HomeMy WebLinkAbout010-941-36-4103-LUP-2000-524 Application for Land Use Permit r � �
County of Sawyer � <
PO Box 668 - Hay«�ard �VI 54843
_ 715/634-8288
The undersi�ned 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 la�vs and regulations of the State of �Visconsin.CONSTRUCTIO�` I�IAY NOT
BEGIti UtiTIL THE PERi�IIT IS ISSUED.
PRI�T — tiSE BLACK I�K OR PENCIL �' (1.
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L (� �
Ti�► ` � �� � ow� 50�,� �D U I Q Je�l C�p�1 y�
Owner Builder � � o
9� ��N �����e� rzd �� P��-� ���� �2d �
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Mailing Address Mailing Address �—
��,���R� �� s���3 +�,��w�-��0 �� s���� �
City, State, Zip City, State, Zip
`7rs �3�- 313 i ��S- ��rS- 2�t3 �
Daytime Phone Daytime Phone �
Buildin� Land Use '
(�I�te«� ( ) Filling Zone District �`J 's
( ) Addition ( ) Dredging �
O Alteration O Gradin� Lot Size � IY
( ) ��loving On ( ) ° �
( ) ( ) Acres S �� �ES � �
; i
— �
Primary Stnicture Accesso�� Buildin� Addition i ��
( ) D���ellin� �(f Gara�e-attached'detached ( ) Deck �`' -
O �'ear round (�) � of car stalls O Porch ��'
( ) Seasonal ( ) Stoc-a�e Buildin� ( ) Eilclosed ` '
O Fran1e built on site O Screenho�ise O Livina room �
( ) i�lodularimanufactured ( ) Greenhouse ( ) Kitchen � �
( ) i��lobile/manufactured ( ) Other ( ) Bedroom ' �S
( ) Otlier primar}� stnicture ( ) ( ) Relocate/enlarge � �
( ) ( ) ( ) m of ne��� � �
� I`
Type of Construction -
�Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete Q �
( ) Other � �
� �
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�
Construction Cost S �� d4�� D� ^ �:
Vol_��� Pg o�� of Deed Certified Soil Test r z]v�=—��v -�� .� �
CS1�1 Vol �� Pg ��� Sanitary Pernlit � ��--�-� U U- 3�g � z
Plat Envelope Or: l-.�-��.� � ^'
Condo Vol Pg Year Installed �
.Aff of ex septic �' P O��'il�C �VIlI:II I[1Sl�lIC:CI: � I �
�l�� �1
13�-la�t
Appiication :or �z;,:d lise Permit — Page �
Describe Conscruction: List dimensions of eacn sc�uc:ure, story, addition, or alteration. �
# 1 . k2. =3. n4.
Size .3� ft. wide fi ��.ide ft. wide fr. �� ide
�{d ft. long it. !on� h. lon� _ h. long
Floor area 1�00 sq. ft. ___ sq. ft. sq. ft. sq. ft.
H�. from �ade Z � � to peal: _ ft. h�t. ft. hgt. ft. hgt.
Scories � srories stories stories
m of bedrooms Q
;>.�r iot lir,c or �� aterline of lake/river
In the box sketch in:
Location and size oFai! �'��
existin� and proposed str��:c,ures. �Q� �
p y�-�,�
Location of septic system. 130 � :��,oQ� �0
Indicate distance to: �' p���
��'ater(ine!�Vetlands ���y�'�
Road �
Lot lines ' y
Septic system;'privy ��� �R�� 3� �z1sT
��"el I 6A�A6E �{OUSE
Distance bet�veen strtictures. wy,i, � �,?g �X$z�
� 0 �
Indicate �ortli. I ��— m
u
.
Fire \umber. UPN ' O�e����'
987� N iHz ' � � �
/�,� ,s r \��,P J
GnQa�c w
,24�X 2'! � �`
�m � �y�
S gnatu e of O cner �'PG ,(��
Tlte abo��e certi6es that thz listzd
infomiation and intzn[ions are true and
correct. The aboce person�s� hzreby
eive pzrmission for access to the
propzrty for onsi[e inspzction. ------- cen[0�litte Of �02d-------
Issue Date September 20 , 2000 __ Expire Date September 20 , 2001
Of6ce Comments�. (�.t�e��?�ri�A, _
Si�natur� of Zunin_ Administr:;o�
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PHIPPS
LAKE
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CALE: I INCH= 400 F�ET FOR ASSESSMENT USE O Y OT
�RAWN BY : S.R.D. DATE : 4/12/84 INTENOED TO SHOW CONC USIVE
:OLON (:) INDICATES GOVT. LOT gOIUNDARY�LOCATIONS IP OR
STATE BAR OF WISCONSIN FORM 1 - 1982 '
2 � J� rJ F7 � WARRANTY DEED
DOCUMENT NO. 1 �
_ _ . _
_ -- ------
� MARY LOU MOELLER n/k/a Mary Lou HeaistePs Ottice �
This Deed, made between Sawyef CounGy }
/th
i Myers �ived tor record his .st.� dey ot
�� A D 19 � at �,�o'clock
, Grantor, , M � r�o� y� vd. 6(� �
and THOMAS R . THOMPSON and KELLY M . THOMPSON , husband ;
i and wife as survivorship marital property �� a Recorda on paqe a��
i
I ' Register
, Grantee,
I
� Witnesseth, That the said Grantor, for a valuable consideration Depury
I.
of one dollar and other valuable consideration
'I Sawyer THIS SPACE RESERVED FGA RECOROING OATA
� conveys to Grantee the following described real estate in ------.,_:.:-�: ._ _:__ __ _ _ - _
COUII[Y, S[2[C Of WISCORSIII: NAME ANO RETURN ADDRESS
( That part of the Northeast Quarter of the Southeast
CVB-HAYWARD
i Quarter (NE� SE � ) , Section Thirty-six ( 36) , Township
' ' Forty-one (41 ) North , Range Nine ( 9 ) West , described
as Lot Two ( 2 ) , recorded in Volume Nineteen ( 19 ) of
_____ _
— ------- --- - _ __ �
Certified Survey Maps , pages 216-217 , Survey No . I
5673 . 010-941 -'i6 410� I
PARCEL IDENTIFICATION NUMBEH
I I
TRANSFER �
. � 3$ s�
FEE �
iLegal description provided by title insurance prepared by Hayward Land Title . I�
Grantees are named in accordance with direction provided by RE/MAX of Hayward . Ii
�
?his is not homestead property. I
�i (is) (is noc) �
'i Together with all and singular the hereditaments and appurtenances thereunto belonging; I
�' And — II
I; i
� warran[s that the ti[le is good, indefeasible in fee simple and free and clear of encumbrances excep[ �I
all easements , exceptions and reservations of record . �i
, i)
� �
iand will warrant and defend the same. ��
; // / I
Dated this .�[�'t'Y ) day of / �G�f�Y 1 , 19�.
� i
i�
; (SEAL) (SEAL)
�; � • MARY LOU MOE LER n/k/a Mary Lou Mvers �i
i (SEAL) (SEAL) I
�
I i
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i� AUTHENT1CATlON ACKNOWLEDGMENT �
State of Wisconsin, ,
Signature(s) SS '�
�;
,�
County. �� S�J �'I
;i authenticated chis day of , 19 Perso lly ame beEor ' day of j,
� 1 , �he above named �;
; ,
;
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(i TITLE: MEMBER STATE BAR OF WISCONSW ' �,' y — 'I
�� " f _
� (If not, �
�j authorized by §706.06, Wis. StatsJ to me known to be � wh gxe�ted che foregoing ;
i �
�Iinstrument d ackn�+ tihe s �i ✓ ��+ I
I . .,,,,. , �I
� THIS INSTRUMENT WAS DRAFTED BY ��' �
i
; !'
! Attorney Thomas J . Duffy by : �"""'��� �'
;� Suzanne M . Bartz � Counry, Wis.
; Notary Public, ;
;, (Signatures may be authen[icated or acknowledged. Both are not My commission is ermanent. I�{ noc, s[ate expira[ion da[e: ,
l/P 1 � - /�;' , i9 _.>
�� necessaryJ
�� _ - 1�L6 � � PG214
,; --
i� • Namcs of persons signing m any capacity should by rypcd or prinicd below their signawres. i'
� STATE BAR OF WISCONSIN wisconsin Legal Blank Co , inc.
�, Form No. l — 1982 M�hnaukea W�s
WARRANTY DELD