HomeMy WebLinkAbout014-842-09-2404-LUP-2001-434 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 NIAY NOT �
BEGIN UNTIL THE PERMIT IS ISSUED.
PRINT—USE BLACK itiK OR PENCIL co�', �
a
�A�,1 �, I�u��.�>��SK� P���.�. � ►c�,_�,��,K� ` �
Owner Builder �' �
13R 13 #J °rnw�, R n. `°
Mailing Address � Mailing Address
���ti w�-2� (�l, �y `l3 �-
City, tate,Zip City,State,Zip
G)L!- '�991
Daytime Phone Daytime Phone
Building Land Use ��a ��� "�
O New O Filling Zone District RR�� F`�
(�Addition ( )Dredging ,
( )Alteration �Grading Lot Size o
( )Movin�On ( ) �
( ) ( ) Acres �� �
s �
Primary Structure Accessory Building Addition (� ^
� �Dwelling O Gazage-attached/detached Q�'Deck � o
r 1 year round O#of car stalls (y�Porch
( �Seasonal Q�Stora�e Buildin� O Enclosed � �
� ')Frame built on site O Screenhouse O Living room .� �n
O Modular/manufactured O Greenhouse O Kitchen N Iv
O Mobile/manufactured O Other O Bedroom p Irn
( )Other primary structure ( ) ( )Relocate/enlarge 9 =
O O O#ofnew N �
�
Type of Construction C =
(�Frame O Log `�Pole/metal O Block Q�Concrete {' �
( )Other � �
=
Construction Cost$ � �T�g�i, D� � �
Vol (D�' 7 Pg� of Deed CeRified Soil Test# � �
CSM Vol �— �g J Sanitary Permit# Iz
Plat Envelope " J Or: I�'
Condo Vol Pg � Year Installed �1uef �o��l��i �
Aff of ex septic V P Owner When Installed: � � 6�
QI �
��.�.�. ��i1L2�i;�{"� 1(v5�S
Application for Land Use Pemut — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size ft. wide �t� �1�ft. wide t0 F�ft. wide l�.�rR. wide
ft. long 1 (�I�i�� long a�{ F1�ft. long �Frft. long
Floor area sq. ft. �g U sq. ft. �_sq. ft. �� sq. ft.
Hgt. from gade to peak�� ft. hgt. �� ft. hgt. � �r ft. hgt.
Stories �stories _��stories .� stories
# ofbedrooms �� �0(���1' STORl�(rE- �j��
reaz lot line or waterline of r1,�/y�yvi��,i.;p„ny lake/river `
In the box sketch in:
Location and size of all
existing and proposed structures. i�pG-Y
Location of septic system. � �
Indicate distance to:
Waterline/Wetlands b�,�J �r � (�00 � W �
Road � a
�
Lot lines � � F.
Septic system/privy � � 1¢�-� -
Well , y
Distance beriveen structures. � ��? � � j
,� � � �r
Indicate North r�/� ���y, � ,, 4°��"
� � �
Fire Number: �%����� ,������ . ����' � � � ��D
I '� �? 3 N o�� K � � ,
� ,- � -� �`
(� l-O t x � "' � � i 8 F�RM,
/(.G.�\L �'�l.�e�.�+.� 5�p�i�: � 2ou.D
Signatu— re O er ' �� � � FoR(m
The above certifies that the listed 'Z� I� � 1 I ZoAp
information and intentions are true and � �J,= �' ��-
correct. The above person/s�hereby � , �G �
give permission for access to the � I
property for onsite inspection. ------- centerline of 'Jr 0 U road--�--- �p�
.�,r. �
Issue Date SP� mb r 4 7001 Expire Date Se,� her 4 2007
Office Comments: L/��.�G���r1��/���.i�acU?�
Si�nature of Zonin� Administrator
2 '7 9 814 STATE BAR OF WISCONSIN PORM 1 - 1998
Pegister's Olfice l SS
Document Number �'ARRANTY DEED Sawyer Coumy 1
Received for record ihis / day of
�- T A D 19 at�O o'cloCk
This Deed, made be[ween M[CILIEL L. KOCHALKA, an adult man, M and recorded voL .To�
Grantor, and PAiJI,J, KUCZENSHI, an adul[man, Grantee. ��o� o�page Sl�
�—= m�,z..
Granror, for a valuable considera[ion conveys [o Grantee the following � Register
describeA rea( esta[e in Sawyer County, State of Wisconsin:
DeDuty
Recordin Area
Name and ReNm Address
PNB
�D�x�il
1-}�,ju.�ra wl �+3
o�¢�Z���
Parcel Idenfifiwtlon Number(PIN)
7'his is nat
twmestead property.
(is noQ
The South Half of the North Half oF the Southeast Quarter of the Northwest Quarter (S'hNYzSE'/.NW�/�), Section
Nine (9), Township Forty-two(42)North, Range Eight (8) West.
TRAtJ9fETt
.� �G, oa ,
Together with al] appurtenant rights, tide and interests. �E
Grantor wazrants that the tiUe [o the Property is good, indefeasible in fee simple and free and cleaz of
encumbrances ezcep[all eas��t, exc�ops�a�n�reservations oP record.
Dated this�day of �C (�.
. �
' (����,�eX ��ti-
' ICHAEL .KOCHALKA
AUTHENTICATION ACKNOWLEDGniENT
Signamre(s) STATE OF WISCONSIN )
SAWYER COUNTY ) )
authenticated lhis_day of Personally came before me Ihis 2 �j day of se(��.
�9� Ihe above named Michael L. Kochalka to me known to be
the person(s) who executecl the foregoing instrumen[ and
, acknowledge the same.
TITLE:MEMBER STATE BAR OF WISCONSIN '�"'�^���-`��
(If not,
r
authorized by§706.06, Wis. Stats.)
Notary Pubtic,Sta[e of Wisconsin
TH[S IN5IRUMENT WAS DRAFfED BY My Commission is permanent. (If rwt, sta[e expira[ion date:
Attorney Thomas J. Duffy by: ��,a� _ ���
Suzanne M. Bartz, Hayward, WI
(SignaNms may be authenticated or aclmowledged. Both are m[
nettssary.) �
•Names of persons signi�in my cap�ciry shoWe be typed or priarA below their siewwrp .
W ARIL1NfY OEED STATE BAR OF WISCONSL� �
� V V • � Ly O FORM Nn.1-1998 ...: . -...�' ,:
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