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HomeMy WebLinkAbout010-941-20-1104-LUP-2000-650 � '�� A lication for Land Use Permit ��-^ x ~ pp r .-� County of Sawyer � ° �- PO Box 668 - Ha}r�vard 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 with the requirements of the Sa�vyer County Zoning Ordinance and the la�vs and regulations of the State of Wisconsin.CO�iSTRUCTION MAY NOT BEGIN UNTIL THE PER�IIT IS ISSUED. �� � ����� � PRIrT — USE BLACK I�K OR PENCIL �!' � . , � „�. . ;� � . � �- � \ � �� ---T- �,. �.��� ''�(,� _ i'� _ . :� ..�- � - ' p� Owner Builder' - o / �-� ��:" 'r _ �; -�. " . � /.� ��1� -� ;�i � ��:-��-G�.l ,: ��, I�-,.�L_ ��� � _J �- Mailing Address � Mailing Address � t �� / J' � �f.� ���'< �.�.. � - '� ,,/ � i � Citv;State,lZip Cit��, State, Zip ' �; �� -��,�_7 _ _ _ 'i/-"� "�'�-; ; r DaytimeJPhone �TSaytime hone �, Buildin� Land Use e �� F .� ` tie«� ( ) Filling Zone District � � ,\. �,�•`'� `�-� p '�`,l"J ( ) Addition ( ) Dredgin� �`� �, � ( ) Alteration ;(�'J Gradin� Lot Size ��� %r %�' �� � n ��� � � ) . �Yj tiloving On : � �� � ( ) ( ) Acres � , - _ ,., Primary Structure Accessor�� Buildin, Addition i� <� ,�f D«�ellinQ ( ) GaraQe-attached;detached ( ) Decl: �I — � �'ear round ( ) .' of car stalls ( ) Porch ', '�,� ( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed �I � O Frame built on site O Screenl�otise O Living room � I ( ) ��iodulan'manufactured ( ) Greenhouse Kitchen � � ( ) I �� ,(-� ti�lobile/manufactured O Other O Bedroom j j-� . ( ) Ot11er primary structtire ( ) ( ) Relocate,'enlarge I � � ) O O = ofne«� i Type of Construction � ` � Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete ! � I� ( ) Other �" � � I . � Construction Cost S �s� � � � � <' �� c��_ 3y�_ � � Vol �fi� Pg _30 rJ of Deed Certified Soil Tesc n_ _ _ _ ^ � � CS�1 Vol P� Sanitary Permit # �Q�- �7 \ Iz � Plat Envelope Or: �,uP �9-a�8 9a �`�7� �5 '�'� �~ Condo Vol Pg Year Installed � �; ��G���ti�. � �. �; , I Aff of e� septic �' P O���ner ��'llen Install�d: � � � � ��c,o �����,���. — -- - �-h,�,t�_y��i��l la� �-� �^c�r�n�t-.I�a(r S Application for Land Use Permit — Page 2 Describe Constcuction: List dimensions of each structure, story, addition, or alteration. �1. #2. #3. #4. Size ��-� ft. wide ft. �vide ft. wide ft. wide �r O ft. long ft. lon� ft. long ft. long Floor area //._�e sq. ft. sq. ft. sq. ft. sq. ft. H�. from g�-ade�f to peak ft. hgt. ft. hgt. ft. hgt. Stories / stories stories stories # of bedrooms . �; rear lot line or ���aterline of lake/river In tlle box sketch in: Location and size of all e�isting and proposed stnictures. Location of septic system. Indicate distance to: ���aterline!��'etlands Road Lot lines Septic systenliprivy - � ' � ��'el1 �)� �� � �' Distance bet���een structures. ,,�`" � X F �' `/\ l/'R � r Indicate \orth. _ i ' �: Fire ��imber: ���� .. . Signature o O«�ner TI�e abo�e certifies that the listed information and intentions are tnie and correct. The abo��e perso�i's'herebv <�i�e permission for access ro the properry for onsice inspection. ------- centerline of road------- 7i = �, f, �...i �- �`, . � _ Issue Date November 7, 2000 E�pire Date �uP���,- � �nni � , QEfICC C0111I11C'II�S: 1 �' ` SI,'ll:lllll'C Ot OIIIII�, �C�I111111SU'.110l" /i ���y���� ���J � � � . n s� � -� � �-'���� � �� � �� - �� _ �_� ��`��-�' -� �. `� � 6-""'�� � �� � �l4 •� _\ � � � �'� V� _�S �� !, �I ���I �� � \ - �— � � -}- � � S ` i K� .� \ �'i -� �� , �� � y; � �� -zj � !� � � �.?c � z� � — 1 ti s � � � c�- .r-c�, c`��'-f-�i c� �a � i � �� � , S b ��Q�c� - �����' / .i,�� I ��j�"�nis� 9`tj�S�y S-�I ` "a /, -�is yp� n�i SiI ' �I -� o �i� � i � I ��� ,I�'8�� � �-� \`'� � � I � � \ � -�- � o �`)-��. i _ � �� — �L ���� `�� ��x�� � � � � � ` I ? =r �� -� � I T�s �; L-__.l , � ��_� !- � }� ''r� � o- r= � 'I � �;�� �� � � �. � � �� ; . w 3 _ `— . -Y y - ^ . � �v;//�% �f �� '-� - HAYWi4RD � r. 4i tv. R . 9 w I 2 3 4 � .2.2 .2.3 2.4 .2.5 5.3 .I J "_ Ci _P� 2.1 � �� . e 4.4 r .4.6 .4.2 .�'.5 � .3.i �, .4.1 � .4.3 .14.3 14.2 13, .14.I .13.1 � 0 I5.1 16.1 r� 1 [, . DOCUMENT NU . Sl�ti�i'1'� fit�fC OI� WISCONSIN b'ORM 3 - 1982 THIS SPACE RESERVED FOR REGORDING DA7A � � � � � � QU1T CLAIM DEED ' __ _.. ._---_�._..._ --- - I , ll�Met� OtHae , THOMAS HAMS and ISLA HAMS husband and wife 5°wy9l r°`u'ty � �-•----- --------------- --------- ----- ------------:-- ------------------------- --------------------• ved or recocd the _� dn� a� __.. - - -- - ----- - - - - - - - - -- - - - -------- --------- --------------------• 15� - - _ A D 19 et ;�$ ocl -- ----------- - - ------ - --- - --- -- - - ---- -- - - ----------- ------------- ------- -- ------ Z.i nnd r��or:i:h-i in voL � quit-cluims to __DIXIE. _ L.t__ HAM_S__ and_ _ EUGENE _L .__BAUCH �__both ________ n . . � �1'd:l JA (io�6 \�L/ S�Ag.��._ adu_lts_ _ as_ join.t__ t_�nants-_ _ --- ___ -----__-_ - _ - -- ---- ----- - -- - - -------- -------------------•-•- , --- --- - - - -- --- -- ----- -- - ---- --- ---- - - -- ------ -- -------- -----------------------•-• , � -- ----- ---------- ----- - --------- the following descril�ed real estate in __..__S�wyeT______________________________ County, State Of WISCOi15111 : RE7URN To � C�.�.,�� �l � Tax Parcel No : _-------- -----_•------•--•-- / The Northeast Quarter of the Northeast i,•�arter (NE � NE � ) , Section Twenty ( 20) , Township Forty-one ( 41 ) North , Range Nine ( 9 ) West . F' �'�� �f � -- EXEMPT 1 I This . - . _ �.S . nQt___ ____ _ homestead property. ( is) (is not) Dated this . . _ - - - - - -- -- - - - - - day of _ . . - - ------ -- - -- ------ - - - - --- - -- - - -- - -� 19- - -• - _ - _ - - - -- - - - (SEAL) �- ��`-��1'✓1�-�=- - -- � . -- G" "'� - --- - - - ( SEAL) _ _ _ � ' - - - - - - - - - - - - -- -- -- --- -- - - k -- Tt}_ 3_S. . HdIi16..- - - -- - - -- - - - - - - - - - -� - - - ( SEAL) - -- `=�5���'-�-�'- - --r�.�- -- - - - - - . (SEAL) - - - - - - - - - _ - - -- - --- --- - -- + . Isla Hams - - -. . . . . . . . . . _ _ _ - - - - - � --- - - - - - . . . . . . . .. . . .. . . .... .- - -�- - � - - . . . _ - -- - AUTHENTICATION ACHNOWLEDCiMENT Signature (s) ----- ---__---_- --- __-_---_____-- _--------------- STATE OF WISCONSIN ss. -------------------------------------------------------------------------- �� W �IE �' -----------------•------•-•---------County. • authenticated this _ __ .___ _day of_______________ ____________ 19_.___. Ye onally came before me this __�9.._____ _day of ; . - �, '-` • :.;; , �v¢m �JPr ------------, 19_y/--- the above named - - - ------------ -- - - ---- ----- ---- ------------ ----------- - ----..:_----=----x-'-- ; ., ,---Thomas & Isla Hams .. :. . ,;-------•------------------------------ ------------------------ ,� � „ , , , . . � . , .. ... - --- ---- -------------- ------- --------- -�•----------------- --- . --�-------------------------------------------------------------------- --------- TITLE : MEMBEft STATE BAR OF WIfCONSIN � ----------------------------------------------------------------------•--- (If not, - - -- - - - --- ---- ----- ----'--------------- --�-� to m�---------------------------------------------- --------------------•--- authorized by § 706.06, Wis. St��tg.) e known to be the person �____ ____ who executed the fo e oi g instrumen nowled�e the same. THIS INS-I'RUMENT WAS DRAFTED BY �,- � / �GLL4-r%(.C) �t��L } ��;--- ------- '------ ---- - - - --- -------- - ----------- - -- D-uf-f-X -I.a� . _Of_f.i.�e - --------------- ------=----- - -- - * - -��x .-�'-�--- -�=--��%'-P�'- , - - -------------- ------- , _ _ _Hdy.C�drd ,- -H1T, _ _ _54.$4�- - ------ ---- ---- --------�--- -- Notary Public ---.__�r7_4�' � -Q!' - - .- - County, Wis. ( Signatin•es may bc autLenticated or acicnowledged. I�oth My Commissio/n� is perm�ent. ( If not, state ex�>iration are not necessury. ) date : f>[lQl�6-J�---- . �•3 9u� -- --- ----• �-- - -- - - - ---- --------- 1s.- -----•) _ __ -__ --_ _--� _ __ " T— --___= ___ --___-�-__ -- -- -- -- - -- — ---- ---V'OL 4 "7 6 �'GG 3 � "�