HomeMy WebLinkAbout010-941-28-4232-LUP-2000-280 - a�c� �=
Application for Land Use Permit r � _
County of Sawyer � < �(
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PO Box 668 - Hayward �VI 54843 �
715/634-8288 "`��
The undersigned hereby makes application for a Land lise Permit and agrees that all work �
�
shall be done in compliance �vith the requirements of the Sa�vyer County Zoning Ordinance �
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT �
BEGIN UNTIL THE PER�IIT IS ISSUED. �
PRINT — USE BLACK INK OR PENCIL �
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Mailing Address � Mailing Address �
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City, State, Zip City, State, Zip �
7�f �3�- s�J s 7i�= �3 y- �� Ts' �
Davtime Phone Davtime Phone �
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Building Land Use ^
( ) New ( ) Fillin� Zone District �, � `�
j��Addition ( ) Dred�ing ��
O Alteration O Grading Lot Size ��� .��f� � �
� � �'TOV1Ila �I] � � � �� � I
� � � � ACCC:S ^ i
�,
Priinary Structure Accessory Buildin� Addition � ��
( ) D�vellin� ( ) Gara�e-attached/detached ( ) Deck 'I� -
( ) �"ear round ( ) :-� of car stalls ( ) Porch �i�' ����
O Seasonal ,J�J Storage Building O Enclosed �"�0 I
O Frai��e built on site O Screenl�ouse O Living roonl ��� '
( ) ��Iodular/mantifacttired ( ) Greenhouse ( ) Kitchen I�' �--
( ) ��lobile/manufactured ( ) Other ( ) Bedroom '�� �,
( ) Otller primary structure ( ) ( ) Relocate/enlarge ,.� �
� ) ( ) ( ) ;� of ne«� !�" �
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Type of Constniction �
( ) Frame ( ) Lo� �Pole/metal ( ) Block ( ) Concrete � �
( ) Other � I�
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Construction Cost S l�� �� �I <'
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Vol �/�� Pg %�'=� of Deed Certified Soil Test r- �'� �'f'�- I I�
CS�1 Vol !,C Pg l�,� Sanitary Permit # L �z
Plat En��elopc Or: `Tj -.�'� i� I~
Condo Vol P� Year Installed 1� ��,� � �
O���ner �Vhen Installed: � �
Aff of e� septic �' P ,�c��'
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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 3 � ft. wide ft. �vide ft. wide ft. wide
� ft. long ft. long ft. long ft. long
Floor area � D sq. ft. sq. ft. sq. ft. sq. ft.
H�. from grade to peak ft. hgt. ft. hgt. ft. hgt.
Stories f stories stories stories
# of bedrooms �_
rear lot line or «�aterline of lake/river
In the boY sketch in: ;� ��
Location and size of all '
existing and proposed stnictures.
Location of septic system. �
� '�
� �
Indicate distance to:
Waterline/`Vetlands
Road
Lot lines �
Septic systemiprivy f,? a .�
��"ell � _�
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Distance bet�veen structures. � ,�,� ' � ��J � � �
--� 7.s
�
Indicate i�,'orth. �
o�
Fire tiumber: � s, 3 � � �
/(� o s 3 w ,�iti�a�� � p� �
- �
.
Signature o O��•ner p
l�lie abo� e certities that the listzd �
information and intentions are true and
correct. The abo� e pzrson's! hereby
�_i� e permission for access ro the
properry for onsice inspeccion. ------- centerline road-------
Issue Date June 20 , 2000 Expire Date June 20 , 2001
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Si�nature of Zoni►1� AdmiclistrZtor
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:JOHNSON
ADDIT/ON
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FOR ASSESSMENT USE ONLY:A�`OT
;ALE: I INCH= 400 FEET INTENDED TO SHOW GONCLU�'�VE
JLON B). INDICATES GOVTE•LOT/84 EVIDENCE OF OWNERSHIP OR �
BOUNDARY LOCATIONS
DOCUMENT NO. STATE BAR OF WISCONSIN FOFiM 2-1982 �I r;;is sNnce ReSeavEo Foa aecoqoiNc onin
210 3 5 5 WARRANTY DEED ,
Heplk�e'�C�Illa t �
Sew7s�Camfy f
R �d 1 »ewd tly, dw LV
L^NANtc T. aRADCHULIB and DAVID L. D2PASOt]ALE, tenenta in co n� A D ls�et o'�
and not as joint tenants � end reoorded�n vol.
ol F-{eoorde on peqe �
G . �cu�
conveys and warrants to HAYWARfI RFCV(`!TI� �__i[yG�� �eC1dr
a wi crnnGi n .o mrdtion
. _--- ___ PA�
R If,o SPOONER
P.O. 8
Spooner, 54801
ihe following descrlbed real estate In SawPr County,
State of W isconsln:
Tax Parcel Na: _
�That part of the Northwest Quarter of the Southeast Quarter (NW1/4SE1/4), Section
7Wenty-eight (28)� Township Forty-one (41) North, Range Nine (9) West, described
as Lot One (1), recorded in Volurtie Twelve (12) of Certified Survey Maps� page
142-143� Survey No. 2920.
FE�
it E��
This �s n�t homestead property.
(is) (is not)
Exceptlon to Warrantles:
Datedthis 27th __dayof Jul� _, 19$�.
(SEAL) _/ � t �+� � _ -•��'L:��(SEAI)
Frank T. Bradchulis
(SEAL) ,'* � � � (�� � (SEAL)
• navi r3 T._ f�i PdgQLalE
AUTHENT�CATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
p ss.
J�+W��r Counry.
authenticated thls�—day of , 19_ Personally came before me this �7 day of
Ju� , 19 L`5�the above named
Ipv.l� 1. `�lc. I .L 1; � '�
�J�..� �- � Q41 �L
TITLE: MEMBER STATE BAR OF WISCONSIN
Qf not, to me known to be the person s . who executed the
authorized by§706.06,Wis.Stats.) foregoing I��ent and acknpwledge the`me.
tnn�nrr �
THIS INSTRUMENT WAS DRAFTED BY ��� ��I� � "i^"�
�.�` R. T� ��.
� PS Riy '. �(' �
J :� •`' �'���G.p�'S \h.o�n+ � \` ��J.n`la.�
:ti :• •
� {�](���RY ���qdaryPublic Sa�.� County,Wis.
(Signatures may be authenticated or ac�n�w• dged.�yth . M� Commiss�n is permanent. (If not, state expcir,act,ion
arenotnecessary.� �: ��c Zf , 79�J
=, s:PUBLIC;' ;: _
� i �.0 • � . � � ` NTF P280
'Names ol persons signing in any capaci�y should be ryped or Qrj�I�d��loW�1,y�aF WLISCONSIN Nelco Tax Forms,P.O.Box 10208,Green Bay,WI54307-0208
WARpANTY OEED �S�•f'@A
arm No.2—1982