HomeMy WebLinkAbout018-837-09-4201-LUP-1999-148 . , �..» '
� ' Application for Land Use Permit r ,� '
� �
County of Sawyer v a
PO 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 Sa�vyer 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 y' �
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1`c55`� 1y C� . k� ( _ � �
Mailing Address Mailing .Address � ��
f:�r�.�{.��\ �._:� s y�-' �.�"�_ rn �
City, State, Zip City, State, Zip �
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��I� > �i`�__.� ���11�: —�
Daytime Phone Daytime Phone �
Building Land Use �
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( ) New ( ) Filling Zone District /� �.. �
(� Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size 'to ac(z.� c�l�
( j �ioving On ( ) c� �
( ) ( ) Acres c{p f�c�zCS � ��
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Primary Structure Accessory Buil�ing Ad�it�rn `-'
(� Dwelling ( ) Garage-attached/detached ( ) Deck �
0
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(� Year round ( ) # of car stalls ( ) Porch � o
( ) Seasonal ( ) Storage Building ( ) Enclosed � �'
, �
( ) Frame built on site ( ) Screenhouse (jcl Livina room ►
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom ) Iz.
( ) Other primary structure ( ) _ ( ) Relocate/enlarge a �
( ) ( ) _ ( ) # ofnew A�
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Type of Construction Q R'
(�t) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � a
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( ) Other �
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Construction Cost $ ����o
� � � ' -�
-�
� �L b _ �
Vol > Pa ) �� � of Deed Certified Soil Test# '
CSM Vol Pg Sanitary Permit # 7�- 81 � � � �
at Envelope �r: � z
�
ondo Vol Pg Year Installed
0
�ff of ex septic V P O�vner When Installed: �
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,�_ag�y
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� Application for Land Use Permit—Page 2
Describe Construction:List dimensions of each structure,story,addition,or alteration.
#L I' �� #2. � � #3. #4.
Size 1�,� ft.wide ��O � fr.wide ft.wide ft.wide
dg� fr.long ��fr.long ft.lon� ft.long
Floor area 33� sq.fr. ��sq.fr. sq.ft. sq.ft.
Hgt firom gade /�� to peak ft.hgt. ft.hgt. ft.hgt.
Stories � �stories stories stories
#of bedrooms 0 ��,� �,N�
rear lot line or waterline of 11� Y�v�+.
In the box sketch in:
Location and size of all
existing and proposed structures.
Location of septic system.
Indicate distance to:
Waterline
Road
Lot tines �
Septic system 1�10 ���,� L,�7`'+�`'
Distance between structures. �i"�`'� 5���o�
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Indicate North. / _
y � �-
Fire Number: ��� �-
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tx 17"r�n>v h
�835 �„c; � #� p�,.���-!r'G � �
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Signature of Owner �y�
The above certifies that the listed
information and intentions are we and �
correct.The above person/s/hereby
give permission for access ro the
properry for o❑site inspection. -------centerline of C'':.� R� �> road-------
[ssue Date Ma� "� 1999 Expire Date Ma�3 9000
Office Comments: �-�����'�/a'�'�^���" °'��i'/`�'��/
Signature of Zoning Administrator
_ ___
I� DOCUMENT NO. �i STATE BA$�OF WISCONSIN FORM 1�-198Y � rHis 9�/�CE flEBEPVED ron ncconomo owre ��,
I,I I� WARRANTY DEED ' �'i
� 215801 ' '
IA�pddd�C>Wa� �
._ . . .. .. .. .. .:... .... ....__ . _.. . 5•r+s•� E�omh � �
Cetharine M. Penby o� .*'�^i � _ d�il
i his Deed, made betweeq ___ .---- �.��1 - � p �� �v6�(�e���
� AM»�v�rif 1
Asingle Woman (J Gr
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._.'_'_._...'............ ol He:..nao -u µeca .�<.(_
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i -- --- -frnest"�e'sfger"ati8'Co"ri" Z"e"siger y ys��
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I i ran r.
Iand..-------'- �----._.---- - -- - ------'--'-----"--'-- ----.....'-- -' ReQWa
I Nusband�and Wife
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�i,. ..--�--'--'-�--�---�-----�--'---------��--------"-----'-'-��------'----------'�-----`-� Grantee,
Witnesseth, That the eaid Grantor, for a valuable conaideration __
_ _. _.._ . . . _.... _ ._.... - � - _ .. : -Bai-r�St3te-�ank __
Saw er , RETIIqN TO
I, wnveys to Grantee the following desctibed real estate in �--- Y-�- - � � � - 'I �( S. Md lfl $t.
_ :
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IICounty, State of Wisconein: I (S
ii L_ .Bice_Laka�41L__�4�___
----�� H C r H B 7r135�-- �;�10
I, / Tax Parcel No- -----------------'------'------....
The North Half of the Southeast Quarter of Section 9 Township 37 North
I� , of Range 8 West� of the Fou�th Principal Meridian in Wisconsin.
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This _.......�ot homeetead propetty.
� (ie) (ie not)
I� Together with all and singular the hereditnmente and appurtenancea thereunto belonging;
� ...._.......... ......----.....----'.-.._...._--.....__............_...__.
And......-----'--LatkiP2pa -kl.-:�ef-Tby---"----" -
iI warrants that the title is good, i�efeas�ble m fee simple and free and clear of encum6rancea except
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and will warrant and defend the eeme.
I 14th..._.._..._............. day of ....SePt-'--...---,.::�.....---._......----�--......__--..._, is_$4.....
Dated this ._..._...-_-"---
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�; C�therine H. Fe y
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I����� ACKNOWLED6MENT
AUTHENTICATION
�� Catherine p. fenby STATE OF WISCONSIN
�I�I. Signature(8) --��----------------------- ----------------�---
� ea.
I�I - � County.
----•-------------------�--14---- --------Se--t----�-� ---- -------
-�----------- �-----�---�----- -...
I ti ted thi ._. ....day of......P................... 19.�9_ Pereonall came before me thie ..._......_.....day of
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'--"-""-"""'-"--""_-"--......... 19-'-"'_ the above named
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' TI E: M BER AT BAR OF ISCONSIN -�----�-�--�----�--------�-----�--------�--�---�--------------�--------
II., (If not� --'--- ---" - `----------'---------'----- '---'---'---'---'---------------'------'-'------------------------
authorized b § 7 6.06, Wis. StateJ to me known to be the person __.-------- who esecuted the
foregoing�inatrument and acknowledge the eame.
I�I�� THIS INSTRUMENT WAS ORAFTED BV
I,� Robert ZumBrunnen -- -----------��- - ---- --�- ... -- •_._.. � -- -�- - ---� - _..... - - - - ..... I
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„ --'--------'--'........... ... NotarY Public .--------------`-----------_.-.._County, Wis.
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-----�-----"' - - � My Commiss�on �s permanent.(if not, state expiration
�II��'; (Signatures may be authenticated or acknowledged. Both date: .., 19._._..J
i nre not necessary.) - ---"-----"'"
-----'----------�—�----.... I
�Zt� ,�ne�ea. !!f� � ✓ � ._. .. I
I •N�mm o( Venom el[nln� in enY c�p�citY ehould be [YDed or nrin '/� I
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