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HomeMy WebLinkAbout012-740-03-4401-LUP-2000-207 Application for Land Use Permit r y . � County of Sawyer y � % PO Box 668 -Haywazd WI 54843 � - 715/634-8288 The undersigned hereby makes application for a Land Use Permit and agrees that all work � O shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance ,y and the laws and regulations of the State of Wisconsin. �c PRINT-USE BL K INK OR PENCIL ` O � ��.o,r��c�����c�oC�. '� �� �.�, � Owner Buil r ' \�A.0 3C W�w�.v-��ca,__ �/���B�/��/l/d'.n �, � � � Mailing Address �ng Addr.e,css :; �c,-,—���:.:.c�-�-� �,Z S`���3 ��J�-C�'�t , W�c,�l- a�� O City,State, ip � City,State,Zip � � � ��`����z-�q� \ .r a�ime Phone Daytime Phone � Building Land Use /� O New O Filling Zone District Q R"o� � (�'Addition ( )Dredging ( )Alteration ( )Grading Lot Size � ( )Moving On ( ) � ( ) (� ) �,cres .28..53 � � � Primary Structure Accessory Building Addition # ( )Dwelling ( )Garage-attached/detached (�eck S ( )Yeaz round ( )#of caz stalls ( )Porch yJ r ( )Seasonal ( )Storage Building ( )Enclosed � � O Frame built on site O Screenhouse O Living room y ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen n ( )Mobile/manufactured ( )Other ( )Bedroom � � ( )Other primary structure ( ) ( )Relocate/enlazge �,, \ ( ) ( ) ( )#of new ' f � Type of Construction y (� (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � a ( )Other � � Construction Cost$ �;��� � � y E Vol 555 Pg �� of Deed Certified Soil Test# �/70- �/�n � CSM Vol Pg Sanitary Permit# 9/� �//(� � G Plat Envelope Or: � z � Condo Vol Pg Yeaz Installed / Aff of ex septic V P Owner When Installed: � � o �f` s I��l�� 1N717 Application for Land Use Permit—Page 2 � Describe Construction:List dimensions of each strusture,story,addition,or alteration. . #1. � ��C �L #2. ���:�'� #3. #4. Size�_ft.wide �ft.wide ft.wide ft.wide � 7 ft.long 3� ft,long ft.long ft.long Floor azea a 0 sq.ft. �6� sq.R. sq.ft. sq.ft. Hgt.from giade to peak ft.hgt. fr.hgt. ft.hgt. Stories stories stories stories #of bedrooms reaz lot line or waterline of lake/river In the box sketch in: Location and size of all existing and proposed structures. Location of septic system. ,-------,- ' i � Indicate distance to: � Waterline Road (a Lot lines (� Septic system �/ Distance beriveen structures. r Indicate North. I I �_ _.__ Fire Number: I � \�Lo�0 � I' —_ __I j w i U [=� �c�a�� � � � � ��"�t/t-''--' .0.� _________.____----- Si at�re of Own -------centerline of road------- IssueDate May 23, 2000 ExpireDate May 23, 2001 Office Comments: ���,Ji�s?�i� !49 til 1" / * 0 9 IVOIJOLVS 0 JVOIJOYS` 061 fuuo ` � :-� ;�� �,. . . , ° \ ,� _—_ --- 3�- _ �.�-- -- ..�...____�_ _ � ' , �� �.,.� . 4 . i - ��� - � . � cn V i , � ' , .� 2 i _ ..-� . ---�, � 1 - .�. , 4n, '� ! 4 0 ��•� ��n v �:�. 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Part of tl�e Southeast Quarter of the Southeast Quarter(SE`/.o(SE/.),Section �s1� " Three(3),Township Forty(40)North,Range Seven(7)West,excepting the West Ten(10)Acres which are more particularly described in Volume Nine(9) _ of Certified Survey Maps,page 151,Certified Survey No.1906,and Affidavit ��+'v of Agreement on Property Line,described in Volume Nine(9),of CSM,page 152,and associated easements. Name and Return Address b N �. n��- A ��uf�� 10012 740 03 4401 — (Paroel Identification Number) .� FEE � �m EXEMPT This is not homestead property. Subject to easements,exceptions,reservations and restrictions of rewrd. Dated this.��day of ���!�_,1998. k � - . *Darrell F.lle Joode — AUTHENTICATION A�'KNOWLEDGMENT Signature(s) STATE OF WISCONSIN) COUNTY O�AWYER) Personally came before me this �qg ��day of �'S 1�'` ,1998,Ihe above named authenticated this_day of — llarrell F.De Joode — � TITLE:MEMDER STATG BAR OF WISCONSIN to me known ro be the person(s)who executed the tbregoing (If not, _ instrurPent-errd acKn�wTe=-�d t s au[horized by§706.06,Wis.StatsJ � ' � � *Steven J.Ledin — THIS INSTRUMENT DRAF"fED BY: Notary Public,State of Wi onsin Steven 1 Ledin Attornev at�aw My Commission(is Pe�rt�aiiett ' �esr _) 1 109 Tower Ave. Suaenor.W I 54880 16 4 VOL 6�5 �G .