HomeMy WebLinkAbout010-840-22-5102-LUP-1998-379 . i�s �U'� , .
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� � �pplication for Land Use Permit ���� r ,� .
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County of Sawyer ° � ��--�
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PO BoY 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
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Owner Builder �:
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Mailing YAddress Mailing Address �
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City, State, Zip City, State, Zip
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_{ Daytime Phone Daytime Phone
Building Land Use
(v7'New ( ) Filling Zone District j�,�'� � �
( ) Addition ( ) Dredging , �
( ) Alteration ( ) Grading Lot Size h��v�'�C /� / ' ,
( ) Moving On ( ) �
( ) ( ) Acres J� /�✓r' A G ,�
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Pri ary Structure Accessory Building Addition � �
(�Dwelling ( ) Garage-attached/detached (�—}Deck �
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( ) Year round ( ) # of car stalls (� Porch o
(y'Seasonal ( ) Storage Building ( ) Enclosed '"
(e�'Frame built on site ( ) Screenhouse ( ) Living room i �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge ,�
O O O # ofnew � >
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� Type of Construction ��
(�-Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � >
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( ) Other �
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Construction Cost $ ,3S 00 0•o c� � '
. �
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Vol (k'�;��;` Pg �_�';�'�af Deed Certified Soil Test# 9�-/� �I �
CSM Vol /� Pg /;��, Sanitary Permit# �,�? /� / ��
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Plat Envelope Or: z
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Condo Vol Pg Year Installed /�%$
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Aff of eY 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. /�c�;se #2. ��rc+� n3. �r�"� #4.
Size�_ fr. wide �_ fr. wide 7 . 5 ft. wide ft. wide
��ft. long � ft. long � ft. long fr. long
Floor area B/ 6 sq. fr. � /�� sq. ft. � ch sq. ft. sq. fr.
Hgt from grade��to peak C7 fr. hgt. � ft. hgt. ft. hgt.
Stories �� I stories stories stories
# of bedrooms o�
rear lot line or waterline of lake/river
��oy
In the box sketch in: �
Location and size of all �
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline �~
Road ��-
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Lot lines
Septic system
Distance between structures.
Indicate North.
Fire Number: ,flr"'.
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Signat of � � �`�'
The above certifies that the listed � " �� Y �
information and intentions are[rue and �i
correcL The above person/s/hereby
give permission for access to the
properry for onsite inspeccion. ------- centerline of l,t/�:�,d s:t,2K� �,n road-------
Issue Date Ju1y 23 1998 Expire Date Ju1y 2'}� 1999
Office Comments: lil/i���L�,� � ��
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Signature of Zoning Administrator
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�22 INDIAN LAKE
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SGALE: I INCH=400 FEET FOR ASSESSMENT USE ONLY IV�I
DRAWN BY: DATE: INTENDED TO SHOW GONCLUSIOE
COLON (:) INDIGATES GOVT. LOT EVIOENCE OF OWNERSHIP OR
BOUNDARY LOGATIONS
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IVITIA. ': IDEN .
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ZON E �A;�;�:��:�'.�:�":��`�� � To determme if (lood insurance is availa
the National Flood Insurance Program
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�71 �o � � S � State Bar of Wisconsin Form 3 - 1982 �
'�� QUIT CLAIM DEED
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DOCUMENT NO.
�QISt8f�5 Q�M.b �
S2Wy9f �OUfil�l �
Rec � ed for recurd Shie �� day d
__ Joel E . Smith , an adult man , a r-��� o i9 �.Z.ai �o'civac
- --NON-y�1ISCONSIN RESIDENT M and recordud ac vol. _��
- --- -- - - o s on W9 --
quit-claimsto Steven A . Friendshuh , an adult __ --
single man Reqisler
�eputy
the following described real estate in ''SaWyer County, THIS SPACE RESERVED FOR RECORDING DATA
SIaIC OE WlSCO[1S1(1: NAME AND RETURN ADDRESS
Steven Friendshuh
PO BOX 432
Savage , Mn . 55378
3 -3�
(Parcel Identification Number)
Part of Government Lot One ( 1 ) , Section Twenty-two ( 22 ) ,
Township Forty ( 40 ) North , Range Eight ( 8 ) West , described
as Lot One ( 1 ) recorded in Volume Eighteen ( 18 ) of
Certified Survey Maps on page 126 .
TRANS�ER
$ ��
FEE
This 1 S IIOt homestead property.
(is) (is not)
Dated this day of Ma� � , 19 97.
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_ (SEAL) ---- -- (SEAL)
Joel . mith
.
(SEAL) (SEAL)
' * -
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
-- ------- ---- S a wy e r
- ----- ------- COUfIIy. n
authenticated this ____.._ day of _�-__ —_ , 19____. Personally came before me this __—`'�_�___ day of
,,����u�►f���,,��I _ _ Ma�_____ , l9 97 the above named
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- - -- - �-�r----- •�� � �, J o e l _E . Sm i th------ -------
TITLE: MEMBER STATE BAR OF WISCO�}'SIN � „_
. --__,,�� N 0 TA R,�$ �� - ------ -_ _ ---------------_ -
(If not, ------ �-- — -g- --------. . - -- ------ -----
__ _ _ _
authorized by §706.06, W�S. Stats.) = � � � Y�cXme known to be the person ____-._______ who executed the
: tipU�LiG � ��'egoing instru nt and acknowledge same.
THIS INSTRUMENT WAS DRAFTED BY ��i� tl�1r �� yo � �e' �'`
.
Joel Smi th �,� ��B •..... °'_������+`-----�-----��` � l�,�f>
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� IS��'.o+`' �'T /f/f� f�-T,�O
_ _ -- - Stone -Zake ;---Wtsconsin��r�� �,, --- ---'�—
t��u��� � * -- .. _ _ .
Notary Public _- ����� __ County, Wis.
_- __ _ _--- _ -_ _ _--- - --------—--- - - -
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date:
necessary.) / ���_--.., 19�,9 .) �
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li 'NIIIIIC\ UI �1CffllOy 1160111!! IIl d0V C8�18CIIY .huuld hc iypcJ or printcJ hcluw thur signalurcc yOL s O � PG � � 2j 'I
, QUI I' ('I.AI�t 1)F:F:I) 5'fAf@: NAR OI� WIS('ONSIN WiSConsin Legal �lank Co . Inc. ��
I�l11tM Nu. 1 -- I'182 P�1ilw,uihuu. Wis