HomeMy WebLinkAbout026-118-00-1800-LUP-1998-127 � �(/ —
;' ' � Application for Land Use Permit r y •�
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843 v �
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.
�cic�;,,r�,,�� /n, PRINT-USE BLACK INK OR PENCIL - �
p��'�t,t d a 9✓�-s o N �
'Owner Builder � y�
,�`�3�7 3 a r��LC _ 7.
Mailing Address Mailing Address �� -�— � �
�l /�Ound; lJi'5.. .�'�/�.3`1 ,� _f
City,State,Zip City,State,Zip C
_�/_�-�'�/���c -
Daytime Phone Daytime Phone 'rl
Building Land Use ''
�( New O Filling Zone District �? �-' � `;
Addition ( )Dredging
O Alteration O Grading Lot Size ��X 3,j 8
( )Moving On ( ) �
( ) ( ) Acres �
b
c
Primary Structure Accessory Building Addition � �
��Dwelling �azage-attache detached (�Deck � �
�Year round of caz stalls (�'j Porch r
( )Seasonal ( )Storage Building (�Enclosed � �
�Frame built on site ( )Screenhouse ( )Living room �
Modulaz/manufachued �
( ) ( )Greenhouse ( )Kitchen �:
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlazge
O O O#ofnew �
Type of Construction
�rame ( )Log ( )Pole/metal ( )Block ( )Concrete >'
( )Other "
d� � �
Construction Cost$ ��(� �(�Z% '.
�
H
Vol Pg of Deed Certified Soil Test# 41-� � �
CSM Vol Pg Sanitary Permit# �i�-O(cb = -
Plat Envelope Or: `� z
�
Condo Vol Pg Yeaz Installed �
Aff of ex septic V P Owner When Installed: ' ��,
�';- E
�`,(��:�ci U.: �� �. 9/1F
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a��s�
Application for Land Use�ermit`�—Page 2
Q��arJ CO gII'i(9 6 u,e�c. .
Describe Construction:List dimensions o£each structur�story,2ddi��on�gr alteration.
#1. �� #2. v���- #3. Gl�j �,��
{�p,�i� #4.
Size ft.wide ft.wide �� _..�~ $.wide �� ft.wide
�.f—tt.lon �
g �R.long �� �ft.long i� �r� ft.long
Floor azea,���7�a sq.ft. �!!�D sq.ft. b��C� ��sq.ft. !Y`I sq.ft.
Hgt from 9�ade��to peak ft.hgt. � � ft.hgt. �5 � � fr.hgt.
i
Stories� stories �stories � I stories
#of bedrooms�� ,.3�, S� �
� i,,,�' �S r�ue or waterline of lake/river
p-���
In the box sketch in: �
Location and size of all ��
existing and proposed structures.
Location of septic system.
Indicate distance to: J��G� �—
Waterline �
Road
Lot lines �"7�
Septic system �Ju S� / — ?S/��
Distance between structures. 35� � `
Indicate North. �—'���
Fire Number: '� �
�3�1/ � I,,� p�� �
� D -}c�
Si �-.:, _ � ,. ���e h : _ c� >
�� ` R�
. °' •
r
� �-���
2vihr�
Signature of Owner � ��y���
.
�C?J�l�
-------centerline of road-------
IssueDate 28 April, 1998 ExpireDate 28 April, 1999
Office Comments: ���U ���!i!l'2%'.����
Vt�R�g-o�6
,� �,� �� �,oK�fkS cd�ir/�e PKcI SIN� �wel�l�,
e�ucst use oF -frqucl 'F�'atlev
� 2 6 318 � STATE BAR OF WISCONSIN FORM 2- 1982 ' '
WARRANTY DEED _
DOCUMENT NO. •
Heglster's Ottice t
FLORENCE DEJEWSKI sawyer County ��
R ved ta racord �t�sn �� day oi
RT. 1 � BOX fi 3 A 019_Li._2�t� o'clock
STONE LAKE, WI 54876
M and recarded as vol.
oi s on page _
conveys and warrants to RORERT & .TA(:niTF.i.TNF. M_ ��N�(1N ��� �AihC�,•//
?327-'iOTH AVF.Ni1F Reqister
F.i.K MniiNn, WT 547'�9
� Depury
THIS SPACE RESERVED FOR RECORDING DATA
NAMEAND RETURN ADDFESS
the fullowing desccibed real estate in SAWyF.R County,
State of Wisconsin:
� ��------ ---------------
PA�i��E DE'Ni'I�CA�'(O�l N1l�IvBEA-
FAIRVIEW SUBDIVISION, LOT 18
SECTION 8, TOWNSHIP 39 , NORTH RANGE 9 West
TRANSFER
$ a�__o,�_
FEE
This I S NOT homestead propeny.
(is) (is noc)
Exception to warranties:
Dated this 16th day oE �EPTEMBER ,A.D. 19�_.
(SEAL) ' (SEAL)
. .
(SEAL) (SEAL)
. ,
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
ss.
Sswyer Counry.
authenticated this day of , 19 Personally came before me [his 16th day oE
September , 19 97 ,the above named
Florence Deiewski
* ,����tlutlyN�����'i
"C("I�LE: MEMBER STATE BAR O�WISCONSIN ��G�,.......:�SA�'iy
(1(not, apJ .• ''�/J►�ti
authorized by§706.06,Wis. Stats.) �Q;� NQTARr�:S��me known to be the person who executed the foregoing
; w.a� � �nstrument a ckn ledge the s
THIS INSTRUMENT WAS DRAFTED BY 1
v+�;;RUBl1� -
Florence De j ewski ' �,���
��� • . .••'`O .�� • '
�i� OF••W�S�,•`�`` Notary Publi Sawyer Coun[y,Wis.
�U ��H�
(Signatures may be autheneicated or acknowledged. Bot ��� not My commission is permanent. (lf no[, state expiration date:
necrssaryJ 9-19 , 19 99 .)
- -- ---- -------- --- ------ -- --_-____ _ - __ _ _ _ __-
J •N.�mes of�rwns signmg m any capaciry should by typed or printed below iheir signa�ures.
STATE BAR OF WISCONSIN �oi_ � � � �/r �cq��IB�ank Co.,Inc
?'� WARItANI'Y D[EU Form No.2—1982 a� G { `JMtlwaukee,W�s. II
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