HomeMy WebLinkAbout010-941-33-1106-LUP-2000-132 Application for Land Use Pertnit r ,� � . .,,.
County of Sawyer � < �
PO Box 668 - Hay�vard WI 54843 ^ � '
715/634-8288
The undersigned hereby makes application for a Land lise Pernlit and agrees that all work � �
shall be done in compliance with the requirements of the Sa�vyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.00�1STRUCTI0�1 MAY NOT 2
BEGIN L'NTIL THE PER�IIT IS ISSUED. �
��,�kQ PRINT — USE BLACK I�iK OR PENCIL � �
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Owner Builder c o �
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Mailing Address Mailing Address .�
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City, S ate, Zip ~ City, State, Zip �
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Daytime Phone Daytime Phone
Building Land Use 7 ;
O N w O Filling Zone District ` `
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( Addition ( ) Dredgin� � / /� ! � i
( ) Alteration ( ) Grading Lot Size � �� X (� (!�� � I
O 1��Iovin� On (� V^4�.yls 4�� - �
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( ) ( ) Ac res • k � � ;
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Primary Stnicture Accessory Buildin� Addition j(�. ��
O D���ellin� O Gara�e-attached;detached O Deck I,Q ;-
( ) �'ear round ( ) r of car stalls ( ) Porch I, ; �,'
( ) Seasonal ( ) Storage Buildin� ( ) Enclosed '`� ��
O Fraine built on site O Screenhouse O Living room ��
( ) :��todular�manufactured ( ) Gree«liouse ( ) Kitchen ! � �
( ) ��Iobile/manufactured ( ) Other (t-)'�e room �� ;�
( ) Otller primary structure ( ) (�elocate;'enlarge � a
� ) � ) � ) 7 of ne�=.� 4 �
�� iC�
Type of Construction � --�
(�rame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete I �
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Constniction Cost S � ��'D U I� r'
�'ol �/� Pg �/� of Deed CertiEied Soil Test # �
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CS�1 Vol � Pg �/f� Sanitary Permit � ` � ��. 'z
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Plat Envelope �r� ' '�
Co�ldo Vol Pg Year Installed �� \ (`�g�(' ��������I �� �
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Aff of ex septic �' P O���ner ��"hen Instzlled: � �
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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. �vide ft. ��'ide ft. wide ft. wide
� ft. lon� ft. long ft. long ft. long
Floor area �r� sq. ft. sq. ft. sq. ft. sq. ft.
H�. fiom g-ade ,� to peak ft. hgt. ft. hgt. ft. hgt.
Stories ( stories stories stories
# o f bedrooms y'F ,h f �j)
rear lot line or waterline of lake/river
7r�I 3
In the box sketch in: �'
Location and size of all
existin� and proposed structures.
Location of septic system.
Indicate distance to: G �
`Vaterline/`Vetlands \ �"CYa� , �` '
Road �� � r��Y�,�i� ��
Lot lines 1�' �e► �'
Septic systenvprivy �
��'el1 i,/0 � �
Distance bet�veen strtictures. � y �0,�,�. G i
;•__. _ `�r�t\�,
Indicate ��ortll. �� y� ati��,���x'�b� T�a �. � G�
� l �1�. � �..___ � v, f �� X--- �H ��
Fire titimber: � � I f� c� �. ��Y�s �itif �.�,,,�� �� . ��-
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Signature o r��ner
The abo�e certities that the listed �✓ ,
inforrnation �nd intention� are true and _ �•--' �� .� � V'' ��
correct. The abo�e persoil's'hereby — - -
��i�e permission for access to the . ,
piapzrty for onsite inspection. ------- CenteClltle Of� � ��� �� �•'�,� � � foad-------
Issue D�te May 1 , 2000 Expire Date May 1 , 2001
- � ������?
Ofhce Co�i�ments:
i�nature ot�Zunin�, Administrator
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�EC, 33 TWP. 41 N. R,9 W,
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2 g � 2 2 g S"IATE BAR OF WISCONStN FORM 2 — 1982 '
WARRANTY DEED
DOCUMENT NO.
RBplste(s Oflbe l
p EHi��-8li9 Sewyer Counry r� n
^ '� , �S ��i8li'FS �li 6Al9lG11i� Received tw record this 7 day d
�nA019q2at �
_.CL M and recoraed as vol.
conveys and warrants [o on pape
6� ts F$7�f�, �l�i aBETL't' iiEl!lH�i �'%�� ./ ..Y,t•A,.rJ
Regiskr
Depury
THIS S7ACE RESERVEO FOR RECORDING DATA
_.. ._ . . —'—__—.- _._..___......_ ..'_'—"_
NAME AND RETURN ADDRESS
the following descnbed real estate in ea�_ County,
Stace of Wixonsin:
' �L7 3io8 9
010-941-33-1106
PARCEL IDENTIFICATION NUMBER
THET PERT OF THS NORTHEBST QUBRTER OF THB NORTHBBST QUBRTER I,�
(NH1/4—NE1/4 ) , SBCTION THIRTY—THRBE (33 ) , TOWNSHIP FORTY—ONE II
i (41) NORTH, RENGS NINE (9) WEST, DESCRIBED ES LOTS ONE ( 1) , TWO
( 2 ) 8ND THREE ( 3) , RHCORDBD IN VOLUME SZR ( 6 ) OF CSRTIFIHD
SURVHY lIBPS, PBGES 102-103, SURVHY NO. 1169.
TRANSFER
$ �/D. �
FEE
IS NOT
This homesiead property.
(is) (u not)
Exception m warran[ies:
SUBJHCT TO RESERVETIONS, SBSSMSIiTS BND EXCEPTIONS OF RECORD BND
SUBJECT TO TOWN ROBD RIGHT OF WBY.
Q '7�-F SSPTffi�lB�t 97
Dated [his � �) � day of , A.D., 19 .
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(SEAL) '�"� . Q \ (SEAL)
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(SEAL) o (,s�F1L) J ,
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SwomtoarWsuUsr,ribectbelo`em@Th�s_!�d` , �,
01 `"�L�-� »�- Wiln 'mylirn�antloflkiel � . a ;
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AUTHENTICATION , ,
tate oE Wiseettstrt^—'�'�� _ "
Signature(s) _�tjg,���F��� ��Q(�(lri (Prmtyoure�irau ndatee q; ,�,,,, ° `
ss.,
GEItY W. JEWELL
� �. County
authentica i ay , 19�_ Personally c e before me this day of
\ , 19_, the abuve named
g BRD JSON, BTTORNSSC
�
ITLE: MEMBER 5 BAR OF WISCONSIN —
(If not, —
authorized y 5706.06, Wis. Stats.) [o me known to be the perwn �w�io execu[ed the foregoing
instrument and acknowledge the same.
\
THIS INSTRUMENT WAS DRAFTED BY
gpWHR11 E. HANSON, BTTORNESC
.
Notary Public, Coun Wis.
(Signamres may be authenticaied or acknowledged. Boeh are not My commission is permanent. (If not, state expiraiion te:
necessary)
� 19--
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• Names o(persons signing in any capacity should by typed or pnmed bdow�heu signamres. � V�1 3 P� � �
STATEBAROFWISCONSIN V ���"'.I�.
WARIUNl'Y DEEU
' Form No. 2 — 1981 MilwaJ�en.Wis.
� � .
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I, Roiiald L. Pete_son, Wisconsiii Registered �nc Surveyor, hei•eby certi:y
that in compliance with Chapter 2jfi:j't of the ''���isconsin Statut�s anC ur,der
tLe direction of Y,arold Jew�1, owner, I have survayed� divided end rr,appad
tLe iand he,.�ein described, that said rz;�p i� a correct reuresat�t&tion of tha
survey r�a�3e, to the best of my knuwle��.ge ariu n�bility and tP,at sUi�: land is
/ located in the �."'��-Sfz-Nyz-PJyx-1V14'yL-N��w� Sectior; 33� T.41 N, H.9 ��J. describac
as fullows;
Comm�ncing at the lJortheast corner of said ivbi�4-��r�, Thence S. 1° 0%'15" 'd,
along tY,e Last line of said IJE;M-NL"j., 165•00 feet, to t}�e actu�l point of
beginning, Thence S. 89° 18'S5" ��, 6E7•82 feet, Thence 5. Oo 56'26�' ld,
165.00 £eet, Thence N. �9° 18'j5" E, 66'7.29 feet to the 6a:t lina of =aid
PJN,"/'v-1VEyw, Thence IJ. 1° 0']'15" li, 165.00 fe�t to tY.e point of baginning.
Subject to all existinp; easamente,.and reservations.
Tkiis in�trument drafted by
Ronald L, f'eterson
Oct. 5, 1978
r"+pproved this (��day of Jctober, 1'j']�i by��Q�i.
Srawyer i:ounty �onir.g Admi.nistrator
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�lsC�NSr�L
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PETERSON � ���
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