HomeMy WebLinkAbout016-637-21-3301-LUP-1999-022 �" 7�a.�
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� Application for Land Use Permit r �,
County of Sawyer v a �
PO Box 668 - Ha y w a r d W I 54 84 3 �
715/634-8288 , �
The undersigned hereby makes application for a Land Use Permit and agrees that all work j 1
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 3
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Owne� Builder y� �
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/-� �'�,� 7 J�14�'�� /%',,L� C� � L�. �vn I �t` I ° o
Mailing Address Mailing Address �
C�.o L�� � ��'r S�`�y-Z/ l,�'rN'r��. � l,�� �. � �� !� 1
City, State, Zip City, State, Zip � -
;�7/�� �,?.2-� - .-�� �`;� :��t�� �. ��.- .� � !'� �
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Daytime Phone Daytime Phone �
Building Land Use `�
( )New ( ) Filling Zone District �� �
(� Addition ( ) Dredging �
( ) Alteration ( ) Grading Lot Size c�
Movin On
( ) g ( ) Acres �v�� � f�
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Primary Structure Accessory Buildin� Addition � �
( ) Dwelling (� Garage�attache�detached ( ) Deck �
O Year round (�) # of car stalls (�l Porch - a��^� � o
( ) Seasonal ( ) Storage Building ( ) Enclosed � �'
O Frame built on site O Screenhouse O Living room �
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( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �„
( ) Mobile/manufactured ( ) Other ( ) Bedroom
( ) Other primary structure ( ) ( ) Relocate/enlarge � �
( ) ( ) ( ) # of new �. ��
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Type of Construction �'`� i�
(Xj Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �Q ��
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( ) Other � "
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Construction Cost $ J j, ��%C� , C��1 `� !'
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Vol�Pg .3$� of Deed Certified Soil Test# �� ;r� �
CSM Vol Pg Sanitary Permit# -��„�;n�
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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. #2. 1�' �-e'7� #3. 94.
Size ft. wide tY ft. wide ft. wide
a— ft. long 8 ft. long ft. long
Floor area sq. ft. _ sq. ft. sq. ft.
Hgt. from grade r to peak ft. hgt. ft. hgt.
Stories stories stories
# of bedrooms D
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline
Road
Lot lines
Septic system
Distance between structures.
Indicate North.
Fire Number:
M 000977
Signature of Owner
The above certifies that the listed
information and intentions are true and
correct. The above person/s/ hereby
give permission for access to the
property for onsite inspection.
rear lot line or waterline of
ft. wide
ft. long
sq. ft.
ft. hgt.
stories
lake/river
------- centerline of l KLL W L _road-------
Issue Date _� n ,,, , Ilt �� i ` Expire Date 1 CJt�r
Office Comments:
Signature of Zoning Administrator
Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#1. #2. #3. #4.
Size �X ft.wide ft.wide fr.wide ft.wide
.,.'�-_ft.long fr.long ft.lon� fr.long
Floor area�sq.ft. sq.fr. sq.fr. sq.ft.
Hgt fivm gade to peak ft.hgt. fr.hgt. fr.hgt.
Stories stories stories stories
#of bedrooms d
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: � W�"' �'°`��
Waterline I'i�x'���i�ry
Road
Lot lines
Septic system '��f
Distance between structures.
L
Indicate North.
Fire Number:
M PS7k' 3��
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5ignature of Owner
The above certifies that thz listed �,
information and intentions are trve and �
correcC The above person,�s/hereby �
�ive permission for access to the
properry for onsice inspeccion. -------centerline of ��4t�1.U-'L' road-------
7ho�-� �. � �� �, �� iuu� G�...�✓ ����,�9.- _
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Issue Date Espire Date
Office Comments: �
Signature of Zoning Administrator
✓ - �. _
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: 2 6 6 9 6 4 STATE BAR OF WISCONSIN FORM 1—1982
' WARRANTY DEED
DOCUMENT NO. p�p��e�S pryk,v . -
Sawyer Counry }u
Larry L. Flohr ��ea for rocord s �3 doy o�
This Deed,made between �q p 1g�����o'c�k
M a�w recoraed as vd. •�
P!-fyu�Ar s on pape 3�'S
, Grantor, c.7�r����.--�Yc2�rxcg�2J
and Tonv P Kedrowski � Repisier
Depub
,Gran[ee,
WI(R¢SSCt�(,'Ihat the said Gruuor,(or a valuabk consjderetio�One d011 d
and other gooa and valuable consicieration
Sawver TMIS S�ACE RESERVED FOH RECOROING DATA
conveys to Grantee the[ollowing described real estare in -
County�S[dLC OI WLSCORSIII: NAME AND RETURN ADORESS
The West Half of the Southwest Quarter
(W� SW'�j and the West Half of the East Half of
the Southwest Quarter (W'-z E� SW'�); Section
Twenty-one (21 ), Township Thirty-seven (37)
North, Range Six (6) West. � 3�3�0
016637213401
PARCEL IDENTIFICATION NUMBEH
TRANSfER
$ 180,oa
FEE
This is not homestead propetty.
(75k (Is not)
Together with all and singular the heredi[amencs and appurtenances[hereunto belonging;
And Larr L. Flohr
warzancs ihat che title is good,indefeasible in fee simple and Iree and clear of encumbrances excep[ Subj ect to the
right of way of Drowe Road.
and will warrant and de[end the same.
Daced this ��7 day of / I N'�"C�1 19 98
(SFAL) � (SEAL)
, Larry . Flohr
(SEAt) (SFAI)
U HENTICAI'ION ACKNOWLEDGMENT
Signaiure(s �` State of Wisconsin,
_ � ss.
. y � County.
authenucated this. -�7 day of� ,19.� Perwnally came be(ore me ihis day o(
,19 9 8,the above named
--�•� ` 1 r arry r F1 ohr
.`-•' �4 • �:
T1A EM$ER 5'IkTE�A�OP WISCONSIN
�pGnot, t
.aqt�onzed by g706.06,Wis.StatsJ to mc known to be the person_who executed the Iorcgoing
- insuvment and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
JAMES T. RUNYON, ATTORNEY
Notary Public, Coumy,Wis.
(Signamres may be authenticaced or acknowledged.Both are not My commission is permanent. (If not, state expiation date
nccessaryJ per description provided '19_�
•N.mee of persons s�gning In any opuuy should by iyped or prinmd balow�hetr zlgnawra.
STATE BAR OF WISCONSIN Wlocaruh Lapd&eN�Co.,irc
WANHANIY DFFD Form No.1-I9tl1 MiN.nukuu.Nis