HomeMy WebLinkAbout002-940-11-2301-LUP-1998-638 . �l,�
Application for Land Use Permit � -
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County of Sawyer v � �--- �
PQ Box 668 - 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. � '
PRINT— USE BLACK INK OR PENCIL I �
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Owner Builder y�
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i��ailing Address Mailing Address �
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City�State, Zip City, State, Zip �
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Daytime Phone Daytime Phone �
Building Land Use �.�U�S e � ,� ��' l,'- � E ��c' �,,; ��,�� �
� Nev✓ Fillin Zone District p 3
Addition ( ) Dredging 1\�'� F 1 �
( ) Alteration ( ) Grading Lot Size� �
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( ) Moving On ( ) �
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( ) ( ) Acres � � r
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Primary Structure Accessory Building Addition � �
(v Dwelling (X) Garag -attache detached ( ) Deck p o
(�) Year round (�) # of car stalls ( ) Porch � o
( ) Seasonal (� Storage Building ( ) Enclosed � �'
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( } Other ( ) Bedroom � �
( ) Other primary structure ( )_ ( ) Relocate/enlarge
( ) ( ) ( ) # of new �- >
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Type of Construction � fi
(X) Frame ( ) Log f�� Pole/metal ( ) Block ( ) Concrete >
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( ) Other �
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Construction Cost $ � .5 , Uc>v =°
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Vol ��� Pg l�of Deed Certified Soil Test# 98`-�y °
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CSM Vol Pg Sanitary Permit# ���—3 7 7 ''
Plat Envelope Or: � z
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Condo Vol _ Pg Year Installed
Aff of ex septic V P Owner When Installed:
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Application for Land Use Permit — Page 2 � �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. E �r #2. ";, ' �� 'i,r -��,� #3. �j;:�. : #4.
Size - �� fr. wide �o ft. wide ft. wide ft. wide
�G�__ fr. long <lo ft. long fr. long ft. long
Floorarea � �C(o� sq. ft. I,��c% sq. fr. sq. ft. sq. fr.
Hgt. fic�m gade i s' to peak / d � ft. hgt. / `� ft. hgY. ft. hgt.
Stories 1 � stories � stories stories
# of bedrooms �j
rear lot line or waterline of lake/river
In the box sketch in: /� �,
Location and size of all � c�> s
existing and proposed structvres.
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Location of septic system.
Indicate distance to:
Waterline
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Road �C
5
Lot lines 5'� �
Septic system ek,'' �
Distance between structures. h�
IndicateNorth. St.'-5 " !�
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Fire Number: _ —� '� A,��N,,.,,�
j° 75�';' 'i
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Signature of Owner �/Fr�
The above certifies that the listed
information and intentions are true and
correcL The above person/s/ hereby �
�ive permission for access to the �
property for onsite i❑spec[ion. ------- centerline of f� .�h 1.,��e road-------
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IssueDate October 30 , 1998 ExpireDate October 30 , 1999
Office Comments: � _��`�—
Signature of ning Administrato� ��
TO�N 0� BA S�
SEC . II TWP. 40 I� .
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• 2 Ej s $ 1 H �� STATE BAR OF W15CONSIN FORM 1 — 1982 .
I WARRANTY DEED
DOCUMENT NO. ,
�. _ _ --- -- --- Re�ster'S OfAce t ss
, _ _ _ _- - _ _ - -
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li Sawyer County � �J
li This Deed, made between ROBERT R WARDER an adult man Received for record / y ot
�� R� A 0 t8 �at o'clock
' ___�_M and reCarded � �,a.
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;I , Grantor, � D�
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; and SCOTT D JORGENSEN and CHRISTINE B i0R[;F.NS�.
Ihusband and wife as survivorshi� marital �,ro�ertv ���
j� , Grantee, ��
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� Witnesseth, That the said Grantor, Eor a valuable consideration
of one dollar and other valuable considerations
' THIS SPACE fiESERVE� FOR RECOHDING DATA
� conveys to Grantee the following described real estate in Sa�'Pr -__-___:.:,____ : _ _ _
i' COUR[Y, S[3[C OE W15COri5lT1: NAME AND RETURN ADDRESS
IThe Southwest Quarter of the Northwest Quarter (SW�NW� ) ,
��� in Section Eleven ( 11) , Township Forty (40) North,
I� Range Nine (9) West .
17_��-- _ _ _ _ _ __ . _ _ _
------ - --------_ ---- ---__ __ _ �I
j 002-940-11-2301 �I
� PARCEL IDENTIFICATION NUMBER
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I Property cannot be subdivided for 50 years from the date hereof . / �� ��
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� is not homestead ro rt '�
This P Pe Y I�
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�' Together with all and singular the hereditaments and appurtenances thereunto belonging; l,
' And rantor !!
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warran�s cha[ the title is good, indeEeasible in fee simple and free and clear oE encumbrances except ;
� all easements , exceptions , and reservations of record �'
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�� and will warrant and deEend the same. ;�
98 ��
Ii Daced this 2nd day of April 19 ji
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AUTHENTICATION ACKNOWLEDGMENT '�
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State of Wisconsin, �
Signature(s) SS il
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I Sawyer
Counry.
! . 2n.d day of
j) au�hen[icated this day of , 19 Personally came before me this �
;, A�ri1 ,•'19, 9�' , the above named !
'' Robert R Warder '�� � � �
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li TITLE: MEMBER STATE BAR OF WISCONSIN ' ' � . . �'
�i (If not. � ' '� ': ��' " ' � ' _
il authorized by §706.06, Wis. Stacs.) to me known to be the person = ' whb:execu[e�i the,(pregoing
I� instrume t and acknowledge the same: , . . �•''�, �•
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' THIS INSTRUMENT WAS DRAFTED BY ���j� � ' �
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�� Thomas W. Duffy „ Kathleen N . Miller
j; Sawyer Counry, Wis.
;, Hayward , WI 54843 NotaryPublic,
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;� (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date:
'' necessary.) September 27 , 19 98 )
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, _ _ __ _ _ _ - VOL �. PG 19 6
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� • Names o1 persons signing m any capaciry should by typed or printed below �heir slgnatures. 6 �
,i STATE BAR OF W15CONSIN Wisconsin Legal 81ank Co , Inc
WARRANTY UF[D Form No. I — 1982 Miiwaukee, Wis