HomeMy WebLinkAbout026-939-17-5225-LUP-1999-694 . �Dc�°-�'- -
Application for Land Use Permit r y � �
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
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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. �`"•
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wner Builder � o
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Mailing Address Mailing Address
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City, State, Zip City, State, Zip � � ��
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Daytime Phone Daytime Phone �`� �.
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Buildina Land Use "-� �
( ) New ( ) Fillin� Zone District �/ A '� "
( ) Addition ( ) Dredging -=� �
O Alteration O Grading Lot Size o . �'
( ) Moving On ( ) �
( ) ( ) Acres c��� � �� _ � ��
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Primary Structure Accessory Building Addition �� �
( ) Dwelling ( ) Gara�e-attached/detached ( ) Deck '�, o �
( ) Year round ( ) # of car stalls ( )Porch ,�; �" �
( ) Seasonal ( ) Stora�e Building ( ) Enclosed '
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �`� �
( ) Mobile/manufactured (�.Other ( ) Bedroom �.
( ) Other primary structure ( )��� ..�o f( ) Relocate/enlarge � A
� ) � ).Q�«., ��.�,ti..��_ � ) # of new �
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Type of Construction A
( ) Frame ( ) Log ( ) Pole/metal ( ) Block (�Concrete �
( ) Other '�'
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Construction Cost $ �j,�,'�.c ,(� , < u � �'
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Vol__��Pg �� 3 of Deed Certified Soil Test # /V '� �''
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CSM Vol Pg Sanitary Pernlit # � ��`;; •- z
Plat Envelope Or: ��+/° �j/_�� �
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 � sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. from gr-ade 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.
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Indicate distance to: � ' ��
Waterline/Wetlands /�� �
Road .- � __ _ __- _ 1' \
Lot lines �..- , � i, �
Se tic s stem/ riv + � :�
P Y P Y , �. � «r
Well � �' '
Distance bet�veen structures. �� �
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Indicate North.
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Fire Number: �
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Signatu e of O�vner 7 �
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The above certifies that the listed
inforniation and intentions are true and
correct. The above persoi�/s/ hereby
give permission for access ro the
property for onsite inspection. ------- Ceritel'llne Of road-------
Issue Date November 22 , 1999 Expire Date November 22 , 2000
Office Coinments: � �
Signat�ire of Z ning Administrator
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;ALE: I INCM= 400 FEET FOR ASSESSMENT USE ONLY N�T
2AWN "8Y: GK DATE � Q��82 INTENDED TO SHOW G4NCLUSIVE
�LON ' (:) INDICATES GOVT. LOT BOIUNDARY�LOCATIONS IP �R
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WARRANTY DEED ;/��e. a v is q� ,—�L W�
�_��d «:���,�d i��. y�G
(1� IIeiUTJJ OII j.tl(
BY THIS DEED , Thomas M. Brown and Olive D . Brown , � `�-Z���� ;�
his wife , Grantors , convey and warrant to Stone Lake " y��
Oil Co. , Inc . , a Wisconsin Corporation , Grantee for a �i
valuable consideration the following described real
estate in Sawyer County, State of Wisconsin:
�That part of Government Lot Two (2) , Section Seventeen ( 17) , Township
Thirty-nine (39) North , Range Nine (9) West , lying North of S .T . H . #70
and Northeast of the Northeast line of Lot Two (2) recorded in Volume
Twelve ( 12) of Certified Survey Maps , pages 298-299 , Survey No . 3004 .
TRANSFER
$ �.S „ Tax Key #
FEE This is not
homestead property
Exception to Warranties: Subject to easements , restrictions and liens of
record.
Executed a � a-,�-c_., Wisconsin thisJ_�day of May, 1991 .
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' ���,j��'�?i�`� �r/ ���:-cL .-yC_ESEAL) l�-�'�� `�.� ;.���-�S)
iofnas F� r�own ive ro�n
C_ _
STATE OF WISCONSIN)
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SAWYER COUNTY ) �:'�a0,. ,�'•� ",..
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Personally came before me , this ��CJ day of �Lt.c� �- , 1 �; t��,•M �,�,,; o
above named Thomas M. Brown and Olive �. Brown to me kno to be t�g' �ersmn�" `� : h `-
who executed the foregoing instrument and acknowledged the same. � , � •.,: : , ' :'�� :
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�� �. Coun y, Wis .
My ommi ion : ��—�/— �/'.3
This instrument was drafted by
Michael A. Kelsey
Carroll , Parroni , Postlewaite ,
Graham, Pack & Bertling, S .C.
P.O. Box 1207
Eau Claire , WI 54702 '
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