HomeMy WebLinkAbout024-741-18-4101-LUP-2000-240 � Appl_ication for Land Use Permit �
� � � �
Colinty of Sawyer ;, < .
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 �
BEGIN UNTIL THE PERi�1IT IS ISSUED. '`"'
PRINT - USE BLACK INK OR PENCIL �
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Tr�vc�r Evtei��sr. n 1('.v�r.�rle�.s ��fe�s�r �c� `s��r�Fr C�f�r,s�-r�l�-fi�;-� o:
Owner Builder ' o
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* NU"1'up (��'' Str��.t f3����,�de,r C"t-, �;
i�tailing Address �lailing Address r+.
S po t�r��.r, w'� ��-F�0 ( Nr�vu.�rt.rd, l,t)� ��I �3�+3 � ".
City, State, Zip City, tate, Zip �
11�-Lfl3�f- I�-II�C� �ti'��'K `l I`j- 1�3��- i31�.,� c,
Daytime Phone '�15-(t3�� �S�4�1 �i�i'i'`�- Daytime Phone ��
Building Land Use -
(k) New� O Filling Zone District RK� i '
( ) Addition ( ) Dred�in� � �
( ) Alteration ( ) Grading Lot Size �I ,(�(�G �,� �, � !�
( ) tilovina On ( ) ' I
� ) � ( ) Acres e � � qL� � I
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_ �
Primary• Structure Accessory Building Addition ��
(x j D���ellin� (X) Garage-attached etache � (�C) Deck ^
(X) �"ear round (2) r of car stalls (X) Porch ! �
( ) Seasonal ( ) Stora�e Building ( ) Enclosed i �;—
(� Frame built on site O Screenllouse O Livin� room � �
( ) Nlodular;'manufactured ( ) Greenhouse ( ) Kitchen 'I�
( ) �tobile/manufactured ( ) Other ( ) Bedroom i !�
( ) Other primary structure ( ) ( ) Relocate;'enlarge I >
� ) O O # ofne�v � V�
� �
Type of Constniction � `-
(� Frame ( ) Lo� ( ) Pole!metal ( ) Block ( ) Concrete I �
( ) Other � -'
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� �
Construction Cost S �'�C�q OC�C.� � �'
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V�1 �� � Pg 'yo� of Deed Certified Soil Test # �- / � w j� �=
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CSM Vol �'Z Pg������'��', 2(1.'_3.' Sanitary Perniit # ���5-- /S(o � � �z
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Pla[ En��elopc ' : !�
Condo Vol P�
Year Instal(ed �';� ��
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.�ff of e� septic �' P O���ner �Vllen Installed: `` �
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� Application for Land Use Permit — Page 2 �
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Describe Construction: List dimensions of each structure, story, addition, or alterati �-�~ -
# 1 . #2. c�e�l� #3. G����-� � ' #4. ��
Size �jL1 ft. wide � ft. wide � ft. wid��� � a "� ft. wide
�_ ft. lon� 3 g ft. lon� � ft. long �ck"�� a-� ft. long
Floor area , 2C, sq. ft. � � �' sq. ft. ? °�' - � sq. ft. �' � � sq. �}.
:�
H�. from gade 3Cl to peak ft. hgt. ft. hgt. ft. hgt.
Stories � stories stories 5'�il'�� stories
# of bedrooms � � �.� �:� �y��c�t� �t
rear lot line or �vaterline of � ��GIC,� lake/river
In the box sketch in: �
Location and size of all
e�cistin� and proposed structures. c�y '
Location of septic system. � _
g� �----� �- _ 1 �' ' �` �
Indicate distance to: '
�Vaterline'�Vetlands �
Road �
;J
Lot lines � ���
Septic systemiprivy ,� .��
��'ell ti �
Distance bet«�een stnictures. a �' �
�, I— 3� --�
Indicate North.
!r�
Fire \umber: '
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�(,p=-i � ��2y
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Sibnature of r��ner �
1�1,c abo� e certitizs that the li�teci '�
II1tOCi111(l0(1 A[llj 1riIeI1�10115 di� tl"U� QIl� �
correct. The abo��e person's' hereby
<_i�•e permission for access to the
io ert� for onsite ins ection. �' ' '
P P P ------- centerline of ► i qf'r C[tifi �Pad-------
Issue Date June 9 , 2000 Expire Date June 9 , 2001
Ofticc Comments: ` � � �
Si�inature u Zonu1� Administrator
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Bearings Referenced to Gast line of � � a �
Section--Bearing of Record �66 ' �
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Register's Ottice i �
ooCUMENT No. STATE BAR OF WISCONSIN FORM 2 sawyer Counry 3� `'S
283512 WARRANTY DEED R eived ror recora tnis�_day oi
�A D 20 RD at ( tS o'dock
M end recorde��vol. �03
LeRoy S. Olson and Caroiyn B. Olson, husband and wife conveys and warrants �or sonpago�r
l �..i��i� cF:���..ar.azyr �
to Trevor Eytcheson, u murricd person and Charles Nclson, a married person, � ---- ----
Register
us tenants in common the following described real estate in Sawyer County, State
of Wisconsin: � �M' �epury
REIURN TO
Quulity Tillc of Sawyer County
15618 US High���ay fr3
Hayward, WI 548a3
Tax Parcel No: 024-7J1-18 4101
Parcel T +
Lol One (1) of Certi6ed Survey Map No. 2984, as recorded in the office uf lhe Register of Deeds for Sawver County,
Wisconsin on October 31, 1988, in Volume 12 ot Certified Survey Maps, on page(s) 263-2G4, as Docament No. 211507,
being a part of Goveroment Lot One (1), Section Eighteen {18), Township Forty-one (41) North, Range Seven ('n West,
To�rn of Round Lake, Sawyer County, Wisconsin.
Parcc! II
. A non-exclusive right of way easement for the benefit of Parcel I as described in Easement as recorded in Volume G07 of
Records, on page 20�1, as Document No. 261G87.
TRANSFER
� /laoo
This is nnt homcstead properry. FEE
(is)(is not)
Together widi all and singular hereditaments and appurtenances thereunto belonging; And Grantor �varraius that the title is
good, indefeasible in fee simple and free and clear of encumbrauccs except municipal and zoning ordinances �md agreements
entcred under them, recorded easements for the distribution of utility �nd muiucipal services, recorded building and use
restrictious and covenants, and general taxes levied in the ycar of closing 199I and will warrant and deCend io samc.
Dated this a4 day of �{(J►'( � , 20011.
-��--—
�
(SLAL) C'� (SEAL)
` *I,e v S. Ols
(SEAL) � ,
(SEAL)
* *Carolvn B. son
AUTHENI'ICAT[ON ACKNOWLEDGMENT
Signatures authcnticated diis da}• of STA1'E OF WISCONSIN
20011 �
�" ss.
c X l„�CO[JNTY
1
s
T1TLE: MEMBER STATE BAR OF WISCONSW Personally came beforc me diis � day of
(If not, 2000 the above namcd LeRo}� S. Otson and Caroly B. Olson
authorized by § 70G.0C, Wis. Stats.) to me kriown to bc the persons who executed die foregoing
ins ment ac wled�e the same.
THIS INSTRUMENT WAS DRAFTED BY
Paul E. Ducrs[ * u���
Atturne� at Law NoGiry Public ,`? .:� f✓( ;i+�'is•.,�
My Commission is permanent � •'stat iraU'an e:
(Sigiiatures may be authenticated or acknowledged. Both are .:'G: 0� ;
notnccessary.) ry's��-� ,ico; ��^�� ? cr'
, Z. �,ay0 :o
"Names ot�perso�u sit,�7ing in any capacity should M1e t}ped or prinled below their sigtatures. � ,•n
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