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HomeMy WebLinkAbout026-164-00-0600-LUP-2001-379 ,�a5 �"— � Application for Land Use Permit o 0 County of Sawyer � � PO Box 676 -Hayward WI 54843 "�� 715/634-8288 ` a� 2 The undersigned hereby makes application for a Land Use Permit and agrees that all work A � �� shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance J � and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT � BEGIN UNTIL THE PERMIT IS ISSUED. r t�.�rt�i 0. cr.nd PRINT—USE BLACK INK OR PENCIL � �'"� � J�/��t �o/�-�/z-rG� j'Y�1�/2-G2 �O'/t-2 r�S'Q� a Owner Builder ' o � �',�/Z i.l j�,i.n- /J�t tl�.tZ �{��t-t�� � � � Mailing Address Mailing Address � �S'`ra.�:l,�c c�,rZ (,v�- S�III � S�y,n.l� � City,State,Zip City,State,Zip - � G;3'f-2?2 3 c;�« `f p/ -G i C l �'L9-�„�- i'� -� Daytime Phone Daytime Phone - ro Bui ng Land Use N� New ( )Filling Zone District ��`� '" ( )Addition ( )Dredging � � ( )'Alteration ( )Grading Lot Size �S�� � .S �-� � 0 ( )Movin�On ( ) r� 3 ( ) � ( ) Acres � � / �; C� Prim�ry Structure Accessory Building Addition � °e (v�D lling (�ara�e-attache etached' O Deck �;,, o (�ar round (�#of car stalls ( )Porch 'br ( )Seasonal ( )Storage Building ( )Enclosed �, (�ame built on site ( )Screenhouse ( )Living room � � ( )Modular/manufactured ( )Greenhouse ( )Kitchen , ( )Mobile/manufactured ( )Other ( )Bedroom ^ �� ( )Other primary structure ( ) ( )Relocate/enlarge = ( ) ( ) ( )#ofnew FO � � Type of Construction Q� � (�Frame ( )Lo� ( )Pole/metal ( )Block ( )Concrete � ( )Other � � � Construction Cost$ ��v �� � � � VoI�Z Pg /�S of Deed Certified Soil Test# �/—c?o� � ,� � CSM Vol Pg Sanitary Permit# ('�/ —c�y � z Plat Envelope Or: 12 �' Condo Vol Pg Year Installed � I Aff of ex septic V P Owner When Installed: � � ,�h � a.iv�;110 ��""'l Application for Land Use Permit— Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. �j�ti�,� #1. #2.�FT P�p�'� #3. 5����r �cL #4. Size �g ft. wide 2�' ft. wide �� R. wide � � �t� ft. wide � ft. long �_ ft. long _�� ft. long � S� 'fC� ft. long Floor area 2� 32 sq. ft. I Qo� sq. ft. �sq. ft. �4 �I�.t� sq. ft. Hgt. fromgade 2 � topeak 'y� ft. hgt. �, a ft. hgt. ft. hgt. Stories 'L- �_stories � stories stories # of bedrooms 3 rear lot line or waterline of W[�l T�;/`�1� lake�ltiver 7c�� � �.�3.� In the box sketch in: � Location and size of all �^ existing and proposed structures. � � � ^ � 4 � � Location of septic system. Q4� ' I Sc� Indicate distance to: ` �� �}1'�'�' � �°"` � t�y' � .� Waterline/Wetlands C SD -� N� � � �` �z` �' Road � p;�µ. � � Lot lines '--�� — ��� Septic system/privy � J � Well � / � Zg Distance between structures. � ��� �— 7� �b� c Indicate North. �' � � \ b�' ,je � Fire Number: 2�7 � �. ���Z /.,� L��f rc�- � � , �.1 �,^� " , S�guature Owner The above certifies that the listed � information and intentioas are true and correct The above person/s/hereby ^' give permission for access to the property for onsite inspection. ------- centerline of ��h M�-'S /'c_ road------- � Issue Date August 14, 2001 Expire Date August 14, 2002 OfFice Comments: � o � _ �, Sigrtature o Zoning Administrator Reqister's O+�ice l SS ��?O�� STATE BAR OY WISCO�SIN FORM 1-19YA 52wyer Co�nty 1 � ceivetl for racortl��is�day ol n«wnent numner WARRANI'Y DEED n o zoQL_a+ o o'o�ock M an0 reco�dea es vol '"7�i 7 orOsmpege 1 r Thts Deed, made between JAMES E. CI�ANEY, an etlult men, Grantor, � �a`� aeqheei and MARK FORRFST and PATRICIA FORREST, 6usband and wife as xurvivorship maritel propertR GratUee. ��:�'p1y Grantoq for a valuable consideration conveys to Grantee thc followi�g described real estate in Sawyer Counry,State of Wisconsin: Rero�d Area Name vd Rewm Address �qpNSFER $ F� E� y/ a�-��� Pared Identifcatiun Number(PM) 11Js u uot Mmes�cvl propeery. (is)Cis mp I,ots Siz(6),Six A(6A)and Seven('n,Selene Hcights. Together wich all appurtenant righes,tide az�d interests. Granror warrants that the title to the Property is good, indefeasible in fec simple a¢d free and cleu of encumbrauces except all easements,excepNons and raervations ot rewrd. Dated ihis �f7 day of�,2001. • 'JAM1iES E.C �q /0�/.i � St'Y��' �.'.� � � 4.�,. , . r, , � � � � ' , �� �.� � AUTIII?NTICATION ACKNOWLEDGME�Y�� �'.��. !�, Signamre(s) STATE OF �N� ) ��� � . ) • �>t �. c c �- COUNTY ) auNenticated this_day of _ Persorell came before me Nu � day af �J y� o the abave �umed (}��{wL, �.�_�.9-� to me Imown m be the ersun(s) whu exicwed ihe�Roregoing instrument and _ - ack�awledge d�e same. TITLE:MEMDERSTA7E➢AAOPWISCONSIN .�,y�y � yi�R.n� , �. � S S-��nc�w (IL nat, authorizeA by§706.06,WSs.S�ats.) THLS INST[tUMLNT WAS DMFTGD HY Notary Public,Statt of -J-N Attorney 1'homas J.DuRy Ny Cammission is permanent. pf �ar, sGte e.cpincion date: HaywBrd�WI D � '�3 . .�6o'A (Si�mWrts may be auJrwicawl or �clwwletlged. Both arc ro� nccssary.) �N�mee of pvwv tiynin�in yy npxiry J�ouN Le rypW w pevMid 4low N[ir sigpaMG -.��o� ��ro„;;„�;w„�� YOL 7 5 7 PG I 5 4 „/;� MmmawV.duw�.�ca+�wm Finaa��.�wvm�.m xaucsaos� g �.. SUBDIV�SION OF GOVT LOT 3 � SEC. I 4 TWP 39 N. 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