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HomeMy WebLinkAbout014-942-35-3212-LUP-2001-289 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 agees that all work 5 " 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. PRINT—USE BLACK INK OR PENCIL � �� I�ar-��� �al( 7om �'r�t�,�I�u o � Owner , Builder ' o 15��� �l� P�ei�Sl�� R� �v ���3 ����ti �2� � � M iling Address ,I�,�f Mailing Address ' r 1 5'?�`t� jpr-i nc� br�k (�I ��k7� n �- ,: City,S ate,Zip City,State,' ip ` � � ���' G��— �'�'��- �l5— -7��0— �O� ��..nf, D Daytime Phone Daytime Phone �; 3 Building Land Use /� � �1 New O Filling Zone District �K�� � ( )Addition ( )Dredging � ( )Alteration ( )Grading Lot Size — � � ( )Moving On ( ) ? ( ) ( ) Acres �•`7 OO � � n Primary Structure Accessory Building Addition o ° O Dwelling �Gara�e-attache detached O Deck t o O Yeaz round (�#of car stalls O Porch ' O Seasonal O Storage Building O Enclosed s O Frame built on site O Screenhouse O Living room � ( )Modular/manufactured ( )Greenhouse ( )Kitchen '� W �Z ( j I�lobile%manutacrured � j Utner O Bedroom � `�I j� O Other primary structure O O Relocate/enlarge U, W a ( ) ( ) ( )#of new �� � � 's �% � Type of Construction > (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �� � ( )Other ;�'�° W �� � Construcrion Cost$ �J��C�. �� � � Vol 11� Pg �70 of Deed Certified Soil Test# 94-`!3 3 �— � � 6 � • � CSM Vol g Pg 11S '� ���'� SanitaryPermit# 9N'37S � z G, R�' 7y Plat Envelope � Or. �jy�S�/ � Condo Vol — Pg — Year Installed I°�`1N � Aff of ex septic V — P —' Owner When Installed: � � 1�ber,r �la�lY"� I s�`��1 Application for Land Use Permit— Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteratioo. #1. � #2. #3. #4. Size ft. wide ft, wide ft. wide ft. wide a� ft. long ft. long ft. long ft. long Floor area '7� sq. ft. sq. ft. sq. R. sq. ft. , : Hgt.from gade�to pealc ft. hgt. ft. hgt. ft. hgt. Stories � stories stories stories # of bedrooms� reaz lot line or waterline of lake/river In the box sketch in: Location and size of all existing and proposed structures. Location of septic system. Indicate distance to: Waterline/Wetlands Road Lot lines '�}.` See �i�s�ec-�tor re.Pnct Septic system/privy �� (r,I19I01 Well —vt�r�ay.c2 �ca.�. Distance beriveen structures. Indicate North. Fire Number: �F 15SIS V�/ I�ei s�,c.e �� • -�' � ��� .� Signature of Owner The above ceRi&es that the listed information and intentions are true and coaect The above person/s/hereby give permission for access to the property for onsite inspection. ------- CenteCllne Of ioad------- IssueDate July 12 , 2001 ExpireDate July 12 , 2002 Office Comments: � � v � � o I _ O " Signature of Z ing Administrator 11'1'. 286'732 $7p�BAIi OF W15CONSIN FOAM�-IY98 qeqister s Onite �SS oo�.�menc x�mnec WARRANTY DEED ��ee�o�ncom m�s �8 oar oi �a o zo oo a��—o aock a�e,eco,eea as�o�i7 This Decd,made between GERAI,D W.BERNARD end MADELEINE K. r<�mve9e /7D BEIWARD,his wife,Grantor,and MARTQ�RICHARD GALL,an adult � ^'�' ��"��� ' � Reyisler man,Grantee. Grantor, for a valuable ronsideration conveys to Granree thc fotlowing .,;,�N described real estate in Sewycr Counry,State ot Wisconsin: � � R¢ord'i Area Name and Aewm AdEreaa SC,�738y 014942-35 3212�1j�903-7�..�34i414 992-3i i415 Parccl Wentifica�on Num�er(PIN) ILis k nIX homesvaG property. {k}(Is rot) Part oP the F.asl Ha1P of the Southeast Querter(E'hSE'J.),Satlon Thirty-four(34)and the West Flalf uP tfie Soulhwesl Quarier(W hSWY.);SecUon'[7iirly-five(35�,Towns6lp Foriy-two(42)NoAh,Range Nine(9)Wesl, descdbed ns Lot 7\vo(2)as recorded in Volnme Eight(8)of Cerllfied Survey Maps,paga 115116,Survey No. 1634. TRANSfER S SD.ao Together with alI appurtenant righcs,litle and interesis. FFE Grantor wartants that the titk to[he Properry is good, iudefeazible in ke simple and free and clear of encumbrances except all easemenis,�ceptioos and reservations of record. Dated ihis�day of � �� �'— �.,t� �t�.1 �-�u�� • 'CERALD W.BEIUYARD • 'MADELEINE K.BERNARD pUTI�N'LICATION - ACKNOWI.EDGMEhT Sig�talure(s) STATEOF �i�11 l ) ) LLti�i=��.F COUNTY� i�;�{-1�Y of authenticaled this_day of _ � Perso`ully came be�ore e Ihis y�_ � �'�NT�.�I��e��.,��j�e above named io me known io be the perton(s)who exetu�ed Ne(oregoing inSWmen[avd aclenowledge me�m�. TITLF:MEhIBER S'fATE BAR OP N75CONSIN ,�q,�� auf not. ' "Z.K.-l.(.« �CL� .i �horittdby3706.06.Wis.StatsJ -. No ry Public,Sua of �'�1�1 THIS MSTRUMEM WAS DRAFfED BY M Cammrss�on u pertw�enL Qf mt,state expia[ion date: Attaney 1'homas J.Dut7y .�i��t.,. "?�I _.;�`) Fisyward,WI (Sigmwres may be autliewcercd or ackuowleegetl. Bom are not .�ANNELL A_MOHN ssaryJ � N07N2Y W&IC�4111EBpA �Nam�f otperm�u viBnint in+nY��O�ciry ilwul4 bc rypW or P���IowYxi�siHNNrt� E%PIflE9 JAN.�1.1(106 �y�pµ,N�y pp� B�0.OI wLCCar6uV VOL"c'I 7 PG 17'o .��,�..,,�. 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