HomeMy WebLinkAbout024-741-07-4401-LUP-2000-334 1 �' •
� Application for Land Use Permit r „�
County of Sawyer y �
PO Box 668 - Hayward WI 54843 f J
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 PERMIT IS ISSUED. � Q ��
PRINT—USE BLACK INK OR PENCIL G �
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Owner Builder � o
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ailing Address ailing Addr s �
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C'ty, �tate, Zip City, te, Zip
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Daytime Phone Daytime Phone �
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Building Land Use
(� New ( ) Filling Zone District �'—/ �
( ) Addition ( ) Dredging
( ) Alteration ( ) Grading Lot Size � o
( ) Moving On ( ) ,�
( ) ( ) Acres �, �;
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Primary Structure Accessory Building Addition � °
( ) Dwelling ( ) Garage-attached/detached ( ) Deck � o
( ) Year round ( ) # of car stalls ( ) Porch �
( ) Seasonal ( ) Stora�e Building ( ) Enclosed �
O Frame built on site O Screenhouse O Living room =�
( ) Modular/manufactured ( ) Greenhouse ( ) Kitchen �
( ) Mobile/manufactured ( ) Other ( ) Bedroom U ��
( ) Other primary structure ('��q,�� ( ) Relocate/enlarge ��' A
( � O O # ofnew � �
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Type of Construction `1� A
QC�Frame O Log O Pole/metal (X) Block O Concrete �
( ) Other �
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Construction Cost $ �,�r� �
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Vol (� '7� Pg //S� of Deed Certified Soil Test #_��/- �,�5�� ��l-�`�>=� '�
CSM Vol Pg Sanitary Permit# � �/ oo� %7 -/�/n � z
Plat Envelope Or: �-�r� 9�- a�� �'
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Condo Vol Pg Year Installed
Aff of ex septic V P Owner When Installed: � e
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Application for Land Use Permit — Page 2
Bescribe Construction: List dimensions of each structure, story, addition, or alteration. '
#1 . #2. #3. #4.
Size —�� ft. wide � ft. wide � ft. wide �� ft. wide
�U ft. long IoZ ft. long �_ ft. long '' ft. long
Floor area R� sq. ft. ��o sq. ft. �� sq. ft. sq. ft.
Hgt. from grade�� to peak � d R. hgt. � ft. hgt. � � ft. hgt.
Stories oZ / stories I stories stories
# of bedrooms C'�
rear lot line or �vaterline of (ake/river
In the box sketch in: T O
Location and size of all � �
existing and proposed structures. � ' �� I 1
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�Location of septic system. Q ` � ��'
� " ; �I �� } ,: t� oS(
Indicate distance to: �
Waterline/Wedands "� , �' � o��
Road �( °
/'<7
Lot lines -- \ �
Septic system/prn�y }
Well � �' l / � �
Distance beriveen structures. � ` � 1 ��o
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Indicate North. � � � �;
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Fire Number. ��
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✓ �
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Signature of Owuer g/�9/�
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The above certifies that the listed ry1o�� �OC,C��� 0✓1 C� �
information and intentions are true and �
correcC The above personis/ hereby ��.Y �2�� ���� ��
give permission for access to the
property fo� onsite inspection. ------- C0nt0Cline O�W �����..a '<�.. [Oad------
Issue Date July 7 , 2000 Expire Date July 7 , 2001
Office Comments: ��-�-I'J'.GB»������:��
Signature of Zoning Administrator
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ARNSINO
LAKE
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I INCH=400 FEET FOR ASSESSMENT USE ONLY NOT
I BY: DATE � INTENDED TO SHOW CONCLUSIVE
(:) INDIGATES GOVT. LOT EVIDENCE OF OWNERSHIP OR
i
DOCUMENT NO. STAT� BAR OF WISCONSIN FORM 3 '� S9H2i TH19 3PACE RESERVED FOR REGUHDING DA7A
QUIT CLAIM DEED �
;
2 '7G598 �
; �- _ _ --- -- ---- -- -
� — — Register's OHice � SS
; Sawyer County
' ..._J �net .-L,--Henchel ------•-------------•-------------------------------•---------•------- Receivedforrecordthis alsf dayt�t
; '. A D 19 at l : �o o'clock
� � •-------------------------------------------------------------------•------•-•---------------------------•---- M and reccxdedasvol.�_
James . P . _ Henchel - •-------------•------------------------------•---•------- ofRecordsonpage �lS
i � quit-claims to .___.___._ _
' ' _ Register
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' I �--------------------------------------------------------------------------------------------------------------- �epuh'
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' the following described real estate in ._�c3W.yQX__________________________________ County, ___________ _
State Of WISCOIlS1I1 : RETURN To �,�'��, A• ��`�C �
' That part of the Southeast Quarter of the Southeast ► �.sy / Ill �a�ns �.C�o�fh �d
uart �r ( SE'�SE'� ) of Section Seven ( 7 ) , Township Forty— �A wu"'d� W1 Sy� �i3
Q I_ �----- _---- �',oup.m .
one ( 41 ) North , Range Seven ( 7 ) West , more particularly -
describea as toiiows : commencing ac the SoucneasL corner of said � ecrion 7 ;
; thence North along the East line of said Section ,7 , a Tax Parcel No : .......... . ...................
� distance of 600 feet to the point ofbeginning ; thence right angles to the left and
' ! in a Westerly direction , a distance of 418 feet to a point ; thence right angles to
� the right, and in a Northerly direction , 209 feet to a point ; thence right angles
; to the right and in an Easterly direction a distance of 418 feet to the Easterly
section line of said Section 7 ; thence right angles to the right , and in a Southerly
� direction , 209 feet along said section line to the point of beginning .
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This _______________ __________ ___ homestead property.
� ', (is) (is not)
24th September--- - - - ----- --- 19.84. ...
. Dated this ..... .. . . ......... � - - ----- --•- -----•- ---- ----- day of ---••--- ---- -- -•••-- --•- - -•••---•--•-- -•� �
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I AUTIiENTICATION ACHNOW L � DGMENT
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� i , of ,Janet L . Henchel . STATE OF .WISCONSIN .
Signature��) ---------------------=-----'--------•----------------------- ss.
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� -----•-------------•-----------------------•------------------------------------
--------------------------------------County.
� authenticated this _24t-�lay of___ SePtember � 19 84 Personally came before me this ________________day of
�� . 19._:ii_-_ the above namcd
�/_ ------------•----------------------•------�
' i ---•1Net,t� _ - ---------------------------------•----------
j •--------Kzis_.MayhQzr.y--------------------------------------------
' � TITLE : MEMBER STATE BAR OF WISCONSIN ------------•---•----•-
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(If not, ------•----------------- ---•-------------•--- -------------•----------•-------._.--••--•--•-----•---•-----•-••--•---------••--
---•---•------•
authorized by § ?06.06, Wis. Stats.) to me known to be the person ____.__.__.. who executed the
I foregoing instrument and acknowiedge the same.
I
�� THIS INSTRUMENT WAS DRAFTED BY �
i Kris Mayberry /Attorney at Law
-•-----••--"-------•----•---'-•-••---•-•------•------ ------------•--------•---
•--•------•-----•---•---••---•----••-----------------•-----------------------•-- ,�
------•---------------•------•------•-----••--- -•-------•-------•--•---••-•-•-
�' - --- •---Ha.ywas�,..ldis.c.ons_i.a.---•----•------•-------•-------- Notary Public -------•-•------•----------- �--••--•-----County, Wis.
(Signatures may be authenticated or acicnowledged. Both 1�'IY Commission is permanent. ( If not, state expiration
� are not necessury.) date : ...__.__. ______________________ 19_.._.___.)
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