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HomeMy WebLinkAbout026-939-27-5505-LUP-2001-161 - �ob �a , 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 p _ shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance and the ]aws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � ' BEGIN UNTIL THE PER1�fIT IS ISSUED. � PRINT—USE BLACK INK OR PENCIL c��, T � i� G � G1ADAf� G1�l1NF[,rlAl.� G�.JE�ts�� Co�sl ucToN o Owner Builder ;� � � f?0�3o� �3�3q� �o3o7i� Hflin��l�v � ; � Mailing Address Mailing Address � �+ �R v u/R�i.l� Gt�i .S�`�1�j l-I A v WA fZ� U1�: ,���f 3 � � City, tate,Zip � City,Sta ,Zi� � 7/5 -63y- .�9J`/ �is- 63��/P6S �- Daytime Phone Daytime Phone � Building Land Use a ()()New ( )Filling Zone District R 2�-) � � ( )Addition ( )Dredging � .� O Alteration O Grading Lot Size �Q( X (,3� J(,�J a o � ( )Moving On ( ) ' � ( ) ( ) Acres .3, j3 � � � Primary Structure Accessory Building Addition ° �Dwelling (X)Garage-�wd/detached ( )Deck � o (xi Year round (a)#of car stalls O Porch � � ( j Seasonal ( )Storage Building ( )Enclosed ' � ( I Frame built on site O Screenhouse O Living room � ( j Modular/manufactured O Greenhouse O Kitchen � IZ ( 1 Mobile/manufactured O Other O Bedroom c,�, ��, ( )Other primary structure ( ) ( )Relocate/enlarge � > ( 1 ( ) ( )#ofnew N � Type of Construction 0 > (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � � ( )Other '� I9� � { � � � I Construction Cost$ /O,� �00. O O � Vol_���Pg��ofDeed Certified Soil Test# G�^�J,J� U J� q l� CSM Vol _ �'_ Pg� Sanitary Permit# O/—O(� (,� r Plat Envelope Or. x' Condo Vol Pg Year Installed `� Aff of ex septic V P Owner When Installed: � C� �j3�;� a����, :; Application for Land Use Permit—Page 2 Describe Construction:List dimensions of each st cture,story,addition,or alteration. #1. 1��c Ll.iiv/ #2. F/t/i/ZV /��lJw���-tiiv/#3.Gt7i�rly� #4. Size�_R.wide i� �ft.wide p ft.wide ft.wide �6 ft.long /� ft.long �? ft.long ft.long Floor area/5�sq.ft. ,�C sq.ft. ,Sf Yb sq.ft. sq.ft. Hgt.from gade��to pealc_ _ft.hgt. �_ft.hgt. ft.hgt. S[ories� �_stories �stories stories #of bedrooms�_ reaz lot line or wHt�r§�f lake/river In the box sketch in: Location and size of all existin�and proposed structures. Location of septic system. Indicate distance to: Waterline/Wetlands Road Lot lines Septic system/privy Well � Distance between structures. - <> �„ Indicate North. � „ T . v � n .-, ��,.: Fire Number. � �!`�� � J` ,� ' '\ '' '/ ' � ��--.�";.R� ''S� _. . ,��{ 6^, ., `�1. ...f..i�,� -� �; [l�:i .�.LJ//l.fil�C�/a.V.�(l ��E? l ;♦ S�gnature of Owner � '� I E� The above certifies tha[the listed Q��� � information and intentions are hue and � correcL The above person/s/hereby . _ . give permission for access to the property for onsite inspection. - Cellteilirie OP v ------ ALLCN,I�R.[ E road------- IssueDate M�Y 24, 2001 ExpireDate M�Y 24, 2002 Office Comments: ����[�f�//��%��� � Signature of Zoning Administrator 29Q�15 STATE BAR OP WISWNSIN PORM 1-1998 Regieler's Otttce � ;S ��a,���� �� Dceument Number WAjtjtAjvTY D$ED ✓✓F��a,,��ca''ive0 br recor0lnis �� tlay d �A�20�_e ` o'dak M entl recortletl as vol pt�xadsmpage 4��9 This Deed, made between FAS PROPERTIES, INC., a Wisconsin y}��„��, � � , M.�� corpora[ion, Granror, atld RAY G. GRl1NEWALD and GLADAH L. aegister GR[7NEWALD, husband and wife as survivorship mari[al property, ._�___._�� Grantee. ^^vuN Grantor, for a valuable consideration comeys to Grantee Ne following described real atate in SAWYER County, State of Wiswnsin: RaoNi A¢� m Name ud kcmm AEdrcss �SCfI Pd�/ 026939-215505 Pamcl ldcmificatlon Numbav(PIN) This ie na Iwmcslcad properry. is�w� J That purt of Govemment Lot Five (5), SecNon Twenty-seven (2'n, Township Tttirty-nine(39) North, Rauge Nine (9) Wect,described as I.at One(1)as recorded in Volume Nour(4)of CeRilied Survey Maps, pages 147-148,Survey No.7C6. 1RpNSFER 0 S �.�-E Together with all appurrenant rights,[itic a¢d inlerests. Grantor warzants Ihat the title to the Property is good, indefeasible in fee simple and free and clear of encumbrarses excep[ell easemenu, exceptioas and reservetfons of rccord. Da�ed�his 7 day of�,20111. . �i��.... l:-� 7�LLy.cNz �✓/� BY: AUTEIENTICAT[ON ACKNOWLEDCMRNT Signawre(s) STA1'E OF K/y ) �WV✓��1' COUNTY ) p/ aWhen[icatedNis dayof , Persomlly came before me this �7 day of 2001/� � th'e_/ above �umed C /./� /�. ll E/r/5/+�� m me krrown ta be Ihe person(s) wha aec teA the foregoing insWmen[ and acknowledge iAe sam TITLE:MEMBER STA7E BAR OF WISCONSIN ,yn «f��. ✓� �Yu c G auNorized Ay§706.06,W is.Sw6.) • r�'`^ � TIIIS MSTROMGNT WAS DRAFTED BY Notery Public,$WW of �.� F- ' Attorney Thomas J.Duffy My Cnmmissio� ie perman t ( t � r2(iyn �ate: Hayward,Wl ��y7 �) ?'1 r�� �C ��N`. (Sigiuwrcs may Uc auJ¢wicamd or acknowlWgcd. BmM1 arc w� `t���� , ��4��t.� svry.) �y 4ti� 'Namesofperm si¢niryinanY�oNeiry�uiEOerypedarprinNlxlowAeieei¢m n ' ��� . 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