HomeMy WebLinkAbout026-760-00-0100-LUP-1999-696 Yr5 0_. '
Application for Land Use Permit _ �
County of Sawyer N � .
PO Box 668 -Hayward WI 54843
715/634-8288 S �
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. 7c-- �
��cz Uee`S Mu 5�-y CS�ud� �e sar� P�NT—USE BLACK INK OR PENCIL �' (�
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J�4Nt�lr�l C'. �I' �'ik.G�CG4'C� �� �BCYtPa�¢� Ci1�( �l�� �U�«7 --�_ � -.,
Owner Builder �
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�J5 �l7 S��SSc�bi�c�ma l�d ro�7 �• EG1�C���l��..�� £ �
Mailing Address Mailing Address �
_�.t o n e L r�.f �r:_��7� ��,E l.�✓/ s`f 8'�� � _
Cit State,Zi �
Y. P City,State,Zip —T S
��/�' - a'4S- �l5-N h f 'gg���3�—ti-�r1� s
Daytime Phone Davtime Phone �
Building Land Use �
(j(�New O Filling Zone District,- . � J�
( )Addition ( )Dredgin� F
O Alteration O Grading Lot Size n s
( )Moving On ( ) � �
( ) ( ) Acres_ (o . a � ,,,�
Primary Structure Accessory Building Addition � n
( )Dwellin� ( )Gara�e-attached/detached ( )Deck � o
( )Year round ( )#of car stalls ( )Porch � �
O Seasonal a'j Storage Building O Enclosed �
O Frame built on site O Screenhouse O Living room �,
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )Other ( )Bedroom �
( )Other primary structure ( ) ( )Relocate/enlarge 6` �
� ) ( ) ( )#ofnew 6. � .
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Type ofConstruction ° e
( )Frame ( )Log �Q Pole/metal ( )Block ( )Concrete �
( )Other
�
Construction Cost$ �/� ,�oO u� � .�
F
. �
Vol (�a�Pg 1 y�of Deed CeRified Soil Test# �
CSM Vol (Q Pg� Sanitary Peanit# � z
Plat Envelope p�; �
Condo Vol Pg Year Installed }- ; � �
.4ff of ex septic V P Owner When Installed: �
��I 19'�°
3�t�;�u �
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 �9� sq. ft. sq. ft. sq. R. sq. R.
Hgt. Crom gade� 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: � �U�.t�
Lncariee and size of all
existing and proposed structures.
� �
Location of septic system. T r v" H« -
� \�
Indicate distance to: `� ~j " ( ,
Wa[erline/Wetlands I � � �NqViCR �
Road � �
Lot lines �� � lit�� � �-p'
Septic systeni/privy 3 5° � 1 4 �` SE gf}CK
Wetl �� � : 1 r(1 `(I
Distance beh��een structures. ,` � � � / i �E �u��R
< - �d. �i
Indicate North. ?KAVEL TRAit$�
� � �•� �(� ��
Fire Number: �
y5yh N .
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� �z^�v C���,�--t��� b
�
ignature of Owner
The above certifies that the listed
informa[ion and intentions are true and �
correct. The above person/s/ hereby
give permission for access to the
property for onsire inspeccion. ------- centerline of � �' y�-�e( � , n p. road-------
SISSA �Be�Gf}InA -I�C�
IssueDate November 22 , 1999 ErpireDate Novmeber 22 , 2000
Office Comments ' `Z � "
Si�rature of oning .4dministrator
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� 1� �q�� �� SIS ABAGAMA LAKE � � �s
�_ � �� 1 _____ �
SGALE: I INCH= 400 FE
DRAWN BY: RH
COLON (:) INDIGATES C
, � _
!r U S V Ir S II STATE BAR OF WISCONSIN FORM 1 — 196x I "
I� WARRANTY DEED II
DOCUMENT NO. jl li
�, .. � . . � �. . .-.. . �. -. .�.� - . . :� Req4Aer'6 OIflCC
��, Saw'/erComry }ss �f
Ttils Deed, made between WILLIAM H. DUBROCK a/k/a �� Receire,,d�,�or ncord Qthi�s / Oay d
Id�I�M W Di7BROCK AND ANDRA HOCKING, n/k/a �.Y' —AD191.P_.a� —'A}��o'd�k
nd wife as 'oint '� �_M antl recorded as vd. ��.3—
�
tenanta , Grantor, I'�' o�r on paUe
.�� �I �!/L�C.cat
I� and F.il(CF.NF F_ VF.FNENDAI 1 AND AND E �I ���
II VF.F.NF.NI�AT.i.� hnshand and Wi f d TViVOLShlp_
marital nrn�7PT}'�/ II
o�v�ry
, Grancee,
� Witnesseth, That ihe said Grantor,for a valuable mnsiderztion I
Iconveys to Grantee the following described real es[ate in Sawyer II�'' T�+is sPnee HEseaveo foa aecoRoinc onrn
That art of Government Lot Fourteen 14
Coum ,State of Wisconsm:
_ _ _ —
� P ( , I NAME AN CITIZENSSSTATE BANK
�
section Five (s) , Township Thirty-eight (38) � 140SMainSt.
I North, Range Nine (9) West, described as Lot�� fa� BOX299
Ij "A" as recorded in volume six (6) of WOOdVlll9 WI b4028
I Certified Survey Maps, page 3 , Survey II
__
No. 1112 . _ :_.._. _-_--=�
2 . That art of Government Lot Fifteen 15) , Sec piE�i�E"�i�e" E �
P ( `t �'� `tPownshi
�I , Thirty-eight (38) North, Range Nine (9) West, described as Lot "A"p ��il
as recorded in Volume Six (6) of Certified Survey Maps, page 3 ,
Survey No. 1112 .
�� ii
3 . That part of Government Lot Fourteen (14) , Section Five (5) , Township �I
Thirty-eight (38) North, Range Nine (9) West, described as Lot "B"
li as recorded in Volume Four (4) of Certified Survey Maps, page 267 ,
Survey No. 811 .
�
This_ 1S homestead property. @ / Z5'!D
II (is) (is nod `7 C�
� Together with all and singular the hereditamen[s and appurtenances thereunro belon m �
8 8:
i And�:ran4�nrc
warran�s that the tide is good, indefeasible in fee simple and free and clear o[encumbrances except zoning ordinanees,
easements and restrictions of record,
and will wanant and de[end the same.
��d
Dated this day of �ANc. RR.[� 19 Q O
_L
I (SEAL) ���1Ti'1 `�H�DTf7�f��� (SEAL)
a1i r I �'�—
I � . . ll .
(SE4L) � � / �' (SEAL)
JQ11J.14 nu�niciy,-n, x7a
� •Sandra T D ib o k
AUTHENTICATION ACKNOWLEDGM@NT
Sigcumrc(s) State�of Wisconsin,
� ss.
I Counry.
authenticated this day of , I9_ Personally came be(ure me this day of
i� , 19_Q�, the above named
� Will ; am H D �b o k, a/k/a W� lliam
il � �i_ n ,bro k and and a Hocking — i
TITLE: MEMBERSTAI'EBAROFWISCONSIN n/k/a Sandra T D �b O k
Q[not,
authorized by 5706.06,Wis. Stacs.) to me knoum to be the rson
pa 5__who executed[he foregoing
ins[rument and acknowledge[he same. �
THIS INSTRUMENT WAS DRAFTED BY ,�pHN E��— i
� Kathryn zumBrunnen
orney a aw • SlebotWlacarrin �I
� ��i g„nna n �' �CO i�C I
S�-^----r 1 blic,— County,Wis. �
(Signamres may be au�henticated or acknowledged. Boih are not M m ission is permanent. (I( no[, state expiration date:
� necessary.) _ _ C7C'tob r �y ,���__J II
•Names ol persons vgning in any capaclty s�oulA by IyPed or Pnnad below ihar si�naturet �
V�i. � � � vr_ y � � ___ , _ I