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HomeMy WebLinkAbout010-841-26-5518-LUP-2000-569 / � Application for Land Use Permit � � � County of Sa`vyer � � � PO Box 668 - Ha}nvard WI 54843 - 715/634-8288 y 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 p � and the la«�s and regulations of the State of Wisconsin.CO�STRUCTIO�' l�1AY tiOT o-� BEGIti UNTIL THE PER:�IIT IS ISSUED. PRINT— USE BLACK I�K OR PENCIL �!' �� � � �h t� - Be�v , LLC.._ ��c,� 5� os�r-fl� y: Owner Builder D ° o ��021 N �.�•-Sery R� 130Z1 N Lq�-SeN P�c� ' L ; � Mailing Address Mailing Address (�' � l-��v W R� ��S Sy$y N�ti w w,-� . w�s 5y�y3 '� c City, tate, Zip Cit y, S`tate, Zi p � � _1 l 5- (�3y - y y 21 715- (p3`1 - �l'� Z� �- z Daytime Phone Daytime Phone �' r Buil i�1a Land Use � r Ne«� Fillina R r ( ) � Zone District � , g ( ) Addition DredvinQ - � �dti Ra�� G � ) � J �nK-e R�y�ts�J p �.eft s ( ) Alteration ( ) Gradin� Lot Size �ag' 361� Ll3 100� � �; I ( ) �Ioving On ( ) � � ' O = � ) � ) Acres _ .�oy � � ' , i Prii ry� Stn�cture Ac ssory Buildin� Additioiz � i� � ,����elling �ara�e attaclle detached Deck f" � — ��"ear round (Z) � of car stalls � Porch i,� ( ) Seasonal ( ) StoraQe Buildin� ( ) Eilclosed � � (7�Frame built on site ( ) Screenhouse ( ) Li�•in� room � ( ) ?��Iodularimantifactured ( ) Greenhouse ( ) Kitchen � ( ) Mobile/manufactured ( ) Other ( ) Bedroom � � ( ) Other primary structure ( ) ( ) Relocate!enlarae � < � ) ( ) ( ) tt of ne��� � � Ty e of Construction � Qt�Frame ( ) Lo� ( ) Pole/metal ( ) Bloc�: ( ) Concrete � r. ( ) Other � � � Construction Cost S Z60, OUG� op O �, Vol �JQ ,�Pg � ? of Deed Certified Soil Test ;= �`�'75 "� I CSM Vol �� po ' 1 c � ��� Sanitary Permit � �(`� ---y%�� 'G z � ._ Plat Envelope pr; �,v��' � ^, _ :<<�;�,� � � Coildo Vol Pg �'ear Installed � .Aff of e� septic �' P O���ner `Vllen I►lstalled: ! ? Oa � !/� 0�0 113yC �� . ' Application for Land Use Permit — Page 2 Describe Construction: List dimensions of each structure, story, addition, or alteration. � # 1 . #2. �-�'(c�r -<_ << � , �� tt3. r Z'�,;�;;� � #4. � Size ft. wide ��( ft. w�ide � ft. wide ����� � � �% ft. wide � ft. long .� �f ft. lon� � ft. long � `� ft. long ;�� Floor area � s ft. ,��:";;.� s ft. �' � s ft. f ��`� s f�. � 9� _ 9� —L— 9• �_ Q• , y'' �j` H�. from g�ade Zfo to peak ft. hgt. ft. h�t. ft. hgt. Stories � stories stories stories # of bedrooms �_ � 0 ��, vy rear lot line or ���aterline of Rpuc� ' r ---�., . . In the box sketch in: Location and size of all ' � existin� and proposed stnictures. ��', �� � � � Location of septic system. v ��K � � ,6' '�-2 s p.�K Indicate distance to: i�'4 �3'`i ��'aterline!�Vetlands Road N No�Se s �,�� Lot lines � `�� Septic systenl!pri��y ��y' .��y � � «'ell — �31 .3`i �,,o �o�h �q.�Y �;=: . Distance bet���een structures. wt'-`' N r 313 r 1 s< t.�,; .IZ ; Indicate i�'ortll. � �y - � � �� I ` Fire \umber: � ; , � � ; ; , ;. � ; 13b C . ' , �_c� � ` :� ', �—;1_. �,� ' P � Signa re of O � r ,�,�� . � a �e certifies that the listed �,� , �,( information and intentions are true and ` '� % correct. The abo��e perso�ti�s� hereby \�� � � 1��1 � ' ��i v e p e m�i s s i o n f o r a c c e s s t o t h e , properry for onsice inspeccion. ------- centerline of ANder So N road------- Issue Date _ October 6 , 2000 Expire Date October 6 , 2001 nftlCC COI11Il1C'II�S: Si�nat�n�c of� Zonin�, Adn�inistrator ;, . l,_n.,�fi, . . . . � � . . 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E � r� �'S;} = SV4g�SON � {x= ��� B� 9e I�IJIYVPAAD. � � (9 �` J WIS _ /D0.03' �' / OO. o3' S : O �,''l�� �O``,,: t �4 jOWN ROAD ���„�us��6 ��� v ��''f �, �µ�-n.asw �' � r�r..-. � � �+ 3 o , h y V 0 ♦ Z z � " 26 D/ V/S / oN OF PFIRCEL D �� - GoVT L oT S 34 3S ¢� _ 8 SEcT/ oN z6 - ¢ � - 8 OR/G/NAL SuRvEY BY F�PED �iL /ESCH - 5 /oz REG011OEO /N t/oL. / - P,qGE 270 CER TiFiEo SuR VEYS �� �� � ��-�� c,�`t� � � �' � � `� � ����u� j ��.�. ,��.��,� C�r z��,_.:.�t ��.,. . 14 2 2 7 5 nc0��'u � UtNce ( . r $awye[ County J Aeceivad Sot record :he a U�i day ot �� I� D 19 at���o'c;a:k a M a reco:''od in voL �. (� oa po6e C L9lei � � � C.��YMd 1br... iir. � '� � � �n X; a� 2��#�99 STATE BAR OF WISCONSIN FORM 1 - 1998 , WARRANTY DEED Register's OHice � Ss SBwyer County �`` Document Number R eived for recad fhis y day_ot This Deed, made between GERALD J. OSPALSKI AND -��A D 20�1��.at � o'clocx M and recorde as voi. GLORIA A. OSPALSKI, his wife or on page .� �GGY,if� Register Grantor, and SHU-BEN, LLC �eputy Grantee. Grantor, for a valuable co�sideration, conveys to Grantee the following described real estate in SAWYER Covnty, State of Wisconsin (The "Property"}; Recordin Area ; Name and Remrn Address Part of Goverament Lot Five (5), Section Twenty-six {26), Township Forty-ona S k-�l.�— k�� t� , t—�^ �- (41} North, Range Eight (8) West, described as Parcel D "W", recorded in � 3�'oL�l � . �.Q t'SE�vt, �-c� Volume Two (2), of Certified Survey rnaps, page 179. �i J ����l �� �' ��� 3 O 10-84]-26 5518 Pareel Identification Number (PIN) This �s not homestead property. (is) (is not) Description obtained from Abstract of Title # 26530 continued by Hayward Land Title Company, Hayward, WI. ���� x s�� FEE Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except All easements, exceptions and reservations of record. Dated this _f� day of June 2000 _ T , . r * s erald J. Ospalski * r Gloria A. Ospa ski AUTHENTICATION ACKNOWLEDGMENT STATE OF WJSCONSIN � Signature(s) ) ss. SAWYER County. ) Personally came before me this day of authenticated this day of � June, 2000 the bove named Gerald J. Ospaiski and Gloria A. Ospalski � TITLE: MEMBER STATE BAR OF WISCONSIN ) who exec r ing (If'not, ns ent the sa e. authorized by § 706.06, Wis. Stats.) TH►S INSTRUMENT WAS DRAFTED BY THOMAS W. DUFFY �� HAYWARD, WI 54843 blic �sconsin (Signatures may be authenticated or acknowledged. L3oth are not a�nent. (If not, state ex ' tion date: necessary.} � — -� 'Namas of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATC B,1R Of WISCONSIN FORM Pfu. I-I998 INFORMATION PROFFSSIONALS COMPANY FOND DU LAC,W] 800-655-2021 li0l l t� 7 pG 4 3 3