HomeMy WebLinkAbout026-939-17-5314-LUP-2001-265 ���s� �
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Application for Land L se Permit 3� o Q
County of Sawyer V <
PO Box ��b- 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 I�TAY NOT �
BEGI�i UNTIL THE PERi�IIT IS ISSUED. �
PI2INT — USE BLACK ItiK OR PEtiCIL � �
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Owner Builder � o
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�,�� �`�/��U'��/�i/��' �� ( �=�� � � T f .�� �
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Mailin� Address Mailing Address
��i/ C'l l� i� �S3,S"�>3 /7i� �'� �'� �.S`�� � ;��
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City, State, Zip City, State, Zip �
i"�:�� ���_��,y=J 1`�., ��� 7_�;�- 7/� �' �
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Daytime Phone Daytime Phone ,
Buildin� Land Use G
(!�'i�e«� ( ) Fillin� Zone District �;� � � �
( ) Addition ( ) Dredgin� , �
O Alteration O Grading Lot Size �; I�
( ) i��lovin� On ( ) ' �
O O Acres J� � �
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^
Primary Stnicture Accessory Buildin� Addition �� ��
(���•el,lin� ( ) Garage-attached!detached ( ) Deck � �
(�ar round ( ) � of car stalls ( ) Porch � �I�
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed �''�
O Frame built on site O Screenhotise O Livin� roonl
( ) 1��Iodular/mantifactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/mailufactured ( ) Other ( ) Bedroom ;
O Ottler primary structure O O Relocate/enlarge L
( ) ( ) ( ) tt of ne«�
Type of Constniction �'
(t�'�rame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other � �
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Construction Cost S�}��' ���� �� � �'
�
' 3 � 3�� ��7 � �
Vol�_P�of Deed Certified Soil Test # ��- c,
CSM Vol Pa ` S� - Sanita Pernlit � �
�.— �_�� �- ry �`�/-/.S"G> k,.° z
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Plat Envelope Or: �_ r
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Condo Vol Pg Year Installed ;,j
Aff of ez septic �' P O���ner �Vhen Installed: � �
��,���SS
Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#l. k2. '—�`�� "3. #4.
Size ��G�, _ft.wide �3�v� ft.��ide ft.�vide ft.wide
_���ft.lon� ��'; h.lon� ft.long ft.long
Floor area �'�E sq. ft. y�� sq. ft. sq.ft. sq.ft.
H�.from grade to peak ft.hgt. ft.hgt. ft.hgt.
Stories stories stories stories
#ofbedrooms
�,�,���,y rear lot line or�vaterline of lake/river
7�2.
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
l
Indicate distance to: � ��i
l�'aterline,��Vetlands � �
Road
Lot lines �'
Septic system/privy ��
��'ell �
Distance bet���ecn stnictures. ���
� �'� � �� -
Indicate I�orth. '
3m �
/.S"C7 ` -- `
Fire\umbzr: - � �
4, �;"
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���`"���4/"a-L!`C rG�� �G^G'
Signature of O��ner
Thz abo��e certi6zs that thz listzd .
information and intentions are miz and
correct.The abo��e perso�is/hereby V
eive permission for access to thz
propzrty for onsire inspzction. ------centeClitl2 OC �' ' � CO��-------
Issue Date July 6, 2001 Expire Date Julv 6 2002
O ffi c c Com m en ts. ���'.2�E����''����iy��'��l
Si�natur�oI Lonin�Administr.uor
F{egister'S O�`iice SS
28�832 58Wye����,ry � �, ' �
erved br record this�_day ol
STATE BAft OF WISCONSIN FORM 3—2000 �A D 20 �I 81 (� 0'CIOCk
QUIT CLAIM DEED M and recorded as vW. .
Documau Yumbc acords on pa���Q�A .
,�
ThisDeedmadebctween Donald C. Scidmore
Regi6ter
- — -- �PaUhJ
Grantor,
and Dona C. Scidmore a nterest an anne M.
Scidmore, his wife, a 1 7 interest as survivorship
marital nroFeity and a 1/7 interect aa ten^n a in
common to each: Steven A Scidmore Jodi L * Grantee.
Grantor quit claims to Grantee the following describcd real cstate in
Sawyer County, State of Wisconsin(if more spaco is eeeded,
pleue attach addendum):
*Scidmore, Dawn M. Scidmore, Kev3n C. Drays, and R�,�;�QAna
Cheryl L. Drays,
Nune and Rctum Addrcss
Parcel "B" of Certified Survey Maps as recorded in ,,,� �,; . '� �+
Volume 2 of Certified Survey Maps, pages 285-86, in ���s�der & �1ss..., , J. ..
the Office of the Register of Deeds for Sawyer County
205 East Milwz�kee 5��.:�:
Wisconsin, being a part of and located in that part o �.':iesville, �Ill'isconsin 53��:_
�Government Lot Three (3) , Section Seventeen (17) ,**
Together with all appurtenant rights,tide and interests. 026 939 17 5314
Parcel Ideoufication Number(PM)
**Township Thirty—nine (39} North, Range Nine (9) This is not homesceadproperty.
West, that lies North of State Trunk Highway No. 70. (�s) (isnot}
rt�
Daced chis 20th day of March 2001 � �
EXE
.������'�! . ,;1«�zP '
• � Donald C. Scidmore
, .
AUTAENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Sig�srs:e(s; Donald C. Scidmore ) ss.
County )
au enticated this 20th d f March , 20�1
�•'� �•���. Pcrsonally came before me this day of
— , the above named
. G�t�piy•R. Hunsader
" --< ;��7�. , , ,
,_ .
TiTL�1M��Bf'iPrSTATB BAR OF WISCONSIN ro me known ro be the person _who executed the foregoing
• '.�lf�t��-� instrument and acknowledged the same.
r�authonitd by § ?05.�5, W is. Stats.)
'�.= lNIS MSTRUMEM WAS DRAFTED DY •
Notary Public, State of Wisconsin
GTeQOTy R. Hunsader My Commission is permanent. Qf not, state expiration dace:
Attornev at Law — State Bar No. 1014301 �
($i�aeures may be au[henucamd a acknowltdged.Bolh arc not nxessary.)
•Vamu of parsona signing in any capuity must bc ryped oc printed below their signanue.
QU1T CI.AfM DEm STATE BAR OF WISCONSIN FORM No.7-2000
yOL, '73 � '�� 364
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