HomeMy WebLinkAbout030-737-35-3305-LUP-2001-319 � � �
Application for Land Use Permit o o L
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 ^ ��
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. �
PRINT-USE BLACK INK OR PENCIL c �
��. /(.t104d �c//`'BG� /—(GvOOC �f_f�`'Oc� a `.
Owner / Builder 7 � �
����V ��4 �e JIO4� C � ����� ���-�e�D�� ��
Mailing Address Mailing Address �
/�P�Cc k d �i� .`� i d'.�5� � P�d�c� !�c:�� J����� 1
City,State,Zip City,State,Zip � �
�i� p�3 -z3/7 �/s y��-z3i7 �
Day[ime Phone Daytime Phone �
Building Land Use ,_ �
(l�'New ( )Filling Zone District ��r- �
( )Addition ( )Dredging �' '
O AlteraYion O Grading Lot Size � � �
( )Moving On ( ) 5 p
( ) ( ) Acres 9. �,j � �\
x �
Primary Structure Accessory Building Addition °
( )Dwelling ( )Garage-attached/detached ( )Deck � o
O Year round O#of car stalls O Porch
Seasonal �
( ) ( )Storage Building ( )Enclosed �I
( )Frame built on site ( )Screenhouse ( )Living room �
( )Modular/manufactured ( )Greenhouse ( )Kitchen � �1
( )Mobile/manufactured (�CSther ( )Bedroom � IC_
O Other primazy structure (��'�-u.z c>_�o O Relocate/enlarge � �
� ) ( ) ( )#of new �,�
, �l
I�
Type of Construction '� >
( )Frame (�g ( )Pole/metal ( )Block ( )Concrete �
( )Other -� �,,�,
� �
�
Construction Cost$/ C�D � �
Vol��_Pg �1/ of Deed Certified Soil Test# � �
CSM Vol Pg Sanitary Permit# � z
Plat Envelope Qr; �
Condo Vol Pg •�>� Year Installed
Aff of ex septic V P Owner When Installed: �
CUF' ?� t�� �:�L' l Il 1Io1
�I a��� l cr�'1
Application for Land Use Pernut—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteratioa
#1. #2. #3. #4.
Size /Z- ft.wide ft.wide ft.wide ft.wide
�� ft.long ft.long R.long ft.long
Floor area /Z� sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.from gade /� to peak ft.hgt. ft.hgt. 8.hgt.
Stories � stories stories stories
#of bedrooms YI�h C�
reu lot line or waterline of lake/river
In the box sketch in: � SZ
i,ocation and size of ali
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline/Wetlands 7 ��•�D �e� �o �oa5� l ke
Road Z' G� ��
Lot lines Nor�-�'� �V� '°"�' �
Septic system/privy �S' �fI �
Well ��p�
Distance beriveen structures.
/Oy'� � ti,kse
Indicate North. �1'D t`q
V
Fire Number:
/��/�' SY��o Gazeda lfouse �'•�n
� �
f�� /OS'
,� � '���Z- N��w�r leC� f �e�� �
����/.�����.� � �s�E� sa�� l%r�e
Signature of Owner
Z?o, �
to
The above certifies that the listed �µkF
information and intentions are true and o S-
coirect.The above person/s/hereby � �
give perrzussion for access to[he
property for onsite inspection. -------CCntCCIlIIO Of road-------
IssueDate July 26, 2001 ExpireDate July 26, 2002
Office Comments: /��—�/� ���%��J,�11
�Signature of Zomng Administrator
___._
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_. ��. �
;
��nMar� cxri,.e S �
Snwyer i'ounty �
HarelvN,V for r��corri fM _�J_ d� ol
�'
.TION ;OR TRAtiSFER OF JOINT -`��- ' " i' j"��- `" =`� �•�� ., 1614 9 6
� M nn�l rerordnd In vul. ,�
TY TO SURVfVING JOINT TENANT oi Hercorrla ,,, F,,,,. _,�_�
�.045,Wisconsin Statutesl _ Cr. �}t'7��� �_,(�7 �-
HeQf�e
�cation and.$JO Fee with Register o/Deeds �p�
� PROPcRTY LISTED BE�OW CONSTITUTE ALL OF Decedent held a joint interest lri
PERTY IN WH!CH THE DECEDENT OWNED ANY real property located lri SpOtSylVallla
T AT THE DA�E OF HIS DEATH? ❑ YES � NO
County, Virginia
Date ot Death $ocial Security Number
FA;;1'Y SCHROCI{ 10/25/72
�f Decedent at Date of Death City State Zip Code
Route /fl Exeland Wisc . 4b35__
� Joint Tenan[ls) and Relationships to Decedent Address of One Surviving Joint Tenant (indicare tenant)
Elwood Scn'rock - husband Route /�1
Exeland, wI 54835
., bonds, savings and checking accounis. List separately giving certificaie Serial or Account Full Value at Date
:count numbers (if more space is needed, attach schedulel. Number of Death
nt checking account in the Dairyland State
;k, Bruce, wisconsin. . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3310-8 249 . 89
�5 Pontiac four-door automobile . . . . . . . . . . . . . . . . . 336959135141 500. 00
'0 14' x 60 ' Marshfield mobile home . . . . . . . . . . . . . 12542 4,500. 00
1 estate described below as ; South 330 � of the
•th 627 ' of the Southwest Quarter of the Southwe t
�rter, Section Thirty-five (35 , Township Thirty
-en (�7) North, Range Seven (7 West, Sawver o t
ralue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5, 249.89
Assessed Valua[ion Equalized Value Recording Data
10.00 1 06 .00 Vol . 228of Rec . , pa�e 4i1,
Real qssessed Valuation Equalized Value Recording Data
Estate
Assessed Valuation Equalized Vatue Recording Data
DECLARATION
declared that on the date of deaih the above�named decedent and I (we) were joint tenants; that this application is, to the best of my �;
I knowledge and belief, true, correct and complete and is in conformity with the provisions and limitations of the Wisconsin Statutes � '
does not release any tax liabilities. '
� Surviving J�t Tenant Signatures (�aJ I tenants must sign) Date �
- �� .-(� 'y�_-r�!.�1 _ �/Z �77 �
�
,` I certify that I have mailed or delivered copies of this �
� to hefore 2 n ' S2 tember /Z 1 �i�+���'�iri�� application as provided insr867.045 (3) Wis. Stats. on I
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ipplicaUon was draRed by Iprint or rype name� 4��i 1 ��� � .
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