HomeMy WebLinkAbout026-938-11-3201-LUP-1999-136 ;�,.��� \
Application for Land Use Permit �. ,� �
County of Sawyer v � �
PO BoY 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.
PRINT— USE BLACK INK OR PENCIL I �
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Owner ` Builder y' �
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Mailing Address Mailing Address ° �
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City tate, Zip City, State, Zip
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Daytime Phone Daytime Phone �
Building Land Use
( ) New ( ) Filling Zone District � `�
��Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size
( ) Moving On ( ) c�
( ) ( ) Acres �C� ���� s .��. `-/ ,�
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Primary Structure Accessory Building Addition � n
( ) D�velling � ' Garage-attachec�l�etacher. ( ) Deck � °
�Year round ; ) # of car stalis (� Porch�tiiRrw•'�Y� � �--
( ) Seasonal ( ) Storage Building ( ) Enclosed � �
( ) Frame built on site ( ) Screenhouse ( ) Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other (�;Bedroom �
( ) Other primary structure ( ) ( ) Relocat enlarge ►� --
� � ( ) ( ) # ofnew � ��
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Type of Construction � �
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete >
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( ) Other "
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Construction Cost $
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Vol �.� �Pg � �l of Deed Certified Soil Test# �^ '
CSM Vol Pg Sanitary Permit# -- �'
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Plat Envelope �r: � z
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Condo Vol Pg Year Installed � )Z�� r� ��/��� �
Aff of ex septic V P O�vner When Installed: i \'
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Application for Land Use Permit— Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. , qdd'n #2. #3. #4. �
Size �� fr. wide ft. wide fr. wide ft. wide
c� � fr. long fr. long ft. lon� ft. long
Floor area _�5'S(o sq. ft. sq. ft. sq. ft. sq. fr.
Hgt from giade to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms ��
..T-��� 2 �� rear lot line or waterline of lake/river
In the box sketch in:
Location and size of all , `' S�D
existing and proposed structures. �- � V —�I
Location of septic system. � BtpRoo rn ���, � ' 3' � ,���L C.
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Indicate distance to: N //� x Zy ROorn '�� O
Waterline i � ��
Road ��Qr SEP�
Lot lines �� ��.uRY �Pr�µ
Septic system �—� b�
Distance between structures. L i V l l�c� BEp
�CITCHE/�, QOoyy� ' R��
Indicate North. �
Fire Number: �/
� 52.3 �� W
1 S �� �'�`N
GA� � ����
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Signature of Owner
The above certifies tha[the listed
information and intentions are true and �, )
correct. The above persom's/hereby 14
�ive permission for access to the
property for onsite inspection. - centerline oF �.'�i ' � ' road-------
------ h. ; . .
[ssue Date A�ril 30 1999 Expire Date Anril 30 2000
Office Comments: /�/ �/O � � /� , �1��
Signature of Zoning A m�rustrator
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g ft long S '
_ sq ft sq ft �
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to peak to peak n
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SCALE: I INC =400 FE
DRAWN BY:RH
COLON (:) INDIGATES G
uocu�rrr xo. 2 � � � � �
PBRSONAL REPRESBNTATIVS 'S DBBD
(7egister'c pffice
TERRI S . STANLEY� ds PersoRdl Sawyer Counry � ss � r'.�(
Representative of the estate of Victon c �e�ved to record this _�d�y oi
R. Carlson ( "Decedent " ) , for a a p is Y�at .�o'arr.k
valuable consideration conveys , _�' .M �r,d recor�ea as w. �'�_
without warranty, to BRUCE H. or r� cora�, r� pa�e ���_
STOLTENBURG, Grantee, the followinq _�__.�:�
described real estate in Sawyer H�r"�E'
County, State of Wisconsin:
Uepury
The Northwest Quarter of the Southwest
Quarter, Section 11 , Township 38
, North, Range 9 West, except that part
conveyed to the Town of Sand Lake
recorded in Volume 237 of Records ,
page 656 , and except highways .
By the power granted in �860 . 01 , Recording Area
Wisconsin Statutes , and subject to the
limitations in §860 . 07 , Wisconsin Name and Return Address
Statutes , the Personal Representative
by this Deed conveys to Grantee all of
the estate and interest in the real
estate above described which the
Decedent had immediately prior to
Decedent � s death, and all of the , j �
estate and interest in said real
estate which the Personal
Representative has since acquired.
Parcel Number•
Dated this 25th day of July, 1996 .
, s�,��SF�� � --
�i / � � T "i S . Stanley C --'
� � , Personal Representative of the
`� ��G '''� Estate of Victor R. Carlson
ACRNOWLBDGBMSNT
State of Wisconsin )
) ss .
Eau Claire County )
Personally came before me this 25th day of July, 1996 , the above
named Terri S . Stanley, to me known to be the �.pe��on who executed the
foregoing instrument as Personal Represeuta�,�}v!'e of �L�he Estate of Victor
R. Carlson and acknowledged the same . .• : Z :' r �
� � : o : • ry � :, �, },
,� _ ' .
Joh� . ;H�,b d,l.. otary Public
Stat ofzWi.;4consin
My Commiss�urr :is Permanent
Drnfted by John D. HiCbnrd� Lnwyer, �12 S. Berstow §b..�„�pu Claira�Wi,gco�ein
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