HomeMy WebLinkAbout010-941-33-1103-LUP-1998-193 Application for Land Use Permit �, o ��
County of Sawyer y �
PO Box 668 -Haywazd WI 54843 �
715/634-8288 ���
The undersigned hereby makes application for a Land Use Pernut and agrees that all work
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance 1
and the laws and regulations of the State of Wisconsin.
�f c;� S=` ' PRINT—USE BLACK INK OR PENCIL ' �
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Owner � Builder �.
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Mailing Address Mailing Address �
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City,�ZipT—� City,State,Zip
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Daytime Phone Daytime Phone ,�
Building Land Use `�
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(�7New ( )Filling Zone District �
( )Addition ( )Dredging , �, r
( )Alteration ( )Grading Lot Size �/��J ,� ,���s
( )Moving On ( ) �
( ) (�) Acres ��r `�� °�
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Primary Structure Acce� ry Building Addition ;� �
( )Dwelling (y'�iazage-s��edldetached ( )Deck �
O Yeaz round (�#of caz stalls O Porch o
( )Seasonal ( )Storage Building ( )Enclosed
( )Frame built on site ( )Screenhouse ( )Living room
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom
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( )Other primary structute ( ) ( )Relocate/enlazge
( ) ( ) ( )#of new �
Type of Constmction kt
(�rame ( )Log ( )Pole/metal ( )Block ( )Concrete >�
�
( )Other �
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Construction Cost$ !�j��,G� � `jy
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Vol � %�:> Pg 3��7 of Deed Certified Soil Test# �?= ���� �
CSM Vol Pg Sanitary Pemut# �
Plat Envelope Or: � z
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Condo Vol Pg Yeaz Installed
Aff of ex septic V P Owner When Installed: �
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Application for Land Use Permit—Page 2
Describe Construcuon:List dimensions of each strucriue,story,addition,or alteration.
#1. #2. #3. #4.
Size�_ft.wide ft.wide ft.wide ft.wide
2�. ft.long ft.long ft.long ft.long
Floor azea�sq.ft. sq.ft. sq.ft. sq.ft.
I-Igk&om grade �` to peak�_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: .�----- /G�� - ---
Location and size of all
existing and proposed structures. �,,
h^,
Location of septic system. ' � ' �
� . �__ _}�-- �� _ __ '�
Indicate distance ta , � � ��
Waterline ` "��t"�
Road ���j
Lot lines I . ��� /� �
Septic system � '
Distance between structures. Z- �
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Indicate North. \ S�.^r >>� �R 6�.-
Fire Number: ! �� --� �
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Signature of Owner •
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� centerline of �" �
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IssueDate M�Y 20, 1998 ExpireI�ate �'1�Y 20, 1999
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II ' THI6 lPAC6 PE9ERV6D lOR A«QADINO DATA
ooCUMeNT No. ISTATE BAR OF WISWNSIN FORM 1 -1962 ii
WARRANTY DEED
I� _ `� � gii7 `� J: I - I
�. neo+�si• OtHo� � , �
.. . - � - i Sew�et Cotmt7 `J d
VERANES B K TT _R . II ed �°t �eco*d tr �°7
E �E -�R�..an.--- -�- A - ,� o
This Deed, made between -'_'--"--��-��'�-� -- ,'�-'— AD1
�--'----..a.d?�.�_C..k'.9.91dn...-'--'--'-"---'---...------'-----'----------'---'-------'---'------" � M end recorded In vol.
'_'...........................".'.'."._""'..".""'.'......".'__'_"'........_...."'....r Grantor. ��'I o! Reco�dc on pn9e
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"'...........""'_""....."'""""'_"......._'"' I � •-f_ . � �.��r �-.,.
and--_.-_GLAYTDN._J.•--SIF1i.and.-1EAN..D.....SIEH�--hushand..and..r�i e , u -L Rev�
.._._....as.surviv.orship..maritaL..pcnperty..- -... -- -�--� ---- --- -- ; p n„r.
...............................-- -��-� -� � - - .....- � -............_....'
-....._....
............... Grnntee �.
Witnesseth, That the said Grantor, for a valuable consideration_-..' I
"- . -__ -.:-..- ..,
- -:
,,_.._.of._ane..dallar..and..other..valuable..consideraiioa. - II pE1UR� ro ,� ,r �,��i / �: �-'
' ' � ----.5 . Er---..-... .. . .., _tn•
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wnveys to Grantee the followmg described real eatate �n �_ x _
� �y�u�t.r��i� .�y �.5",�"i!3
County, State of Wisconsin: ��I --.-.-::_:�'�
. . Taz Parcel No: .----•------•-"'------------------
The East 500 feet of the North 165 feet of the NortheaSTownshieLFortyhe
Northeast Quarter (NE�NE�) ,
Section Thirty-three (33) , P
one (41) North, Range Nine (9) West .
� AN='
FEE
This is .._.__.,__, homestead property.
-.-"-'--".'..
(is) (ie not)
Together with all and singular the hereditamenta and appurtenances therevnto belonging;
grantor ......................................... ..............•------- -
... ..................
.............
And.......--.. �--�------'----
.... .
warrants that the title ie �good, indefeaeible in fee simple and free and clear of encum zances
all easements , exceptions and reservations of record.
and will warrant and defen��e same. . � , ` *
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Dated this l7 ..�--"--"--'-"-'--'-- daY of ..........1:� ' . ..
.........'--'- "' ." . �
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7/ �, `'7 � � /'� -.. EAL)
................................................ ...................(SEAL) ll.�/.LL.�.�.-��a_l'�.�-. .
. VERANES B. KETTERER------------------
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------
-----��-----�-�--.._...._(SEAL) _......_--------.....-�----�---------------�-----._...---
(SEAL)
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AUTHENTICATION ACHNOWLED6MENT
i'
STATE OF WISCONSIN �
' Signature(e) e.
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�' suthenticated thie ------�-daY of-------•------�-----•----� i9..---- Pers4natly,,cA6te ^�to�.me'..�h�D •----7--•------day of
...:..:?i,h?:''---,t ��:,�_"�1 �i--; the above named
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� TITLE: MEMBER STATE BAR OF WISCONSIN __......_.. ';.�.;:;-�-,'����'-:`y�S?-�T------------'--"'-"'--"'-�
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(If not� -'---'- -'--- ----------"---'---•- -- ° '
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suthorized by § 708.06, Wie. StatsJ to me known�to 4e�Ch'e', .+�.•cl�.=-=-�---- n'ho ezecuted t e
!I forego��instruSiien�.e{�{.d,«nd�fiowledge the same.
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li THIS INSTRUMENT WAS ORAFTE� BV �� /_'���_'_ /l ,_J�/ :��.�/s.� �t.__._....._..--
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� Thomas W,..Duffy----•--•--------��-------•-�---�-�- " - .... �1��'.�5:._�i.. --�7f'_�(ii5� --- ... -------..
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- ---Haxward-,--W?---• 54843--- -----.-•--------------- NotarY Public ....�i_„c:C..�.!�--^=--'�----..County. �'is.
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(Siqnatures may be authenticated or acknowledged. Both hSp Commission �s permane . (if not, state espiration
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e� M'a,',: �� i ,�ti
d�• - ----- ---'---� 19,5.1�.•)
"'"�nre not necessarY ) _-_- . = _' =,p' t/�1 // . � � !� �:.., -r . ._. . _ _ . _ .- -, .. _ _
/,(ryj 'V'1,1L`� �
1 " �� � •Nsmea ot Denone eiQnine in �ny c�Pecity ehould be tyDed or D*�nted below their eignaturee.
� Niecon+in Lea�l Hlank Co. lne
�. 9TATF. 6AR OF WISCON9IN ..�;i,.,,,,t,v. µ';,
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