HomeMy WebLinkAbout014-842-17-2201-LUP-2001-442 Application for Land Use Permit o 0
County of Sawyer � � �
PO Box 676 -Hayward WI 54843 S�,F Q(=F1C'�..{-.��'�'�+`+��`=-��tT"'
715/634-8288 ri �'�
The undersigned hereby makes application for a Land Use Permit and agrees that all work �� 1
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 PF,RNtIT IS ISSUED. �
PRINT—USE BLACK INK OR PENCIL � �
11/L/l�1�� L' v.�'�,���J !�� /,l��T-k�A��b-�U/L�IS l��ll�S a
Owner (,(J Builder ' �
/_3G�Jr� /� ��NIC'1PJS �,, �/ a,JS�(� 7�Jt/J i.�4KC 12u,�+D �
Mailing Address Mailing Address
/��Gy'�,���� r�J%, S`�6��3 �lA���l�A2b �,�� 5���!_� �
City,State,Zip � City,State,Zip
7/5- �3`�" 39��� 7/5- �/�?_ -�3�� �
Daytime Phone Daytir11e Phone '
V3u't�-f-E Z�c��(L
Building Land Use �
�New ( )Filling Zone District ��� �
( )Addition ( )Dred;ing r
O Alteration O Grading Lot Size o �
( )Movin�On ( ) /� �
( ) ( ) Acres �-�C/ Sg�c�tra2c. �
u �
Primary Structure Accessory Building Addition °
( )Dwellin� ( )Garage-attached/detached ( )Deck o
( j Year round O#of caz stalls O Porch �
( )Seasonal (Y�Stora�e Building ( )Enclosed L
( )Frame built on site ( )Screenhouse ( )Living room � I'
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlarge R� �
( ) ( ) ( )#ofnew a �
Type of Construction "
( )Frame ( )Log SjQ Pole/metal ( )Block ( )Concrete `�
�
( )Other � —!
/)�) � � I
Construction Cost$ �(� ('�U(/ � _ �
'/ �
Vol�Pg 3�0� of Deed Certified Soil Test#��.��
CSM Vol Pg Sanitary Permit# QR—Oa I z
Pla[Envelope ��� �
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Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: � ,.'/
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Application for Land Use Pernut — Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size�_ ft. wide ft. wide ft. wide ft. wide
6 3 ft. long ft. long ft. long ft. long
Floor area 8, a.�� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.frnm gcade �� � to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# ofbedrooms N � Kl
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all •
existing and proposed structures. 5"»D �'S rz'��D �
Location of septic system. �
c' t !p�
Indicate distance to: Cr
Waterline/Wetlands ^�5�� f�
Road G�V�"�j`� ' 0 �
Lot lines
Septic system/privy � � '�'c`,� �
Well �T—' � �"2'S �0 60 r �I
Distance between structures. 3S , °'}`3.,
Indicate North. �'��S' '"'6 0
�}omc �`
Fire Number: y�
l3t�s � � ' �
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Sign ture of Owner
The above certifies that thz listed
information and intentions are hue and
coaect The above person/s/hereby
give permission for access to the
properry for onsite inspeccion. ------- centerline of road-------
-�I�a�b� 13u«�� �RN',�Gri F ll.S�-?� 2 CiJ1'I'1/�7HIG9�- U �S �ec
IssueDate September 10, 2001 ExpireDate September 10, 2002
Office Comments: ��✓-/�/��—.��i������i����l�
Signature of Zoning Administrator
TOWN O � � E N R �O
� -8- SEC . I � T WP 42 N , R . 8 W.
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Document No.: Recording Data: -
:�;•� WARRANTY DEED Register'S Othce�
F+J il��,3 ss
Sawyer Counry ��
flec Ived lor mcord��__�-�Lp�_,day�o�
p p tg at.L�=yo(�Clock
Pd antl recaAed a;vd.,.2.6t_/.__
Of�ord� FB9?�6
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Uepury
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Return to: Century 21
Northern States Realty
P.O. Box 1229
Hayward, WI 54843
JAMES D. SIMPSON, a single adult man, Grantor, conveys and warrants to RICHARD L. ACE and
ANN M. ACE, husband and wife as survivorship marital property, Grantee, the following
described real estate in Sawyer County, State of Wisconsin:
Tax Parcel No.: 014-842-172201
The Northwest Quarter of the Northwest Quarter (NW'/, NW'/,), Section Seventeen (17), Township
Forty-two (42) North, Range Eight (8) West.
This is not homestead property.
Exception to warranties: Subject to easements, restrictions and reservations of
record.
Dated this � day of 4y , 1q96.
(seal)
J IMPSON
(��Z.W I�X l C.U
�,��R STATE OF 4�6N�F�7
��7�hi�5<�o ss.
� � SAWYER COUNTY
Q- � Personally came before me this � Z day
�V C�� � of }- 1996, the above named `,'"' '��`JY
� James Simoson r'
��.
to me known to be the persons who executed n: ��%) e•�'�� ':
the foregoing instrument and acknowledge tne.�; (,,*, ��,..�";���:
same. L t '%�(.' . .
r _
�s' i�
Notary Pub c County,i�}re. '�Pl�cj
My Commission expires: - U- �- . �
THIS INSTRUMENT WAS DRAFTED BY: `��5 g 4 �,3 6 1
Lein Law Offices r V
Post Office Box 761
Hayward, WI 54843
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