HomeMy WebLinkAbout018-837-17-4301-LUP-2000-164 ��..- �j 7 S',13�-'' �_s �
�' Application for Land Use Permit r � . �
County of Sawyer ° <
PO BoY 668 - Hay�vard WI 54843 y� �� �
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 laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT
BECIN UNTIL THE PER�IIT IS ISSUED.
PRINT — USE BLACK INK OR PENCIL �
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T L�� ��' (,�.�'C'_(.t`�1'1�'v� ���(-«C�� ���Ji�'fh C(.�ruC��r-� �� �S
Owner Builder � � o
1���'�� I.i , �- �C� `�{� �'7�7 ��-�cl i�k-� �
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Mailing Address �,., _ Mzil:ng Address
��� �Y�t1 �, �� J �l �5S _ -4���� 1,�� 5��10�
City, State, Zip City, State, Zip �
�f rS� ��13-- �74a �7�s-�3y�7a3 �
Daytime Phone Dayrtime Phone �
Buildin� Land Use
O I�te«� O Fillin� Zone District r -�...
(J� Addition ( ) Dredging � �
O Alteration O Grading Lot Size � ��
( ) ��IovinQ On ( ) � �
( ) � ) Acres ��� �� � R
� '�
Primary• Structure Accessory Buildin� Addition ig �
(F) D���ellin� ( ) Gara�e-attached,�detached ( ) Deck � �
( ) Year round ( ) # of car stalls ( ) Porch ! ' '��
( ) Seasonal ( ) Stora�e Buildin� ( ) Enclosed � �
O Frame built on site O Screenllouse O Livin� room �►� '
( ) ��lodulariman�ifactured ( ) Greenhouse ( ) Kitchen �� C/J
O ti�lobile/manufactured O Other O Bedroon� i� C�
� 1 r��t. - �� -- � � ��+ ''.��..,. _ , ,_., � �.
l / v�i:;:i �i:iiiit:�� jiiu�, uil; ` j � i�.,i'v:.:-:�,-1,:��� .� � -^
( ) ( ) (�) # of ne«� !d ��
Type of Construction � =
(� Frame ( ) Lo� ( ) Pole/metal ( ) Block ( ) Concrete I �
( ) Other `
f:
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Construction Cost S ��J� W� �� � Cca��d �r6'Y` .�-��»i� �P� 1 iQ �:
�1�-�+'S/ � �
Vol �� Pg o�D of Deed Certified Soil Test r �3'�a'� ;� i�
CSi��t Vol Pg Sanitary Permit # �3�1��7 � �z
Plat En��elope Or: �vP �� ��iS' ,,_j '��
Condo ��'ol Pg Year Installed � � i°C'
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Aff of ex septic �' P O���ner ��'hen Installed: � �
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� Application for Land Use Permit — Page 2 .
Describe Construction: List dimensions of each structure, stor✓, addition, or alteration. � ,
#I. 1��_��;o� � #2. .1����,,.t';v�T #3. #4.
Size� ft. wide /C� ft. wide ft. wide ft. wide
�
J � t. long � ft. long ft. long ft. long
,�- � ;
Floor area_� sq. ft. ��'� � sq. ft. sq. ft. sq. ft.
H�. from grade 1(� � to peak ft. hgt. ft. hgt. ft. hgt.
Stories �_ stories stories stories
# of bedrooms _��
rear lot line or���aterline of ��� � lake/river
��tc�� r,:i _ .
In the box sketch in: 1 T Q{��Jzi�
Location and size of all `�� � �y;
existing and proposed structures. �,, .�,
8 �- — - - - - -�
Location of septic system. ��- - - — � � ���-�' �
,IA �i f��a� i
I�u f
Indicate distance to:
��'aterline!`Vetlands �� l y/ � �
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Road
Lot lines � �
Septic systemiprivy , � � ��
��'ell j!'x�Sl`rn� �6�<.-5-2 0 �-
Distznce behveen structures. � '
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Indicate \orth. ;�� -•
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Fire �umber:
I 3 �� �( c.J
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Si;nature of O���ner -+�
T11e �bu�e certiti�s that thz listed `� yG� ����pe
information and intentions are true a�ld ; � L �
correct. The abo��e peno�i's,'hereby �� SQQ ��+
��i�e pennission for access to the '�/. �
properry for onsite inspection. a�G- CznteClltle Of �j%• t`� road-------
Issue Date 1"�y 11, 2000 Expire Date . 1"�Y 11, 2001
Ofticc Comments: - �
SIUIl�ltlll'C Of Z Illll�? .�dI11lIlISlC1�OC
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=__=--"�----_---- --------- ------ STATE BAR OF WISCONSIN-
DOCUMENT N0. QU17 CLAIM DEED
THIS SPACE RESERVED FOR RECORD��
r; :'. f i �� "� � Ne�nle�f e Ottice � ,
�:� '� J o -1 Sevr9et CountY
Y
�oetvsd foc re�rord the ��
Peter L le Weatherhead a/k a Peter Weatherhead A D 1� a►�1--�°��`
M�., �.,,���.���o�
-- o� p�oorc►a on wa�,
Pprar l �l��t__ h�rhead and D_�i�e MariP ` «_. • � _
quit-claims to � aS SurVlVorshin marit�l y�,��tec
WeathPr" hea� h �_L Sband and��__f�---
— -
� .S<�nayer County, —
/� .�.
thc [ollowing dcscribed re�l estatc in .-------- RETURN To
state ot wis�onsin: Peter Lyle Weatherhead
rter (SZd''a�''e) ROute 1
✓`Ihe Southw�est Quarter of the southeast Qua Exe 1 atld, W I 54835
of Section Seventeen (17), To4mship Thirty-Seven (37)
North, Range Eig�t �8) West.
Tax Key No.-----
Exempt No. 8
This z____-==homestead property.
(is) (is not) J�,ne , 19_$�.•
Dated this
23rd day of_--
,n�'. 1 { � - /, . . �/ ..�/ (SEP
i (SEAL) " _� �. �.� ;. .. ,.
�i Peter Lyle Weatherhead a/k/a Peter
i Weatherhead
(sEr
(SEAL)
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AUTHENTICATION ACKNOwLEDGMENT
Sitinatures authenticated this_.__--__—day of STATE OF WISCONSIN I
� ``ss.
Ij � 19 Sawyer County.l
� Personally came before me, this�r�—da�•
i * June 1988 the abo�•e named PPt Pr' I ��
�� TITLE: MEMBER STATE BAR OF wiscorrslN Weatherhead d�k�d Peter Weatherhea
(If not,
iauthorized by §706.06, Wis. Stats.)
i
i This instrument was drafted by �1��unr�ei�i�
�.e`'Q� L. j/•/������ to me known to be the person,—who executed the fc
�� Herita e Bank of Ha ward r��� .••�•••. �f '-
I g y _� � �.• •., .� ��going i strument and acknowledged the same.
. • �
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I� Hayward, WI 54843 _ � 1�� � ��Y,; � ���n � ���-1 ����`t``��
_ �! _�; �. ?�= Linda L. Thomas
�I (Signatures may be authenticated or acic9owl�d��QE�o�tC � I�iDtary Public S�w�(P1^ Count}•, �'
�I ti u�r �.
� are not necessary.) : . . .p� Commission is permanent. (If not, state expirati
' '.��'r'd''•••....•••'��5����`d te: OCtober 27, , 19 91
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