HomeMy WebLinkAbout026-939-16-5313-LUP-1999-403 _ /5��� �'� �.
Application for Land Use Permit � `' � f �
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County of Sawyer jTC, ��7 � �
PO Box 668 - Ha}nvard 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 �
BEGIN UNTIL 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
���,s� b�--�, 1J7� —�y�' ��' �
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City, State, Zip City, State, Zip
�/� -`�9/-�3GlCo
Uaytime Phone Daytime Phone "'
Building Land Use
O New O Filling Zone District Dele-:�
( ) Addition ( ) Dredging ^
( ) Alteration ( ) Grading Lot Size o
( ) Moving On ( ) �
( ) ( ) Acres `)� � �
.,
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Primary Structure Accessory Building Addition � °
O Dwelling O Garage-attached/detached O Deck 5,; o
( ) Year round ( ) # of car stalls (L�'�orch b� "
( ) Seasonal ( ) Storage Building ( ) Enclosed �
( ) Frame built on site ( ) Screenhouse ( ) Living room '�
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
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( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge C� >
O O O # ofnew �
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Type of Construction � a
( ) Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other '�
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Construction Cost $ �� � � C� � �
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Vol (,'% Pg ��.%� of Deed Certified Soil Test # 'y�—��/L� " (�
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CSM Vol _�Pg _3CU Sanitary Permit # ��j -_� .-�`� � z
Plat Envelope Or: � �
Condo Vol Pg Year Installed�j �
Aff of ex septic V P Owner When Installed: g
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Application for Land Use Permit— Page 2 �
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#I. #2. �r.�^C�� #3. #4.
Size�°`� ft. wide � ft. wide ft. wide ft. wide
3� ft. long 1 N fr. long ft. long fr. long
Floor area 7(� sq. fr. _!� sq. ft. sq. ft. sq. ft.
Hgt. from gade��to peak fr. hgt. ft. hgt. ft. hgt.
Stories / I 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. ��_ ��-��'�l
Indicate distance to:
Waterline/Wetlands
Road
Lot lines
Septic systen�/privy
Well
Distance between structures.
Indicate North.
Fire Number:
' �
Signature of Owner
The above certifies that the listed
information and inrentions are true and
cortect. The above person/s/hereby
give permission for access to the
property for onsi[e inspec[ion. ------- centerline of road-------
Issue Date July 27, 1999 Expire Date July 27, 2000
Office Comments: ����ti�� � `��
Signature of Zoning Administrator
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SAI,IYER COUN'1'Y CERTIFIED SURVEY N,AP NO.. �•'-
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SURVEYOR�S CERTIFTCATE:
I, LYLE L. ELLIOTT, registered land surveycr hereby cer-tify that by the direction of JIM PEJKA,
I have surveyed dnd mapped the ?�nd p�rre� F�hieh is represented by this Certifi�d Survey I�:ap:
That the exterior boundary of the land parcel surveyed and mapped is described as follaws:
; A part of Government Lot 3, Section io, i owns;up �; NorLh, Range 9 Y�est, Totim of Sand I.ake;
County of Sat�yer, Sta�;e of lr�isconsin, and more parLic�zizr,�y described as fo:�li.t�s:
Beginning at an iron pipe on the North�vest Corner of said Government Lot 3;
thence h.g9� 31� 00'�E. 398.61 feet to an Angle iron;
thence 5.18° O6� 50"4l. 31+8.10 feet to an iron pipe;
thence N.75° 06' 35"W. 295•35 feet to an iron pipe;
thence N. 1� 07� 2;";•J. 251.65 feet to the point of begi.nning; said parcel contains
2.33 acres, more or less, and subject to any easement of record. . �
�'hat I have fully complied �•rith the provisions of Chapter 236-31� of the j�lisconsin revised
`;t� tut,es in surveying and m:�pping s�ne.
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SAWYF�, COUNTY CERTIFIED SURVEY MAP N0.
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SURVEYOR�S CERTIFZCATE:
I, LYLE L. ELLIOTT, registered land surveyor hereby certify that by the direction of JIM PEJKA,
I have surveyed and mapped the land parcel which is represented by this Certified Survey Map:
That the exterior boundary of the land parcel surveyed and mapped is described as follows:
, A part of Government Lot 3, Section 16, Township 39 North, Range 9 West, Town of Sand I,ake;
County of Sac,ryer, State of Wisconsin, and more particularly described as follows:
I3eginning at an iron pipe on the Northwest Corner of said Government Lot 3;
thence N.89° 31� 00�'E. 398.61 feet to an Angle iron;
thence S.1$° O6� 50��W. 3L,$.10 feet to an iron pipe;
thence N.7�° 06� 3���W. 29�•35 feet to an iron pipe;
thence N. 1° 07� 25��;•�. 251.65 feet to the point of begi.nning; said parcel contains
2.3'� acres, more or less, and subject to any easement of record.
�'hat I have fully compli.ed with the provisions of Chapter 236-31� of the t�7isconsin revised
Statutes in surveyin� and mapping same.
�
,� LYI.E . ELLIOTT, Land Surveyor
� � �� 7� Y�iscons' egistration 5-1300 �
Register's Office Date; j Q� 1 �8/
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Snwy�r County Qr�3_��
Rer�=f✓ed [or record the ,� .� �y OF 11111N���,I
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c�fL� A D 19�' at��> o'clock f����
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,nri i�cord�d in vol .� ✓- ��
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,f �.( ( I' . �S,e'b�S on page i Q�_ Lris u �
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�,I DOCUMGP�T No. WARRANTY DEED T���S SPACE rzESEr�vEu r-oR r�E�oHuina oAi.� j
� STATE BAR OF WISCONSIN FORM 2-1982 ' 'I
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k�dwar.d .J. Pe,'}.kK and C 1.ara L� Ye ik� (hti$band . __._. n t� 1►1 p
............. ...... ...... . . . _ . ..... . . . . . /.Z_ ul � o'c
and wife as marital survivorship� property)� _ __M zr.� ,��.�•�,..+ .�..��i..u`�V�
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conveys and wr,rrants to _..�1f3S Tzimanis _ ___. _ ���
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.............""'_'_"_"_'_'"_"'"_'""'"_""""""'_'_""""""...""'""""""'"""."""""""""_"'""."'" RETURN TO � I �flCG ��7
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� • • ' ..._.County, ,_� _S�__.����_�1 � . �l/��. �:)�����
I the follow�nb described real estate m •----...�aYT�C�7'.---•--•--------------- ------- --__ --__ - --
State of Wisconsin: � /
ITax Parcel No- -------------•--•--•---•--•--•
I' LP"art of Govermnent Lot Three (3� � Section S�Ixteen (16� � Township Thirty-Nine i�
(39) rlor�th� Ran�;e Nine (9� West, descril�ed as follows; ],ot One (1�, ;�
r.ecorded in Volume Ei�ht (8� of Certified Survey P9aps� Page 301, Survey No. '
' 17ti-0 (`['ax Yarce]. No. 16.39•9►3•9) �
;I .�Also included in this property i.s a perpetual non-exclusive easement over and
acros., �.he East 30 feet of Covernment I�ot Four (4�, :iection Sixteen (16� , '�
Townshii� Thirty-nine (39) Nortt;, Range (9� West, lyi.ng South of tl�e East-West �uart�r j
; line and ]ying South of Highway 27 as now constructed. ;i
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jj This deed is given in satisfactjon of a land contract dated Sept. 4���989 '!
' and recorded Sept. 5, 19�9 in volume 438, pa.ge� �N67-Z668 in tlie ]tegister
�� of Deeds oFfice in the Sawyer County Cour.thouse. ;
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Exceptian tu warranties:
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I ,_';� day of -- - - - - .. __.... _ 9
Datefi�this _ - - - - --- - --- --- - ------- -_._.
/ r/, /� / , -.-....._... - _ __ (SEAI.)
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�I AUTHENTICATION ACKNOWLEDGMENT �
(I __ _ STATE OF WISCONSIN �,'
�I Signature(s) ------------------•-•--•--------------•--------•--
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�I - `�.---- � Y•-- - ------ y� ' ---� - ----day of �
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liauthenticated this ..______day of___________________________ 19._.___ Personall came before me this
I �d�-y�Yj�„� _ ___� I�Z.. the abuve name�1
--------------EdWa�d-,I-,--�'e-Jk�---------------- ----------- -
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, - -------------------------------------------------
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�; TITLE: MEMBER STATE BAR OF WISCONSIN ._________.____._---------------------- -
i, -- - -
(If not- ---------------•------- ---- - -- ---- -------- - ,�---•-. ---�---- - ------
------------- - -- ----- --- - -
II authorized by § 706.06, Wis. Stats.) •.Lt- �•.''• to me known to be the person ..S_.___.-_ who executed the
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�.`.`° '.�4�' , : foregoing instrument and acknowledge the saiue.
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(Signatures may be authenticated or acknor6le �±ec1����'• M>' C��nmissi n is permanent. If not, state expirutiun
�,- ,� �� ,� - �sq� .�
are not necessary.) � date: �- - - .- -- >
----••--- ----
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•Namen oP peraons siBninB in nuy cupnc�ty shuuld be typ�d or n�•iut � �L
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