HomeMy WebLinkAbout020-103-00-3601-LUP-1999-183 '_"'�.
Application for Land Use Permit r ,� �
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County of Sawyer � � -"
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 Sawyer County Zoning Ordinance ��`-' �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT �-
BEGII+1 UNTIL THE PERMIT IS ISSUED. �`
;� � , �� � . � � 1n PRINT —USE BLACK INK OR PENCIL a �
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U f������ � �(�� �'>/�- ��i�1�'����_ �.�.,'L.0 1�.�ti-+_ �:
Owner Builder � o �
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Mailing Address Mailing Address � �
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�it}�, State, Zip City, State, Zip s
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Daytime Phone Daytime Phone � "`�
Build' g Land Use ��
(•��w ( ) Filling Zone District �� ' � _ '� Z
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( ) Addition ( ) Dredging �
O Alteration O Grading Lot Size o �
( ) Moving On ( ) ,� -
( ) ( ) Acres /r �.� �
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Primary Structure Accessory Building Addition �
(�Dwellin� ( ) Garage-attached/detached (✓�Deck o
(��Year round O # of car stalls O Porch
( ) Seasonal ( ) Storage Building ( ) Enclosed � -
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(��'Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �,,
( ) Mobile/manufactured ( ) Other ( ) Bedroom
O Other primary structure O O Relocate/enlarge a�� A�
( ) ( ) ( ) # of new �
Ty �of Construction A
(�rame ( ) Log ( ) Pole/metal ( :) Block ( ) Concrete �
( ) Other � �
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Construction Cost $ ��, ��L�s � �
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Vol ��;/ Pg ��;,i of Deed Certified Soil Test # ��� ���_ ��
CSM Vol Pg Sanitary Permit# / �� � � `� ��; z �
Plat Envelope Or: �'
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. #3. #4. `
Size� ft. wide ft. wide ft. wide ft. wide
� ft. long ft. long ft. long ft. long
Floor area l/ � � sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from grade _� to peak ft. hgt. ft. hgt. ft. hgt.
Stories �_ stories stories stories
# of bedrooms �_ -
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: -
Waterline/Wetlands J
Road 4�'
Lot lines
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Septic system/privy
Well r�
Distance between structures. �
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Indicate North. �-`�-�-'
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Fire Number: �� �� � � � —'�
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Signature of O�vner Q �1
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The above certifies that the listed '�-
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information and intentions are true and ��-�------- - - - - --� � � - �---� "� -�`-"� �
correct. The above person/s/ hereby ' � Y
give permission for access to the a � � i�'�/ '
property for onsite inspection. ------- CenteTllne Of road-------
May 17 , 1999 . May 17 , 2000
Issue Date Expire Date
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Office Comments: ,
Signature of Zoning dministrator
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DWN OF o� 16WA ; �
'FG. 9 TWP 38N. R.6W. _ ,_ .1_ _
A SS ES S o�S PLA T � �
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Document No.: (Recording Data: �
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-- -._ ,�,� � pefl(ster's OfPicA � �
.._�—�_ S;iy�yec Cowuy � �
2 ;; 0 0 9 9 � Heceivod lor recocd t ,ts day oi
WARRANTY DEED ( p U tg��-at �-/o'c��c�:
� _ M a��d recorded as vol. .�.1.s.i�---
� ot R�ords� Pa9e V ���q-�-^ _.
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� Req�ster
� DeP��y
Retum to: Lein Law O�ices
WILLIAM HiNEY, JR., An Adult Person, Grantor, conveys and warrants to LAVERN DENNIS and
LUELLA DENNIS, Husband and Wife as Survivorship Marital Property, Grantee, the following
described real estate In Sawyer County, State of Wisconsin:
Tax Parcel No.:
✓
The West 124 feet of Lot Thirty-six (36), Assessors Plat No. One (1).
This is not homestead property.
Exception to warranties: Subject to easements, restrictions and reservations of record.
Dated this �� day of August, 1995.
�1� � (seal)
S��! ' 'William Hiney. Jr.
,��p, o��
� ��� � (seal)
*
STATE OF � �/1 � }
} ss.
� COUNTY }
-- Personally came before me this � � day of
-�� -- -- August, 1995� the above named
William Hiney, Jr.
to me known to be the person who executed
the foregoing instrument and acknowledge the
same.
.
No ry Publi County, ?�'� ��v�
My Commission expires:
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THIS INSTRUMENT WAS DRAFTED BY:
Lein Law Offices
Post Office Box 761
Hayward, WI 54843
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