HomeMy WebLinkAbout026-938-02-3303-LUP-2001-106 %�'
Application for Land Use Permit r y
County of Sawyer ^ � L�"
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. 1
PRINT—USE BLACK INK OR PENCIL G
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�i"�k � )�'��t�,:� � ; f�y���, r:�_ �,!-�11 I t° - c -�, /�
o �Owner Builder ° o
Maihng Address r ' Mailing Address � O
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City,State,Zip �City,State,Zip � �
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Daytime Phone Daytime Phone
Building Land Use
(},�'New ( )Filling Zone District � � ��
()Addition ( )Dredging
( )Alteration ( )Grading Lot Size � � �
( )Moving On ( ) �
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( ) ( ) Acres �
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Primary Structure Accessory Building Addition C� ^
( )Dwelling ( )Garage-attached/detached ( )Deck � �
( )Year round ( )#of car stalls ( )Porch ;
( )Seasonal ,(�j"Storage Building ( )Enclosed �
O Frame built on site jO Screenhouse O Living room "''
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( )Modular/manufactured ' ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom c� �-r
( )Other primary structure ( )� ( )Relocate/enlarge ' �
( ) ( ) ( )#of new ��''
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Type of Construcrion �� a
(�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other b
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Construction Cost$ �
Vol �jI% Pg�_of Deed Certified Soil Test# ��
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CSM Vol Pg Sanitary Permit# ^ z
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Plat Envelope Or. �
Condo Vol Pg Year Installed P'n a m � J(�>�?
Aff of ex septic V P Owner When Installed: �
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��75'�l �
Application for Land Use Permit — 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
! ;,:_ ft. long ft. long ft. long ft. long
Floor area /�j<:-� sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade C= to peak ft. hgt. ft. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms "
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all � ; - f
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Weflands
Road
Lot lines
Septic system/privy
Well
Distance between structures.
Indicate North.
Fire Number:
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Signature of Owner
The above ceRifies that the listed
information and intentions are true and
coaecc The above person/s/hereby
give permission foi access to the
property for onsice inspection. ------- centerline of road-------
IssueDate May 7, 2001 ExpireDate A'Iay 7, 2002
Office Comments: �i����*�(�'//"l�%���
Signature of Zoning Administrator
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285320 STATE dAH OF WISCONSIN fORM 1 - I998
� WARRANTY DLGD Rey'si°`s°°"' � '�
Sawyer County � ��' .
oocw�mi Hunoor Fieceivetl 1or reccrd mis tlay ol -
�A 0 20�af �� o'tlock
'.� ��M�ntl raco�CaC as voi
�� ThISDeed, madeLclwccn ROb1R R. FddIlESS� ake _ _ ,��o eonpe0o�
_Robin Fadness ,_ __ �7 ���� �A Reryster
, Cronior, —_` ��
;' and James R. Pollak and Lori M. Pollak.
husband and wife as survivorshio marital
, oropertv _ _
�. , Cranlee. �
' Grantor. for a valuable mnslJeration. mnveys Io Grantee the lollowing .
����. desctlbed real esWte ln SaWY2L' ,__County.Statc of Wlswnsin
�. (the"Property'): � HecpJnyNea
lM1ama vW Ha�urn Atltlreu
The Southwest 4uarter of the Southwest Quarter
of the Southwest Quaztei, in Section Two, �( X � PK RCRLT��
Township Thirty-eight North, Range Nine West �C �o � �
�� vTo� t'c..;IcE !r> � 5� Y7k
$Cry �Ib�l
.. 026-936-02-3302
Paul laen�ileaiim Nvnbx(PIN�
� This_ 15 IIOt homesteatl propeny. �.
�If� �IS 001) �
TRANSFER
S 300°
i FEE
Together wlth all appurtenant dgh¢, tltle and Interesb.
�� Granlor warran¢thal the tl[le to the Property Is goW. Indefeaslble In(ee slmple and Gee and clear of encumbrances except
�� zoning ordinances, easements and restrictions of record. �
I; Dated mis I!TH day of �( ti L�f , 2000 ,
� _ (SEAL) I�l�'� I� �. �L�-�'T�.X�
(SEAL)
, Robin K. Fadness
, (SFAL) _.__ _T� (SFAL)
, AUTHENTICATION ACRNOWLEUGMENT. . �
I' $IgwWre(s) -
�� Sta[e of Wlsconsin,
i ��� ss.
���� �R31-1'aILQ�N Caunry.
�.'� authenticated th6 day of , _ Persowlly ca�ne before me thls I ( T H da of
Y
� � LlC. 4 , 2000 , iheabovenarned
� Robin K. Fadness
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'! TITLE�MEMBER STATE BAR OF WISCONSM io
� ���^°�• me known to be the person _who ezecu[ed the foregoing
' authorized by§706.06.Wls.Sra�s) Irutrumcnt and acknowle�ige Ne sa p
'�. THIS INSTRUMENT WAS DFAFTED BY �A.L�O O (,.� �.�.L�tyV..
�� Kathryn zumSrunnen, Attorney at Law , rnA �LGN7E A• �/�2, ITOLy1
� SpOOnei, Wisconsin NoUryPubIi0. 5�ahofWuconsln
�'�, My ommisslon Is permanenL Qf no4 state expirallon date;
(SlgwWres may be authenqcehd or acknowledged. Bo�h are nof � 1'� 7� o0 1 �
...I necessary) / 7 qi �y
�� •Nun..crpemn.ig„Inein.nr�.w�ur mus e.ryped u nnnim 4�ew�l-e�r:ie�ur�,.. �� � 1 � ■ �' 2 • ',
' WARflNNTY 066� STQE BAF OF WISCONSIN w,scmw L 0anx Cp.,lrc.
FOPM1I No. I - 1908 °����w m
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SGALE: I INCH=4OO FE
DRAWN 8Y: RH
COLON (:) INDIGATES G
TO WN OF SAIV
SOUTH PART SEC. 2 TV�
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