....... .. ..........••--�-•--....---••--------•--•--... .....- --�D�ewey��. Gierke
i i T(TLE: MF.MBER STATE BAR OP WISCONSIN ••........ ....................................................................
� (lf not .......................�---....----...............................-�----........
� � --'•-'-'•---'-'----......r-'•--
-'•---'-'--'
�� nuthori2ed bY § 70G.OG, w�e. scnt�.) P�yy pVe ................................................................................
II
� �d� �/��Oy."'-'-'-""......-'-•'-""-...."'-"-"...............""'................
TN�9 IN9TRUMENT WA9 OPAFT[D BV me known to be the pereon ............ who ezeculed the
; t�•egoing inst ument and a nowl d the anme.
, Thomas E: Van Roy, Attorn {(qTHLEEN N. y}�� �/ y /I
. . . ................................. �. �--
. . . ,
I .Box 176 Ha ward WI 548 MILLEk� �✓�1G� . �e�--• - -./ -� •4���............ ...
, . . . ......r!......y.........'.-.............. .- -�--...--•-•"G .-_ Kayhleen N. Miller
,� �/l�.j, ��'� .................................................................
. J \�,a�Votar Public ---.-••---•-Sawyet........-.--•--...CountY� Wia.
'i (Signaturea may be authenticated or ackn S�ji+ Q�_,l�q>. +yly Commianion ie permanent. (If not, etate expiration
� nre not neceaeary.) H��t�^
; date: ...................._���9.k�I..12----.........., is.86....1
i
_ -- -_�l�i�� 3 6 0 PG 141
_._ _ _.. . _
•N�mee of Denone el¢nin[ �� �ny c�D�eity ehouid be tyOW or nrinted beluw their d
, WARRAN'IY DNP.D 97ATE HAR OF WI9CONSiN Wl�ronain L.RM P6n4 1\.. Inr
PORM No. C-1909 Mil..�euk�r, \ti•. IJ�����d8!'