HomeMy WebLinkAbout020-638-03-5601-LUP-2000-032 Application for Land Use Permit r ,� -�
County of Sawyer ° � I
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PO Box 668 - Hayward WI 54843
715/634-8288 � � �
The undersigned 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 C
BEGIN UNTIL THE PERMIT IS ISSUED. � �
�����y�, � ,1 PRINT—USE BLACK INK OR PENCIL ��
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Owner Builder � o �
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Mailing Address Mailing Address ��,
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C��>�tt , w%. ������ �'n:.��-`.. Lti r- `17�� _ �
City, State, Zip City, State, Zip M
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Daytime Phone Daytime Phone
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Building Land Use p v-
(� New ( ) Filling Zone District /\ � �
( ) Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size o
( ) Moving On ( ) ,�
( ) ( ) Acres 5•�� �
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Primary Structure Accessory Building Addition �
(� ) Dwelling ( ) Garage-attached/detached ( ) Deck o
O Year round O # of car stalls O Porch
(j� Seasonal ( ) Storage Building ( ) Enclosed '
O Frame built on site O Screenhouse O Living room �
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom �
( ) Other primary structure ( ) ( ) Relocate/enlarge � A
O O O # ofnew �
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T pe of Construction �ifi =
(� Frame ( ) Log ( ) Pole/metal ( ) Block ( ) Concrete � �
( ) Other ro �
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Construction Cost $ � U ���' � ~�
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Vol % �/ � Pg�1��of Deed Certified Soil Test # (�- �,� % °��
6� t.
CSM Vol �_Pg�_ Sanitary Permit # (5C'� - (�c�� � z
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Plat Envelope Or: �'
Condo Vol Pg Year Installed �
Aff of ex septic V P Owner When Installed: ` �
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� 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. �vide ft. wide ft. wide
_� ft. long ft. long ft. long ft. long
Floor area ��6, sq. ft. sq. ft. sq. ft. sq. ft.
Hgt.from g�ade f 3� to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories stories
# of bedrooms j
rear lot line or waterline of lake/river
In the box sketch in: � I I
Location and size of all I� I I
existing and proposed structures. �
Location of septic system.
Indicate distance to: �
Waterline/Wetlands ; �
Road i
Lot lines �y�
Septic system/privy i ,
Well '
Distance between structures. �
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Indicate North. /�j��
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Fire Number: i - � , ,
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`�ignature Owner �°�
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The above certifies that the listed
information and intentions are true and �;
correct.The above person/s/hereby
give permission for access to the
ro e for onsite ins ection. ---- — ' ff —c�?� ---- --
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Issue Date March 8 , 2000 Expire Date March 8, 2001
Office Comments: ` , '
Signature of Z ning Administrator
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RF F: /�ERIQL PNo7� L13 CI.-5-Iq7o) SGALE: � INCH= 400 FEET FOR ASSESSMENT USE ONLY NOT
U,SGS. WINTER quAD C�972) DRAWN BY: D.M.E. DATE� 12-27-1917 INTENDED TO SHOW GONCLUSIVE
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
BOUNDARY LOGATIONS
O p I i Raglster'a Oflice SS
2 p 1 O H O STATE BAR OF WISCONSIN FORM 1 - 1982 geWyer County �
I WARRANTY DEED Racalvadtorrecordthis �Y°�
�q p �g at o.dock
DOCUMENT NO. I M and recordedasvol. %L `
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This Deed, madebecween DOri31d R. Thorp an adult Reglster
I man • �epury
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, Granror,
a�d Jerome R. Pozarski and Paula M . Pozarski �
h.us an and wife as survivorshi marital
proper y ,
, Grantee,
Witnesseth, That the said Gran[or, for a valuable considerzdo�
THIS SPACE RESERVED FOF RECOROING DATA
�� conveys to Grantee the following described real estace in SaWyer .. . . : .__ ..._-. .
COIIII[}l $[8[C O�WISCOfISIn: NAME AN� RETURN AO�RESS
ITY�dt par� �f GoverriRlent I,ot Six (6 , SectioTl. II CENTURY HILGART REALTY INC
Thre.e (3�) , Township Thirty-eigb:t (�38) North+ ll �,�y 1 souTx ro sox 286
Range Six (6 ) West , rnore particularly describedPA FALLS wi 54552-0286
as Zot TYuee (3 j of Certified Survey Number �
'' 1. 165 , as recorded in Volume Six (6) at page S,CR q9(a�/�
Ninety-seven (97 ) � Certified Survey Maps , �___ ___
Sawyer County Records .
020-638-03-5601 i
PAFCEL IOENTIFICATION NUMBER �
I
T�ANS�E�
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FEE
This � S n�t homestead properry. �
j{sy, (is noQ
Together with al and singular the heredi[aments'and appurtenances [hereuneo belonging;
And Gran�OT -
warrants that the [itle is good, indefeasible in fee simple and free and clear o[encumbrances except Slll��2C t t0 eas ements ,
,� exceptions , and reservations of record . �
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and will warrant and defend [he same.
Datedthis 9th dayoE Novemher ,i944—.
' �5�,.> >� a �n.� �S�L>
i , • Donald H. Thorp
(s�.L) csenu
.
. I
AUTHENTICATION ACKNOWLEDGMENT
II Signawre(s) State of Wisconsin,
ss.
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Savrrer co��c . I
authentica�ed this day o[ , 19_ Personally came before me ehis l h day of
November , 1� , �he abo�e named
�I Donald R Thorp
il . - I
I�� TITLE: MEMBER STA"IE BAR OF WISCONSIN , � � - _ !
� (If not, � � � � �I
authorized by 4706.06, Wis. S[ats.) � � � to me known to be the perwn _who executed the foregoing I
�; -� , �. innrum t and ac(�nowl dg�e(��he same. ii�l
`., ;-.. i;' ' ���`�C �K3�11 �
� THIS INSTRUMENT WAS DRAFTED BY ' � , . _
i
'! nonald R nrn �..�.!,-z,-.-:� � ` . Terri J . Coddin��ton
i ` '� ` NocaryPublic, SaWVeT Counry, Wis �
I' ��_ �' M commission is rmanent. (If not, state expira[ion date:
i�'I (Signatures may be authen[icated or acknowledged IlotkGfire qlut Y � �� I � �Oy , 19_.) 'I
necessary) � V� �7 t�scoos�� �ae M o�atle,w s. �,
II-=_. . . .. _._ . . �. .. . ... -- �-�=—
• Names o(ptrsons signing in any capaciry should by typed or prinud below�heir signamrts. �L 2 -P�i�2 6 I�
STATE BAR OF WISCONSIN �
'�. Form No. 1 — 1982
\4'ARRANTY DFC:U