HomeMy WebLinkAbout002-940-15-4101-LUP-1998-261 i ' .
Application for Land Use Permit o o� - ,
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843
715/634-8288 p �
The undersigned hereby makes application for a Land Use Pemut 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. D �
PRINT—USE BLACK INK OR PENCIL �`
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Owner Builder o; �
$S 8'-! N ro+`��n�+V1�. � �
Mailing Address Mailing Address �
�QA1��(]�� Wl���h`i�
City,Stat ,�Zip City,State,Zip b
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(�3 y - 5���/
Daytime Phone Daytime Phone = ��� . 1 i
Building Land Use `� D
(�New ( )Filling Zone District -�� ,�F ,,� � �
( )Addition ( )Dredging �,�r��d�a z �. o�� .T��� r��I �«���.
( )Aiteration ( )Grading Lot Size
( )Moving On ( ) �
( ) ( ) Acres yU g°
b
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Primary Structure Accessory Building Addition �
( )Dwelling ( )Gazage-attached/detached ( )Deck �
O Yeaz round O#of car stalls O Porch g o
( )Seasonal (X)Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room � I»
( )Modulaz/manufachued ( )Greenhouse ( )Kitchen o
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlazge �' ''�'
( ) ( ) ( )#of new � �
0
Type of Construction z �
(�j Frame ( )Log ( )Pole/metal ( )Block ( )Concrete M :
( )Other � �
� IConstruction Cost$ �/OQ�,� � G
•�
Vol �'�' Pg ;t�C.-' of Deed Certified Soil Test# q$-096 L�,�
CSM Vol Pg Sanitary Permit# rl5"b�fo G' lo
PlatEnvelope Or: �U�° 45'��` z
z
Condo Vol Pg Year Installed o
Aff of ex septic V P Owner When Installed: '0
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Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. �Xi'C��ir� #2. ��1�� �'�ry� � ���� #3. #4.
Size a � ft. wide � 4 ft. wide ft. wide ft. wide
�_ ft. long �`f ft. long ft. long ft. long
Floor area sq. ft. -�' �'� sq. ft. sq. ft. sq. ft.
Hgt. from grade _ to peak !3 ft. hgt. ft. hgt. ft. hgt.
Stories I stories stories stories
# of bedrooms
rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
� . . ,,.. . ,
Indicate distance to: -�� �
;'
Waterline
Road
Lot lines
Septic system
Distance between structures.
Indicate North.
Fire Number:
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Signature Owner
'Il�e above certifies that the listed
information and intentions are true and
conect. The above person/s/ hereby
give permission for access to the
property for onsite inspec;tion. ------- centerline of road-------
Issue Date June 16 , 19 9 8 Expire Date June 16 , 19 9 9 _
Office Comments: ����G%���LC �� _ —
Signature of Zoning Administralor
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SGALE: IINCH=400 FEET FOR ASSESSMENT USE ONLY
DRAWN BY: DATE : INTENDED TO S#iOW GONCLU
COLON (:) INDIGATES GOVT. LOT EVIOENCE OF OWNERSHIP OR `�
BOUNDARY LOCATIONS j
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SCALE: I INCH=400 FEET FOR ASSESSMENT USE ONLY N�
DRAWN BY: DATE : INTENDEO TO SHOW CONCLUSI'
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR fiECOHDING DATA II
WARRANTY DEED
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seh'Yec cc��,,.1, , �l.�)
Michael J. Hageny and Roberta L. Ha9enY, husband and wife �� j�t �., ; ��; �� .� � ,' ', ,� -'
' � --- ,: � ,�,j3_ � � .. � .�
M �u�d . , ,. . . �� � �� .
O{ Aetx,tdd o�, ,� A�_ ._. _. _
Mar_ C. Sa er a si le rson `�"`' '�)
conveys and warranis to Y H►Y � ►�9 Pe —�=-----""'"' ' ' ��;,;;�,�!
' � �
RETURNTO
sociated Realty
5 S. N1a i n St. POB 127
the following described real estat@ In �wVer County, ice Lake WI ��
,
State of Wlsconsin:
Tax Parcel No:
"�he North Half of the Southeast Quarter, Section 15, Township 40 North of Range 9 West,
To�wn of Bass Lake, Sawyer Camty, Wisconsin.
(Parcel No. 002-940-15-4101 and 002-940-15-4201 ) .
TR�N�F�F�
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This 1S IIOt homestead property.
XX(Xs) (is not)
Exception to Warranties:
Subject to all easemerrts, restrictions and exceptions or record.
Dated thls �th day of DeCembeT . , 19_��.
i/� / ` (SEAL) -� • �'�- (SEAL)
• Michael J. Hageny • Robeta L. Ha�eny
(SEAL) (SEAL)
. •
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
�l"Y'011 County.
authenticated this day ot , 19 Personally came before me this �th day of
December , 19�— the above named
Michael J. Na�ny and Roberta L. Ha�r
.., . .
,.
. . .,.
• . �, .,,,,
TITLE: MEMBER STATE BAR OF WISC �t�t�" ,..,,o�,,` '_:��"'
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y� V + �� ��b,� `s"�.��RJ
(If not, �� � . � , •���+'� .t�o me known ro be lhe person S who executed the
authorized by § 706.06, Wis. Stats.) ,� � � �� � b"i ;;„ y� �, t�ire ing instrument and acknowledge the same.
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THIS INSTRUMENT WAS DRAFTED BY '� o , lt , ' `�+
k � • Y + . ,� —.
t�c�i at�ci Re�1 t,� '4 � � •-�� � s'� �= Cathy L. Hansen
t,., . o �
- � �0o6�J��������•Y�S��e''� Notary Public f�riYY'f)fl_ Coun�y, W�S.
asenol nece sary be authenticated or ackn ,I��B�,Q`Mtu�ooa7' My Commission is permanent. (If not, state expiration
� . _ date: 5-14 , �s _95__.)
'[1�"� K � � �C � 60
'Names ol persons signing i� any capauly should be typed or printed Delow Ihe�r aipnaWrea. SB2 NTF 0021
WARRANTY DEED STATE 8AR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Green Bay, WI 54307-0208
Form No. 2 — 1982