HomeMy WebLinkAbout020-103-00-2100-LUP-1999-588 ,�_-'1'
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Application for Land Use Permit ;�_ . �, ,� �
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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 � � 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.CONSTRUCTION MAY NOT
BEGIN tiNTIL THE PERMIT IS ISSUED.
PRINT—USE BLACK INK OR PENCIL �� ' �
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Owner �� Builder � o �
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.,
Mailing Address Mailing Address
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C�
Cit , State, Zip City, State, Zip
(`1 � 5) ��,�,- �c3k� S �,� � � �
Daytime Phone Daytime Phone
Building Land Use �
�New ( ) Filling Zone District � � '
( ) Addition ( ) Dredging
( ) Altera;ion ( ) Grading Lot Size �
( ) Moving On ( ) � �
�k)�,��'��r�,�� '�G� �,( ) Acres � A L �'e o � ��3�- �
'' i� G�
F rimary Structure Accessory Building Addition �
( ) Dwelling �Q Garage-attache etache ( ) Deck SS� o
O Year round (�) # of car stalls { ) Porch :
( ) Seasonal ( ) Storage Building ( ) Enclosed �
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen r
( ) Mobile/manufactured ( ) Other ( ) Bedroom �=•
O Other primary structure O O Relocate/enlarge � A
( )_ ( ) ( ) # ofnew
Q
Type of Construction J A
� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete �
( ) Other �
�
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Construction Cost $ : �� ��� �
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Vol��� Pg_ '�C"�t of Deed Certified Soil Test# � � �
CSM Vol Pg Saiiitary Permit r= _ � z
Plat Envelope Or: �; �'
Cond� Vol Pg Year Installed Q��.� �� ��1 �� \ �`�
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.
#i. #2. #3. #4.
Size_ i� fr.wide fr.wide ft.wide ft.wide
�_ft.long fr.long ft.long ft.long
z
Floor area�sq.ft. sq.ft. sq.ft. sq.ft.
I-i�.from gade_�_�__to peak Yt.hgt. ft.hgt. it.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. N� j
Location of septic system. �
--- -�75,
Indicate distance to:
Waterline/Wetlands Nf•r' ��- � �A��� �
Road � � f ^�
Lot lines ��l
Septic system/privy d �
�e�� `� ,� 16� � 37 81
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Dis±sace betrveen sfructures. L"'�i
Indicate North. � ���
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Fire tiumber: =7 •��`�`S� �
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Signature of Owner /��
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The above cerfifies that the listed �
information and intentions are true and
coaect.The above pe�son/s/hereby v �� v
give permission for access to the
property for onsi[e inspection. -------centerline of road-------
IssueDate (i�� _ �, �`1�G ExpireDate �� `) 2Go0
Office Commen[s - ( ° ��
Signature of oning Administrator
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:ALE: I INCH' 2 0o FEET FOR ASSESSMENT USE ONLY NOT
2AWN BY: D.n.'f.E. DATE: i-27- i97Y, INTENDED TO SHOW CONCLUSIVE
�LON (�) INDICATES GOVT. L�JT gOUNDARY�LOCAT ONS IP OR
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Document No . : Recording Data : '
N �73 � `14 �
Flt,i'5::1; S Otii�
WARRANTY DEED S,;ry�r Cuunty } yO
H�ca �tl for roco��1 pUup:: � d; y Ut '
A D 19 -[a �i u r.;,,;k
M anJ rF,CGrdOd es �oi S�____
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Return to : Biller ealty
P . O . ox 85
Wi er , WI 54896
Sc� 9 g55��
Computer No . : 020- 103 - 00 2100
JASON R . GRAY and SHARON R . GRAY, husband and wife as survivorship marital property,
Grantors , conveys and warrants to GREGORY W. MELTON , an adult man, Grantee , the following
described real estate in Sawyer County, State of Wisconsin :
Lot Twenty-one (21 ) , Assessor' s Plat No . One ( 1 ) , Towns of Ojibwa .
This is not homestead property .
Exception to warranties : Subject to easements , restrictions and reservations of
record .
Dated this _� day of �e�r , 1998 .
x , al )
*J SON P. . GF2F:Y
x � �J (seal )
' �' *SHARON R . GRAY
� ' � �� STATE OF WISCONSIN
- ss .
�_SS..�1� COUNTY
Personally came before me this _�� day
` � of DeCember , 1998 , the above named
Jason R Grav and Sharon R . Grav
to me known to be the persons who executed
the foregoing instrument and acknowledge the
same .
*
Notary Public County,
My Commission expires : 3
TRA��lS�i�
$ �
r�r.
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THIS INSTRUMENT WAS DRAFTED BY :
Curtiss N . Lein
Lein Law Offices
Post Office Box 761
Hayward, WI 54843
. �° VOL 653 P�G � n4
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