HomeMy WebLinkAbout030-737-23-5507-LUP-2001-498 �i
Application for Land Use Permit o 0
County of Sawyer v � '"
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 cegulations of the State of Wisconsin.CONSTRUCTION MAY NOT � `
BEGIN UNTIL THE PERMIT IS I�SUED. 1 1
PRINT-USE BLACK INK OR PENCIL �
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�V/� ���Acpi4� �SAR�`tLi+i?� C�QutC� /Jcli'Lf��14�9 0
Owner Builder ° o
�oyss w �..�r�y AaFd � �a��z � ��u��y ����/ � � �
Mailing Address i�Iailing Address �
�xolatid cv! SY83s �,re/u.��/ u�� .sY�'35— � �
City,State,Zip City,State,Zip �
7i�-9y3-.aZ88 7i,s=9�3-�z8�' a.
Daytime Phone Daytime Phone
Building Land Use
�+�)New O Filling Zone Dis[rict � 2 R'�
( )Addition ( )Dredging
O Alteration O Grading Lot Size /CQS X o7C0�,11t0 0
; 1 1tiTp��jn�Qn ( 1 �
( ) ( ) Acres -p� �
Primary Siructure Accessory Building Addition �� °
( )Dwellin� (�)Gara�e-attached/detached ( )Deck }N �
( )Year round ( )#o£car stalls ( )Porch � �
( )Seasonal ( )Storage Buildin� ( )Enclosed
( )Frame built on site ( )Screenhouse ( )Living room W 1
( )".:odular/maaufactu�ed ( j:rree7:�uuse ( j ICitche,-� i v �
( )Mobile/manufactured ( )Other ( )Bedroom � �
( )Other primary structure ( ) ( )Relocate/enlarge �
( � O O#ofnew (,�
v1
Type of Construction n "
(��Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �
( )Other � W
� �,
Construction Cost$ ��'� '� �
p,�, U1 w
�iol��pg �-/,�_of Deed Certified Soil Test# C.�-�—��� ,
CSM Vol Pg Sanitary Permit# � -��1� 4 z
Or: 9 9 _ `!9 3 � Iz
Plat Envelope e.u f
Condo Vol Pg Year Installed �
Aff of ex septic V P Owner When Installed: � ��/��'1
3a;c�I �
Application for Land Use Pernut—Page 2 .
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Size .�c ft.wide ft.wide ft.wide ft.wide
3� ft.tong ft.long ft.long ft.long
Floor area �tLcL sq.ft. sq.ft. sq.ft. sq.ft.
Hgt.from gade�to p�k ft.hgt. ft.hgt. ft.hgt.
Stories_� stories stories stories
#of bedrooms —
reaz lot line or waterline of lake/river
In the box sketch in: N C r��� �
Location and size of all �
existing and proposed structures. I
/
Location of septic system. 'i��
Indicate distance to: � � 30� ��
Waterline/Wetlands � �'
Road
Lot lines
Septic system/orivy
Well �
Distance benveen structures. � � — �,�((
i o� A.,
Indicate North. o� -�� 8 �� (?
�
Fire Number:
lD`/� l.l� �
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Siguature of Owner
The above certifies that the listed ---—
information and intentions are tiue and — � __—'
correct The above person/s�hereby - ��
give permission for access to the
property for onsice inspection. -------centerline of road-------
Issue Date September 25, 2001 Expire Date September 25 2002
Office Comments: �/'!� . ) '`G�%���`�1'�
Signature of Zoning Administrator
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�REF = 5�Q �s,� L.A k`� �::a � SC A L E : l l
A ER/A L �,�-�OTO J l� �� -`' " � ,.
/ �� }; Register'e Ottice SS •
;/ 2'7 G 5 5 7 STATE BAR OF WISCONSIN FORM 3—1982 � �wyer CouMY �id �Yd
� QUIT CLAIM DEED Racelvedbrreco�A019 at a'dock
%� ' . M end recorded as vd. .
� � OOCUMENT NO. � onpage
��.. �
Fegister
BECKY EWERT, an adult woman as indivdual
property � Depup
quit-daims co DAVID W. DANTZMAN and SANDRA R. DANTZMAN
husband and wife as survivorship marital property
the following described real estaie in
Sawver Couniy,
Sl2[C O�W�ORSIR: THIS SPACE RESERVED FOR RECOPOING OATA
�.NAME AND RETUftN ADDRESS
' pAv�D DANTZMAN
1oy27� C R.o �
Exe land w � syg3�
p parcel of land in Gov.Lot Five(5),Section 030-737-23-5506 030-737-23 550
Twenty-three(23),Township Thir[y-rseven North
Range Seven(7)West�dP.SCIIbP.d�dS 1O11OW5. ppRCEL IDENTIFICATION NUMBER
geginning at a point that is 65 rods east of the
Southwest comer of Gov.Lot 5,thence NoRh a
distance of 8 rods,thence East a distance of 8 rods,thence South to the None of County Trunk
County Trunk Highway"D",thence Westerly along the North boundary
Highway"D"to the point of beginning. ALSO Parc of Government Lot West(desc ibed as
Twenty-three(23) Township Thirty-seven(37)North,Range Seven(7)
beginning at a point 65 rods East and 8 rods North of the southwest comer of said Gov.Lot 5,
thence North 8 rods,thence East 10 rods,thence South 16 rods,thence West 2 rods,thence North
8 rods,thence West 8 rods to the point of beginning.
TFiANSEER
S �`�_.—•°-
FEE
This is not homestead property.
(is) (is not) � - CJC�
Dated this
��� day o[ /O —,191�
/ (SEAL'
(SEAL) �
Becky E —
(SFAL
(SEAL)
ACKNOWtEDGMENT
AUTHENI'ICATION
State of Wisconsin,
ss.
Signature(s)
�k County. '/t�
perso ally came be[ore me ihis_ �=day
da o[�---�19_ �_�� ,1q�,[he above nam
auiheniicaied this Y $ecky Ewert
TITLE:MEMBER STATE BAR OF W�SCONSIN ,Nhv.execmed�he(orego
(If noi, co me known co be the person_
authorized by 4706.06,W�s.StatsJ instrumen[and acknowledge he sa�Pe� ,
THISINSTRUMENT WAS DRAFTED BY ��`r�� `. � • .
Thomas W. Duffy, Attorney �S �ounty,W
Notary Public, �
Hayward, 41I M commiuion �permanent:,Q(�noi, stete exp�rati�o0 d
Z,
(Signatures may be authenticaied ur acknowledged.6oth are not Y �E ,
necessary.) ,M
1{A. � �� � W''�'sin��va�eiank co.
•Nam<s of persons signing in�ny��p����y should by�y�d or prinied bcluw Th..T's'd"A aunc W�SCONSIN nnnwa��xex