HomeMy WebLinkAbout026-938-17-5104-LUP-2001-015 Application for Land Use Permit �—
County of Sa`vyer ° °
� �
PO Box 668 - Hayward WI 54843 v
- 715/634-8288 �
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work �.
shall be done in compliance «-ith the requirements of the Sa�vyer County Zoning Ordinance `— �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION I�IAY NOT �- �
BEGIi�i UNTIL THE PER�tiIIT IS ISSUED. s� �
PRINT- USE BLACK I�i K OR PENCIL � -`
f�r��r� �r�.i f.�e;v,:� _ �
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lit/e �� � � u��.��l��- �:
O�vner Builder � ° o
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1 3 ����- � e /��%l/S st N�7 � r A��✓�'sio�il � ij`,
Ma�Address Mailing Address
� f�.���►� � ��c�, s� �� 9 S 7�>���� l-a k� �!z 5'�-�76' �
City, State, Zip City, State, Zip �
hoM� �,✓aR k C.,
7%1 1s��- IhS"� r��-7s��� � s i� 7rs` �16�-� 7 `
Daytime Phone ��t G 1l% Daytime Phone
Buildin� Land Use ,
( ) Ne«� ( ) Filling Zone District �,R,`� �
(j(� Addition ( ) Dredging >>1
( ) Alteration ( ) Grading Lot Size
( ) �Io��ing On ( ) � �`
� �„
� ) ( ) Acres , 7y _
; �
Primary Structure Accessory Building Addition �T =�
( ) D���ellin� ( ) Gara�e-attached,'detached ( ) Deck �
( ) �'ear round ( ) � of car stalls Porcll s e � ` � ��
( ) Seasonal � LR e�f � �
( ) Stora�e Buildin� ( ) Enclosed i�-
O Frame built on site O Screenhouse O Living room � �
( ) I�lodular'manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge {v � ��:-
� ) ( ) ( ) m of ne«' � �
Type of Construction �-
(yQ Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
r,
( ) Other
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Construction Cost S S, �G�; � -
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Vol �9/ Pg /_�of Deed Certified Soil Test n /�� - /'�a G_ ',j`' �.'
CSM Vol �� Pg /�y Sanitary Permit# >(c - � � 'i' �
Plat Envelope Or: �; - '`�F � ^'
Coildo Vol Pg Year Installed i
Aff�of ex septic `' P O���ner �Vllen Installed: � ��19�`
a-���� 3
Application for Land Use Permit — Page 2
, Describe Construction: List dimensions oFeach structure, story, addition, or alteration.
# 1 . #2. #3. #4.
Size f .Z � ft. wide ft. wide ft. wide
, ft. wide
� ft. long ft. lon� ft. long
ft. long
Floor area 7.� sq. ft. sq. ft. sq. ft. S �}
q•
Hgt. from g-ade 1 �� to peak ft. hgt. ft. h�t. ft. hgt.
Stories �_ stories stories
stories
# of bedrooms �_
,
rear lot line or ���aterline of ��.5� 5��,, ;; ��: F� ,vi �t lake/river
In the box sketch in: �-� �
; — -- -------------
ocation and size of all � �-v^.;-; , ` �
existing and proposed stnictures. ��
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Location of septic system. �
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v�,
Indicate distance to: -�.
��'aterline,i�t�'etlands ,,
Road �, '
`i
Lot lines
Septic systein/privy � „� ������,�,, ., ,�' �,�aNT t�� l
��'ell `, �\ I L � /�" ,
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Distance bet���een structures. � � ,��� � =' � " ,-`�- =r rz ,�;�= �
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E/ � Yvins('� � `���
Indicate �'ortll.
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Fire V`umber: '-�,ti�.:� _., �: � ��"� _` — —� � +�� 5-% �
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Signature of O�r�ner � `� j j
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Tlle abo� e certifies that the listed I 1
i�lformatiocl and intentions are true and �� + �
correct. The abo�•e person�s! hereby � � _ �- � �, i '
I_• . -�--- __ _ _-! .,,;
�i��e permission for access to the —
properry for onsice inspection. ------- centerline of " � j'• , ��� 7� � jt.'f road-------
/�I �� i � . � ,.
Issue Date February 7 , 2001 Expire Date February 7 , 2002
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Officc COI11I11C',IIIS: � /
SI`I1�1(UI"�' Ot Zplllll`, f�C�I111111S1C�1(OC
Aaeisia;s orc��a } ss
2�0 7 6 5 PERSONAL 'a`"Ya'C0°"'Y
Rxcerv�ep torrocwtlinis �� deyd
DocumenWumbe� REPRESENTATIVE'S DEED /(/pU no,9 0� a�w�k
�_M a�a reoortleE as�oi
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DAVID M.WEBB, as Personal Representative of the estate of RICHARD r — aegis�er
EDWARD WEBB("DecedenC'),for a valuable consideration conveyswithoul
warrantytoDAVIDM.WEBBandARLENEA.WEBB,hus6andandwife,as � �epury
joint tenants,not resitlents of the State of Wisconsin,G rantee,ihe following
described real estate in Sawyer Counry, State ot Wsconsin(hereinafter
called the'Property"):
Recortlin Area
Name antl ReWm AtlOress
Michael A.Keisey,Attomey at Law ��`
PO Box 718
HaywdrE,W154943
02&938�17 5104
(PdICBI Itlentlfwlion Number)
Part of Government Lots One(1)and Seven(7),Section Seventeen(17),Township Thirty-eight(38)North, Range
Nine(9)West,Sawyer County,Wsconsin,described as Lot One(t)on Volume Four(4)of Certified Survey Maps,
pages 124-125,as Survey Number 734.
Also conveyed in this deed is an easement for purposes of ingress and egress across Govemmenl Lot Seven(7),
Govemment Lot Three(3)and the Southeast Quarte�of ihe Northwest QuaAer(SE'/.NWY.)of said Secfion 17 on
roads as presently laitl out and constructed from the property as described above. .
This conveyance is exempt 6om fhe Wswnsin Real Estate Trans(er ReNrn.
This conveyance is exempt from the fee under Sec.77.25(11).
Send tax bill lo: Davitl M.and Arlene A.Webb We6b
13239 Jenkins SUeet NE
Blaine, MN 55449
Personal Representative by this tleetl does convey to Grantee all of the eslate and interest in the Property
which the Decedent had immediately prior fo DecedenPs death,and all of the estate and interest in the Property which
the Personal Representative has since acquired.
Dated this Z z-day of October, 1999.
�.,���. � ��
• 'DAVID M.WEB Personal Represen�alive
AUTMENTICATION ACKNOWLEDGMENT
l \ I l
SlgnaWre(s) f L�J�-O �✓ � C.�� STATEOFWISCONSIN
SAWYER COUNTv
Personally came before me this day ot OIXober,1999,
the above named David M. Webb, as Personal
aWhentiwte � ��y of , I5��7 . RepreseNative of the Estate of Richard Edward Webb,to
me known�o be the person(s)who execu�ed the foregoing
� �' � ' --� instrument and acknowletlge the same.
signaWre I�/ �� � ��
/I
type or p int name signaWre
lype or print name
TITLE�.MEMBER STATE BAR OF WISCONSJ
(If not I Notary Publiq Sawyer County,Wiswnsin
authonzed by§706.06,Wis.Stats,) My commission is permanenL Qf not,state expiration date:
_)
THIS INSTRUMENT WAS�RAFTEO BY •Names o!persons signing in any capaciry shoula De lypea or
MICHAELA. KELSEY prin�etlbelowtheirsgnatures.
State Bar No.01013300
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