HomeMy WebLinkAbout024-741-32-3404-LUP-2000-432 . Application for Land Use Permit _
� � :
p��� County of Sa�vyer ;, � ' , •
� PO Box 66S - Hayward WI 54843 �y .
715/634-8288 ; �
The undersi�ned hereby makes application for a Land Use Permit and agrees that all work I�
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance s
and the laws and regulations of the State of Wisconsin.CONSTRUCTION NIAY NOT �
BEGI?�I UVTIL THE PERi�IIT IS ISSUED. � �
PRIVT — USE BLACK I�iK OR PENCIL � �
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/�f}viD �' Q Y �l�SSE�✓ S E�� � �
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O�vner Builder � o
►a.-3 y 3 1.J l.��c..�-Y S�- � �
Mailin� Address Mailing Address
��-rwa�-� l�� .5��'Y3 �
City, State, Zip City, State, Zip N
---� �� Z � ��3 �
Daytiine Phone Daytime Phone
Building Land Use �-�, �''�
1� Ne�v ( ) Filling Zone District �-�-�•� -� +� � �.�ec �
( ) Addition ( ) Dred�ing C
f '
( ) �iteration �Grading o��r Lot Size � '
( ) �Ioving On ( � �b,000,� F
( ) ( ) Acres � • � � � I
_ �
Primary Structure Accessory Buildin� Addition '� ��
(� D�cellin� ( ) Garaae-attached,'detached ( ) Deek I�, �
(�1 �"ear round ( ) ,= of car stalls ( ) Porch i-c ;�
O Seasonal Q� Stora�e Buildin�G���+E O Eiiclosed �
� �
(1e) Fraille built on site O Screenllouse O LivinQ room ±�
( ) ��todular;'man�ifacttired ( ) Greenhouse ( ) Kitchen j
i I�
( ) ��lobile/manufactured ( ) Other ( ) Bedroom �w i ��
O Other primary structure O O Relocate'enlarge I v ��
O O O # ofne�v � I �
Type of Construction o i�-�
(�FrameJ ( ) LoQ � P�/metal ( ) Block , ( ) Concrete � � -
O►'�►F S C/*vL/►La� G/��tA tw�'r W 4�.� i �o D� '� I(:
( ) Other � W
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Construction Cost S 1 O 5'� Dc� o � z'
Y�� 7 i�
Vol 0.3 P yyj ( of Deed Certified Soil Test ,- I ^C
�_ � ��t� -�``�9 � � !
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CS�1 `'ol P� Sanitary Permit # (`�['� —���7 ' z
— �C
Plat En��elope Or: �`�f i �, �'��`� ' '~
� �Condo Vol P;_ Year Installed �
Af(�of eti septic �� P O��ner �`'hen Installed: � �
_�
l�l�l ���
�,��, Application for Land Use Permit — Page 2
� �
Describe Construction: List dimensions of each structure, story, addition, or alteration. .t
#1. #2. ��,�w �,,� ' (.,�o�.,. To #3. �pV- #4. �Cc.1� • '
Size Z� ft. �vide Sy "tt. wide �(� ft. �vide ft. wide
�_ ft. long w�po�� y o ft. lon� �� ft. long ft. long
Floor area � l Zo sq. ft. � L oo sq. ft. sq. ft. sq. ft.
H�. from gade Z,Q to peak -i► ft. hgt. ft. hgt. ft. hgt.
Stories l ( stories stories stories
# of bedrooms 2
rear lot line or ���aterline of lake/river
In the box sketch in: �,�
Location and size of all i4
existing and proposed stnictures. � � P.�+ � `�
Location of septic system.
Indicate distance to: �o
�Vaterline/Wetlands
Road
Lot lines 2 8
Septic systemiprivy
��'ell
Distance behveen structures.
Indicate i�orth. � yp r�/
z
Fire tiumber:
�h N
yo T�
Sibnature of O�vner
Tlle abu�e certitizs that the listeci
itiforntation and intentions are [rue a�ld
correct. Tile abo��e perso�i's,�hereby
�,i�e pzrmission for access to the '�X ��X�� lexu
properry for onsite inspection. ------- centerllne o road-------
C �l-� f�
Issue Date August 16 , 2000 Espire Date August 16, 2001
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Ofticc Con�ments: '
SIvIl;ltllCc Of ZOtlltl`� AC�Il11Il1SlC�lIOC
�.vh�u �c� ��� ��� � a� _
� ,Upt� : �Q UQq � w1 u s� l� C� `�D` �v'Ovti y�rta` �d f" l l��t C�
� � � Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
# t . #2. #3. #a. �EcK � g���
Size Zg ft. wide 5� `f ft. wide � ft. �vide �_ ft. wid�
�ry 'Potieµ
�� ft. long � ft. lon� �_ ft. long � ft. long
Floor area ( � 2.o sq. ft. 07 � �� sq. ft. �Z sq. ft. sq. ft. �g l�
H�. from g-ade 2 � to peak z- � ft. hgt. Z� ft. hgt. ft. hgt� t?--�
Stories � 1 stories �__ stories stories �
¢�
# of bedrooms 2-
rear lot l�e or �vaterline of � lake/river
�
In the box sketch in: � _ �
Location and size of all v -°o
t�
e�isting and proposed stnictures. a �. ;
� 4 � �
Location of septic system. ` � j �
o � J'�
Indicate distance to:
`Vaterline/Wetlands '�'�--- �
Road '� � �
� � o�: � -
Lot lines �
Septic systenl/privy o� � �
��'el l � �_ '�
Distance bet�veen strtictures. � � J
� a ,�r� �� ; �b
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Indicate �'orth. �, ;, ��l `
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s � �' (�
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Fii-� �umber: a o r1 2
a � � �
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Signature of O���ner
�Clle abo� e certitizs that thz listes [`�
iiiturrllstio�l and intentioiis are true and `'^
0
correct. The abo��e person's hereby �
� f
�_i� e permission for access to the /�,
prop�rry for onsice inspection. ------- centerline oF C � �1 � Zd-------
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Issue Date Expire Date
Ofticc Comn�cnts:
Si�nature of Zonin�, AC�Il11I11SLCZ10I'
4�1�`�v'�'cr..ILft-�' V 'ft+2-! 14�V1E � � " � Z'fl .. �
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SCALE: I INCH=400 FEET
DRAWN BY: DATE
COLON (:) INDIGATES GOVT.
3�oS
283682 STATE BAR OF WISCONSIN FORM � - 1998 �
WARRANTYDEED Rep�ster'sOttice } SS
; SewyerCounry
Document Numbcr Re,�Iv�,e�d.(Or rBCOrd Ihis / d3y O( -
This Dced, made between ALLF,IV A. KENDAL[„ �A D 20 0 o af —a�o'dock
M end recorded as vd.
�or on pago�f;��C�
� Register
j Grantor, and llAVID A. NILSSEN and MARY K. NILSSEN, husband and _
� wile,as survivorship marital property �Pc�,!�-
' -----
i
, ___._
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in Sawyer County, Stete of
Wisconsin (The "Property"):
I Recordin Aree
� Name and ReWrn Addres
Boncler Re y n
10475 ate Road 27 �� f(�
H ard, WI 54843 1�-�
024-741-32 3404
��� Parccl Idcntitication Number(YIN)
This �s not homestead property.
. Eie)(is not)
Part of the Southeast Quarter of the Southwest Quarter(SEI/4SW 1/4), Section l�hirty-two(32), Township Forty-one (41)
' North, Range Seven (7) West, lying South of C.T.H. "B," EXCEPT Lot One (1)as recorded in Volume Nineteen (19) of
� Certified Survey Maps, pages 253-254, Survey No. 5694.
TRANSFER
s �350
FEE
' Together with all appurtenant rights, tiHe and interests.
i
' Grantor warrants that the tide to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
subject to easements, restrictions and reservations of rewrd and will warrant and defend the same.
Dated lhis � � day of � � _ 2000
� � iL�4i'�-a�-�.-�G�
, _ __ . ALLF.N A. KENDALL
� � ,
AUTHENTICATION ACKNOWLEDG`tENT'
S7ATBOP WISCONSIN �
Signawrels) Saw er � 5�
Y Counry. ) ,�(
___ Pcrsonally camc before mt Ihis .? j � day u(
aulhrnlicated lhis day of �
/�2/� , 2000 �he above named
— — Allen ��nd�l
u �` �:*�-�
` .``T� .
: �
------ •.�.
TITI_E: MEMDER S'fAl'E BAR OF WISCONSIN
:to qje k wn �o �(s) who cxecuted Ihe foregoing
(Ifnol, "#t{umrnta cao� he mc.
authorizcd by § 706AG, Wis. Stats.) ' �
�
THIS INSTRUMCNT WAS DRAFTED F3Y � �
MICHAEL A. KELSEY, ATTORNEY AT LAW � ' �•��'' •� �� , _
State 13ar No. 01013300 N a�f d � i �� `v'I;'Wisconsin
My ' mm�ssi�n �s permanent. Qf not, state expiration datc
(Signaturcs may be authentica�ed or acknowledged. Both are no[ 8—�/_� O� _.�
necessary.)
'Names of perwns signing in any capaci�y should be typed or printcd below thcir signaturcs
STATE.RAROP WISCONSIN
WARRANT\'DfED pONM Na.1-If9t
INFORMAIION PROFFSSIONALS COMPANY FONb DU LAC.M'�6W-651-2021
vOL � o � P� 4 4 �
;
DRAWN BY :
COLON (: ) INDICATES
_ �
July 19, 2000
David and Mary Nilssen
12343 W Wiley Street
Hayward, WI 54843
SUBJECT: Request for additional information
Sawyer County 2oning Administration
P.O. Box 668
Hayward, Wisconsin 54843-0668
715/634-8288
To enable this office to process your application for a Land Use Permit
or Conditional Use Permit, the following infosmation is required:
( ) Complete legal property description
( ) Mailing address of property owner
( ) Name and mailing address of builder, if other than owner
( ) Volume and page number of recorded deed or legal document showing
proof of ownership
( ) Vol�e and page number of recorded Certified Survey
( ) List the size of
( ) Size of property in footage
( ) Type of structure: dwelling, garage, storage building, etc
( ) Type of addition: livingroom, bedroom, utility room, kitchen,
porch, deck, etc
( ) Tppe of construction
( ) List estimated cost of construction
� The rectangle on the right of the application represents your prop-
erty. Sketch in the location of the n���,�„�,h�„ �
, giving all istances to ot ines, roads,
s ore ine an ot er ui ings on the premises.
( ) Sketch in the location of the ezisting septic system, giving all
distances to the dwelling, proposed addition, and accessory buildings
(JC Attach the required fee of '�'t� �,� °C'
/ You may make check payable to Sawyer County Zoning
( ) Retaining your check/cash to cover the fee
( ) Signature required on bottom left line of application, use only
black ink
( ) Certified Soil Test required
( ) Sanitary Permit required
( ) Eaisting septic system affidavit required
(�c) Please print, use only black ink or pencil. Applications completed
in blue ink will be returned.
( ) What year was the existing septic system installed
( ) If the septic was installed after 1968; who owned the property
at that time
( ) If the new dwelling will have a loft or second story, list the
size of the loft or 2nd story in the spaces provided
(�CJ Return the original application; photocopies or facsimilies are
not accepted
( )
(�) /l�e�d d`S�c'�nc�c �,�om ea.c,��houS�. 4.v�d �4✓�4Sr � � �'h'� rvad� �o
-4.y,� �,�„�,r�-y 1���� -lu easY �d �eSE !oJ- ��hsS,a.nd �h� Sov�h
,�. l, �;�-,e., �ro�,�� Nv�s� �� Nor�ti )o�- 1;n e,
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