HomeMy WebLinkAbout020-638-04-1101-LUP-1999-605 oc ��
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Application for Land Use Permit �, H �
County of Sawyer � �
PO Box 668 -Haywazd WI 54843 �
715/634-8288
The undersigned hereby makes application for a Land Use Pemvt and agrees that all work ti r
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
l���13 J ���GRIm _S�/f $ �
Owner � Builder y �
��aa r�� st-. ��.�� �� �
Mailing Address Mailing Address � �
_�p�f�,,s,� �/is./�'s. �Yi�l
N�ity,State,Zip �(✓o,��',�f� p 33'7 City,Stat ,Zip a
7.�3-���9 ���ir) kag-���9 `
Daytime Phone J Daytime Phone [ 1
Building Land Use `�
�New ( )Filling Zone District ��'�
( )Addition ( )Dredging \
( )Alteration ( )Grading Lot Size -- �
( )Moving On ( ) � ���
( ) ( ) Acres /,g,<��{ ,� �
C
Primary Structure Accessory Building Addition � �
(�)Dwelling ( )Gazage attached/detached ( )Deck °
O Yeaz round O#of az stalls O Porch o
-�Seasonal O Stor e Building O Enclosed � �(,�
O Frame built on site O Scr nhouse O Living room ' 1�.
( )Modular/manufactured ( )Gr enhouse ( )Kitchen W �"�`
( )Mobile/manufachued ( )O er ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlazge c �
( ) ( ) ( )#of new � �
Type of Construction � ��'�
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � >
�
( )Other ^
ro
�;t> � .
Construction Cost$�s tyeD. '�
�` a
Vol �-�"� Pg�of Deed Certified Soil Test# �1��3 7� �
CSM Vol Pg Sanitary Permit# %� -3 7 9 �
Plat Envelope Ot: z
z
Condo Vol Pg Yeaz Installed 9% dif r��
Aff of ex se tic V P Owner VJhen Installed: �
p . 5Iq1�<,E
� r/'
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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 o2 g ft. wide ft. wide ft. wide h. wide
3(o ft. long ft. long ft. long ft. long
Floor area oa ' sq. ft. sq. ft. sq. ft. sq. ft.
/
Hgt trom grade 1�_ to peak ft. hgt. fr. hgt. ft. hgt.
Stories _� stories stories stories
#oF bedrooms _�_
rear lot line or waterline of �'� lake/river
In the box sketch in: �. �
�L,ocation and size of all
existing and proposed structures.
°�Locatioo of septic system. I
Indicate distance to:
Waterline
vRoad
�Lot lines ��_ �3aa � 5
�eptic system
.-- __- a-
Distance between structures. � '
i ' f �
Indicate North. i
I
'�
Fue Number. ,
' �19d
� � ���Rop���' as�3�
/
I �-t� � P.PB�^' (�� ���P.
,- - _ � �ov, 9 �.�' "`
S� L.n.¢ .
�e� �. a„ O,e�.(.�.�Q.l�">� � �
ignature of Owner I F.,�s�%^'S
The above certifies that the listed a�������p�' '." tl�
— — — —�j —
informatiou and intentions aze 7ue and �
correct.l'he above person/s/hereby ��
give permission for access to the
property for onsite inspection. ------- centerline of �O��SLI ro d- -----
IssueDate October 8 , 1999 ExpireDate October 8 , 2000
Office Comments: � Lm� � �-��' ����=�� �
Signature of ning Administrator
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JOFOJIBWA
T W P. 38 N. R . (� W.
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2 '7 G 5 9 7 STATE BAR OF WISCONSIN FORM 2— 1982 �
WARRANTY DEED .
DOCUMENT NO. ,
///(.!'�iaf./� � /�/�/ J�� Reyister'sOHice 1SS
SawyerCounry 1 t7
Received for rewrd Ihis .�d�Y a
A D 1�at r(.30 o'doa�
— M and recor{1ed vol.�,_
conveys and warran[s to . of Records on pege I��
Registe�
oan Z���a
oew,q
THIS SPACE PESERVE�fOR RECORDING OATA
_..___—___"''"_'_
NAME AND RETUFN ADORESS
the following described real estare in County, // �/��,N.,�
(.� ��''',/'`
State of Wisconsin: �� / /3 "�L Q.,t,
3�/
/��i,e h�J'�i7 �ih[ —��-�'�L✓���) ��I✓ ����+,w--��L/ /�'��• �
����� � E,�� ����,�'� � �� � . �. i
� PARCEL IDENTIFICATtON NUMBER
�� �NE ��� �� �a� (��J %��,�ja i��--��3£��N�Q�
�,�,M,� ,d� ��� w.�-�
7RpN.�FER
S —.�----
FEE
This homestead property.
is not
Exception[o warranues: �d�
L� l
%
Dated ihis �� day of�, ���� ,A. ., 19 .
(SEAL) (SEAL) '.
.
. I��/g�� /��9UPr"
(SEAL) �5���
. '
AUTHENTICATION ACKNOWLEDGMEN I I
Signamre(s) Sta oE Wisconsin,
ss
�J Count .
auihencicared ihis day of , 19_ rsonall came be(ore me ihis �� day of
� 19 , the a6ove named
h�tK/�J
.
TITLE: MEMB[R SIATE BAR OP Wl5CON5W '
(If no[,
authorized by §706.06,Wis. Sia[s.) m me known to be the person_�+'ho executed the foregoing
instrument and acknowled e t Gr�ame.
��THIS�{NSTftUMENT WAS OFAFTED BY ��� .A�p�'�
� �
w • ��
No[ary PubliC;��n` + C' ountY.Wis.
(Signamrzs may be �cated or acknowledged. 6otli are not My commission - perm t. Qf 31ace expir19on dai):
necessary) � lJ ` �� � `2 �� i i : .._..-- i
3 --�---- ��--- - -�
- -- -- -
•Names of persons sigmng m any capacity should by iyped or prinmd below iheir signamres �''p��R�,Q�'��`w � ��,?y���.�* Wisconsin Lega Bw�CA iz.
STATG BAR OF WISCONSIN _:�. d�y ���,4,g,Ct`�,v �Ailwe�Aau.9Jie
. \YAItR,1NlY DI'4:D Fum�Nn. 2— 19tl2 r � . .. .�