HomeMy WebLinkAbout026-938-14-2201-LUP-1994-023 Application for Land Use Permit
County of Sawyer � ��3
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The undersigned her.eby rnakes application [�r a Land Use Permit and agrees that �
all_ wor.k shall be done in compliance wilh the requirements of the Sawyer County �
Zoning Orciinance and the laws and regulations of the State oI Wisconsin.
PRINT - USE BLACK INK OR PENCIL �
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Owner Bui�der -
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f�ailing Address Mailing Address
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City, State , Zip City, State , Zip
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Building Land Use Zone District �,Q,- � �
(� New ( ) Filling -� �
( ) Addition ( ) Dredging Lot size � �
( ) Alteration ( ) Grading �
( ) Moving On ( ) Acres ��Z Q
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New Construction
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Size 3c;) ft wide ' wide ' wide �
L 1 ft long ' long ' long -
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Floor area /�d � sq ft sq ft sq ft r
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Total hgt r` G- � to peak ' hgt ' hgt x' �
Stories /
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No . of Bedrooms �/�
rear lot line a,��L�^,�������e o,
(year round) or (seasonal) �� G �+
Type of Bldg, Addition , Use a o
( ) Dwelling �' rt
(ry(� Garage ( 1 ) � car �•
( ) Storage Buil ing �.
( ) Boathouse o
( ) Livingroom �
( ) Bedroom
( j Kitchen-Dining �
( ) Porc1� (enclosed) (roofed) ' '
( ) Deck - open � �'�
( ) � � � rw
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Type of Construction ' r�
(x) Frame ( ) Block � �
( ) Log ( ) Concrete \ .° � F��
( ) Pole ( ) Steel d��
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( ) ( ) Pole/Metal (��` `� .` �n
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Constructzon Cost $ � ?,�. `� rt� � �y �
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Cer . Soil Test :^�Nj-��"L� ��' j � �
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Sanitary Permit �' l�i �� +'�`' � � •�(t�h� l.J� F�-
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Issued 15 March 1994 Denied ' �
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Owner Zoning Admini tr tor
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Z4' x ?4' (ow Maintenance 6arage ;
Approx. Sale Price Approx. Sale Price �
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With Rafters And Materials As Listed .. __._With Trusses And Materials As Liste�
Low maintenance garages are designed with materials that require little or no upkeep:Includes vinyl siding an�
aluminum soffit that never requires painting,a steel service door, a white aluminum utility window and a 16'x
raised panel overhead steel door.24"overhang on the sides and 12"overhang on the gable ends. iss-ze�z,2sas t
Size With Rafters With Trusses ;
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3 � 1=,Nall the siding to . 2,Nell on floor and 3.p��y nhino+� _ Plails,Hinge.
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DEPARTMENT OF � APPLICATION � SAFETY& BI;ILDtNvS�
�IND�JSTRY, FOR SANITARY ��ivisioN N
LABOR AND PERMIT P.O. E30X 7969 �
- HUMAN RELATIONS (PLB 67) MADISON,WI 53)07 �
Attach plans for the system on paper not less than 8Yz x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. fiorizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified.in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed,sealed and dated by the designer. If designed by a Master
Plumber,the date,signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be
included.
Property Owner: Mailing Address:
� �. T � �" /3a.��- 3 a a ��.o � s T I�O ,�'.�o �
Property Location: Ci�iHege or Township: County:
�'/o ui'/aS / iT��NiR y �') W Sf1Nd il KG S w ���
Lot Number: Bik No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number:
�� �Lt:/,? r � (lf assigned)
TYPE OF BUILDING
� Number of '
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
�"I or 2 Family *State Approval Required.
TOTAL NUMBER PREFAB POURED-IN NEW REPLACE- OTHER�
GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALLATION MENT SSpecify)
SEPTIC TANK CAPACITY ��j� �— L
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: /
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feetl: � New ❑ Replacement ❑ Experimental �Seepage Bed ❑ Seepage Pit
� �� C� ❑ Alternative (specify) ❑ Seepage Treich
Water Supply: Owner's Name as Listed on Soil Test Report (lf other than present ownerl: �
�Private ❑ Joint ❑ Public _J
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of P�ber. Sig�ture; _" , MP/i No.: Phone Number: -
, / ����=' ,� � ,h �:��. ) 'a ;
Plumber's Address: Name of Designer:
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COUNTY/DEPARTMENT USE ONLY 8 2-0 2 4
Sign of Issuing Agen • Fee: Date: � qppROVED Sanitary Permit Numbe-:
$60 . 00 5- 14- 82 ❑ DISAPPROVED 23643
Reason for Disap aL•
Aiternate course(s)of Action Available:
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Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county pri��r to ;n-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DI LHR-SBD-6398 (N.03/81)
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DOCUMEtvT No. STATE BAR Oi� WISCONSIN I�'ORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA -
WARRANTY DEED il '�'
232101 ,�,
-- - � ��� � � �
----
- --- - --
----_ ---_ _ _- -------
yos C'.«a,i7 ' �Q _� ot �
This Deed, made between ____.J.AMES___I..___�URKi�Tl:N__and___.____ �1G�a_��f,� I��j th� / I�li
-----rIAgY-M.--TURRLTTIN,--his_wif-�----------------------------- ------------------ T"�.. A D xs�h Qt/,.(__�� ��
.___,
-- �a'�`' ��adc� wa vd, � i�
-------------------------- --------------------------------------------------------------------,--Grantor, of :�;.�:.s�,_ cu F.�;_ Z.
- - ------------------------------------------------------------------ -
, �I
and-----------IyI,O�'D-S----NELSDN-�._an_.a.dul-t--�1------------------------------- �:...� �•. I'
-------------- --------- ---- ------------------------------------------------------------------------- " _�
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-------------------- ' �i
------ ------ ------------------- -------------- -----•-- ---- ----- ---------- • .. I
------------- - -------- ---------------------------------------------------------------, Grantee, _ �
---- - �
Witnesseth, That the said Grantor, for a valuable consideration_.__ �,
---------af.--one__dollar_and._other_.valuahl.e__cansid�za�iQns_-------- _-- ---------- ---_ `,
RETURN TO
conve3�s to Grantee the following described real estate in __._�3wy.er________.______ 'i
County, State of Wisconsin: !; �- �� �j�,�c...,' _ II
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_ - - - --- i
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Tas Parcel No- ----------------------------------- II�
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✓
That part of the Northwest Quarter of the Northwest Quarter (NW�NW�) , Section
Fourteen (14) , Township Thirty-eight (38) North, Range Nine (9) West, lying East �
of the center line of County Trunk Highway "F" as presently constructed and ��
maintained, except the Southwest Quarter of the Northwest Quarter of the
Northwest Quarter (SW�NW�NW�) . i
This deed is given in fulfillment of the land contract between the parties
recorded July 3, 1990 in Volume 451 on pages 208-209 in the Register of Deeds Office ',
for Sawyer County.
TRAI�-���
$ 3--
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IIIThis ______.____is__nDt____ homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And-------grantQz----------------------------------------------------- ------ -- - ----------------------- -------------- ------------------
warranta that the title is good, indefeasible in fee simpie and free and clear of encumbrances except
'�I
'� all easements, exceptions, and reservations of record
and will warrant and defend the same.
Datedthis ------ ---------------------------------------- da" °f ------ ----------------- ----------------------------, 19-------•
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-- ----------------------------------(SEAL) --��:�,'a2- - --.---_ ��-�=�'f'-����=��--'�----------(SEAL)
� _ 'James L. Turrittin
---------------------------------------------------------------- ------------- ----------- -----------------------------------
----------------------------------.(SEAL) �_5.��-'---- ---- - - ----- -- --------(SEAL)
* ------------------------------------------------------------------ * - -Mar.y.--��---'�urr.�,tt�.n------ ---------------�------ �
AUTIiENTICATION ACHNOWLEDGMENT
�i�iiNAle�:��A
Signature(s) STATE OF �69�F�H�T
� ----------------------------------------------------------------------------- ( �F�c..,�,_<,_n,�:---------County. ss. /��
------=----------------�4 /� - - - ',
authenticated this ________day of___________________________ 19______ ersonally came before me this _�____._ _ __ day of
_�'': �•% =------------f �
__________�_________________ , 19_�_._ the above named
--------------------------------------------------•-----------------------------
___James. L.___&_Mary___M,_____urrittin___________________ �
,
------------------------------------------------------------------------------ --------------------------------------------------------------------------------
� TITLE: MEMBER STATE BAR OF WISCONSIN
----- -----------------------------------------------------------------------
(If not- ------------------------------------------------------------
------------------------------------------------------------------------------ '
authorized by § 706.06, Wis. StatsJ to me known to be the person __S__.__.._ who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
--------------- -------------------------------------------------'- -
I2u��y L�w Office -__, ,�- -------
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--�=---�---- ---------'9�'�t'ea�_•,..� ..w�:�:�-.,s.:��:::R:;�----�-3j��
----------Ha�Grazd.,--WI------5_4843-------------------------------- Notar.y Pu 1' .,,:,z47:�_�:------------ (�'- �,yf�{ ---CountY,��
(Signatures may be authenticated or acknowledged. Both ?�73' Comm� 1upA ''::�e j�j��� , T expiration
�..�,r�t�, 9 F���it�'AA1N�� iA
are not necessary.) d . � �,'•:G'-�"i�:'�i kPv01C'�_C011i�IT'K---�� 19--------•)
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_- -__�"��= Q7�1: � `'� �-- � `/ m. E�cp�res Apn! 3, 'ig;.=-- _
•Names of persons signing in any capaci y s ou d be typed or printed beloa� their sisnatums. • ���b••b••`•,~",�,•'�-••�.•.q,.,,�,,.i
� ���nnnewTmv nrcn STATF, 13AR Ob' WISCONSIN V✓isconsin Leval Blank Co. Inc. �