HomeMy WebLinkAbout012-740-03-4401-LUP-1997-459 Application for Land Use Permit �, o .�
County of Sawyer y � �
PO Box 668 -Haywazd 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. � , i
����,��� �� ��_ PRINT—USE BLACK INK OR PENCIL ��
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Owner � Builder `'�
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Mailing Address Mailing Address � �
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City,State,Zip City,State,Zip � � �
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Daytime Phone Daytime Phone - ��SJ St6 Z b S3�f
Building Land Use �
O New O Filling Zone District D� i ��
( )Addition ( )Dredging G
( )Alteration ( )Grading Lot Size /�/°!oR�� �p F7 R�
( )Moving On ( ) �
( ) oo P,���( ) Acres ��% �
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Primary Structure Accessory Building Addition �
( )Dwelling ( )Gazage-attached/detached ( )Deck �
O Yeaz round O#of caz stalls O Porch u o
( )Seasonal ( )Storage Building ( )Enclosed
( )Frame built on site ( )Screenhouse ( )Living room
( )Modulaz/manufactured ( )Greenhouse ( )Kitchen p
(Xj Mobile/manufactured ( )Other ( )Bedroom �/1
( )Other primary structure ( ) ( )Relocate/enlazge T
( ) ( ) ( )#of new �
Type of Construction r11
( )Frame ( )Log ( )Pole/metal ( )Block ( )Concrete/� .�
( )Other_R e v f ��a��/�S , / R�'� SN a s.� G/a/a a �/G�•6 y r �
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Construction Cost$ ,�y 07, �'m
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Vol�Pg�of Deed Certified Soil Test# �/� )i �
CSM Vol Pg Sanitary Permit# �J� -'� , � �
Plat Envelope Or: � z
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Condo Vol Pg Yeaz Installed I
Aff of ex septic V P Owner When Installed: v
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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 /y ft.wide ft.wide ft.wide ft.wide
�n � ft.long ft.long ft.long ft.long
Floor azea-yz y sq.ft. sq.ft. sq,ft. Sy.g.
Hgt,from giade /J�� to Pealc�_ft.hgt. fr.hgt. ft.hgt.
Stories / stories stories stories
#of bedrooms �
reaz lot line or waterline of �Z;� �T lake/river
In the box sketch in: /✓�2��i
Location and size of all G d��' 7'a N�yS�
existing and proposed structures. �� ApP�'�
?�A r��lC "�'
Location of septic system.
,y .
Indicate distance to: � �
Waterline
Road
Lot lines
Septic system �
Distance between structures. �
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Indicate North. �a o�
Fire Number:
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Signature of Owner �b A�
-------centerline of road-------
IssueDate 09 September, 1997 ExpireDate 09 September, 1998
Office Comments: �1,in �iC�(�� �„��/i - u u
WORKSHEET
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Document No. Return to: C��
R. SCOTT McKENZIE and SUSANNE M. McKENZIE, husband and wife,
"GRANTOR", CONVEYS AND WARRANTS TO DARRELL F. DeJOODE, an adult
man,"GRANTEE",the following described real estate in Sawyer County, State of
Wisconsin:
Tax Parcel No.
The Southeast Quarter of the Southeast Quarter(SE'/aSE'/s), Section Three(3),
Township Forty(40)North,Range Seven(7)West,EXCEPTING that part described in
Volume Nine(9)of Certi�ed Survey Maps,page 151, Certified Survey No. 1906, and
Affidavit of Agreement on Property Line, described in Volume Nine(9)of Certified
Survey Maps, page 152. See reverse side for additional IeEal description.
This Warranty Deed is given in full satisfaction of that certain Land Contract dated
May 4, 1995 and recorded June 23, 1995 in Volume 555 of Records, pages 353-356, as
Document No. 248583 and Affidavit of Counsel set forth in Volume 564 of Records,
page 406-407, as Document No. 251095.
This is not homestead property.
Exception to warranties: Subject to easements,exceptions,restrictions, and reservations
of record. Subject to any liens,encumbrances;;or defects in the chain of title created by
the act of default of the Grantee. � ' '"'' `""' ��
�ftnu�JRy /y 97
Dated this o2 O day of �2�
* �i.�C JMc///�� cseal� FEE ,�`'.
� (Seaq # EXEMPT
* U�ANNE M.McKENZIE —�
STATE OF WISCONSIN )
)ss.
SAWYER COUNTY )
Personally came bgfnre e this
�day of ''� ,199br1�
�;�, the above named R. Scott McKenzie
` '" ` �','. =� and Susanne M. McKenzie
:;, � ` t�'�,i 1{:,.a 7 �,;
� � �r;. A � to me known to be the person who
'1';��Pa,1�`��A ;��'.� executed the foregoing instrument
"" ''°°• ? and ackp w ed he s
�1�� �i^,'° a'`•.C,.$�
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. . . .� �,,�w� #
Notar Public, Sawye Cou WI
My commission• i �,.,Q�.
THIS INSTRUMENT WAS DRAFI'ED BY
Michael A. Kelsey
Attorney at Law
State Bar No.01013300
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