HomeMy WebLinkAbout002-109-14-0101-LUP-1998-285 Application for Land Use Permit y
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County of Sawyer � -C_�
PO Box 668 -Haywazd WI 54843 �/
715/634-8288 ��
The undersigned hereby makes application for a Land Use Pernut and agrees that all work �� � \Z �
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance '� " �
and the laws and regulations ofthe State of Wisconsin. �� �- �
� PRINT-USE BLACK INK OR PENCIL-� �
I�us���°1t 7 a,�� JC,'�ne�� i�� �, �
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Oumer Builder� � � ���
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Mailing Address Mailing Address � �
City,State,Zip City,State,Zip
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Daytime Phone Daytime Phone
Building Land Use
(y�New O Filling Zone District L-�
( )Addition ( )Dredging
( )Alteration ( )Grading Lot Size
( )Moving On ( ) �
( ) ( ) Acres , �7 7 �
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Primary Structure Accessory Building Addition �
( )Dwelling (}Z�Gazage-attached/detach�d ( )Deck �
O Yeaz round O#of caz stalls O Porch o
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom I
( )Other primary structure ( ) ( )Relocate/enlarge
� ) ( ) ( )#of new �
Type of Construction
(Xj Frame ( )Log ( )Pole/metal ( )Block ( )Concrete :
( )Other �
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Construction Cost$ ; �
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Vol , ;'�� Pg �.' i ofDeed Certified Soil Test# �� a �
CSM Vol Pg Sanitary Permit# �
Plat Envelope Or: z
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Condo Vol Pg Yeaz Installed 1 '� J �
Aff of ex septic V P Owner When Installed:
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Application for Land Use Permit — Page 2 .
Describe Consiruction: List dimensions of each structure, story, addition, or alteration. _
#1 . #2. #3. #4.
Size '3 G tt. wide ft. wide ft. wide ft. wide
� ft. long ft. long ft. long it. long
Floor area �'l� o sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. &om grade to peak ft. hgt. ft. hgt. ft. hgt.
Stories � 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 .
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Road . ,
Lot lines ,�� ,� � !
Septic system r '�"`����
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Distance between structures. '�� �..,�,�
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Indicate North. � _ _ _ _ ._ _
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Fire Number: � � - - "`.� , � �
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Signature of Owner ��°��`�'�� � �
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'Ihe above certifies that the listed
information and intentions are troe and ''
c�nect. The above person/s/ hereby
give permission for access to the
property for onsice inspection. ------- centerline of � �� ' road--- ----
Issue Date June 2 2 , 19 9 8 Expire Date June 2 2 , 19 9 9
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Office Comments:
Signa�ure of Zoning Administrator
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�M 8 2� 'NO�bdM1
NOIlI0at1 aNZ H�d��
2 5 8 5 5 STATE 8AR OF WISCONSIN FORM 3-1982
QUIt CLAIM DEED
DOCUMENT NO. .
Re4�ster'S�ffi:A t.,�
* Saw�er i:uwiry � .
BETTY A. ELLIS, JANET M. KELLER, MARJORIE J. FRISCHMAN q.�.y�rv�uii inv recd!d th1��/ �'' ��
L ��q
f k a Marjorie J. Caro o, an LL S. I , a c1SL¢.c� Fu i3.�__��� �y �'"'
adults * n k a Janet M. Smith �.r!zr�ra:m�:�y� -"
L __x.__..
quio-claims to RUSSELL T. IVER an . r W11ecuWs wi.[�u4 -- -"
husband an wi e as jo nt tenants an as non-res ents f o�
of Wisconsin ��
�Y
�he[ollowing described real estace in a�eL Counry,
State of Wisconsin:
THIS SPACE RESERVED FOR HECORDING OATA
NAME AND RETURN ADDRESS
Lots Three (3) and Four (4), Block Fourteen (14);` and THOMASJ.DUFFY
Lots ltaenty-three (23)"through Twenty-five'(25) inclusive AttorneyAllaw
Block Seven (7),of the First Addition to Abendpost P.O.Box839
Beach. Hayward,Wisconsin 54843
, * Second Addition to Abendpost Beach.
� FAY RHOADARh1ER� i
---�p••5�-fl-If.bE'';(l���ou.s�ri. �
cou�t�.,�ol-.�dRs-w�
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TRAI�� "`,•;, y.
��� �� �cMse3,Bvj -Iw�.�ow�Be�oRt x�t:,
�c:. 9�" .oa.�{"o��ptaN.��'�we�n
�t re,,: Janet M: Rel �fi•����
��``�''r .._...,r`S`r L;
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,�, F� a�+o�,�w 1I,y, .
This is not homescead �openr' �.1 tPAL►J� I`�""�Q-`� ��V�'
(is) C I _ !"'L� - —
.,� JEIW HhST1NG3 ,19 �-4�
Dated this q- �
�... ��n�,�t� �au' �h..Ae2ecr n'k�, '�``V�csen��
. BETTY A. ELLIS notarized b Jean Hastings ET M. 1'E E n/k/a Janet M. Sm1th
(SEAL) �� ;_.-,:'3'1.,(�YAI:�'v
, MAR RIE . FRISCHMANN f/k/a . RANDALL S. IVERSON •'' '�.
Marjorie J. Caroll �A� • ����'��l�J •`'
notarized by: g�A�pr ' "' ,. :
�� 1 ACKNOWLEDGMENT � ��
Jennifer ApUTHEN �� ✓.:.-•
Yosenick
Signamre(s) State of Wisconsin, r `
�a'�-�.Y/h--� �. , ,,. j.
er Coun
authenticated[his day of ,19_ Pe nally came before me this�day oE
19 the above named
Randall J Iverson
-�
TITLE:MEMBER STATL BAR OF WISCONSIN
(If not,
authorized by 4706.06,Wis.StatsJ to me knovm to be the person_who execu[ed che foregoing �
insvumen[and ad � led e the`.��vV W"
THISINSTFUMENT WAS DRAFTED BY
Attorney Thomas J.Duffy �/.e f
Haywax'd, WI 54843 Notary Public, '�+-� Couniy,Wis.
� (Signatures may be autheniicated or acknowledged.Both are not My commis on s rmapnenc. (If not, state expiration daie:
\� necessaryJ ��-���! ,19_)
� ' - '��� ` -------
-- -- ���� 'P� � -- - -
`� •Names of n ca a ii should b i
__ _ � -- ._—_— �--_
� persons signi g in anY P�Y Y YPe:.'r p"• (
57.4 EBAR "WIS:.���a..� •`� WieconSlnLepe18WnkCA..I�.
QUIT CLAIM DEED Form No 3—1982 Mlhvaukae,Wiy.