HomeMy WebLinkAbout010-841-27-5107-LUP-2000-620 ' Application for Land Use Pennit �
County of Sawyer N � '
PO Box 668 - Hayward WI 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 ���ith the requirements of the Sawyer County Zoning Ordinance
and the la�vs and regulations of the State of �Visconsin.CO�STRUCTION �IAY NOT
BECIti UNTIL THE PERtiIIT IS ISSliED. ��
�; I ✓� �� Y PRI�iT — tiSE BLACK I1i K OR PEi�iCIL �
tJ-.�. cJ�
�'�c.J�OI lV V ,0��`� `J—Cti� UCL��I v� y �
Owner Builder ° o
v v�.S c�� I t�'►'l ��-�i�.� �c/( ��- ��Jl�C.�.- i vt �
Mailin� Address Mailing Address `
� c,��� �.s l� L��� ��, .s� l/e' /�..� ��..�,��
City, State, Zip City, State, Ztp
6s� —Y�c�� Y��' � ��-�— �7U�
Daytime Phone Daytime Phone
Buildin� Land Use
( ) Ne��� ( ) Filling Zone District ���
( ) Addition ( ) Dredgin� �
O Alteration O Gr ding, Lot Size �-� /�C���
�
( ) l��lovinQ On (� ; �
( ) ( ) � Acres , y�p = �
� ;
Primary Stnicture Accessor}� Buildin� Addition '� <�
( ) D«�elling ( ) Gara�e-attached;detached ( ) Deck �� �
( ) �'ear round ( ) # of car stalls ( ) Porch � i�
( ) Seasonal ( ) StoraQe Buildin� ( ) Erlclosed �b {'�.
O Frame built on site O Screenhotise O Li��ing room I
( ) 1��lodular,'manufactured ( ) Greenhouse ( ) Kitchen � �
( ) Mobile/manufactured ( ) Other ( ) Bedroom � �,
O Ot11er primary structure ( 1 O Relocate/enlarQe � L-
� ) ( ) ( ) 7 of ne�v �
<
4
Type of Construction `� �
( ) Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete �
�
( ) Other -- �
� �
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�.
Construction Cost S '
<'
Vol �� Pg � C5 of Deed Certified Soil Test tt 80,/S// '" �
CSM Vol 7 Pg a21,5 ��/o Sanitary Perniit # go—�36 � z
� �y`�a �
Plat Envelope Or: ��P qy- a �� �9 - ��
Condo Vol Pg Year Installed �
Aff of ez septic �' P O���ner When Installed: � , �IS''�N1
vRR 9y-6a � �da �
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1 � 3 �s
� 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
��j���ft. lon� ft. lon� ft. long ft. long
Floor area sq. ft. sq. ft. sq. ft. sq. ft.
H�. fiom grade���to peak ft. hgt. ft. h�t. ft. hgt.
Stories stories stories stories
# of bedrooms //�
1 ,
rear lot line or ���aterline of - JG� �.�t �-t].ake/river
In the box sketch in: �e� ���� ��
Location and size of all
e�cistin� and proposed stnictures.
Location of septic system.
Indicate distance to: "
��'aterline!�Vetlands
Road
Lot lines
Septic system/privy
��'el l
Di�tance bet�veen stnictures.
Indicate �orth.
Fire �umber:
� ��l � � �
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Signature of O���ner
The abo��e certifies that the listzd
itlfornlation and intet:tions are mie and
correct.The abo��e person�'s!hereby
��ive permission for access to the
properry for onsi�e inspeccion. ------- centerline of road-------
Issue Date October 25 , 2000 Expire Date October 25 , 2001
I
Offcc C0111I11C'IIC�: , � 1
SIvf1�l1U('C Of Z Illtl�� �C��llllll�[C�l(OC
�no.� .
Show route ro pmject site,i�luding nearet main road and aoucoad. FniB#
DRAWINGS OF PROPOSED � �eb Sr+p
ACfIVI'fY SHOULD BE PREPARED
IN ACCORDANCE WITH SAMPLE N / 3
DRAWING SHEET �VJ� b - ^� ��;
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PRO MA .P,J
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SITE DIAGRAM Scal J inch = � fee/
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Please include a top view and typical cross secdon with your plan. Cleazly idendfy dimensions or indicate scale and indicate
the north direction. (Use additional sheeu if necessary.)
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.�'������'�� GREEN
:��G���;,:r' LAKE
���O�� STATE BAR OF WISCONSIN FORM 1-1982
WARRANTY DEED
DOCUMENT NO. "
— - __— — - — Re9istcr'S Ofhre J� —
Sawyer Co�nty �jy�� �
T}1iS DeeCl,made beiween RON'S ELK GROVE SERVICE, an R�}rv�ed$ior �e�°f� �y}�.�` at � �
_ Illinois Corporation ..=�„x=1--A�19`""��
{f� M and ieco�tle+J x;O� �p_��_____
Gran[or, ol�¢��ortl''n VaUe�-L�-777/_{�.,_
Z �'?�—`-'�'=--
and _ HENRY RICHARD HOPPER and GWENDOLYN A. HOPPER, ' Re�e�
husband and wife as ioint tenants and nonresidents
of Wisconsin. ��,pw,i
,Grantee,
Witnesseth,That the said Grantor,for a valuable considera[ion
of one dollar and other valuable considerations
conveys to Grantee the following described real estare in Sawyer rHis sance ReseavEo FOR aecoaoiNc oaTn
-- -------._..______ . _.
CAU[I[Y,S[2[C OI WLSCORSIR: NAME ANO RETURN ADDRESS
That part of Government Lot One (1), Section 'Itaenty-
'seven (27), Township Forty-one (41) North, Range Eight
(8) West, described as Lot Ten (10), reocrded in � //
Volume Seven (7) of Certified Survey Maps, page 215, d �
Survey No. 1440. �II
Including a non-exclusive easement, 66 feet in width, for pqqCEIIDENTIFICATIONNUMBER
ingrf:ss and egress to said parcel from the Town Road on all future town roads as set
forth on Certified Survey Maps, recorded in Volume 7, pages 211-216 and on the present
and existing road on the South boundary line of the Southwest Quarter of the Southeast
Quarter (SW}SE}), Section 22-41-8.
�
Description obtained from Commitment No. 30624 prepared by Hayward Land Title Co. �I
I
TP���R� ,
This is not homestead properry. Q J�'��
(is) (Is not) Y �[C� : ..
{7r
Toge[her with all and singular the hereditaments and appur[enances thereunto belonging;
And Qrantors �
warrants[hat the title is good,indefeasible in[ee simple and free and clear of encumbrances except
all easements, exceptions, and reservations of record
and will warrant and de(end the same.
Dated this Z�th day of September 19 96 �
,R�7on's RElkn G ove Service,p
csen�> Vl rtx45�r5� �.t-4t�t�o pr,fs�¢� csen�>
_ (SEAL) E-G (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signaiure(s) Sta[e of Wisconsin, ss.
_ Sawyei County.
authenticatedthis dayo( ,19_ Personally came be[ore me this 2�th day of
September 1996 ,ihe above named
' _ Ronald Pis2czek and Sharon Piszczek
TITLE:MEMBER STATE BAR OF WISCONSW � �� -
;�--
(1(not� .. � ''•' .. ". ; :. _
nu[horized by 4706.06,Wis.StatsJ [o me known to be the person� � svho'executeci-ttie�fyregoing
�
instrument nd acknowledge hesam� -
�--•--==..'/�!_i���• �_� '
THIS INSTRUMENT WAS DRAFTEO BV �
Duffy Law Office Kathleen N. Miller, � � _
Haywaxd WI 54843 Notary Public, Sat3yer Counry,Wis.
(Signatures may be authenticated or acknowledged.Both are not My commission is permanene. (If noi,�siate expiri9o9n� datj:
necessary.)
� _..-- - _ _. . __ ._
'Names of perwns s gning m any�apaciry should by iyped or primed below iheir signawres �
STATE BAR OF WISCONSIN W sconsin L ga el k Co.,I�k.
WARItANTY U[I:D
�orin No.1-1982 Mlweukee,W�s I