HomeMy WebLinkAbout002-940-27-5103-LUP-1997-639 Application for Land Use Permit y � '
County of Sawyer � � �
PO Box 668 -Haywazd WI 54843 v �
715/634-8288 C 1 � '
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 f� �
and the laws and regulations of the State of Wisconsin. a
PRINT-USE BLACK INK OR PENCIL � W
Ly,�� �n �,.��.. , � �
L.5 � �- � l
wner Builder � _ '
nUli ��f'�iv����Z,. �J✓ � �
Mailing A�dress Mailing Address :;
�'IIVI'��OJ1 �✓ _)�ll� I T1;:7..,r'�lii �. .�� . h' i t ,:���J
C'ty,State, p City,State,Zip
���� �;��-���3 n
Day�t' �ime Phone Daytime Phone �
Building Land Use �(; /
O New O Filling Zone District i/V VC '
( )Addition ( )Dredging �
( )Alteration ( )Grading Lot Size
( )Moving On (,���� �� � �
( ) ( ) Acres �, ��C .a�,y(c ,�
❑
Primary Structure Accessory Building Addition ;� �
( )Dwelling ( )Gazage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls O Porch � r
0
( )Seasonal ( )Storage Building ( )Enclosed
O Frame built on site O Screenhouse O Living room � p
( )Modular/manufactured ( )Greenhouse ( )Kitchen `� �
c;
( )Mobile/manufactured ( )Other ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlazge �
(� �c,C,—��t��� ( ) ( )#ofnew � �
/� �
Type of Construction � O
( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete �' � >
(�Other `{-C C�� I�^'
� �j
Construction Cost$ � �
Vol y�:`> Pg . �} 7, of Deed Certified Soil Test#
�
CSM Vol $ Pg �5b� /�;� � Sanitary Permit# � �
Plat Envelope Or: � z
Condo Vol Pg Yeaz Installed � �
�
Aff of ex septic V P Oy�ner When Installed� W
. iQ �
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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. wide ft. wide ft. wide
�ft. long ft. long ft. long ft. long
Floor area /�1'<. :�= sq. ft. sq. ft. sq. ft. sq. ft.
HgL&om gade to peak ft. hgt. ft. hgt. ft. hgt.
Stories Z stories stories stories
#of bedrooms `" � ,
reaz lot line or wate line of • i`„' , lake/river
a�
In the box sketch in:
Location and size of all r L i —1— —
existing and proposed structures. I \ �� �
i
' �6US�-
Location of septic system. �
Indicate distance to: + �C�K ' G,�4��+��
Waterline — :i ' , , � , , �
Road J,,l ' �' ' G
Lot lines J��
Septic system .
Distance between structures.
Indicate North.
Fire Number:
�����; i N ����,����, E� r� � :. � ._ �-
,
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Siguature of Owner _
-------centerline of road-------
IssueDate 07 November, 1997 ExpireDate 07 November, 1998
.
Office Comments: '�-+�-c ' '
Stnte pf Wlscomin APPLICATION/P�,T�IIT FOR RIPRAF'PR07ECI:S
P,cparmiult o[Natnca!Resaams pursuant to xaion 3d;1 3 A
. . �{X �,R'�+.Stats,Form 3500.91 �
'ILi+focm.Ls rcquired undcr Seaion 30.12(3),�Yu,Stacs.Rehua!w prtmd�thi�i�(��tion may rault in tyo dumissa�of your app��
Pusonally idrntlHabie luformatlon on this[orm will be used(o�o0 other purposc,
n_,aNime '�°��'" '
P'oject LuaUao
� � � �e,r =„aa� .. .
s�a�« a ' � Q a�3� a,- : 1 s� 43
C�� JC.�, Vh . . �.1 Ci ' 1/4.` I/4,Scaiao�'4� .T y� N,R_� .
,sra�ej T�p coac ( )Gg' �7 rown ( �v�lagc or . (�
�Z�O� O� A-5_ l,a��c�
Homc'fdcp6 e No. Wort'I'dephoae Na F umber Taz Pual Na. uury Nam of Wat
c ,�� �,-4c� c � '� t�1 Do9�-7a/,3 5�� �.r V���nd�
!hcccby a�ti(y cha[�he info�matiou coutained 6arin ia we and accura[e�I am tLe awa o(Ne riparian p�opecty or am Ne dWy aatLo�fred«pr�uu�ive d
a'P"��S aPP�don ou behaiC o(tLe ouver(a)M said pcopercy: I have read anC uadastand all oC the 000ditiom ol this . ..
wll wmwa W<above mcnuoned pmjea ia wmpliance wicA ali such conditlom. [undasuod tLat fi�ure to wmpty with a�o'all o(the p�mvu(om o[�and
�mit�dm che authorfratioo watained haein nuli md wid and mry rcsWt in a Gac and/or imprisonmcat uvdcr the p�wisiom oC i 3017{5�Win Suu or
Corfatwe under i 30,15,Wi�.Stalt
Printcd or'Iyped Full Name o(Applinn[ Si t Ap ' n Dace signed
L. �a\ber � /�u ��-�I ly�7
ATTENTION!! YOU NIUST C LY WITH'THE CONDITION$ ON THE BACK OF THIS PERMIT
� _ - t .i. �x�'r� + _ -
FII`IDINGS OF FACI'_ri, ,i_.r � .,. _ , , -. . _a:�;.�. fg1C1°,tS ;:�#i��;:; _ �'ksr� _._ . ..
t. �:��3e ap�lioat has aompGdf slth all�pcotMunl Ynd legal t�q6irl�effvof�Wwmin Lawq, .;-:ir Y c i,�. t ..::i �, �t�r:t� ,:
_ '
� .--.�c.-.�- �• : .�a;. �,.,.. .: ; ,;.:.: .3_���i ra,.t4�76'itFt k�'�f'4:;k s, w ::._, ..-,.... .�y� �t.a-,w .,�t�.
- Tb�P�P�4 P�1��u not tvult in a mat¢ial obswctioo to oavigatio4 w'�7 uot adveiscly altcct watc uali will no['
9 �Y. �4W5 watcr pollution iu
surface aatcn and will not ouu rnvi[onmrnul pollution at dcfincd in s 144A1(S),�Y�v Suti,if the ptojcct u wmtcuacd in aaocdancc wiW Wia
pamiL
,. 2Lc Dcpanmenf hat dctcimincd tbat thc granting oC thia permit would not be a major state attion-signiGc�nt7y aQcaing[he,qvality p(lhc human
.. mvimamrnt -. , . .
�. ltc Dcpanmem and ihe appliont have complucd all�p�ocrdunl nyuiremcau and iha project as pamiiccd will compty with all appticble coquitcmcnc�
o(1Yisromin Adminisuative Codc and Wisconsin Swwtct �'I ����—
V
.. 'llu ptojca will not impaa wctlands � C�,I
\1�
�orrcc.usiorrs oF r,�w AUG 15 �ggJ
.. ILe Dep�nment has authoriry uudcr z 3012(3),Wis.Suts.,and apptimble K'ummin eWminis[ntive Codo lo issue a pc.-mi:for thic pro��
_ TL<Depanment hu mmpGcd wich s,t.li,w�suu.�e rrx ios,w�nem.cAa� RK FALL$AR
`�UA Q'
YOTICE OF APPEAI.RIGHTS
f wu bciic+e thac you havc a righ[[o chalicngc this deasiou,you should Imow u..w.,W�o�minutr�trvc Codcs and Wucoosin SUtuta ntablish timc pviodt
ncLin ahich[�unta to miew Depanment dcdsioas must bc filcd _ �
,o nqout a oontatcd ase hcuing punuan[to i Z27.42,Wu.Sun.,you 6rn 30 daya aftc the dc3sion is mailed,or otncx.:�.e�ryq�ye Dcpartmm4 ta
me a puitlon tar hnriug on tLe Sca'nary of We Depac�ent oC Nawcat Rewucca.'IL'u notke is pmvided pucswnt to s.227. -vrt.�....
' LFAVE HLANK-DEPARTMEM'OF NANRAI,RFSOURCE USE ONLY
SfATE OF WLSCONSIN•DEPARTMENT OF NANRAL RESOURCFS
For�he Scc[ctary
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,_r�t��`��,�, �, �_,,,.,�"S :A M P L E P L A N „� �' �. _ -
Lxacian Sketch <Indicate acalU. Shou rwce to project ette,
DRAWI�`(GS_QF,,P,ROY,OSED .. - .-'� � _ - . Include r�eaj;e�t_�p4lnroed ,wd crosatoad �rs: r�� . . . �
ACI7VCIY,SHOIJ�,BE"`� . .: I ��I 1 f f . �„tt��>� .�.f��r i. � ..f�� I €. �I�!-�.. ., :,:.t . �,:�) € . . :;'. : � .
i 1s .
PREPARID�IN ACCO[tDANCE .., ......� I I]� ZOO }j '��Iyy I E ( t ! 4 t � t � �
WiTfI SAMPLE DRAWING �� i � € `� .�� ._t __€._ 21 � � � . � -.g n (. : } :i
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E. � I
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.....
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Approximately 80 � � , : : ..
+ �
yd� of sand and gravel � � y � . ; : � .. -. � j � i r 3 '
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filter. ( E � ' ' # €_ � � i �� � � �!� 1 � � ...
A roximatel .�....., � t ... �� r.. £ _ �� ( #__f ...
PP Y 3 . :
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160 yd' of stone j f f ` . 's , � 3 : ' ' � i � j � f E � ; g ...
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pieces, varying from ' ��, � f �--- � , , s � ��
6" to 2' diameter. } ..: ` i. `. h . .`..._ �. .,.._I'ROJE�F5ITE � i t
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Project Plans Qnclude top view end lypicN croas aactiona. Claerly identify featurea end dimenaione or indicafe scale.)
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264 �
�OCUM[NT No. STATE BAA OF WISCONSIN FORM 1- 1982 I THIS SPAGE RESEHVED FOR ftECOR�IN6 ��AT�
WARRANTY DEED
v
2i417N �
I _ _ — --�— ._ _._ . _ . . x.oa�a.r.o,na. 1 .
- ---- -- _ _ .
s.w.� a«oh I ' / 9 �
Th1s Deed> made betwcen LE_ ROY B SOBIESKI____ . _._,...__ �„�� �a, �oni the dq d °
- - � � nnis� a'�--�y3S
_..._ _ _ _ " ..._ _ _ ' _ ____ . ' "' _._ __ __ I✓� .ud recordad tu voi. �.
- Grantor, ol hacu�ds cn p,pgd 7 i
' '_ _ _' _ '_ " .
a�a. HERBERT SALBERG �nd .LYNN ANN_SBLBER.G_, hu5band Z� �,�i� �—
_ end.�.if.e_as_.joint..t.�nants.----.-------_....----_.............----------- ��
- - ---- � - -- - - - .._._ _ - - - - - - -- - ..
---...-__'---'--'---------.--.._._-----------�-------------------�'------_..� Grantee, D��It
Wit esseth, T1�at the saia Gra Wr for valuable co ider t,ion _._
one dol�ar and otner good an� vAlua�le consi�era�ion
_.... -___. _ _...- - _ _ - - - __..--- =-.._
5awyer REr�R�to II
conveys to Grantee the following descr�6ed real estate in .... - -_--.- . --- - ' �r� .��w �q��k Or I�+yw��d
County, State of Wisr.onein: II
. . .._ ---------- _-I�
Tax Parcel No: -'-'-""'----'-'---""-""""
` fihe South 200 feet of Government Lot Seven ( 7 ) , Section Twenty-two (22) , �
Township Forty (40 ) North , Range Nine (9 ) West, EXCEPTING Certified Survey
Map recorded in Volume five ( 5 ) , page 118, Survey No. 950 AND ALSO EXCEPTING li
Lot One ( 1 ) , recorded in Volume Eleven ( 11 ) , of Certified Survey Maps , pages I
84-85, Survey No. 2344.
✓AND Government Lot One ( 1 ) , Section Twenty-seven (27) , Township Forty (40 ) North , III
Range Nine (9) West , EXCEPTING Lot Two ( 2) , recorded in Volume Five (5 ) of
Certified Survey Maps , page 118, Survey No. 950 AND EXCEPTING Lot One ( 1 ) ,
recorded in Volume Eleven ( 11 ) of Certified Survey Maps , pages 84-85, Survey '�
No. 2344.
TRANSFFR
s l 5's��
FEE M
This 15 __._ homestead property. I
- -------'-
(is) (is not)
Together with ail and aingular the hereditaments and appurtenances thereunto Gelonging; '��
Grantor
And.........._....----------------------..-_-----------------------...-------_.-----.-__.---- --------'---------
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except �
subject to easements , exceptions and reservations of record
and will warrant and defend the same.
n�cea cn�g . --- ..1_6th- -- --- aay of - June --- --- ... - - _...., is_89...
..___-------._..._
- --._-------------------------(SEAL) -�yG[%,L^ / �aa��G��t��"-��-"•`�-`�----(SEAL) I
. . -_LE_ROY_.B,__.SOBIESKI_._..__._--------------
-- -- - -...- --- -- -- ---� -------
---------�-----------.....----------------.....------_-(SEAL) --------..._---_...--------.._------------.....___...(SEAL)
� • ._..------��--.._---------...-�-------._......._ . .
---..............--`-'-----.._-'�---�-------_.---._.
AUTHENTICATION � ACKNOWLED6MENT
Signature(s) STATE OF WISCONSIN �
---------------------------------------------------"-
ss.
--�---------------------- -- ------ - ------�-� - -------- ------ -- Saw er
- - - - Y-- - ---- ------ County. i
authenticated thia __......day of______________________.-, 19..___ Personally cnme before me cn;8 ...._15th...aaY of
� _..--'-"---------June---------- --- 19_89._ the above named
-- -�---------•------- - � --------- - ------ ---�- - - --��-- Le Ro B Sob iesk i
- - --- .....Y. --' -----�-- -- ------ --- ------ - ------ ---�---�-------
•....-�---- ------��--� - � -�--- ...-�---.._..- ---�� - - --� - - .. . - - � ... --- --�---- ----�---�- - - -��- - ----�-�---�-��---�- �-
TITLE: MEMBER STATE BAR OF WISCONSIN
Qfnot, -"-'------------ ---------"--------- ----'-------------'------------'------------�.•-•--;--.....-----'
authorized by § 706.OR, Wis. Stats.) to me known to be the person _..._.__...�tw�Q �zeouted the '
- �L��/-- C le�d�e �he saMd.�
THIS INSTRUMENT WAS DRAFTE� 6Y foregoing instrument � � w� J v
i Michael A. Kelsey - Attorney Walter H. er �= ,� t- �
� Ha ward , Wisconsin 54843 � Sawye� v �,,,,cYEw�9.
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(Signatures may be authenticated or acknowledged. Both My Comm�ssion �s permanent (i4 not��qtatQ ex fratio❑
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WARRANTY DEEO tiTA'PF. IIAIt OF W13CONtiIN \Vi.winsin Lecul HWnk Co. Inc.
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